Rn-Flexstaff, Med Surg/Telemetry (Staten Island, NY - Temp)

Northwell Health Staten Island , NY 10301

Posted 3 days ago

Job Description:

Part-time, acute care in Northwell Health System.

Please be available to work minumum of 6 shifts per month.
1.Assesses the patient's physiologic health status

  • Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously;

  • Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status;

  • Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate;

  • Assesses level of pain and pain management;

  • Communicates/documents patient's physiologic health status and plan of care.
    2.Assesses patient's psychosocial health status

  • Elicits perception of medical/nursing care and the expectation of care;

  • Determines coping mechanism, knowledge level, and ability to comprehend;

  • Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfacti Communicates and documents psychological status and care plan; support group, counseling services, social services.
    3.Identifies patient outcome

  • Develops criteria for measurement of patient outcomes;

  • Identifies actual/potential patient problems;

  • Identifies patient's need for teaching based on psychosocial and developmental assessment;

  • Develops patient outcome statement (s) and establishes individualized patient goals.
    4.Formulates the plan of care and establishes the priorities necessary to achieve expected outcome

  • Identifies care activities and establishes the priorities necessary to achieve expected outcome;

  • Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome;

  • Documents the plan of care and collaborates with physicians and other health team members.
    5.Implements the plan of care

  • Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.);

  • Exercises professional skills related to the plan of care;

  • Reassesses patients as needed and appropriately revises plan of care;

  • Correctly administers prescribed treatments;

  • Correctly uses equipment necessary for patient care;

  • Provides emotional support to patient and significant other;

  • Applies scientific principles in performing procedures; carries them out safely, timely and efficiently;

  • Makes accurate observations of patient's conditions during treatments/procedures. Reports and records same as appropriate;

  • Keeps accurate documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions;

  • Uses appropriate methods of documentation according to departmental policy;

  • Acts rapidly and effectively during any emergency situation, managing self, patients and other employees;

  • Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient's family or caretakers;

  • Participates in planning for discharge and coordinates referrals, as appropriate;

  • Provides discharge instructions to patient and significant other.
    6.Evaluates care provided for patient outcome

  • Demonstrates ability to measure effectiveness of care provided and documents same;

  • Performs variance analysis related to outcome data for performance improvement;

  • Designs, implements, and evaluates systems to improve care in Unit;

  • Keeps accurate documentation of patient's treatment, activity and condition;

  • Uses appropriate methods of documentation according to departmental policy.
    7.Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team

  • Collaborates with the appropriate physician on patient's plan of care;

  • Accurately interprets and implements treatment regimen as prescribed by the Physician;

  • Assists the Physician during treatments and/or diagnostic procedures;

  • Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient's condition and/or treatments, as appropriate;

  • Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion.
    8.Performs grade I-IV Decubitus Care

  • Performs preventive skin care measures

  • Applies simple dressings, maintaining principles of aseptic technique;

  • Applies warm & cold compresses, consistent with facility procedure;

  • Performs irrigations, consistent with Facility procedure;

  • Performs other procedures related to skin care, as necessary.
    9.Administers medications correctly and safely

  • Correctly identifies medication: action; dosage; side effects and implications for the patient;

  • Meets standard on medication administration examination;

  • Demonstrates preparation of local solutions;

  • Demonstrates preparation of I.V. drips;

  • Administers and documents medication correctly;

  • Administers IVP medication as per department policy and procedure;

  • Educates patients and significant others related to drug and food interactions.


  1. Participates in patient and family education

  • Provides the patient with an explanation of his/her condition as indicated;

  • Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies;

  • Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching;

  • Provides for early discharge planning and appropriate referrals for post-hospital care;

  • Evaluates the effectiveness of teaching by feedback from patient/family and documents same.


  1. Performs related duties, as required.

Qualifications

  • Current license to practice as a Registered Professional Nurse in New York

State.

  • BCLS, ACLS (as required), preferred.

One year of recent acute care experience preferred.


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VIEW JOBS 4/15/2019 12:00:00 AM 2019-07-14T00:00 Job Description Part-time, acute care in Northwell Health System. Please be available to work minumum of 6 shifts per month. 1. Assesses thepatient's physiologic health status * Conductspatient interview, explains policies and procedures to patient/significantothers, reviews patient's chart and answers questions correctly andcourteously; * Assessesgastrointestinal, cardiovascular, respiratory, renal and neurological healthstatus; * Determinesmobility, sensory deficits, prostheses use, and skin condition and adjusts planof care, as appropriate; * Assesseslevel of pain and pain management; * Communicates/documentspatient's physiologic health status and plan of care. 2. Assessespatient's psychosocial health status * Elicitsperception of medical/nursing care and the expectation of care; * Determinescoping mechanism, knowledge level, and ability to comprehend; * Identifiescultural/ethnic requirements to reduce anxiety and ensure patient satisfacti• Communicatesand documents psychological status and care plan; support group, counselingservices, social services. 3. Identifiespatient outcome * Developscriteria for measurement of patient outcomes; * Identifiesactual/potential patient problems; * Identifiespatient's need for teaching based on psychosocial and developmental assessment; * Developspatient outcome statement (s) and establishes individualized patient goals. 4. Formulatesthe plan of care and establishes the priorities necessary to achieve expectedoutcome * Identifiescare activities and establishes the priorities necessary to achieve expectedoutcome; * Coordinatesthe cost-effective use of supplies, equipment and medication to achieveexpected outcome; * Documentsthe plan of care and collaborates with physicians and other health teammembers. 5. Implements the plan of care * Maintainsconstant vigilance over patients care to ensure that safety precautions/needsare followed. (Side rails up, call lights and bedside stand within reach,etc.); * Exercisesprofessional skills related to the plan of care; * Reassessespatients as needed and appropriately revises plan of care; * Correctlyadministers prescribed treatments; * Correctlyuses equipment necessary for patient care; * Providesemotional support to patient and significant other; * Appliesscientific principles in performing procedures; carries them out safely, timelyand efficiently; * Makesaccurate observations of patient's conditions duringtreatments/procedures. Reports and records same as appropriate; * Keepsaccurate documentation of patient's treatment, activity and condition, as wellas patient's responses to medical and nursing interventions; * Usesappropriate methods of documentation according to departmental policy; * Actsrapidly and effectively during any emergency situation, managing self, patientsand other employees; * Provides acalm, quiet, restful atmosphere. Communicates effectively with thepatient's family or caretakers; * Participatesin planning for discharge and coordinates referrals, as appropriate; * Providesdischarge instructions to patient and significant other. 6. Evaluatescare provided for patient outcome * Demonstratesability to measure effectiveness of care provided and documents same; * Performsvariance analysis related to outcome data for performance improvement; * Designs,implements, and evaluates systems to improve care in Unit; * Keepsaccurate documentation of patient's treatment, activity and condition; * Usesappropriate methods of documentation according to departmental policy. 7. Collaborateswith other care team members in planning and carrying out treatment regimen;provides direction to other members of the care team * Collaborateswith the appropriate physician on patient's plan of care; * Accuratelyinterprets and implements treatment regimen as prescribed by the Physician; * Assiststhe Physician during treatments and/or diagnostic procedures; * Keeps thePatient Care Manager/designee and/or physician, abreast of changes in patient'scondition and/or treatments, as appropriate; * Usesclinical judgment in delegating assignments to the Patient Care Associate,Support Care Associate and Clerical Service Associate in providing patientcare, and ensures that assignments are completed in a timely fashion. 8. 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Rn-Flexstaff, Med Surg/Telemetry (Staten Island, NY - Temp)

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