- 1. Assesses the patient's physiologic health status
- 2. Assesses patient's psychosocial health status
- 3. Identifies patient outcome
- 4. Formulates the plan of care and establishes the priorities necessary to achieve expected outcome
- 5. Implements the plan of care
- 6. Evaluates care provided for patient outcome
- 7. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team
- 8. Performs grade I-IV Decubitus Care
- 9. Administers medications correctly and safely
- 10. Participates in patient and family education
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Operating Room - New York, United States - Northwell Health
Description
Req Number 112415
Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care.
Responsibilities:
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.
Determines coping mechanism, knowledge level, and ability to comprehend;
Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction;
Communicates and documents psychological status and care plan; support group, counseling services, social services.
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.
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.
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.
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.
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.
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.
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.
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.
Performs related duties, as required.
*ADA Essential Functions
Qualifications:
Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, preferred.
Must be enrolled in an accredited program within 24 months of employment, if hired after September 1, 2010 and obtain a BSN Degree within five (5) years of employment date.
Current license to practice as a Registered Professional Nurse in New York State.BCLS, ACLS, preferred.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.
When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
The salary range for this position is $70-$70/week
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.