RN Acute Care, Per Diem/Contract - Nassau/Suffolk County - FlexStaff

Northwell Health New Hyde Park, NY

About the Job

Job Description

Please have at least 2 years of acute care experience as an RN.

  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.
  1. 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 satisfaction;
  • Communicates and documents psychological status and care plan; support group, counseling services, social services.
  1. 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.
  1. 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.
  1. 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.
  1. 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.
  1. 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.
  1. 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.
  1. 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.