Registered Nurse; RN- 4B Med​/Surg

Overview

Job Description:

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. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills and clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team.

Job Number: 174986

• 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. Documents patient’s physiologic health status and plan of care.
• Assesses patient’s psychosocial health status. Elicits perception of medical/nursing care and expectations of care. Determines coping mechanism, knowledge level, and ability to comprehend. Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction. Documents psychological status and care plan; facilitates support groups, counseling services, and social services.
• Identifies patient outcomes. Develops criteria for measurement of patient outcomes. Identifies actual/potential patient problems. Identifies patient education needs based on psychosocial and developmental assessment. Develops patient outcome statements and establishes individualized patient goals.
• Formulates the plan of care and establishes priorities to achieve expected outcomes. Identifies care activities and coordinates cost-effective use of supplies, equipment and medication. Documents the plan of care and collaborates with physicians and other health team members. Implements the plan of care and maintains vigilance over patient safety; administers treatments, uses equipment appropriately, and provides emotional support.
• Reassesses patients as needed and revises the plan of care appropriately. Communicates/records observations and patient responses. Ensures documentation aligns with departmental policy. Participates in discharge planning and coordinates referrals as appropriate; provides discharge instructions to patient and significant other.
• Evaluates care provided for patient outcomes. Measures effectiveness of care and conducts variance analysis for performance improvement. Designs, implements, and evaluates systems to improve care in the unit.
• Collaborates with other care team members in planning and carrying out treatment regimens. Provides direction to other care team members and interprets/implements physician-prescribed treatment regimens. Keeps leadership informed of changes in patient condition and treatments; uses clinical judgment in delegating assignments to care staff.
• Performs grade I-IV decubitus care and related skin care procedures, including preventive measures, aseptic technique, warm/cold compresses, and irrigations as per facility procedures.
• Administers medications correctly and safely. Identifies medication actions, dosages, side effects, and patient implications. Demonstrates preparation of local solutions and IV drips where applicable. Documents medication administration and educates patients and significant others about drug and food interactions. Participates in patient and family education.

• 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 within five years of employment date.
• Current license to practice as a Registered Professional Nurse in New York State.
• BCLS, ACLS preferred.

Constant – standing, walking, stooping, bending, stretching, lifting, pulling, pushing and turning. Frequent – lifts objects from 10 lbs to 150 lbs and pushes objects up to 200 lbs. Occasional – sitting; lifting with assistance objects greater than 150 lbs and carrying up to 50 lbs.

• Additional site-specific qualifications may apply.

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 base salary/rate, factors such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity may be considered.