Northwell Health

Nonprofit health system in New York and Connecticut

Registered Nurse - PCU/Step-Down, Flexstaff

Nursing & Frontline Patient CareConfirmed live in the last 24 hours

Full-timeDanbury, CT, USA$2.9kIn-person

About the Job

Requirements

Graduate from an accredited School of Nursing.
An Associate’s Degree in Nursing is required.
Minimum 1–2 years of professional nursing experience in the related specialty.
A current license to practice as a Registered Professional Nurse in New York State and/or Connecticut is required.
Basic Life Support certification is required, plus specialized certifications as needed.

Responsibilities

Perform 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.
Collaborate with physicians and other health team members in coordinating and implementing procedures and treatments.
Use leadership skills and clinical judgment in coordinating patient care and directing or delegating activities of the patient care unit team.
Assess the patient’s physiologic health status, including conducting patient interviews, explaining policies and procedures, reviewing charts, assessing health systems and other conditions, assessing pain and pain management, and communicating and documenting status and the plan of care.
Assess the patient’s psychosocial health status, including eliciting perceptions and expectations of care, determining coping mechanisms, knowledge and comprehension, identifying cultural and ethnic requirements, and documenting psychological status and the care plan.
Identify patient outcomes by developing measurement criteria, identifying actual and potential problems, identifying teaching needs, and establishing individualized goals.
Formulate and document plans of care and priorities, coordinate cost-effective use of supplies, equipment and medication, and collaborate with physicians and other health team members.
Implement plans of care by maintaining patient safety, exercising professional skills, reassessing patients and revising care as needed, administering treatments, using equipment, providing emotional support, performing procedures safely, observing and documenting patient conditions and responses, managing emergencies, communicating with families or caretakers, and planning and providing discharge instructions and referrals.
Evaluate patient outcomes and the effectiveness of care, perform variance analysis for performance improvement, and design, implement, and evaluate systems to improve care in the unit.
Collaborate with care team members in planning and carrying out treatment regimens, interpret and implement prescribed treatments, assist physicians with treatments and diagnostic procedures, report changes in patient condition, and delegate assignments to patient care and clerical associates while ensuring timely completion.
Perform grade I–IV decubitus care, preventive skin care, simple dressings using aseptic technique, warm and cold compresses, irrigations, and other necessary skin-care procedures.
Administer medications safely, identify medication actions, dosages, side effects and implications, prepare local solutions and intravenous drips, administer and document medications including IV-push medications according to policy, and educate patients and significant others about drug and food interactions.
Participate in patient and family education by explaining conditions, communicating assessment data, using health teaching opportunities and resources, planning for discharge and referrals, and evaluating and documenting teaching effectiveness.
Perform related duties as required.

Desired Qualifications

A Bachelor’s Degree in Nursing is preferred.

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/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team.

Responsibilities:

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 satisfaction;
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.

10. 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.

11. Performs related duties, as required.

Qualifications:

Graduate from an accredited School of Nursing. Associate’s Degree in Nursing, required. Bachelor’s Degree in Nursing, preferred.
Minimum 1-2 years of professional nursing experience in the related specialty.
Current license to practice as a Registered Professional Nurse in New York State and/or Connecticut, required.
BLS required, plus specialized certifications as needed.

*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).

Minimum Salary/Range*: 2,902.0000

Maximum Salary/Range*: 2,902.0000

About the Company

Northwell Health

Nonprofit health system in New York and Connecticut

Northwell Health is a nonprofit health system serving patients across New York City, Long Island, the Hudson Valley and Connecticut through hospitals and outpatient practices. Its network combines hospitals for complex care, community hospitals and specialty centers such as Cohen Children's Medical Center and Zucker Hillside Hospital. The system coordinates hospital, ambulatory and post-acute care, with philanthropy supporting its community mission. Its research institutes and partnerships with Hofstra University connect patient care with medical discovery and training for doctors, nurses and physician assistants. Founded in 1997, Northwell is headquartered in Lake Success, New York.

Company size: 10,001+
Company stage: Not listed
Total funding: Not listed
Headquarters: Lake Success, NY
Founded: 1997

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