Intensive Care Unit Registered Nurse - Contract - Lenox Hill Hospital

Company: Northwell Health
Location: Nassau
Posted on: January 26, 2023

Job Description:

Job Description

CRITICAL CARE POSITION (within your specialty)- YOU MAY FLOAT TO TELE/STEP DOWN UNITS
2 Years recent ICU experience required
*must have BLS/ACLS
1. Assesses the patient*s physiologic health status

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• 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
  
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  • 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
    
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    • 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
      
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      • 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
        
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        • 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
          
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          • 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
            
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            • 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
              
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              • 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
                
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                • 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
                  
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                  • 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.
                    *ADA Essential Functions
                    
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                    • Graduate from an accredited School of Nursing. Bachelor*s Degree in Nursing, required.
                      
                    • Current license to practice as a Registered Professional Nurse in New York State.
                      
                    • BCLS, ACLS
                      
                      *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).

Keywords: Northwell Health, Albany , Intensive Care Unit Registered Nurse - Contract - Lenox Hill Hospital, Healthcare , Nassau, New York