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
- 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.
*ADA Essential Functions
- 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
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