RN-FlexStaff, Tele (NY, NY-Temp) Nights - CORPORATE

Minimum 1 1 /2  years, full-time telemetry experience required.

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.

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 satisfacti• 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.

• 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 Degree within five (5) years of employment date. 
• Current license to practice as a Registered Professional Nurse in New York State.
• BCLS, ACLS, required.
• 1 1/2 years of recent acute care, telemetry experience required..