Registered Nurse-Emergency Department
North Shore-LIJ Health System
Type Full time
Registered Nurse-Emergency Department
Description
Our Registered Nurse’s mission is to provide quality patient care to our patients and their families. As a Registered Nurse, you will 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 of patient care. You will collaborate with physicians and other health team members in coordinating and implementing procedures and treatments, using your leadership skills and clinical judgment in coordinating patient care.
Responsibilities include:
1. Assesses the patient’s physiologic health status by conducting patient interviews
* Explains policies and procedures to patients and their families; 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 and 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 and/or potential patient problems
* Identifies patient’s need for teaching, based on psychosocial and developmental assessment
* Develops patient outcome statement(s) and establishes individualized patent 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 standards to ensure that safety precautions and needs are followed (e.g. side rails up, call lights and bedside stand within reach, etc.)
* Reassesses patients as needed and appropriately revises plan of care
* Correctly administers prescribed treatments, and properly uses equipment necessary for patient care
* Provides emotional support to patient and significant others
* Applies scientific principles in performing procedures; carries them out safely, timely and efficiently
* Makes accurate observations of patient’s conditions during treatments/procedures.
* 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 team members
* Provides a calm, quiet, restful atmosphere
* 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 Nurse 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 and 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 patients
* 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, resources and materials available for this teaching
* Provides early discharge planning and appropriate referrals for post-hospital care
* Evaluates the effectiveness of teaching by feedback from patient/family and documents same
Qualifications
* Bachelor’s Degree in Nursing, preferred.
* Licensed to practice as a Registered Professional Nurse in New York State
* BCLS, ACLS required.
* Minimum one (1) year ED experience required.
Our Culture
Transforming care, optimizing patient satisfaction and creating better patient outcomes are just some of the things our talented team members are doing at North Shore-LIJ each and every day. As a culture committed to providing our customers with the highest quality service, we stand behind our core values: Patients first; Caring; Excellence; Innovation; Integrity and Teamwork. It is our commitment and our culture that sets us apart from others and is the cornerstone of everything we do. Join an organization whose team members are valued, cared for and offered continuous opportunities to grow. Click on the link to learn more about us: www.northshorelij.com/goals
Please note: North Shore-LIJ is a smoke-free environment. Smoking and the use of tobacco products is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises. Free smoking cessation programs and quit medications are offered to team members who wish to quit through the North Shore-LIJ Center for Tobacco Control.
