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 Decubritus 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.
Constant � standing, walking, stooping, bending, stretching, lifting, pulling, pushing and turning.
Frequent � Lifts objects from 10 lbs to 150 lbs. Pushes objects up to 200 lbs.
Occasional � Sitting. Lifts with assistance objects greater than 150 lbs. and carries objects weighing up to 50 lbs.
*ADA Essential Functions
� 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, preferred.
*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).