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Performs an age specific plan of care for 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.
Job Responsibility:
Performs an age specific plan of care for designated group of patients using the nursing process
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
Conducts patient interview, explains policies and procedures
assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status
determines mobility, sensory deficits, prostheses use, and skin condition
assesses level of pain and pain management
assesses patient’s psychosocial health status
identifies patient outcome
develops criteria for measurement of patient outcomes
identifies actual/potential patient problems
identifies patient’s need for teaching
develops patient outcome statement (s) and establishes individualized patient goals
identifies care activities and establishes the priorities necessary to achieve expected outcome
coordinates the cost-effective use of supplies, equipment and medication
implements the plan of care
maintains constant vigilance over patients care to ensure safety
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
makes accurate observations of patient’s conditions during treatments/procedures
keeps accurate documentation of patient’s treatment, activity and condition
uses appropriate methods of documentation
acts rapidly and effectively during any emergency situation
provides a calm, quiet, restful atmosphere
communicates effectively with the patient’s family or caretakers
participates in planning for discharge and coordinates referrals
provides discharge instructions
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
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 Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments
uses clinical judgment in delegating assignments
performs grade I-IV Decubitus Care
performs preventive skin care measures
applies simple dressings, maintaining principles of aseptic technique
applies warm and cold compresses
performs irrigations
performs other procedures related to skin care
administers medications correctly and safely
correctly identifies medication in terms of action, dosage, side effects, and implications for the patient
meets standard on medication administration examination
demonstrates preparation of local solutions
administers and documents medication correctly
educates patients and significant others related to drug and food interactions
participates in patient and family education
provides patient with an explanation of his/her condition
communicates assessment data in an orderly fashion
recognizes and utilizes health teaching opportunities and resources /materials
provides for early discharge planning and appropriate referrals
evaluates the effectiveness of teaching by feedback
Requirements:
Graduate from an accredited School of Nursing
Current License to practice as a Registered Professional Nurse in New York State
Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date