OverviewUnder the general supervision of the Nursing Director or Assistant Nursing Director, provides direct nursing care to patients.
Neuro Medical/Surgical Full-Time 7am - 7:30pm Responsibilities ASSESSMENT - Identifies and documents initial observation and assessment of the patient's needs for immediate nursing action.
- Systematically and accurately assesses nursing needs of the patient in order to detect pertinent changes in the clinical picture.
- Identifies appropriate foci.
- Selects, plans, evaluates, and documents care based on this assessment. Documents patient's plan of care in focus charting format.
- Assesses, intervenes, and documents appropriately to meet patient's educational, psychosocial, and discharge planning needs.
- Initiates appropriate referrals to other departments, services, and/or outside agencies for patientcare.
DIRECT PATIENT CARE - Gives comprehensive patient care.
- Initiates and follows through with patient and family teaching.
- Consults with unit Nursing Leadership regarding significant changes in patient's condition.
- Collaborates with all members of the health care team.
- Communicates patient care needs (foci) on shift-to-shift report.
- Utilizes patient care standards in clinical practice.
- Documents pertinent information regarding patient's response to treatment and progression toward goals in patient's chart.
- Writes comprehensive focus note which prioritizes patient care needs.
- Documents patient/family education in the Interdisciplinary Patient/Family Education form
- Seeks clarification of physician's orders that are unclear or inappropriate.
- Interprets clinical data and notifies the physician promptly if immediate changes in management are indicated.
- Administers intravenous medications in compliance with policies and procedures.
- Titrates medicated infusions as per physician's prescriptive, protocols, and standard.
SAFETY - Checks to ensure that emergency equipment is on hand and in good working order.
- Recognizes and reports malfunction or failure of equipment used in the area to Biomedical Engineering; takes appropriate action to repair/replace such equipment (e.g., ventilators, cardiac monitors, defibrillators, suction apparatus, pumps, doppler, tank, NIPP, and pacemaker).
- Checks that all monitoring equipment and ventilator alarms are set according to standards.
INDIRECT PATIENT CARE ACTIVITIES - Participates in patient care rounds by presenting findings on patients.
- Applies principles of infection control and safety.
- Assists in the orientation of new personnel.
- Provides clinical supervision of LPNs, Nursing Attendants, Patient Care Technicians, Unit Care Assistants and other ancillary staff.
- Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and infection control standards; promotes adherence to Patient Bill of Rights.
- Indicates an Essential Job Function.
Qualifications BASIC COMPETENCIES Education: Graduation from accredited school of Nursing; BSN preferred.
Current NYS licensure as RN.
Current BCLS certification required
Pay RangeUSD $118,370.27 - USD $118,370.27 /Yr.
