FlexStaff - Registered Nurse - Contract and/or Per Diem

Responsibilities: 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 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. Qualifications: * Graduate from an accredited School of Nursing. Associate's Degree in Nursing, required. Bachelor's Degree in Nursing, preferred. * Minimum 1-2 years of professional nursing experience in the related specialty. * Current license to practice as a Registered Professional Nurse in New York State, required. * BLS/ACLS required, plus specialized certifications as needed. * 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).