RN - Med Surge/Tele

PR range:

• $65-$67/hr. on w2

POSITION SUMMARY:
-The Registered Professional Nurse is responsible and accountable for prescribing, delegating, and coordinating all nursing care as defined by The New York State Nursing Practice Act.
-Comprehensive Medical/Surgical nursing care focuses on helping each patient to achieve their optimum health potential.
-This is achieved within the framework of the nursing process.
-The Medical/Surgical/Telemetry Registered Professional Nurse is responsible and renders services to Adult Medical/Surgical/Telemetry patients ranging from 18 years and older.
DUTIES AND RESPONSIBILITIES:
-In accordance with professional nursing standards and practices, the Medical/Surgical nurse will provide nursing care to all patients with medical and surgical diagnoses.
-The Telemetry Medical/Surgical Nurse/ is responsible and accountable for the nursing care of the patients.
-Perform other duties as required.
Assessment:
-Assesses patient s physical, social and behavioral, mental status through direct observation, interview, and medical record review.
-Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate.
-Monitors heart rate*** blood pressure, and pulse oximetry measurements.
-Obtains a baseline strips each shift on all monitored patients.
-Interprets EKG rhythm strips, arrhythmias, cardiac baseline changes and abnormalities.
-Performs ongoing observation of the cardiac monitors.
-Utilizes observational skills to assess patient s needs.
-Documents a nursing assessment to include psychosocial, environmental factors, educational level and needs.
-Collaborates with the healthcare team and reports (escalates) changes and deteriorating conditions.
-Initiates and discontinues monitoring equipment on admission, transfers and discharge as ordered.
-Performs configurations if necessary.
-Explain test results and procedures to patients and their families, as well as answering questions.
-Communicates findings with other members of the health team. (Social Worker, Case managers, therapist, physician).
-Follows policy related to the transport of monitored patients including but not limited to the preparation of monitored patients for transport.
-Initiates and discharges patient from cardiac monitoring as ordered.
-Performs other duties as required.
Planning:
-Identifies and addresses needs for admission based on acute medical/surgical/cardiac diagnoses and presenting physical/psychological symptoms.
-Identifies and addresses patient level of education, learning needs.
-Formulates a goal directed individualized plan of care.
-Makes appropriate referral to other disciplines and documents same.

Required Skills & Experience:
-Management of clinical skills in the provision of nursing care and management of the patient including but not limited to:
-Identification of symptoms.
-Management of the disease entity.
-Treatment modalities.
-Administration of medications.
-Utilizes critical thinking in assessment of patients and in interventions.
-Utilizes infection control procedures; collaborates with the infection control department in preventing and controlling infection control.
-Practices infection control: personal hygiene; hand washing; and dress code.
-Provides for psychosocial and educational needs of all medical/surgical patients / families.
-Provides health teaching and medication instructions.
-Ensures that all procedures are performed based on established standards of care.
-Demonstrates competency in performing all procedures within the Product of practice and in accordance with Interfaith Medical Center.
-Investigates and communicates all required information regarding unusual occurrences or patient care incidents.
-Acts as a patient advocate.
-Revises the patient s plan of care based on evaluation of the interventions and expected outcomes in collaboration with other members of the health care team.
-Ability to communicate effectively in English both verbally and in writing.
Preferred Skills & Experience:
-One (1) year medical/surgical nursing experience