Registered Nurse

ID
2017-17278
Department
Progressive Care Unit
Work Hours
1900-0730*
Position Type
Regular Full-Time
Hours Per 2-Week Pay Period
72 Hours
US-NY-Plattsburgh
Weekend Requirements
Working every other weekend required and holidays as scheduled

Overview

The Registered Professional Nurse is responsible for the management of patient care, utilizing the nursing process to assess, plan, implement and evaluate patient outcomes. The nurse directs and guides the delivery of nursing care, patient education, and all care related activities, while maintaining standards of professional nursing collaborating with other disciplines as appropriate.

Special Criteria Details

*WAIVER REQUIRED

Responsibilities

  1. Practices within the boundaries of the NYS Practice Act for Registered Professional Nurses and provides care according to CVPH (generic & unit-specific) Standards of Care and Practice.
  2. Assesses patient by performing a functional health pattern/physical assessment on all patients as indicated when he/she is admitted, when a significant change in condition occurs, upon transfer to/receiving from another unit, and as defined by CVPH generic and unit-specific Patient Care Standards.  
  3. Verifies and/or transcribes and implements physician orders.
  4. Develops/Revises plan of care to include discharge plan that prescribes nursing actions to achieve age-specific outcome goals for the patient(s) with various diagnosis.
  5. Provides nursing care to the patient requiring monitoring/intervention with “Point of Care Testing” (e.g., fingersticks,  stool/gastric testing),  patient care devices (e.g., PCA, Gemini, suction apparatus),  input/output tubes/devices (e.g., NG tubes, urinary drains, surgical drains, enteral feeding tubes), and other such devices/treatments.
  6. Documents/communicates nursing care, physiological responses to other health care providers through verbal reports and patient record(s) as dictated by policy/guidelines; Reports to physician changes/deviations from expected norm.   
  7. Provides nursing care through utilization of the electronic information system, (e.g, Order Entry for orders, retrieving of lab data, etc).
  8. Provides leadership and measures effectiveness of nursing care by providing supervision, delegation, monitoring/reassessment of all patient care as required.
  9. Performs in crisis/emergency (e.g. code 99, 66, Heimlich maneuver) while maintaining a positive/ calm approach.
  10. Provides prioritized patient/family education.
  11. Provides nursing care for the patient requiring pain management (surgical, chronic and terminal) according to organization and unit standards.
  12. Provides nursing care to the patient requiring medication administration by the applicable routes to include controlled substances and emergency drugs; Utilizes the pyxis system as required.
  13. Provides nursing care for the patient requiring blood/blood product therapy.
  14. Provides nursing care for the patient requiring preventive skin care, wound management, pressure ulcer prevention/treatment and stoma care
  15. Provides nursing care to the patient requiring various respiratory therapy modalities such as oxygen therapy, use of the inspirometer, artificial airway, mechanical ventilation, and BIPAP.
  16. Provides nursing care for the patient with a tracheostomy and/or requiring suctioning (nasopharyngeal, oropharyngeal, or tracheal).
  17. Provides nursing care for the patient requiring specimens, including blood sampling via venous access devices
  18. Provides nursing care to the patient requiring restraints/ protective/ supportive devices, wandering/elopement, seizure and suicide precautions, and the patient on fall protocol.
  19. Demonstrates respect for the diversity of patient population providing comprehensive holistic care for the dying patient, including post mortem care and support of the patient's spirituality.
  20. Provides nursing care to the patient requiring IV therapy to include various routes (e.g., peripheral, central), methods (e.g.,  continuous, intermittent, IVPB, IVP), and solutions/medications (e.g.,  TPN, PPN, lipid infusions, medicated drips).
  21. Provides nursing care for the patient requiring procedures/interventions to include lumbar puncture, chest tube insertion, thoracentesis, liver biopsy, bone marrow, invasive and non-invasive cardiology procedures, etc, with or without sedation (conscious sedation).
  22. Provides care using infection control practices as outlined in MedicalCenter policies/procedures (e.g. Universal Standard Precautions and Isolation Techniques).
  23. Advocates patient rights and demonstrates a working knowledge of Advance Directive practices, organ donation and procurement as evidenced by completion of documentation as outlined by CVPH policy/procedures.
  24. Manages conflict/identifies ethical dilemmas and assists patients and families in resolving.
  25. Supports fluctuation in patient care needs by floating/overtime when required.
  26. Provides nursing care to the patient requiring cardiac monitoring and rhythm interpretation.  Includes knowledge of alarms, overview functions, instrument configuration, ST segment analysis, etc.
  27. Provides nursing care to the patient experiencing MI/Angina/chest pain, CHF/pulmonary edema, dysrhythmias/conduction disturbance, heart related inflammation/infection, or hypertension/hypotension.
  28. Provides nursing care to the patient requiring pre and post cardiac surgical interventions.
  29. Provides nursing care to the patient requiring pre and post cardiac interventions.
  30. Other duties as assigned.

Qualifications

  1. Graduate from an accredited School of Nursing.
  2. Currently licensed as a Registered Professional Nurse in New York State.
  3. BLS or ACLS required with ACLS certification six months of hire.
  4. Meets requirements of physical/pre-placement screening.
  5. Completion of cardiac rhythm course within three-six months.
  6. Completion of stepdown education course within six-twelve months.

As applicable, the individual has training/competency in attending to the special needs and/or behaviors appropriate to the age of the patients for which care is being provided.

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