Nursing Jobs in Darien, CT
$78,000 - $130,000 / year
194201 Job Description Performs an age specific plan of care for a 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 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 and documents patient’s physiologic health status and plan of care. Assesses patient’s psychosocial health status. Elicits perception of medical/nursing care and 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 of support groups, counseling services, and social services. Identifies patient’s need for teaching based on psychosocial and developmental assessment. Identifies patient outcome. Develops criteria for measurement of patient outcomes. Identifies actual/potential patient problems. Develops patient outcome statement (s) and establishes individualized patient goals. Identifies care activities and establishes priorities necessary to achieve expected outcome. Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome. Documents plan of care and collaborates with physicians and other health team members. Implements plan of care. Maintains constant vigilance over patients care to ensure 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, carrying 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 patient’s family or caretakers. Participates in planning for discharge and coordinates referrals, as appropriate. Provides discharge instructions to patient and significant other. 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. 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 Physician. Assists 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, as appropriate. Uses clinical judgment in delegating assignments in providing patient care, and ensures assignments are completed in a timely fashion. Performs grade I-IV Decubitus Care; performs preventive skin care measures. Applies simple dressings, maintaining principles of aseptic technique. Applies warm and cold compresses, consistent with facility procedure. Performs irrigations, consistent with facility procedure. Performs other procedures related to skin care, as necessary. 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 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 effectiveness of teaching by feedback from patient/family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing, required. Bachelor’s Degree in Nursing, preferred. 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. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Valid Driver's License in New York State required may be required depending on area of assignment. 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). 
$151,530.94 - $182,030.94 / year
NYU Langone Hospital—Long Island is a 591-bed university-affiliated medical center, which offers sophisticated diagnostic and therapeutic care in virtually every specialty and subspecialty of medicine and surgery. We are a major regional healthcare resource with a deep commitment to medical education and research, offering a full complement of inpatient and outpatient services. At NYU Langone Health, equity and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace inclusion and individual skills, ideas, and knowledge. Learn more about NYU Langone Hospital—Long Island , and interact with us on LinkedIn , Glassdoor , Indeed , Facebook , X , YouTube and Instagram . Position Summary: We have an exciting opportunity to join our team as a Nurse Practitioner Emergency Medicine - Long Island. In this role, the successful Nurse Practitioner uses clinical expertise to plan the delivery of safe, therapeutic, population-specific patient care through assessment, planning, implementation and evaluation. With the patient and family central to the care, incorporates the unique characteristics and needs of each patient and family member into the plan of care. Works collaboratively within a multidisciplinary health team to promote wellness and optimize patient outcomes. Job Responsibilities: Performs other duties as assigned. Plans and organizes care to meet individual patient needs and to ensure appropriate clinical resource utilization per protocols, pathways, and other means. Works collaboratively with the interdisciplinary team including the attending physician to develop and implement the therapeutic plan of care for a group of patients and ensure communication with family members. Participates in the development and revision of the interdisciplinary and nursing standards, patient and family education materials as relevant to area of practice and expertise. Works collaboratively with the attending physician to maintain timely and appropriate communication with family members, house staff, other disciplines and ancillary services. Works collaboratively with nurse leadership to ensure timely communications with the nursing staff. Provides consultation about the therapeutic regimen to the nursing staff. Facilitates the continuity of care across the continuum of services, e.g. home care, other facilities, appointments with MD's etc. Demonstrates knowledge of the organization's Services Standards and incorporates them into the performance of responsibilities. Participates in designated activities related to professional nursing standards and regulations of relevant outside agencies. Functions as a respectful member of the healthcare team. Performs complete health history, physical examination and psychosocial assessment of patients within the designated practice or clinical unit. Orders customary laboratory, radiological and diagnostic studies per practice protocols, differentiates between normal/abnormal findings and follows protocols for abnormal findings, which may include referral to consulting physicians per customary pattern of the attending MD or with collaborating physician. Formulates the plan of care, along with the attending physician, patient and family, based on expected goals of care and length of stay. Works collaboratively with the attending physician, consulting physician(s), and other disciplines to identify, develop, and implement an appropriate plan of care that maximizes individual patient/ family preference and enhances quality, access, and cost-effective outcomes. Prescribes in-patient and discharge medications according to New York State law, including controlled substances with DEA authorization. Prescribes medical equipment, devices, physical and occupational therapy, and home health services per practice protocol. Practices as member of the allied health staff according to the rules and regulations of the medical staff and bylaws as outlined in the delineation of privileges. Evaluates treatment and health care plans for effectiveness and modifies per clinical standards and practice protocols. Considers needs and behaviors of specific patient age and cultural groups in all patient care. Promotes own professional growth and development in clinical and managerial role. Maintains current expertise in area of practice. Serves as a clinical expert and resource for the education of peers and other health professionals. Participates in the development and monitoring of patient outcomes per established practice protocols for purposes of quality and performance improvement. Uses evidence-based healthcare literature to advise and support appropriate practice changes within the designated service. Works collaboratively with nursing and other disciplines in the development and implementation of clinical studies within the area of expertise. Assists in the preparation, implementation, and evaluation of research protocols when applicable. Monitors and trends the cost effectiveness of the position, particularly as it relates to the efficiency and performance indicators established for service. For Ostomy, management of Ostomy patients in the outpatient setting. Minimum Qualifications: To qualify you must have a Master's Degree graduate of an accredited Nurse Practitioner program Required. Current NYS Registered Nurse License Required. Current NYS Nurse Practitioner License Required. Current Nurse Practitioner Certification Required. Excellent communication skills (both oral & written), interpersonal and organization skills Required. Basic Computer skills Required. Basic Life Support Certification through the American Heart Association. For Ostomy, WOCN Certification required within 2 years of hire.. Required Licenses: Registered Nurse License-NYS, Nurse Practitioner-NYS, Basic Life Support Cert Preferred Qualifications: Advanced Life Support certification (ACLS, PALS) through the American Heart Association or Neonatal Resuscitation certification (NRP) through the American Academy of Pediatrics may be required based on your selected privileges. Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Hospital—Long Island provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family. NYU Langone Hospital—Long Island is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. View Know Your Rights: Workplace discrimination is illegal . NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $151,530.94 - $182,030.94 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. To view the Pay Transparency Notice, please click here 
