Nursing Jobs in Deer Park, NY
$68,000 - $115,000 / year
189222 Job Description Performs an age specific plan of care for 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/documents patient’s physiologic health status and plan of care; 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 of support groups, counseling services, and social services; 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; 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; 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; 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 the Physician; assists the 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 that 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; 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 the 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. 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. Previous Experience In Labor And Delivery/Antepartum Highly Preferred. 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). 
$118,942 - $152,717 / year
Overview Coordinates and provides high quality nursing care to Hospice patients and families consistent with Hospice Care philosophy, policy, goals and objectives, and Standards of Nursing Practice. Works under moderate supervision. What We Provide Attractive sign-on bonus and referral bonus opportunities Generous paid time off (PTO), starting at 31 days and 9 paid company holidays No employee contribution cost or annual deductible for health insurance including Medical, Dental, and Vision for you and your loved ones w (Medical, Dental, Vision); Life and Disability Insurance Training: 4-weeks paid clinical orientation, preceptorship, and ongoing skills labs Tuition reimbursement following 6 months and CEU credits Employer-matched retirement savings program Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Opportunities to contribute to clinical research and other organizational projects What Your Will Do Assesses the physical, social, psychological, living conditions and pastoral care needs of the patient/family through professional knowledge and skills of observation, interviewing and physical examination on an ongoing basis. Establishes and revises, as necessary, the nursing component of the patient/family plan of care based on goals mutually acceptable to the patient/family and significant others and makes referrals to other services, as necessary. Coordinates implements and evaluates the effectiveness and outcome of the care plan by ongoing assessment, planning, coordination, counseling, teaching and supervision. Travels to patients’ homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options to deliver direct care to the patient. Transports and utilizes required medical equipment and supplies using VNS Health designated/supplied carrying case weighing approximately 25 – 30 lbs. to and from patient homes/care facilities, VNS Health offices and other locations. Provides nursing care in accordance with Agency policies, practices, procedures and Standards of Nursing Practice, which may require standing, stooping, sitting, crouching, bending and stretching to deliver patient care. Assists patients with activities of daily living, which may require positioning, moving, transferring and lifting patients of varying weights and physical conditions, with and without assistance and as appropriate, from family members and/or paraprofessionals. Visits clients every two weeks to assess the clients’ condition and update the plan of treatment. Monitors the effect of the plan of cares on the patient/family and informs physician and other personnel of changes in the patient's needs. Manages a caseload of patients. Provides nursing care services and initiates appropriate preventive and rehabilitative nursing procedures. Participates in interdisciplinary team meetings. Appraises care provided and revises the goals and approaches to patient/family care in coordination with the interdisciplinary team. In coordination with the interdisciplinary team, assesses the family's needs during the bereavement period and provides ongoing counseling with referral to community resources, as appropriate. Initiates and maintains written (including clinical and progress notes) and verbal communications to assure optimal patient care. Understands and interprets Hospice Care reimbursement policy and determines the billing source for patient care. Maintains productivity sufficient to meet Hospice goals. Participates in the orientation of new staff. Orients, instructs and supervises License Practical Nurses, paraprofessional staff and volunteers. Consults with and educates the client and family regarding the disease process, self-care techniques, and prevention strategies. Performs established work procedures in relation to Region/Program workflow. Understands and interprets the Hospice philosophy and responsibility to other health professionals, laymen and community. Assumes responsibility for professional growth. Evaluates conformance of the inpatient facility in carrying out the interdisciplinary team's plan of care for select patients, when assigned. Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required Education: Associate's Degree in Nursing, with at least one year of experience as a full-time staff nurse in a medical-surgical nursing area or other clinical healthcare experience required or Bachelor's Degree in a health or human services field or Nursing from a State-approved diploma program preferred Work Experience: Minimum of one year of clinical nursing experience including at least six months of Hospice, or Med/Surg or ICU or Emergency Department or Home Care, Palliative Care, Oncology or Long Term Care experience required Demonstrated computer skills may be required based on operational needs Bilingual skills may be required, as determined by operational needs Pay Range USD $118,942.00 - USD $152,717.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. 
