RN Jobs in Piermont, NY

Registered Nurse (RN)- Operating Room

$60 - $79 / hour

180424 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 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. 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. 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. 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.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 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. Performs grade I-IV Decubritus 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;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. 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. 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. 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. 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 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. Performs grade I-IV Decubritus 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. 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. 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. Performs related duties, as required. Physical Demands Constant – standing, walking, stooping, bending, stretching, lifting, pulling, pushing and turning. Frequent – Lifts objects from 10 lbs to 150 lbs. Pushes objects up to 200 lbs. Occasional – Sitting. Lifts with assistance objects greater than 150 lbs. and carries objects weighing up to 50 lbs. ADA Essential Functions Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after September 1, 2010 and obtain a BSN degree within five (5) years of employment date. Current license to practice as a Registered Professional Nurse in New York State. BCLS, ACLS, preferred. Additional Site-specific Qualification May Apply. 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).

RN

Per Diem

2 weeks ago

REGISTERED NURSE PER DIEM (JR229084)

Montefiore The Bronx, NY

Introduction To heal, to teach, to discover and to advance the health of the communities we serve. To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here . Overview For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors. The RN participates in performance improvement/research activities; maintains professional practice standards and clinical expertise; and demonstrates leadership skills. The RN demonstrates core and unit specific competencies based on the patient population served. Responsibilities Demonstrates leadership skills in the coordination and delivery of patient care. Coordinates an interdisciplinary plan of care. Assures 100% assigned patients have a documented plan of care. Ensures completion of patient care assignment 100% of time. Interdisciplinary plan of care is congruent with accepted LOS parameters for all assigned patients. Delegates aspects of care of the patient to team members consistent with capabilities and responsibilities of caregiver. Ensures that delegated aspects of care are completed in accordance with established standards of practice. Negotiates with team member if unable to fulfill role responsibilities; escalates as per MMC policy and procedure. Establishes a therapeutic relationship with patient/family. Assumes charge nurse assignment. Participates in the orienting and development of associates by mentorship and assigned preceptorship. Patient/family wishes related to care decisions are assessed and documented. Systematically assesses the health care of patients/families and responses to care rendered. Completes 100% of admission assessment within 8 hours. Completes documentation reflecting interdisciplinary team approach as per policy. Documentation reflects systematic and continuous collection of data. Documents teaching/learning needs of patients and families prior to discharge. Assesses, evaluates and documents patient's response to nursing and interdisciplinary team interventions, including patient/family teaching. Initiates a teaching and discharge plan for 100% of assigned patients within 24 hours of admission. Modifies plan of care through prioritization of patient/family needs and interdisciplinary orders. Demonstrates critical thinking skills to problem solve and initiate clinical decision making. Takes action to optimize achievement of patient outcomes. Participates in identification, Investigation and resolution of actual and/or potential risk management/quality care/ethical issues. Incorporates effective problem solving/conflict resolution/consensus building into daily practice. Evaluates patient progress toward health goals and modifies critical path or plan of care accordingly. Identifies variances to plan of care. Initiates appropriate interventions to amend identified variances from plan of care. Documents patient and family response to interventions and modifies plan of care as needed. Reviews plan of care daily and/or updates it to reflect current status of patient. Consistently participates and communicates in daily IDT rounds to provide concise direction to all caregivers. Develops, coordinates and provides direct care for specific patient assignment. Provides patient-focused care. Incorporates standards of practice, critical pathways, age-specific guidelines and patient care guidelines into plan of care. Assess potential and actual changes in level of care required. Develops plan of care within 24 hours of admission to the extent possible. Includes patient/family in care planning. Provides a safe environment for patients/families. Orients patient/family to environment assuring comprehension of information presented. Administers medication according to the medication administration policy. Responds appropriately to urgent/emergent situations. Utilizes and documents use of restraints according to hospital patient care guidelines. Uses equipment in accordance with MMC policies and procedures. Provides comprehensive direct patient care to assigned patients. Utilizes knowledge of nursing, research and evidence based practice in the application of care and clinical judgment. Administers care consistent with standards of care for MM. Nursing interventions demonstrate consideration of patient's bio psychosocial and spiritual needs. Communicates effectively with patient/family and members of the health care team. Defends and preserves the rights of patients relative to all aspects of care, information, knowledge and privacy. Demonstrates respect of cultures and respect for cultural diversity with co-workers and other health care team members, patients, families and co-workers. Incorporates the principles of patient focused care in daily practice. Recognizes the family as defined by the patient. Communicates interdisciplinary plan of care to 100% of assigned patients and families within 24 hours of admission and daily. Identifies patient satisfaction/dissatisfaction with plan of care. If patient expresses dissatisfaction, implements conflict resolution skills, and escalates issues with plan of care. Assesses and documents patient advanced care directives for 100% of assigned patients. Establishes collaborative and collegial relationships with health care team members. Documents legibly. Requirements Demonstrates responsibility for maintaining competencies and participates in activities contributing to the growth and development of self, colleagues and the nursing profession. Provides two examples of ongoing professional development. Contributes to growth and development of staff and students through participation in peer review, mentor relationships, formal and informal education. Recognizes that professional responsibility extends beyond one's own patient population; assists and supports team members. Attends at least one hospital committee meeting or in-service annually and shares information with coworkers. Demonstrates active participation in unit-based performance improvement initiatives. Is responsible and accountable for own practice. Ensure compliance with written policies, procedures and standards of practice/care as defined in the R.N. position summary. Critical thinking/problem solving skills are incorporated into nursing practice. Contributes to problem identification and problem solving in the work environment, participating on task forces and groups as necessary. Supports the mission, vision, values and balanced scorecard performance measures for Montefiore Medical Center and standards of nursing practice. Attends an educational program at least annually and provides feedback to co-workers about educational content. Attends unit-based in-services as scheduled. Conforms with MMC dress code. Conforms with MMC attendance and punctuality policy. Maintains licensure and current registration. Maintains mandatory certification, and competency including but not limited to annual review, BLS, etc. Integrates the standards of excellence into daily clinical practice. Respect: Honors and values each person. Effective Communication: Effectively listens, conveys, and receives ideas, information, and direction. Sensitivity: Demonstrates willingness and ability to listen and understand others' feelings, needs and circumstances. Professionalism: Demonstrates confidence, competence and pride in work and appearance. Exceeding Expectations: Assists others without being asked. Courtesy: Treats everyone with kindness and care. Qualifications BSN in Nursing Preferred. NYS License for Registered Professional Nurse and current registration or valid permit to practice in NYS as an RN Required. NYS Mandated Infection Control and Child Abuse Reporter Training Required. Basic Life Support (BLS) Training Required. OHS Annual Assessment Required. OHS Fit Test Required. Certification in specialty Upon Hire Required. Pediatric Advanced Life Support (PALS) Training Upon Hire. At least 1 year Hospital or Clinic setting experience Preferred. Ability to use basic data entry and retrieval systems. Effective English communication skills, both written and oral.