Clinical Nurse Specialist

4 days ago

New Hyde Park, New York, United States Northwell Health Full time
Job Summary

We are seeking a highly skilled and compassionate Registered Nurse to join our team at Northwell Health. As a Registered Nurse, you will be responsible for providing high-quality patient care, collaborating with interdisciplinary teams, and promoting a culture of excellence and safety.

Responsibilities
  • Assess patient's physiologic health status and develop individualized plans of care
  • Conduct patient interviews, explain policies and procedures, and review patient charts
  • Assess gastrointestinal, cardiovascular, respiratory, renal, and neurological health status
  • Determine mobility, sensory deficits, prostheses use, and skin condition and adjust plan of care as needed
  • Communicate and document patient's physiologic health status and plan of care
  • Assess patient's psychosocial health status and develop individualized plans of care
  • Elicit perception of medical/nursing care and expectations of care
  • Determine coping mechanisms, knowledge level, and ability to comprehend
  • Identify cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction
  • Communicate and document psychological status and care plan
  • Identify patient outcomes and develop criteria for measurement
  • Develop patient outcome statements and establish individualized patient goals
  • Formulate the plan of care and establish priorities necessary to achieve expected outcomes
  • Coordinate the cost-effective use of supplies, equipment, and medication to achieve expected outcomes
  • Document the plan of care and collaborate with physicians and other health team members
  • Implement the plan of care and maintain constant vigilance over patient care
  • Exercise professional skills related to the plan of care
  • Reassess patients as needed and revise plan of care as necessary
  • Correctly administer prescribed treatments and use equipment necessary for patient care
  • Provide emotional support to patients and significant others
  • Apply scientific principles in performing procedures and carry them out safely, timely, and efficiently
  • Make accurate observations of patient conditions during treatments/procedures and report and record same as appropriate
  • Keep accurate documentation of patient treatment, activity, and condition, as well as patient responses to medical and nursing interventions
  • Use appropriate methods of documentation according to departmental policy
  • Act rapidly and effectively during emergency situations, managing self, patients, and other employees
  • Provide a calm, quiet, restful atmosphere and communicate effectively with patient's family or caretakers
  • Participate in planning for discharge and coordinate referrals as necessary
  • Provide discharge instructions to patients and significant others
  • Evaluate care provided for patient outcomes and demonstrate ability to measure effectiveness of care provided and document same
  • Perform variance analysis related to outcome data for performance improvement
  • Design, implement, and evaluate systems to improve care in the unit
  • Keep accurate documentation of patient treatment, activity, and condition
  • Use appropriate methods of documentation according to departmental policy
  • Collaborate with other care team members in planning and carrying out treatment regimens
  • Collaborate with physicians on patient plans of care and accurately interpret and implement treatment regimens as prescribed
  • Assist physicians during treatments and/or diagnostic procedures
  • Keep patient care managers/designees and/or physicians abreast of changes in patient conditions and/or treatments as necessary
  • Use clinical judgment in delegating assignments to patient care associates, support care associates, and clerical service associates in providing patient care and ensure that assignments are completed in a timely fashion
  • Perform grade I-IV decubitus care and preventive skin care measures
  • Apply simple dressings, maintain principles of aseptic technique, and apply warm and cold compresses consistent with facility procedure
  • Perform irrigations consistent with facility procedure and other procedures related to skin care as necessary
  • Administer medications correctly and safely, correctly identify medication actions, dosages, side effects, and implications for the patient, meet standards on medication administration examination, demonstrate preparation of local solutions, and demonstrate preparation of I.V. drips
  • Administer and document medication correctly, administer IVP medication as per department policy and procedure, and educate patients and significant others related to drug and food interactions
  • Participate in patient and family education, provide patients with explanations of their conditions as indicated, communicate assessment data in an orderly fashion by recording, updating, and verbalizing pertinent information to care team members and appropriate agencies
  • Recognize and utilize health teaching opportunities and resources/materials available for teaching, provide for early discharge planning and appropriate referrals for post-hospital care, and evaluate the effectiveness of teaching by feedback from patients/family and document same
  • Perform related duties as required
Qualifications
  • Graduate from an accredited School of Nursing
  • Associate's Degree in Nursing, required
  • Bachelor's Degree in Nursing, preferred
  • Minimum 1-2 years of professional nursing experience in the related specialty
  • Current license to practice as a Registered Professional Nurse in New York State, required
  • BLS required, plus specialized certifications as needed

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