Operating Room Registered Nurse -Contract & Per Diem- Westchester
: Job Details :

Responsibilities: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.2. 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.3. 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.4. 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.5. 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.6. 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.7. 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.8. Performs grade I-IV Decubitus 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.9. 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.10. 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.11. Performs 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.