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Northern Dutchess Hospital

Registered Nurse- FT NIGHT Emergency Department

Northern Dutchess Hospital, Rhinebeck, New York, United States

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Summary

The Registered Nurse provides direct patient care that is guided by the American Nurses Association (ANA) scope of practice. A Registered Nurse collaborates with patients, family/significant others, peers, physicians, and other members of the interdisciplinary healthcare team in the delivery of healthcare services to patients. The Registered Nurse assesses the patient’s needs, care plans, implements, and evaluates the medical and nursing regimens in accordance with the hospital and nursing philosophy, policies/procedures, and standards. They demonstrate leadership skills and commitment to professional accountability and growth. Responsibilities

Completes patient assessment and reassessment as clinically indicated:

Documents detailed information incorporating the plan of care, interventions and outcomes reflecting the patient’s physical, mental, and emotional status. Ensures appropriate documentation based on the level of care the patient is receiving to include transfer/discharge documentation as indicated.

Follows the five Rights of Medication Administration. Verbalize to patients/family/significant other the medication they are receiving. Assesses the patient prior to administering medications noting allergies, parameters, potential side effects, effectiveness and intervening as needed. Reassesses and documents response according to hospital policy. Coordinates and supervises the delivery of nursing care, including the delegation of tasks:

Maintains accountability for care delegated.

Actively works to promote a culture of safety:

Assesses patients for potential safety risks. Adheres to hospital policies and procedures regarding patient safety. Initiates interventions related to the risk factors identified. Conducts bedside shift report and bedside rounds with peer on assigned patients at change of shift. Demonstrates quality by documenting the application of the nursing process in a responsible, accountable, and ethical manner. Ensures patient hand-off as appropriate when leaving for breaks.

Assesses learning needs of patient/family/significant other. Plans and provides appropriate instruction using applicable teaching methods. Assesses and documents patient/family/significant other response to teaching. Cares for specific patient populations, despite location, as necessary. Deliver Patient Centered Care:

Embrace the cultural diversity and difference of patients and team members. Respect the dignity of all individuals through the maintenance of the caring relationship. Maintains open lines of communication inclusive of actively listening.

Meets accreditation, regulatory, and compliance responsibilities related to the position. Works to promote a culture of learning and growth:

Seek experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledge. Teach others to succeed through mentorship.

Performs other duties as assigned within the state nursing scope of practice. Education

ASSOCIATE'S LVL DGRE Other Information

Current and unobstructed New York State Registered Nurse (NY Hospitals) Current and unobstructed Connecticut Registered Nurse License (CT Hospitals) New graduates awaiting licensure at the discretion of the Chief Nursing Officer (CT only) American Nurses Association endorsed Certifications or Academy of Medical-Surgical Nurses Certification Preferred (*Based on Certification specialty hours of work requirement). Association Training - please review grid below. Training Requirements

BLS - All Nursing Care Areas - Required upon hire ACLS - ED, ICU, CCU, SDU PCU, PACU, Cath Lab, GI, LDRP, IR, Float Pool (specific to individuals’ competency and location floated)

Cardiology focused units

- Required by end of orientation period PALS - ED, PACU, Pediatric Areas (Either PALS or ENPC) - Required by end of orientation period NRP - MCH, NICU, LDRP, DR - Required by end of orientation period EFM - LDRP - Within 1 year of hire TNCC - ED (Required Danbury, Norwalk), ICU (Preferred, but may have TCAR), PACU (DH – Preferred) - Within 1 year of hire ENPC - ED RN (Either PALS or ENPC) - Within 1 year of hire TCAR - ICU (VBMC- Preferred), ICU/PACU (NH) - Within 1 year of hire CPI or other de-escalation technique training - Behavioral Health, ED (All hospitals), Float Pool Putnam, 6W, Float Pool (Norwalk), ICU, PCU, 9 tower (DH) - Within 6 months of hire S.T.A.B.L.E - OB (NDH Only) - Within 6 months of hire Chemotherapy Certification - Inpatient Oncology - Within 1 year of hire Working Conditions

Manual: significant manual skills/motor coord & finger dexterity Occupational: Some occupational risk Physical Effort: Medium to Heavy effort. May exert up to 35 lbs. force Physical Environment: Some exposure to dirt, odors, noise, human waste, etc. Credentials: RN, BLS Company: Northern Dutchess Hospital Department: Emergency Department Salary Range: $41.00 - $76.16 Hourly

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