Registered Nurse - Emergency Department, Full Time Nights
Description
Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better.
Northern Dutchess Hospital is an 84-bed hospital located in picturesque Rhinebeck, New York. We are leaders in the Hudson Valley for maternity and orthopedic excellence and provide award-winning care in a wide range of specialties, from cancer and heart disease prevention to bariatric surgery and healthy aging services.
Our accolades include the following:
- The Leapfrog Group - Grade A for quality and patient safety
- U.S. News & World Report - High performance in knee replacement
- Surgical Review Corporation (SRC) - Robotic Center of Excellence
- Center for Medicare and Medicaid Services (CMS) - 5 Star Rating
At Northern Dutchess Hospital, we pride ourselves on a culture of collaboration and teamwork, where every voice is valued and contributes to our shared success. When you step through our doors, you will feel a warm and welcoming atmosphere that makes our hospital a truly special place to work. Our staff is friendly, dedicated and deeply committed to the well-being of our patients and each other’s success.
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:
1. Completes patient assessment and reassessment as clinically indicated:
a. Documents detailed information incorporating the plan of care, interventions and outcomes reflecting the patient's physical, mental, and emotional status.
b. 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.
- Demonstrate 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
Requirements:
-Current and unobstructed New York State Registered Nurse (NY Hospitals)
-Current and unobstructed Connecticut Registered Nurse License (CT Hospitals)
-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 | Unit | Required / Preferred |
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 |
ED: Emergency Department | NICU: Neonatal Intensive Care Unit |
ICU: Intensive Care Unit | MCH: Maternal Child Health Unit |
CCU: Critical Care Unit | LDRP: Labor Delivery Recovery Unit |
OR: Operating Room | DR: Delivery Room |
PCsecU: Progressive Care Unit | M/S: Medical Surgical Unit |
SDU � Step Down Unit | CPI: Crisis Prevention Intervention |
PACU: Post Anesthesia Care Unit | IR: Interventional Radiology |
BLS | Basic Life Support |
ACLS | Advanced Cardiovascular Life Support |
PALS | Pediatric Advanced Life Support |
NRP | Neonatal Resuscitation Program |
EFM | Electronic Fetal Monitoring |
TNCC | Trauma Nursing Core Course |
ENPC | Emergency Nurse Pediatric Course |
TCAR | Transcarotid Artery Revascularization |
CPI | Crisis Prevention Institute |
S.T.A.B.L.E | Stabilization Care of Sick Infants |
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
Org Unit: 969
Department: Emergency Department
Exempt: No
Salary Range: $41.00 - $76.16 Hourly