Registered Nurse -ASU - Full Time

Guthrie; City of Cortland (NY); On-site; USD 70,000 - 100,000; Full time

Job summary

Guthrie in Cortland, NY is seeking a registered nurse to deliver patient care across nursing processes. You will lead patient teaching and coordinate with ancillary staff while upholding compliance standards.

The role requires NYS RN licensure, BLS-CPR, and readiness to attain specialty certifications within specified timeframes. A patient-centered approach and teamwork are essential in this unit-based position.

Qualifications

• Current NYS license to practice as a registered professional nurse.
• Current BLS-CPR certification required (or within first 30 days of employment).
• Specialty Unit - Maternity – Neonatal Resuscitation Certification within 6 months of employment
• Specialty Unit – ICU - ACLS within 6 months of hire

Responsibilities

• Performs patient assessment and documents accurately in a timely manner per nursing policy.
• Monitors patient’s vital signs and status per protocol; reports changes as appropriate.
• Performs safe administration and documentation of medications, IV fluids, and blood products.
• Assesses and addresses educational needs of patients and families and documents outcomes.
• Assists providers with procedures and uses SBAR for communication; participates in discharge planning.

Job description

Job Summary

Responsible for delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. Directs and guides patient teaching and the activities of ancillary personnel while maintaining standards of professional nursing. Understands and adheres to GCMCs Compliance Standards as they appear in GCMCs Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy. Keeps abreast of all pertinent federal, state and GCMCs regulations, laws, and policies as they presently exist and as they change or are modified.

Experience

Entry level-graduate per Education requirements

Specialty Units-At least 1 year of medical-surgical nursing preferred. (i.e. ICU, Maternity, Psych)

Skills

See core competencies and unit specific competencies

Licensure/Certificates/Certification

Current NYS license to perform as a registered professional nurse

Current BLS-CPR certification required (or within first 30 days of employment)

Specialty Unit - Maternity – Neonatal Resuscitation Certification within 6 months of employment

Specialty Unit –ICU- ACLS within 6 months of hire

Essential Job Functions

Assessment

Performs patient assessment and documents accurately in a timely manner per nursing and department policy.

Performs nursing admission assessment thoroughly and within timeframe. Documents the admission assessment accurately and completely.

Performs skin risk assessment accurately and reassessment per policy and protocol.

Performs pain assessment and reassessment per policy and utilizes hospital approved pain scale and documents appropriately.

Patient Monitoring

Monitors patient as appropriate for condition, status and safety according to nursing department policy. Monitors patient’s vital signs and systems per protocol and documents on appropriate forms.

Recognizes change in patient’s condition or status and reports to charge nurse or physician as appropriate. Calls CAT team for patients who meet criteria.

Works to ensure patient safety is maintained in all aspects of patient care, by following all policies related to National Patient Safety Goals, etc. Raises concern about patient care and utilizes the Chain of Command as needed to prevent patient harm.

Medication Administration

Performs safe administration and complete documentation of medications, IV fluids, and blood products in accordance with nursing policy. Follows medication administration policy using e-Mar, bar coding and scanning of medications and has at least an 85% scan rate. Insertion of IVs under aseptic technique and follows IV policy by changing site, tubing and dressing and documents accordingly. Always follows hospital policy when administering blood products. Maintains security of electronic signature with Omnicell and accounts for all narcotics removed from automated dispensing system through proper waste/return administration documentation.

Patient and Family Education

Assesses and addresses educational needs of patients and families to include disease state, care and treatment. Documents educational needs. Distributes appropriate teaching sheets. Includes evaluation of learner’s understanding post-teaching.

Safe Discharge/Discharge Planning

Contributes to or initiates discharge plan upon day of admission and participates in interdisciplinary planning. Completes all pre-discharge checklist items. Always gives patient correct forms and discharge instructions by using 2 patient identifiers. Provides patient a safe discharge and appropriate follow-up information and community resources are in place.

Assist Providers

Assist providers in performing procedures and treatments per unit, department specific and hospital policy. Assist physicians/providers with beside procedures and remains competent with unit-specific procedures. Performs read back of critical values and telephone orders when interacting with physicians as warranted. Uses SBAR when giving physicians report on change in patient condition.

Equipment Use

Demonstrates knowledge and ability to use equipment safely and effectively. Utilizes hospital equipment per policy (i.e., guardrails for IV pumps, alarm settings). Uses patient lift equipment per policy at all times.

Nursing Clinical Skills

Demonstrates the ability to perform nursing treatments and procedures. Demonstrates competency, knowledge, and ability to perform nursing treatments and procedures safely and effectively. Conducts Hourly Rounds on patients using 4 "P's" and documents on appropriate forms. Regularly uses patient room white boards to communicate information to patients and families.

Emergency Preparedness

Demonstrates working knowledge and understanding of emergency preparedness plans and operations. Aware of and actively participates in emergency preparedness procedures and operations. Aware of and actively participates in code Blue, Green, Pink,