Registered Nurse – Med/Surg, Per Diem

Northwell Health; Town of Rhinebeck (NY); On-site; USD 56,000 - 105,000; Full time

Job summary

Northwell Health’s Northern Dutchess Hospital seeks a Registered Nurse to deliver direct patient care in alignment with ANA guidelines. You will assess patients, develop and adjust care plans, and collaborate with interdisciplinary teams to optimize outcomes.

The role requires NYS RN licensure and a focus on safety, education, and continuous learning, with opportunities for professional growth within a large health system.

Qualifications

• Graduate of an accredited nursing program with an Associate Degree (required) or Bachelor’s Degree in Nursing (preferred).
• Current NYS Registered Nurse license.
• Connecticut Registered Nurse license or eligibility for CT Hospitals.
• American Nurses Association endorsed certifications preferred.

Responsibilities

• Provide direct patient care guided by the ANA scope of practice.
• Assess patient needs, develop and implement care plans, and evaluate nursing regimens.
• Document nursing processes and ensure accurate transfer/discharge information.
• Coordinate and supervise delivery of nursing care and delegate tasks.
• Promote a culture of safety and patient-centered care while respecting diversity.

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing (preferred)

Job description

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

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.
• Assess 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 Skills Experience:

•Graduated from an accredited school of nursing with an Associate’s Level Degree (required) or Bachelor’s Degree in Nursing (preferred).

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).

o 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 ß 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:

BLS,RN

Company:

Northern Dutchess Hospital

Org Unit: 1195

Department: General Medicine 1

Exempt: No

Salary Range: $41.00 – $76.16 Hourly

It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of age, race, creed/religion, color, national origin, immigration status, or citizenship status, military or veteran status, sexual orientation, sex/gender, gender identity, gender expression, height, weight, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, their or their dependent’s sexual or other reproductive health decisions, or other characteristics protected by applicable law.