Staff Nurse - Critical Care

NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Work Shifts ROTATING SCHEDULE Job Description PURPOSE OF POSITION: The Staff Nurse is a Nursing Practitioner who contributes to the development, implementation and evaluation of the nursing regimen for assigned patients on his/her unit. Under the direction and leadership of the Head Nurse the Staff Nurse is guided by a thorough knowledge of nursing theory, principles and standards of quality nursing care. RESPONSIBILITIES: (1) Provide care to assigned patients through assessment of patient needs, developing and implementing an interdisciplinary plan of care, which reflects an individualized mode of nursing and medical intervention so that the appropriate outcome can be achieved in a timely manner. (2) Initiates a Nursing Assessment and interdisciplinary treatment discharge plan upon admission, which reflects patient teaching and discharge plan according to established guidelines. (3) Allows patients and/or significant others, as much as possible to collaborate in the plan of care. Develop a discharge plan in collaboration with the physician, patients/family other disciplines utilizing the available resources. (4) Execute physician orders concerning medication and therapy and evaluates patient response with a clear understanding of the scientific principles of cause and effect. (5) Collaborates with the Head Nurse in delegating assignments for nursing personnel based on patients' acuity and employee skill level. (6) Records pertinent observations on patient chart and reports findings to Head Nurse and/or physician. (7) Evaluates the results of nursing intervention and males appropriate changes when necessary. (8) Able to monitor suicidal patients and document observations as per hospital policy. (9) Administer medications and treatments in a safe knowledgeable manner and document same according to hospital policy, procedure, and professional standards. (10) Prepare for and assist with diagnostic procedures and treatment. (11) Demonstrates proficiency in the insertion of peripheral cannulation, and administration of nebulizer and/or metered dose inhalation therapy. (12) Count narcotics with on-coming and outgoing tour nurses according to hospital policy/procedure. (13) Check code cart/emergency equipment on a daily/tour by tour basis-open according to service protocol. (14) Counsel and/or instruct patients and/or families with evidence of the instructions and the patients' or families' understanding of the instructions documented in the progress note and teaching tool. (15) Evaluates interdisciplinary treatment discharge plan on an ongoing basis and makes modification as indicated. (16) Conforms to policy governing patient abuse, patient rights, and confidentiality of information. (17) Assures that the instructions and counseling given to patient are consistent with that of the responsible Medical practitioner. (18) Participates in in-service department and continuing education program in order to foster self-growth. (19) Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting nursing practice. (20) Participates in performance assessment and improvement activities on an ongoing basis and assist with data collection. (21) Maintains professional competence through participation in continuing education, Inservice, staff development and self-directiveness in his/her own education process. (22) Assist in coordinating and discharge planning monitoring activity for clinical services. Assists in providing ongoing technical assistance to interdisciplinary patient care team. (23) Assist in planning, directing and coordinating patient care; assume responsibility for the care, comfort and cleanliness of patients. (24) Able to assume responsibility for the acutely/critically ill patients. (25) Assessment and completion of weekly patient classification and pressure ulcer report. (26) Able to assume responsibility for assisting in the supervision of non-professional assistants and orientation of new staff. (27) Function as a nurse in charge of the unit as districts nursing/modified primary nursing. (28) Accompany patients to MRI on Ambulette/ Ambulance when necessary. (29) Participates in Clinical Pathways, initiating and completing nursing flow sheet, e.g., Fall Precaution Flow Sheet, Restraint Flow Sheet, l&O Sheet, Graphic Sheet, and Intermediate Flow sheet if applicable. (30) Conforms to policies governing uniform codes, attendance and punctuality. (31) Demonstrate sensitivity to diversity in workforce. (32) Ensures a safe and secure environment free of hazards to reduce the risk of injury to all customers. (Patients, visitors, and staff). (33) Conducts risk assessments to reduce adverse events. (34) Ensures that safety management issues are appropriately addressed. (35) Assess and monitors the patient on telemetry. Obtains rhythm strip. Notifies MD of changes. (36) Provides care of patients but not limited to Respirator, Cardiac Neurological and GI Renal HIV. (37) Start peripheral venous access and maintain intravenous therapy and site care. (38) Manages the patient with the following: Triple lumen catheter PICC line etc. (39) Provides care for patients with chest tube drainage system. (40) Airway management by demonstrating ability to care for patient on mechanical ventilator and tracheotomy. (41) Performs tracheotomy care. (42) Performs suctioning and ambu-bagging to maintain airway patency. (43) Prepares patient physically and psychologically for surgery. (44) Monitors and provides care post-surgery/procedure. (45) Performs wound care and document status of wound. Explains, involves and instructs patients/families concerning the therapeutic regimen and environment of care. (46) Effectively utilizes the electronic as well as the paper medical record. (48) Provides care for the following patients: CHF TB Geriatric/Dementia patients Stroke Colon Cancer Cholecystectomy Head Trauma Long bone fracture Hysterectomy Brachytherapy Use of Cyracom phone for LEP patients MRI Safety Cultural competence Minimum Qualifications 1. A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and 2. Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). Special Note: For assignments in Post-Acute Care ONLY, individuals meeting the following criteria may also be considered for appointment: Graduation from a nursing education program registered by the New York State Education Department (NYSED) as licensure qualifying for Registered Professional Nurse (RN) and has applied for licensure as an RN. These unlicensed individuals may be employed to practice under the immediate and personal supervision of a NYS licensed, currently registered, RN for up to 90 days immediately following graduation pending receipt of a limited permit, which selected candidates must apply for and receive within the same 90-day period. Once a limited permit is received, individuals can practice nursing, under the immediate and personal supervision of a NYS licensed, currently registered, RN at a NYC Health + Hospitals health care setting for up to one (1) year from the date of issuance of the limited permit. In addition, must hold or obtain through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA). NYC Health and Hospitals offers a competitive benefits package that includes: Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Loan Forgiveness Programs for eligible employees Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts College tuition discounts and professional development opportunities Multiple employee discounts programs

Created: 2024-11-19