Overview In addition to general nursing, is responsible for the delivery of safe, effective, and quality patient-family centered care in the OR and other areas of perioperative services for all patient populations. Responsibilities Assesses patients at intervals as stated in policies and procedures. Functions in the scrub and or circulating role during operative or other invasive procedures in accordance with scope of practice, credentials, privileges, education, and experience Ensures the operative procedure is being performed on the correct patient and site, side and level by: Reviewing the operative schedule; Reviewing the operative consent; Verifying procedure site and side with patient; Resolving identified discrepancy with surgeon and patient, prior to the patient being taken to the operating room; and participating in the pre-procedure verification, per-incision “Time Out” and sign out process. Develops an individualized perioperative patient plan of care. Implements the plan of care by: protecting the patient from injury caused by chemical, electrical, laser, mechanical, and thermal sources and extraneous objects; performing accounting procedures to protect the patient from unintended retained surgical items; performing interventions necessary to ensure that the patient’s procedure is performed on the correct site, side, and level; managing the patient’s specimens in the appropriate manner; communicating the patient’s status to the appropriate parties throughout the continuum of care; administering medications safely and correctly; performing interventions to maintain the patient’s wound and tissue perfusion at or above baseline levels; performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline levels; Providing education regarding the expected psychosocial response, nutritional management, medication management, pain management, wound management, and expected responses to the operative or invasive procedure; Actively involving the patient or designated support person in decisions affecting his or her perioperative plan of care and the rehabilitation process. Documents nursing care accurately, completely, and legibly. Collaborates effectively with other disciplines as appropriate. Participates in quality review and performance improvement projects. Uses problem-solving and conflict resolution skills to foster effective work relationships with team members. All other duties as requested. Qualifications Education: Internal & 1199 SEIU: Graduate of accredited nursing program(s). Bachelor's Degree in Nursing preferred. Non 1199 SEIU Candidates: Bachelor’s Degree in Nursing. Master's Degree in Nursing, preferred. Experience: Minimum two (2) years' operating room experience. Knowledge and Skills: Critical thinking, math, and computer skills. Works as a team player. Demonstrates respect and professionalism in all interactions. Excellent oral and communication skills. Decision making and problem solving. Able to read, write, see and hear English. Licenses, Certifications: Current NY State RN License required. Basic Life Support (BLS) from the American Heart Association, required. Advanced Cardiovascular Life Support (ACLS) from the American Heart Association, required. Pediatric Advanced Life Support (PALS) from the American Heart Association, required. Certified Nurse, Operating Room (CNOR) certification, preferred. Physical Requirements: Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day. Position will be required to stoop, bend, lift and carry items weighing up to 35 pounds for routine performance of essential functions. An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions. Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients. Manual and finger dexterity, as well as hand and eye coordination. Corrected vision and hearing to within normal range. Frequently sitting at desk working on computer. Ability to flex working hours. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
Overview Under direct supervision of a Registered Nurse or physician, the LPN performs nursing duties in the care and treatment of patients on an assigned unit. The duties require the use of tact and judgment in the care and treatment of patients. May assist in the supervision of non-professional subordinates. Is cognizant of philosophy, standards, objectives and policies of the Nursing Department. Performs related duties as required. Responsibilities Demonstrates proficient knowledge in the treatment of patients requiring nursing care. Uses available diagnostic results and other information to make an accurate evaluation. Applies knowledge of illnesses, injuries, and diseases and uses available resources in performing the nursing process. Performs timely, comprehensive, and accurate reevaluations and documentation at regular intervals as defined by the department, when a significant change occurs in the resident's condition, and when otherwise warranted. Is considerate of residents' privacy during the evaluation process. Contributes to an individualized and appropriate plan of care delineating measurable patient care goals Contributes to the plan of care making necessary changes as the condition of the patient indicates. Bases care decisions on resident needs and care priorities. Monitors patient outcomes. Monitor continued care needs for discharge and coordinates resources to meet post-institutional requirement. Collaborate, as appropriate, with Care Manager, physician, and other clinical disciplines in planning interventions to meet resident and family needs in a timely manner. Qualifications Education: Graduation from an accredited school of practical nursing or completion of equivalent study in an approved program in professional nursing. Experience: Minimum one (1) year clinical experience preferred. Knowledge and Skills: Ability to work in surroundings with degree of dust, noise, etc. without undue discomfort Ability to hear, talk, walk, stand, bend and stretch Ability to read, write and interpret documents Ability to sit for long periods of time at desk to perform job functions Ability to stand for long periods of time at required patient bedside and/or procedural areas Ability to communicate effectively with patients and/or co-workers May be exposed to mechanical/electrical/radiant/explosive/burn and chemical hazards May be required to handle, dispose of and/or identify hazardous waste and hazardous materials May be required to operate and clean equipment May be required to handle/ assist in lifting patients onto/out of exam beds/procedure stations Must be trained in and knowledgeable of all Kingsbrook/Rutland policies and procedures pertaining to hazardous waste and hazardous materials and maintain qualifications applicable to assigned work Other: Knowledge of all codes and demonstrate understanding Licenses, Certifications: Current NYS Licensure or the eligibility to be licensed to practice as a practical nurse. Physical Requirements : Duties performed routinely require exposure to blood, body fluid and tissue. Normal routine involves no exposure to blood, body fluid or tissue, but potential for exposure. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
Overview Under direct supervision of a Registered Nurse or physician, the LPN performs nursing duties in the care and treatment of patients on an assigned unit. The duties require the use of tact and judgment in the care and treatment of patients. May assist in the supervision of non-professional subordinates. Is cognizant of philosophy, standards, objectives and policies of the Nursing Department. Performs related duties as required. Responsibilities Demonstrates proficient knowledge in the treatment of patients requiring nursing care. Uses available diagnostic results and other information to make an accurate evaluation. Applies knowledge of illnesses, injuries, and diseases and uses available resources in performing the nursing process. Performs timely, comprehensive, and accurate reevaluations and documentation at regular intervals as defined by the department, when a significant change occurs in the resident's condition, and when otherwise warranted. Is considerate of residents' privacy during the evaluation process. Contributes to an individualized and appropriate plan of care delineating measurable patient care goals Contributes to the plan of care making necessary changes as the condition of the patient indicates. Bases care decisions on resident needs and care priorities. Monitors patient outcomes. Monitor continued care needs for discharge and coordinates resources to meet post-institutional requirement. Collaborate, as appropriate, with Care Manager, physician, and other clinical disciplines in planning interventions to meet resident and family needs in a timely manner. Qualifications Education: Graduation from an accredited school of practical nursing or completion of equivalent study in an approved program in professional nursing. Experience: Minimum one (1) year clinical experience preferred. Knowledge and Skills: Ability to work in surroundings with degree of dust, noise, etc. without undue discomfort Ability to hear, talk, walk, stand, bend and stretch Ability to read, write and interpret documents Ability to sit for long periods of time at desk to perform job functions Ability to stand for long periods of time at required patient bedside and/or procedural areas Ability to communicate effectively with patients and/or co-workers May be exposed to mechanical/electrical/radiant/explosive/burn and chemical hazards May be required to handle, dispose of and/or identify hazardous waste and hazardous materials May be required to operate and clean equipment May be required to handle/ assist in lifting patients onto/out of exam beds/procedure stations Must be trained in and knowledgeable of all Kingsbrook/Rutland policies and procedures pertaining to hazardous waste and hazardous materials and maintain qualifications applicable to assigned work Other: Knowledge of all codes and demonstrate understanding Licenses, Certifications: Current NYS Licensure or the eligibility to be licensed to practice as a practical nurse. Physical Requirements : Duties performed routinely require exposure to blood, body fluid and tissue. Normal routine involves no exposure to blood, body fluid or tissue, but potential for exposure. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
Overview Under the supervision of the Nurse Manager, Critical care Nurses provide direct and individualized nursing care to patients based on the application of scientific nursing principles. In addition to general nursing care, responsibilities of Critical care Nurses include (but are not limited to): Assessment: Conducts ongoing focused physical, psychosocial, and pain assessments; includes assessment of patient education needs. Planning : Utilizes the assessment, identifies problems, and makes nursing diagnoses, formulate goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn, and incorporates family into the plan of care. Implementation : Prioritizes and implements an efficient nursing plan of care. Evaluation/Reassessment : Consistently conducts timely evaluations, recognizes changes in patient conditions, determines when reassessments are needed, and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care. Evaluate patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care. Responsibilities Utilizes the nursing process in taking care of the patient. Assesses condition of the patient and documents findings in EHR. Utilizes principles of Infection Control in the delivery of care. Implements appropriate nursing interventions to facilitate recovery of patient and prevent complications. Evaluate patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care. Implements discharge planning based on patient care needs. Initiates and documents patient education based on treatment plan in the language that the patient understands. Documents assessment, interventions, changes in the patient’s condition and response to interventions based on hospital policy on documentation. Initiates appropriate actions effectively in an emergent situation. Prioritizes tasks and adjusts priorities, maintain orderly, efficient, and timely flow of patients. Recognizes and reports errors or unusual occurrences, and initiates corrective action when appropriate. Makes accurate, complete, and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicate with all members of the healthcare team, patient, and patient family and then assess, plan, implement and evaluate patient care. Know how to start standard interventions to stabilize the patient. Communicates with colleagues and interdisciplinary team about the prevention, treatment and patient care needs of the patient that has pressure injuries (reports, dietary consults, communicates with physicians). Basic cardiac rhythm monitoring techniques, interpretation, and treatment. Recognizes lethal arrhythmias and acts appropriately. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology. Recognize the signs and symptoms of cardiopulmonary and respiratory emergencies and knowing how to start standard interventions to stabilize the patient. Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy. Calculate drug dosage, administering continuous medication infusion, and monitoring patients for effects of medication. IV pump setup. Use of Doppler. Phlebotomy /IV start. Cardio pulmonary monitoring/ Arrhythmia recognition & treatments. Medication Indication, dosage, action, side effects of anti-platelets/ coagulants. Blood and blood product transfusions and assists with Massive blood transfusion. Care of mechanically ventilated. Assisting with Emergency Management. Urinary Catheterization – Male and Female. Start standard interventions to stabilize the patient. Communicates with colleagues and interdisciplinary team about the treatment and patient care needs of the patient that has pressure ulcers (reports, dietary consults, communicates with physicians). Management patient post neuro procedure, or Neuro patient transferring from Surgical intensive care unit. Have knowledge of all vasoactive Drugs such as Vasopressors, Inotropes, Catecholamine, and Adrenergic. Calculate and administer according to the guideline. Monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays, such as intracranial pressures, arterial line pressures, central venous pressures, pulmonary artery pressures, Balloon Pump, Hypo/Hyperthermia machine, CVVHD, Peritoneal Dialysis. Initiates patient education plan, as prescribed by physician. Teach patients and significant others how to manage their illness/injury, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation. Demonstrates efforts in the prevention of hospital acquired conditions (HAC) CAUTI, CLABSI, Pressure injuries and Falls. Records all patients’ medical information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms. Prepares equipment and assists physician during examination and treatment/procedures of patient at the bedside. Participates in the formulation, review and or revision of departmental policies. Proactively participates in performance improvement initiatives to continuously improve the quality of patient care. Uses hospital resources effectively in providing patient care. Follows the process of reporting broken equipment. Recovering patient after sedation analgesia. Transferring patient to floor after verbal report/electronic report using Hand-off. Involves Patient and family in discharge teaching. Discharge patients safely if out patients. Performs other duties as assigned within the RN scope of practice. Qualifications Education: Internal & 1199 SEIU: Graduate of accredited nursing program(s). Bachelor's degree in Nursing preferred. Non 1199 SEIU Candidates: Bachelor’s degree in Nursing or equivalent to BSN program. Master's degree in Nursing, preferred. Experience: Minimum two (2) years' Telemetry experience required. Minimum one (1) year Critical Care nursing or equivalent experience preferred. Knowledge and Skills: Knowledge of Neuro assessment, and documentation, NIHSS scale. Knowledge of critical lab values. Critical thinking, math, and computer skills; Works as a team player. Demonstrates respect and professionalism in all interactions. Excellent oral and communication skills. Decision making and problem solving. Able to read, write, see and hear English. Licenses, Certifications: Current NY State RN License required. Basic Life Support (BLS) required. Advanced Cardiovascular (ACLS) required. CCRN (required within one (1) year of hire). Basic Arrhythmia Class with Certificate required. Stroke Certification required. Trauma Care After Resuscitation (TCAR) required. Physical Requirements: Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day. Position will be required to stoops, bends, lifts, carry items weighing up to 35 pounds for routine performance of essential functions. An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions. Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients. Manual and finger dexterity, as well as hand and eye coordination. Corrected vision and hearing to within normal range Frequently sitting at desk working on computer Ability to flex working hours. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
Overview The Registered Professional Nurse is responsible and accountable for prescribing, delegating and coordinating all nursing care as defined by The New York State Nursing Practice Act. Comprehensive Critical care nursing focuses on assisting the critically ill patient to achieve his/her optimum health potential. This is achieved within the framework of the nursing process. The activities are carried out in collaboration with the care providers and other members of the healthcare team in response to patient and family needs. The Critical Care Registered Professional Nurse is responsible for care delivery and renders services to ICU and /or telemetry patients ranging from 18 years and older. Responsibilities In accordance with professional nursing standards and practices, the Critical Care nurse will provide nursing care to all critical care/telemetry patients with medical and surgical diagnoses. Assessment Assesses patient’s physical, social, behavioral, and mental status through direct observation, interview, and medical record review. Includes assessment from history and data collection as obtained from the patient and/or care providers. Utilizes observational skills to assess patient’s needs. Documents a nursing assessment to include psychosocial, environmental factors, educational level, and needs. Obtains and reviews available data base and any data collected by other members of the health team (medical/surgical/other history, physical exam mental status, therapist reports, physician, and community referrals). Identifies medical problems resulting from psychological /mental illness and use of medications. Communicates findings with other members of the health team. (Social Worker, Case managers, therapist, physician). Planning Identifies and addresses needs for admission based on acute medical/surgical diagnoses and presenting physical/psychological symptoms Identifies and addresses patient level of education and learning needs. Makes appropriate referral to other disciplines and documents same. Intervention/Implementation Management of clinical skills in the provision of nursing care and management of the patient including but not limited to: Identification of symptoms Management of the disease entity Treatment modalities Administration of medications Intervenes appropriately in medical/surgical emergencies utilizing crisis intervention. Utilities critical care skills in assessment of patients and in interventions Utilizes infection control procedures and protocols. Provides for psychosocial needs of all critically ill patients. Provides health teaching and medication instructions to patient/next of kin. Ensures that all procedures are performed based on established standards of care Demonstrates competency in performing all procedures within the scope of practice and in accordance with Interfaith Medical Center. Investigates and communicates all required information regarding unusual occurrences and patient care incidents. Acts as a patient advocate. Evaluation Revises the patient’s plan of care based on evaluation of interventions and expected outcomes in collaboration with other members of the health care team. Qualifications Education: Associate degree in Nursing required. Bachelor's degree in Nursing preferred. Experience: Minimum two (2) years' Critical Care nursing experience required. Knowledge and Skills: Ability to communicate effectively in English both verbally and in writing. Licenses, Certifications: Current NY State RN License Basic Cardiac Life Support (BCLS) Physical Requirements: Involves standing, walking, sitting, talking, hearing and bending. May include some repetitive motions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
