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) from the American Heart Association, required. Advanced Cardiovascular (ACLS) from the American Heart Association, required. CCRN (required within two (2) years 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 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 Provides direct patient care and related support. Performs other related duties. Responsibilities Provides routine personal care to patients in a timely, safe and effective manner. Care may Include bathing, shaving, brushing teeth, dressing patients and attending to any and all of their personal care needs Prepares Patients For Meals, Feeds And/Or Assists With Feeding As Necessary Empties Bedpans And Collects Urine And Other Specimens Transfers Patients To And From Bed And/Or Chair Via One-Person Transfer, Two-Person Transfer, And Use Of A Hoyer Lift Takes accurate vital signs, temperatures, pulse and respirations. Records All Necessary Information According To Policy And Procedure; Performs ROM Using Proper Technique Assists Patients In Walking And In Transporting Patients By Means Of Wheel Chair Or Stretcher Performs other related duties. Qualifications Education: High School Diploma or GED required. Experience: No prior experience needed. 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 required to handle reasonably heavy weights across distances 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: New York State Certification as a Nursing Attendant. Physical Requirements : Duties performed routinely require exposure to blood, body fluid and tissue. 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 Provides direct patient care and related support. Performs other related duties. Responsibilities Provides routine personal care to patients in a timely, safe and effective manner. Care may Include bathing, shaving, brushing teeth, dressing patients and attending to any and all of their personal care needs Prepares Patients For Meals, Feeds And/Or Assists With Feeding As Necessary Empties Bedpans And Collects Urine And Other Specimens Transfers Patients To And From Bed And/Or Chair Via One-Person Transfer, Two-Person Transfer, And Use Of A Hoyer Lift Takes accurate vital signs, temperatures, pulse and respirations. Records All Necessary Information According To Policy And Procedure; Performs ROM Using Proper Technique Assists Patients In Walking And In Transporting Patients By Means Of Wheel Chair Or Stretcher Performs other related duties. Qualifications Education: High School Diploma or GED required. Experience: No prior experience needed. 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 required to handle reasonably heavy weights across distances 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: New York State Certification as a Nursing Attendant. Physical Requirements : Duties performed routinely require exposure to blood, body fluid and tissue. 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 Responsible and accountable for utilizing the nursing process in the provision of patient care. The Registered Nurse, in collaboration with other members of the health care team, assesses, implements, evaluates and coordinates all patient care activities, as appropriate to the age of the patients served and areas of practice. Responsibilities Performs assessment/data collection in an ongoing systematic manner, focusing on physiologic, cognitive and cultural diversity of the patient. Applies knowledge of illness, injuries and diseases and uses available resources in assessment processes. Provides written assessment of patient on admission and subsequently; based on patient need and IMC policy. Formulates a goal directed, individualized plan of care, prioritizes and utilizes efficient resources as developed from documented nursing diagnoses/patient care and outcomes. Collaborates as appropriate with physician and other clinical disciplines in planning interventions to meet patient and family needs. Implements plan of care, executing nursing interventions in accordance with established standards, policies and procedures. Intervenes with proper technique, procedure and safety precautions to meet individual needs of patients and families. Documents nursing interventions provided to meet assessed patient/family needs. Evaluates and documents patient response to and outcome of care provided and revises plan of care accordingly. Participates actively in staff development activities for unit and provides support and guidance to colleagues. Participates in performance improvement activities for hospital and unit/service. Works collaboratively with all members of the healthcare team. Performs other duties as required. Qualifications Education: Bachelor's degree in Nursing. Experience: Minimum two (2) years' PACU experience in an acute care setting. Minimum two (2) years critical care experience. Knowledge and Skills: Ability to effectively communicate in English, both verbally and written. Good interpersonal and communication skills. Licenses, Certifications: Current NY State RN License required. Basic Cardiac Life Support (BCLS) required. Advanced Cardiac Life Support (ACLS)/ Pediatric Advanced Life Support (PALS) preferred. 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.
