RN Full-time
NYC Health + Hospitals

Staff Nurse - CHS

$109,490 / year
Marketing Statement

NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs. Our diverse workforce of more than 42,000 employees are uniquely focused on empowering New Yorkers.

NYC Health + Hospitals/Correctional Health Services is one of the nation’s leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS leverages the resources of the nation’s largest municipal health care system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City’s criminal justice reform efforts.

Duties & Responsibilities

Work in collaboration with physicians to provide patients with care, education, and support. Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. May advise patients on health maintenance and disease prevention or provide case management. Coordinating and assigning duties to other health care personnel, such as licensed practical nurses, nursing aides, and patient care associates.

Responsibilities include: (Detailed Task)

  • Comply with procedures, regulations, and rules in maintaining medical records
  • Monitor, record and report symptoms and changes in patients' conditions.
  • Record patients' medical information and vital signs.
  • Modify patient treatment plans as indicated by patients' responses and conditions.
  • Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans.
  • Monitor all aspects of patient care, including diet and physical activity.
  • Direct and supervise less skilled nursing/health care personnel, or supervise a particular unit on one shift.
  • Prepare patients for, and assist with, examinations and treatments.
  • Observe nurses and patients to ensure that proper nursing care is provided.
  • Instruct individuals, and other groups on topics such as health education, disease prevention and childbirth, and develop health improvement programs.
  • Prepare rooms, sterile instruments, equipment and supplies, and ensure that stock of supplies is maintained.
  • Administer local, inhalation, intravenous, and other anesthetics.
  • Provide health care, first aid, immunizations and assistance in convalescence and rehabilitation.
  • Conduct specified laboratory tests.
  • Direct and coordinate infection control services, advising and consulting with specified personnel about necessary precautions.
  • Perform administrative and managerial functions, such as taking responsibility for a unit's staff, and planning.
  • Provide or arrange for training/instruction of auxiliary personnel.
  • Refer patients to specialized health resources or community agencies furnishing assistance.
  • Consult with institutions or associations regarding issues and concerns relevant to the practice and profession of nursing.
  • Work with individuals, groups, and families to plan and implement programs designed to improve the overall health of communities.
  • Triage nurse works to assess patient needs and provide clear patient information and education providing the patient with clinical advice on the management of their care
  • Engage in research activities related to nursing.

EMERGENCY RESPONSE

  • Responding to/addressing medical emergencies, such as falls, heart attacks, strokes, and burns as well as recovering post-operative patients
  • Evaluate a patient’s condition in order to determine the right course of treatment
  • When clinically indicated, provide care, such as CPR, AED, prevent shock, control severe bleeding, prevent spinal damage, etc.
  • Monitor patient’s condition and keep it stable while in route to the clinic
  • Aid in the preparation of the transfer of patients by Urgicare and/or EMS to the emergency units or hospitals
  • Document medical treatment given to the patient
  • Keep the equipment clean after use; check and replace damaged and used supplies.
  • Collaborate with pharmacy to replenish supplies.

Activities

  • Assisting and Caring for Others -- Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers (civilian/correction staff) and/or patients.
  • Documenting/Recording Information -- Entering, transcribing, recording, storing, or maintaining information in written or electronic form.
  • Getting Information -- Observing, receiving, and otherwise obtaining information from all relevant sources.
  • Updating and Using Relevant Knowledge -- Keeping up-to-date technically and applying new knowledge to your job.
  • Organizing, Planning, and Prioritizing Work -- Developing specific goals and plans to prioritize, organize, and accomplish your work.
  • Identifying Objects, Actions, and Events -- Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
  • Making Decisions and Solving Problems -- Analyzing information and evaluating results to choose the best solution and solve problems.
  • Communicating with Supervisors, Peers, or Subordinates -- Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
  • Establishing and Maintaining Interpersonal Relationships -- Developing constructive and cooperative working relationships with others, and maintaining them over time.
  • Monitor Processes, Materials, or Surroundings -- Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.
  • Interpreting the Meaning of Information for Others -- Translating or explaining what information means and how it can be used.
  • Training and Teaching Others -- Identifying the educational needs of others, developing formal educational or training programs or classes, and teaching or instructing others.
  • Developing and Building Teams -- Encouraging and building mutual trust, respect, and cooperation among team members.
  • Coordinating the Work and Activities of Others -- Getting members of a group to work together to accomplish tasks.
  • Performing General Physical Activities -- Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials.
  • Evaluating Information to Determine Compliance with Standards -- Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
  • Coaching and Developing Others -- Identifying the developmental needs of others and coaching, mentoring, or otherwise helping others to improve their knowledge or skills.
  • Resolving Conflicts and Negotiating with Others -- Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others.
  • Analyzing Data or Information -- Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.
  • Communicating with Persons Outside Organization -- Communicating with people outside the organization, representing the organization to customers, the public, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
  • Interacting with Computers -- Using computers and computer systems, enter data, or process information.
  • Handling and Moving Objects -- Using hands and arms in handling, installing, positioning, and moving materials, and manipulating things.
  • Inspecting Equipment, Structures, or Material -- Inspecting equipment, structures, or materials to identify the cause of errors or other problems or defects.

Skills

  • Active Listening -- Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  • Reading Comprehension -- Understanding written sentences and paragraphs in work related documents.
  • Critical Thinking -- Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems
  • Instructing -- Teaching others how to do something. Speaking -- Talking to others to convey information effectively. Time Management -- Managing one's own time and the time of others. Service Orientation -- Actively looking for ways to help people.
  • Monitoring -- Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
  • Social Perceptiveness -- Being aware of others' reactions and understanding why they react as they do.
  • Writing -- Communicating effectively in writing as appropriate for the needs of the audience.
  • Active Learning -- Understanding the implications of new information for both current and future problem-solving and decision-making.
  • Coordination -- Adjusting actions in relation to others' actions.
  • Judgment and Decision Making -- Considering the relative costs and benefits of potential actions to choose the most appropriate one.
  • Learning Strategies -- Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
  • Complex Problem Solving -- Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
  • Negotiation -- Bringing others together and trying to reconcile differences.
  • Operation Monitoring -- Watching gauges, dials, or other indicators to make sure a machine is working properly.
  • Equipment Selection -- Determining the kind of tools and equipment needed to do a job.

Abilities

  • Problem Sensitivity -- The ability to tell when something is wrong or is likely to go wrong.
  • It does not involve solving the problem, only recognizing there is a problem.’
  • Oral Expression -- The ability to communicate information and ideas in speaking so others will understand.
  • Oral Comprehension -- The ability to listen to and understand information and ideas presented through spoken words and sentences.
  • Inductive Reasoning -- The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
  • Speech Clarity -- The ability to speak clearly so others can understand you.
  • Deductive Reasoning -- The ability to apply general rules to specific problems to produce answers that make sense.
  • Written Expression -- The ability to communicate information and ideas in writing so others will understand.
  • Speech Recognition -- The ability to identify and understand the speech of another person.
  • Written Comprehension -- The ability to read and understand information and ideas presented in writing.
  • Selective Attention -- The ability to concentrate on a task over a period of time without being distracted.
  • Information Ordering -- The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
  • Time Sharing -- The ability to shift back and forth between two or more activities or sources of information (such as speech, sounds, touch, or other sources).

WORKING CONDITIONS

Because patents require round the clock care, working hours include days, nights weekends and holidays. RNS are required to stand for long periods of time. Employees are encouraged to safely move patents and use alternative methods whenever possible; alternative methods include requesting assistance to roll/lift/transfer patients. RNs may face hazards from exposure to chemical and infectious diseases. In addition, they have to treat patients that are confused, irrational, agitated and/or uncooperative

PHYSICAL DEMANDS

  • Ability to lift fifty (50) pounds.
  • Moving, lifting or transferring of patients may involve lifting of up to 100 pounds
  • Ability to stand for extended periods
  • Fine motor skills
  • Visual acuity

Minimum Qualifications

  • A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and
  • 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).

Department Preferences

How To Apply

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Develops patient outcome statement (s) and establishes individualized patient goals; Identifies care activities and establishes the priorities necessary to achieve expected outcome; coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; documents the plan of care and collaborates with physicians and other health team members; Implements the plan of care; maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.; exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient’s conditions during treatments/procedures; reports and records same as appropriate; keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient’s family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. Demonstrates ability to measure effectiveness of care provided and documents same; performs variance analysis related to outcome data for performance improvement; designs, implements, and evaluates systems to improve care in unit; keeps accurate documentation of patient’s treatment, activity and condition; uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team; collaborates with the appropriate physician on patient’s plan of care. Accurately interprets and implements treatment regimen as prescribed by the Physician; assists the Physician during treatments and/or diagnostic procedures; keeps Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion. Performs grade I-IV Decubitus Care; performs preventive skin care measures; applies simple dressings, maintaining principles of aseptic technique; applies warm and cold compresses, consistent with facility procedure; performs irrigations, consistent with Facility procedure; performs other procedures related to skin care, as necessary. Administers medications correctly and safely; correctly identifies medication in terms of action, dosage, side effects, and implications for the patient; meets standard on medication administration examination; demonstrates preparation of local solutions. Administers and documents medication correctly; educates patients and significant others related to drug and food interactions; educates patients and significant others related to drug and food interactions. Participates in patient and family education; provides patient with an explanation of his/her condition as indicated; communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; provides for early discharge planning and appropriate referrals for post-hospital care; evaluates the effectiveness of teaching by feedback from patient/ family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. OBGYN/L&D Experience, Preferred. Additional Salary Detail 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 may 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., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
White Plains Hospital

Practice Registered Nurse

Position Summary The Registered Nurse (RN) provides and coordinates the care of patients/families and significant others in the ambulatory care setting by assessing, planning and intervening in actual or potential health problems, including evaluation of the patient’s response to the care. These responsibilities also include patient/family/significant other education and health maintenance strategies. The RN is a member of a designated health care team and collaborates, coordinates and guides team members in planning patient care and achieving goals. The Registered Nurse demonstrates knowledge of the principles of human growth and development over the life span and the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirements relative to his or her age, specific needs, and to provide the care needed as described by standards and policy and procedures. Essential Functions And Responsibilities Includes The Following Understands and adheres to the WPH Performance Standards, Policies and Behaviors. Demonstrates the ability to perform clinical/technical/service/administrative tasks Systematically and continuously assesses patient physical, psychosocial and spiritual health status and knowledge base to determine patient’s health care and educational needs. Provides and/or delegates patient care according to the care goals. Sets priorities based on patient need. Triage all sick and walk-in patients Establish therapeutic and supportive relationships with patients and family. Acts as a resource person. Coordinate client care including referral back to primary provider. Assess needs and initiate referrals (VNS, Social Work). Telephone triage. Prescription requests, according to procedure. Communicates normal and abnormal test results in collaboration with provider including appropriate follow[1]up. Performs therapeutic treatments and procedures. Assist with procedures. Administer oral/IM/IV/SQ/Inhaled medications. Coordinates delegates and/or provides all other patient care activities. Coordinates in-patient admissions and ER referrals. Acts as a patient advocate. Documents according to standards of care. Promotes and provides for patient safety in accordance with state and federal guidelines. Participates in the department’s performance improvement activities. Provides presentations to care team members. Ensures all staff participates as a member of the patient care team, participates in daily huddles and attend regular scheduled practice team meetings. Attends in service and continuing education programs. Demonstrates a professional, courteous, and respectful attitude in dealing with patients, families and significant others. Informs and educates patient/family to enable participation in their care and decision-making. Evaluates the effectiveness of interventions and patient responses and outcomes to care. Collaborates with team members to make the necessary changes to patient plan of care. Communicates pertinent information and changes in patient status to appropriate members of the care team and other health care providers. Performs all other related duties as assigned. Education & Experience Requirements BSN required. Graduate from an accredited school of nursing with current New York RN registration. BLS certification required (must be through the American Heart Association). ACLS required (as of 6/1/21) for all RNs working in the Cancer Center or Center for Advanced Medicine & Surgery (CAMS) Knowledge of current nursing, medical and health trends and practices in rendering of patient care Core Competencies Teamwork & Adaptability Acts as a Professional Role Model Assessment Skills Excellent Communication Skills (both verbal and written) Attention to Detail Planning & Organizing Sound Problem-Solving, Judgment and Decision-Making Skill Stress Tolerance Physical/Mental Demands/Requirements & Work Environment Position requires ability to move about freely at least 85 per cent of the time. Must be able to remain stationary for extended/prolonged period Frequently moves/transports objects up to fifty (50) pounds and must be able to move patients of all weights with a minimum of one (1) assist or assistive device/equipment Must be able to work in environment with continuous interruptions Must be able to assess and respond to rapidly changing situational needs of patients, department and hospital Must be able to adapt in a high stress and fast-paced environment with multiple interruptions Must be able to detect sounds and respond to emergency sounds/signals at all times Must be able to constantly operate computer, equipment and other devices Position requires ability to concentrate on fine detail with interruptions and attend to tasks for more than sixty (60)minutes at a time. Individual must be able to understand and relate to theories behind several related concepts and remember multiple tasks given during the course of a day May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital’s SDS (Safety Data Sheet) data base and may be accessed through the hospital’s Intranet site (Employee Tools/SDS Access). A copy of the SDS data base can also be found at each off-site the hospital switchboard, saved on a disc. Primary Population Served All Populations