Registered Nurse - ICU - Nights

Virtual Critical Care Registered Nurse - Pulse Center - Full Time - days

Guthrie Big Flats, NY

$39 - $54.12 / hour

Critical Care Virtual Registered Nurse - located in Big Flats, NY! This position is Full Time 12 hour day shifts. This position is eligible for a $25,000 sign on bonus! Position Details: The Virtual Critical Care Registered Nurse works from the Pulse Center, located in Big Flats NY, to enable the care of critically ill patients in ICU beds across the Guthrie system. This position provides virtual support to bedside nurses and is an excellent opportunity for experienced nurses to use their critical care skills without the physical demand of a traditional ICU setting. This department utilizes self-scheduling, allowing our caregivers to select the shifts that work best for them and the team. Position Summary The Virtual Registered Nurse (RN) provides professional nursing care for patients in a critical care environment utilizing telecommunication technology. Collaborates with the bedside nurse to provide coordinated, safe, compassionate, therapeutic, evidence-based quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty. Education, License & Cert: - Registered Nurse licensed in both Pennsylvania and New York . - BSN in Nursing preferred. - Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect. - Any contract with specific time frames for obtaining a bachelor’s degree in nursing will supersede the above point and will remain in effect. - CCRN or CCRN-E certification within two years of hire preferred with education and training provided. - BLS and ACLS certification required. Experience: - The Registered Nurse must be a registered nurse currently licensed in Pennsylvania and New York with five years of experience in critical care. The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment. Must maintain BLS and ACLS certification. Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit. Essential Functions 1. Employs Nursing Professional Practice: Utilizes clinical assessment skills and knowledge of EPIC and Sickbay functionality or designated software application, to monitor patients effectively and efficiently in collaboration with the patient’s primary nurse. Utilize critical thinking skills and the specialized software to assess patients, and preemptively address subtle signs and symptoms of clinical deterioration or status changes. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. 2. Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve. Communicates effectively to inform, coach, and support onsite nurses/clinicians, cultivating a therapeutic team approach. 3. Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including students. Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community. Serves as a clinical resource, coaches and mentors clinical nurses in areas of clinical and professional practice. Models’ professional behaviors as a representative of the nursing profession. 4. Aligns Practice with Safety and Quality: Manages assignment of complex patients and other unit demands. Proactively recognizes, determines a plan of action, and responds to routine, urgent, and emergent patient situations utilizing direct observation via videoconferencing, proactive surveillance of adverse physiological trends, medical chart review, and clinical alarms. Provides follow-up to ensure problem resolution. 5. Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidence-based practice. 6. Leader in Practice Setting & Community demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence, and innovation. Provides high level contributions to the onsite nurses’ knowledge of pathophysiology, pharmacology, hemodynamics, bedside technology, and nursing care. 7. Monitor assigned critical care patients (ICU/Step-down) utilizing real-time, two-way, audio and video communication, as well as other platforms. 8. Prevent clinical problems from occurring by:9. Direct observation via videoconferencing 10. Proactive surveillance of physiological trends 11. Medical chart review 12. Competencies, nursing practices and processes are based on the populations served, which could include the infant, preschool, school age, adolescent, adult and geriatric patients. 13. It is understood that this description is not intended to be all-inclusive and that other duties may be assigned as necessary in the performance of the position. Other Duties 1. Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position. 2. Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff. 3. Ability to use independent, critical judgment in all aspects of patient care delivery. 4. Demonstrated interpersonal skills that convey a positive and supportive attitude. 5. Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations. 6. Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of the job, especially regarding activities impacting patient or employee safety or security. 7. Hearing / Visual requirement The pay range for this position is $39.00 - $54.12 per hour.

RN Registered Nurse - ICU - Full Time

Guthrie Binghamton, NY

$39 - $54.12 / hour

This position is eligible for an enhanced sign on bonus of $50,000.00 for those that qualify. Position Summary: The Registered Nurse (RN) provides professional, comprehensive nursing care for patients in an acute care environment. Accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidence‐ based quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty. Education, License & Cert: - Registered Nurse in the State of Practice. - BSN in Nursing preferred. - Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect, including those who transition to their position from the NLRN Program. - Any contract with specific time frames for obtaining a bachelor’s degree in nursing will supersede the above point and will remain in effect. - Specialty Certification is preferred - BLS certification. - ACLS is unit dependent. - PALS is unit dependent Experience: - The Registered Nurse must be a registered nurse currently licensed in the state of employment with at least one year of experience. Alternately, the Registered Nurse may have less than one year of experience if they have been transitioned to their position from the Newly Licensed Registered Nurse Residency (NLRN) Program. - The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment. - Must maintain BLS certification. - ACLS is unit dependent. - Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit. Essential Functions: 1. Employs Nursing Professional Practice: Assesses, diagnoses, plans, implements, and evaluates patients' care. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. Performs and maintains the currency of essential competencies as required by a specific area of hire and population served. 2. Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve. 3. Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including student; Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community. 4. Aligns Practice with Safety and Quality: Accountable for safety, identifies and corrects problems, and integrates evidence and best practice into nursing care; uses data and evidence to improve patient outcomes. Aligns patient safety, self‐ safety, and environmental safety as equally important for best outcomes. 5. Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidence‐ based practice. 6. Leader in Practice Setting & Community: demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence and innovation. In partnering with colleagues appropriately delegates, coordinates care, and collaborates with others as equal members of the inter‐ professional care team to integrate nursing knowledge. Models professional behaviors as a representative of the nursing profession. 7. Participates in the planning and presentation of educational programs. 8. It is understood that this description is not intended to be all‐ inclusive and that other duties may be assigned as necessary in the performance of the position. Other Duties: 1. Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position. 2. Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff. 3. Ability to use independent, critical judgment in all aspects of patient care delivery. 4. Demonstrated interpersonal skills that convey a positive and supportive attitude. 5. Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations. updated 3-13-24 Pay Range $39.00-$54.12/hour Dependent on years of applicable experience.

RN Registered Nurse - ICU - Full Time

Guthrie Binghamton, NY

$39 - $54.12 / hour

This position is eligible for the enhanced Sign on Bonus of $50,000.00 for those that qualify. Position Summary: The Registered Nurse (RN) provides professional, comprehensive nursing care for patients in an acute care environment. Accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidence‐ based quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty. Education, License & Cert: - Registered Nurse in the State of Practice. - BSN in Nursing preferred. - Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect, including those who transition to their position from the NLRN Program. - Any contract with specific time frames for obtaining a bachelor’s degree in nursing will supersede the above point and will remain in effect. - Specialty Certification is preferred - BLS certification. - ACLS is unit dependent. - PALS is unit dependent Experience: - The Registered Nurse must be a registered nurse currently licensed in the state of employment with at least one year of experience. Alternately, the Registered Nurse may have less than one year of experience if they have been transitioned to their position from the Newly Licensed Registered Nurse Residency (NLRN) Program. - The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment. - Must maintain BLS certification. - ACLS is unit dependent. - Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit. Essential Functions: 1. Employs Nursing Professional Practice: Assesses, diagnoses, plans, implements, and evaluates patients' care. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. Performs and maintains the currency of essential competencies as required by a specific area of hire and population served. 2. Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve. 3. Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including student; Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community. 4. Aligns Practice with Safety and Quality: Accountable for safety, identifies and corrects problems, and integrates evidence and best practice into nursing care; uses data and evidence to improve patient outcomes. Aligns patient safety, self‐ safety, and environmental safety as equally important for best outcomes. 5. Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidence‐ based practice. 6. Leader in Practice Setting & Community: demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence and innovation. In partnering with colleagues appropriately delegates, coordinates care, and collaborates with others as equal members of the inter‐ professional care team to integrate nursing knowledge. Models professional behaviors as a representative of the nursing profession. 7. Participates in the planning and presentation of educational programs. 8. It is understood that this description is not intended to be all‐ inclusive and that other duties may be assigned as necessary in the performance of the position. Other Duties: 1. Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position. 2. Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff. 3. Ability to use independent, critical judgment in all aspects of patient care delivery. 4. Demonstrated interpersonal skills that convey a positive and supportive attitude. 5. Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations. updated 3-13-24 Pay Range $39.00-$54.12/hour Dependent on years of applicable experience.

RN Registered Nurse - ICU - Full TIme

Guthrie Cortland, NY

$39 - $54.12 / hour

This position is eligible for an enhanced sign on bonus of to $50,000.00 for those that qualify. Job Summary: Responsible for delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. Directs and guides patient teaching and the activities of ancillary personnel while maintaining standards of professional nursing. Understands and adheres to GCMC’s Compliance Standards as they appear in GCMC’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy. Keeps abreast of all pertinent federal, state and GCMC regulations, laws, and policies as they presently exist and as they change or are modified. Experience: - Entry level-graduate per Education requirements - Specialty Units-At least 1 year of medical-surgical nursing preferred. (i.e. ICU, Maternity, Psych) Skills: - See core competencies and unit specific competencies Licensure/Certificates/Certification: - Current NYS license to perform as a registered professional nurse - Current BLS-CPR certification required (or within first 30 days of employment) - Specialty Unit - Maternity – Neonatal Resuscitation Certification within 6 months of employment - Specialty Unit –ICU- ACLS within 6 months of hire Essential Job Functions: Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed. Assessment-Performs patient assessment and documents accurately in a timely manner per nursing and department policy. - Performs nursing admission assessment thoroughly and within timeframe. Documents the admission assessment accurately and completely. - Performs skin risk assessment accurately and reassessment per policy and protocol. - Performs pain assessment and reassessment per policy and utilizes hospital approved pain scale and documents appropriately. Patient Monitoring-Monitors patient as appropriate for condition, status and safety according to nursing department policy. - Monitors patient’s vital signs and systems per protocol and documents on appropriate forms. - Recognizes change in patient’s condition or status and reports to charge nurse or physician as appropriate. - Calls CAT team for patients who meet criteria. - Works to ensure patient safety is maintained in all aspects of patient care, by following all policies related to National Patient Safety Goals, etc. - Raises concern about patient care and utilizes the Chain of Command as needed to prevent patient harm. Medication Administration-Performs safe administration and complete documentation of medications, IV fluids, and blood products in accordance with nursing policy. - Follows medication administration policy using e-Mar, bar coding and scanning of medications and has at least an 85% scan rate. - Insertion of IVs under aseptic technique and follows IV policy by changing site, tubing and dressing and documents accordingly. - Always follows hospital policy when administering blood products. - Maintains security of electronic signature with Omnicell and accounts for all narcotics removed from automated dispensing system through proper waste/return administration documentation. Patient and Family Education - Assesses and addresses educational needs of patients and families to include disease state, care and treatment. - Documents educational needs. - Distributes appropriate teaching sheets. - Includes evaluation of learner’s understanding post-teaching. Safe Discharge/Discharge Planning - Contributes to or initiates discharge plan upon day of admission and participates in interdisciplinary planning. - Completes all pre-discharge checklist items. - Always gives patient correct forms and discharge instructions by using 2 patient identifiers. - Provides patient a safe discharge and appropriate follow-up information and community resources are in place. Assist Providers-Assist providers in performing procedures and treatments per unit, department specific and hospital policy. - Assist physicians/providers with beside procedures and remains competent with unit-specific procedures. - Performs read back of critical values and telephone orders when interacting with physicians as warranted. - Uses SBAR when giving physicians report on change in patient condition. Equipment Use - Demonstrates knowledge and ability to use equipment safely and effectively. - Utilizes hospital equipment per policy (i.e., guardrails for IV pumps, alarm settings). - Uses patient lift equipment per policy at all times. Nursing Clinical Skills- Demonstrates the ability to perform nursing treatments and procedures. - Demonstrates competency, knowledge, and ability to perform nursing treatments and procedures safely and effectively. - Conducts Hourly Rounds on patients using 4 “P’s” and documents on appropriate forms. - Regularly uses patient room white boards to communicate information to patients and families. Emergency Preparedness-Demonstrates working knowledge and understanding of emergency preparedness plans and operations. - Aware of and actively participates in emergency preparedness procedures and operations. - Aware of and actively participates in Code Blue, Green, Pink, Orange, White, and Silver drills and actual events. Documentation-Completely and accurately documents patient care activities and response in a timely manner in accordance with department and hospital policy. - Documents on a regular, real time basis all patient care activities in accordance to hospital policy. Nursing Promotion-Promotion of professional nursing to include participation in PI/QI, Customer satisfaction, community involvement, committee activities and nursing continuing education. - Actively sits on and attends at least 1 team or committee, or participates in unit PI activity or department team or projects - Attends at least 75% of all staff meetings. - Attends at least 1 clinical update and all mandatory in services. - Participates in unit specific or hospital wide PI/QI activity. Infection Control-Provide safe and effective patient care in accordance with hospital Infection Control policy and procedures. - Wears appropriate PPE as warranted. - Follows hand hygiene protocol. - Follows all isolation procedures. Utilize nursing process-Identify patient needs and problems through assessment. Implement nursing interventions based on nursing diagnosis. Develop individualized patient care plan. Provide appropriate discharge instructions to patient and family. - Initiates individualized patient plan of care for all admissions. - Edits Plan of Care on a regular basis per policy. - Document’s interventions every shift based on nursing diagnosis. Assist and provide for participation in clinical learning experiences. - Participates in learning experiences for orientees, nursing and ancillary staff and students by serving as a preceptor. - Participates in Nursing Grand Rounds at least quarterly by either attending a session or assisting in preparing for unit topic. Provide for continuum of care-Assure safe patient hand off through effective communication of the treatment status of each patient. - Participates in interdisciplinary care/discharge planning. - Uses SBAR for patient handoffs. - Uses Ticket to Ride and communicates important information to other departments. Other Duties as Assigned Employees may be asked to perform duties that are outside the specific functions that are listed. Pay Range $39.00 - $54.12/hr Dependent on years of applicable experience.