RN ER Full-time
Atlantic Health System

Registered Nurse Full Time Days 7a-7p ED Atlantic Health Chilton Medical Center

Atlantic Health System Pompton Lakes, NJ, US
$40 - $70.40 / hour
Job Description

Responsible for working with other healthcare professionals to help treat patients with various injuries, illnesses or disabilities. Monitors patients, administers medications, keeps records, consults with healthcare providers, educates patients and more.

Principal Accountabilities

  • Maintains accurate, complete health care records and reports.
  • Administers medications to patients and monitors them for side effects and reactions.
  • Prescribes assistive medical devices and related treatments.
  • Monitors, reports, and records symptoms or changes in patient conditions.
  • Assesses, implements, plans, or evaluates patient nursing care plans by working with healthcare team members.
  • Records patient vital signs and medical information.
  • Chart Review as directed
  • Performs other related duties as assigned.


Required

 QUALIFICATIONS

  • Graduate of an accredited Nursing Program.
  • Current state licensure as a Registered Nurse.
  • BLS certification.


Preferred

  • Bachelor’s degree in nursing.
  • All ASN must complete their BSN studies within five years of their start date.
  • Master’s degree in nursing or related field.
  • 1+ year of experience in Nursing or relevant area.
  • ACLS certification.


About Us

At Atlantic Health, our promise to our communities is; Anyone who enters one of our facilities will receive the highest quality care delivered at the right time, at the right place, and at the right cost. This commitment is also echoed in the respect, development and opportunities we give to our more than 22,000 team members. Headquarters in Morristown, New Jersey, we are one of the leading non-profit health care systems in the nation. Our facilities and sites of care include:

  • Atlantic Health Morristown Medical Center, Morristown, NJ
  • Atlantic Health Overlook Medical Center, Summit, NJ
  • Atlantic Health Newton Medical Center, Newton, NJ
  • Atlantic Health Chilton Medical Center, Pompton Plains, NJ
  • Atlantic Health Hackettstown Medical Center, Hackettstown, NJ
  • Atlantic Health Goryeb Children's Hospital, Morristown, NJ
  • Atlantic Health CentraState Healthcare System, Freehold, NJ
  • Atlantic Medical Group
  • Atlantic Visiting Nurse
  • Atlantic Mobile Health
  • Atlantic Rehabilitation


We have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group.

We Have Received Awards And Recognition For The Services We Have Provided To Our Patients, Team Members And Communities. Below Are Just a Few Of Our Accolades

  • Chosen for 17 years by Fortune as one of the magazine’s “100 Best Companies to Work For."
  • Atlantic Health Morristown and Atlantic Health Overlook Named by Newsweek as two of the “World’s Best Hospitals” in 2026.
  • Atlantic Health Morristown and Atlantic Health Overlook ranked within the top three hospitals in New Jersey by U.S. News & World Report’s 2025-2026 Best Hospital rankings.
  • Atlantic Health scored four “A” grades by The Leapfrog Group in its Fall 2025 Hospital Safety Grades, performance measures reflecting errors, accidents, injuries and injections, as well as systems hospitals have in place to prevent harm.
  • Atlantic Health Morristown and Atlantic Health Overlook are New Jersey's only hospitals to be named among America's 50 Best hospitals by Healthgrades in 2026.
  • Named by Becker's Healthcare as one of the "165 Top Places to Work in Healthcare – 2026.
  • Atlantic Health Morristown, Atlantic Health Overlook, Atlantic Health Chilton and Atlantic Health Newton all Forbes Top Hospitals for 2026.
  • Named by Newsweek as one of America’s Greatest Workplaces for Inclusion & Diversity 2025.
  • Atlantic Health rated LEVEL 9 - 2025 CHIME Digital Health Most Wired.


Located in Pompton Plains, New Jersey, Chilton Medical Center has been ranked the top mid-sized hospital in NJ for six years in a row, according to Castle Connolly. The Leapfrog Group gave us an "A" Hospital Safety Grade and we've received the Lifeline Bronze Receiving Quality Achievement Award from the American Heart Association. In addition, The Joint Commission recognized us as a Primary Stroke Center. We were awarded the American Heart Association/American Stroke Association’s Get With The Guidelines®-Stroke Gold Plus Quality Achievement Award with Target: Stroke Honor Roll Elite. We achieved Magnet® recognition from the American Nurses Credentialing Center. ANCC’s Magnet Recognition Program® identifies superior quality in nursing care and is the highest national honor for nursing excellence.

Team Member Benefits

Atlantic Health offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members. Offerings vary based on role level (Team Member, Director, Executive). Below is a general summary, with role-specific enhancements highlighted:

  • Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
  • Life & AD&D Insurance.
  • Short-Term and Long-Term Disability (with options to supplement)
  • 403(b) Retirement Plan: Employer match, additional non-elective contribution
  • PTO & Paid Sick Leave
  • Tuition Assistance, Advancement & Academic Advising
  • Parental, Adoption, Surrogacy Leave
  • Backup and On-Site Childcare
  • Well-Being Rewards
  • Employee Assistance Program (EAP)
  • Fertility Benefits, Healthy Pregnancy Program
  • Flexible Spending & Commuter Accounts
  • Pet, Home & Auto, Identity Theft and Legal Insurance


____________________________________________

Note: In Compliance with the NJ Pay Transparency Act (effective Sunday, June 1, 2025), all job postings will include the hourly wage or salary (or a range), as well as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer.

EEO STATEMENT

Atlantic Health, Inc. is an equal employment opportunity employer and federal contractor or subcontractor and therefore abides by applicable laws to protect applicants and employees from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the basis of race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, citizenship status, disability, age, genetics, or veteran status.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN ER Full-time
Northwell Health

Registered Nurse (RN)- Emergency Services

Northwell Health New York, NY
$64 - $95 / hour
182963 Job Description Delivers and ensures patient care by assessing and diagnosing patient's condition, developing plan of care and evaluating patient's response to care. Participates in patient education and discharge planning. Collaborates with, coordinates and guides designated care team members in planning patient care and achieving goals. Job Responsibility * Develops and evaluates plan of care. Systematically and continuously assesses patient's knowledge base and physical, psychosocial and spiritual health through interviews, physical examinations and data collection Consults with multidisciplinary health care team in regard to nursing assessment findings. Creates written, individualized plan of care based on priority of patient problems, anticipated length of stay, input from patient and family and other members of the health care team. Communicates pertinent information and changes in patient status to appropriate members of care team and other health care providers, as necessary. Collaborates with team members to make changes in plan of care, as necessary. * Provides and/or delegates patient care according to the plan of care and established protocols. Utilizes clinical resources in implementing patient care and provides rationale for patient care decisions. Conducts clinical rounds, provides emergency care and administers medications to patient. Operates equipment required for patient care according to manufacturer's recommendations. Performs and assists with procedures and treatments on unit including but not limited to changing dressings, feeding patients and providing pre/post operative care. Practices and monitors infection control standards. Promotes and provides patient safety in accordance with state and federal guidelines. * Documents patient care, as required on all appropriate forms. Enters date and time of entry and signs name in legible manner on patient's chart. Completes Nursing Admission Assessment 24 hours after admission. Documents patient's response to interventions and plan of care on the Progress Notes Performs vital signs and pain score at least every four hours. Completes Transfer Assessments on patients transferred out of the unit and Perioperative Assessments on patients scheduled for surgery or procedures. Completes Frequent Observations and the Intake/Outtake Record according to established protocols. Initiates and completes health care referrals in collaboration with the interdisciplinary team. * Provides patient education. Identifies patients learning needs upon admission.Informs and educates patient and family to enable participation in their care and decision making. Develops and implements a teaching plan of care.Conducts patient teaching conferences.Documents patient teaching. * Participates in Quality Improvement process. Participates in developing and implementing of unit goals and objectives. Attends in-service programs on new products and equipment used on unit. Completes occurrence reports according to policy and unit-based audits, as assigned. Participates in identifying problems requiring investigation and in developing and implementing corrective action plans for the unit. * Participates in unit staff meetings and unit based clinical conferences, as scheduled.Represents the clinical unit on committees, as assigned.Submits annual record of continuing educations and self-assessment of clinical performance. * Performs the responsibilities of charge nurse and preceptor according to established protocols, as assigned. Performs related duties, as required. ADA Essential Functions Job Qualification Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after September 1, 2010 and obtain a BSN degree within five (5) years of employment date. Current license to practice as a Registered Professional Nurse in New York State. BCLS, ACLS or PALS, required. ED 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).
RN ER Full-time
NYC Health + Hospitals

Staff Nurse - Emergency Services, Adult

NYC Health + Hospitals New York, NY
$109,490 / year
Marketing Statement Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities Purpose of Position : Under supervision, provides professional nursing care to patients/clients within an assigned unit. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and provision of care supportive to and restorative of life and well-being. Examples Of Typical Tasks Identifies and discriminates between physical and psycho-social signs and symptoms. Selects and performs those therapeutic measures which are essential for effective execution of the nursing regimen for assigned patients/clients. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of care. Interprets and reports responses of patients/clients to appropriate members of the health team. Participates with interdisciplinary health team members to plan a comprehensive patient care program. Determines and assigns those components of the nursing regimen which may be carried out by allied nursing personnel. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care. Participates in defining, implementing, maintaining and interpreting standards of nursing practice. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting nursing practice. Participates in determining conditions, resources and policies essential to the delivery of nursing care services. Participates in development and maintenance of a system of evaluation of nursing care, practices and procedures, including evaluation of nursing personnel. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and other groups. Maintains professional competence through participation in continuing education and other appropriate learning experiences. Performs other professional nursing activities as delegated by nursing service administration. 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 If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.
RN ER Full-time
NYC Health + Hospitals

Staff Nurse-Emergency Services, Pediatrics

NYC Health + Hospitals New York, NY
$109,490 / year
Marketing Statement NYC Health + Hospitals/Jacobi is a 457-bed teaching hospital affiliated with the Albert Einstein College of Medicine. The facility has earned numerous Center of Excellence designations, accreditation, and recognition for its renowned Level 1 Trauma Center, Burn Center, Surgical Intensive Care Unit, regional Stroke Center, Snakebite Treatment Center, Breast Health Center, Bariatric Surgery Center, and Cancer Service. The facility also offers the region’s only multi-person hyperbaric chamber, allowing up to nine patients to dive together at one time. Jacobi’s Ambulatory Care Pavilion is a stunning complement to its inpatient acute care, allowing staff to provide patients with high-quality service in a modern, state-of-the-art environment. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Duties & Responsibilities Purpose of Position : Under supervision, provides professional nursing care to patients/clients within an assigned unit. Diagnoses and treats responses to actual or potential health problems by means of nursing methods and techniques such as case-finding, health teaching, health counseling and provision of care supportive to and restorative of life and well-being. Examples Of Typical Tasks Identifies and discriminates between physical and psycho-social signs and symptoms. Selects and performs those therapeutic measures which are essential for effective execution of the nursing regimen for assigned patients/clients. Develops, implements and continuously evaluates the nursing regimen for assigned patients/clients. Records and maintains nursing care plans and progress notes on patients/clients to ensure continuity of care. Interprets and reports responses of patients/clients to appropriate members of the health team. Participates with interdisciplinary health team members to plan a comprehensive patient care program. Determines and assigns those components of the nursing regimen which may be carried out by allied nursing personnel. Provides teaching, guidance and direction to allied nursing personnel in rendering patient care. Participates in defining, implementing, maintaining and interpreting standards of nursing practice. Participates in departmental and interdisciplinary conferences pertaining to policies and procedures affecting nursing practice. Participates in determining conditions, resources and policies essential to the delivery of nursing care services. Participates in development and maintenance of a system of evaluation of nursing care, practices and procedures, including evaluation of nursing personnel. Interprets philosophy and objectives of agency and Nursing Department to patients/clients, families and other groups. Maintains professional competence through participation in continuing education and other appropriate learning experiences. Performs other professional nursing activities as delegated by nursing service administration. 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 If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.
RN ER Manager/Supervisor Full-time
SUNY Downstate Health Sciences University

Registered Nurse Supervisor 1, Emergency Room (Nights)

SUNY Downstate Health Sciences University New York, NY
JOB DESCRIPTION Distinguishing Characteristics Graduate Nurses (T&RC) and Registered Nurses 1 (T&RC) perform similar nursing tasks and activities; coordinate and provide nursing care to individuals in State University of New York teaching and research center hospitals; administer treatments and nursing procedures within established guidelines and as prescribed by licensed health care providers; and consult on nursing matters with treatment teams and other disciplines. Levels in the series are primarily distinguished by scope and independence of operation, which is based on incumbents’ credentials (i.e., possession of a limited permit as a graduate nurse or eligible to enter examination for licensure as a registered professional nurse; or possession of a license and current registration as a registered professional nurse in New York State). Graduate Nurse (T&RC): entry level; possesses a limited permit as a graduate nurse or is eligible to enter examination for licensure as a registered professional nurse in New York State; under the close supervision of a higher-level registered nurse, provides direct nursing care to individuals in accordance with Article 139 of the Education Law. Registered Nurse 1 (T&RC): full performance level; possesses a license as a registered professional nurse in New York State; under the general direction of a higher-level registered nurse or licensed health care provider, independently provides direct nursing care to individuals in accordance with Article 139 of the Education Law; supervises nursing care activities; and provides clinical supervision and training to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff. Registered Nurse 2 (T&RC): advanced performance level; provides direct nursing care to individuals in an acute care environment requiring advanced clinical interventions; performs professional nursing functions in three areas: direct individual care, preceptor, and clinical management. Registered Nurse Supervisor 1 (T&RC): supervisory level; provides administrative and clinical supervision to lower-level registered nurses and direct care staff; oversees and coordinates nursing services for an assigned unit; and may be involved in teaching and orientation functions. Related Classes Teaching & Research Center Licensed Practical Nurses are licensed practical nurses that provide direct nursing care to individuals receiving treatment in State University of New York teaching and research center hospitals under the direction of a registered nurse, physician, or other licensed health care provider. Illustrative Duties Graduate Nurse (T&RC) Prepares or assists with preparation of nursing care plans consistent with individuals’ comprehensive treatment plans and medical needs. Carries out treatment procedures, administers medications, and monitors individuals’ conditions. Records notes and maintains individuals’ medical records and nursing care plans, including nursing care, medications, and treatments, reactions to care and treatment, intake and output of liquids and solids, and vital signs. Participates in the development, implementation, and revision of individual care plans as a member of a multidisciplinary treatment team. Modifies nursing care plans based on individual condition and responses to care and treatment. Triages individuals by inquiring about illnesses, injuries, and symptoms, and records findings and observations. Assesses findings, and either refers individuals directly to a physician in emergency cases or initiates appropriate remedial action; as directed, assists physicians with treatment functions. Provides education and counseling to individuals and families regarding health, medications, procedures, and treatment goals. Practices and ensures compliance with established infection control policies and procedures. May train paraprofessional staff by demonstrating nursing techniques and providing instructions on use of techniques and nursing equipment. Registered Nurse 1 (T&RC) Independently performs the duties described above and provides clinical supervision and instruction to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff in completing care tasks. Delegates responsibility for appropriate nursing activities, skills, and/or procedures to nursing and direct care staff; and makes clinical rounds to assess individuals’ nursing care needs and observe and evaluate the provision of nursing services. May perform the full range of supervisory duties over Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff; provide information to Registered Nurse Supervisors 1 (T&RC); and prepare or contribute to the preparation of reports and performance evaluations for lower-level staff involved in nursing care activities. Registered Nurse 2 (T&RC) Positions perform duties in each of the three functional areas described below. Direct Individual Care: Provides nursing care to individuals in an acute care environment requiring complex nursing skills; uses advanced knowledge and skill in nursing assessment, planning, implementation, and evaluation activities. Observes and responds to individual emergency situations, and sets priorities for care based on individual acuity, preferences, and the possibility of effective intervention. Implements nursing interventions in response to changes in individual status and unusual circumstances. Interprets assessment data to determine if individuals are at physiological or psychosocial risk. Takes steps to decrease stress and increase the effectiveness of individual coping mechanisms; uses effective communication strategies with individuals, families, staff, and the general public. Assesses individual status upon entry to the hospital and throughout hospitalization. Identifies implications of individuals’ statuses and prioritizes data collection based on individuals’ immediate needs. Identifies safety and security risks to promote a culture of safety and to prevent injury and harm to individuals, visitors, and staff. Preceptor: Guides lower-level, and new to specialty, registered nurses in choosing nursing interventions, developing skills, and applying knowledge. Serves as a resource nurse for staff members, orienting new staff and providing feedback on nursing skills for specialty care areas. Develops and maintains care standards knowledge bases for specialty care areas and develops care guidelines for unit-specific individual populations. Maintains a minimum standard of continuing education for specialty areas. Evaluates and assesses individual staff and nursing student development needs. Counsels and implements a variety of teaching strategies to meet those needs in consultation with nursing management staff. Participates in in-service and other educational programs related to clinical specialties. May identify, develop, and implement nursing research studies on clinical units, in consultation with medical staff consultants. Clinical Management: Consults and coordinates with other health care team members to resolve complex clinical issues and develop short and long-term clinical goals for assigned units. Integrates and evaluates clinical care knowledge specific to the needs of unit individuals; develops unit-specific policies and procedures in consultation with nursing management staff. Identifies and implements corrective actions to improve the quality of individual care; may oversee equipment testing and supplies. Leads and attends various hospital committees. Assists Registered Nurse Supervisor 1 (T&RC) staff with implementing and achieving unit operating changes; may take charge of a unit in the absence of a Registered Nurse Supervisor 1 (T&RC). Resolves individual relation issues. Identifies and reports issues related to individual care, operation, and quality outcomes. Identifies potential conflict situations and facilitates solutions. Registered Nurse Supervisor 1 (T&RC) Plans, directs, and supervises nursing services on an assigned unit, including direct supervision of Registered Nurse 1 (T&RC) and other staff. Directs the development and implementation of nursing care plans on a unit. Provides individual care, and functions as an educator and nursing services expert. Assesses work methods of nursing staff and provides feedback to improve the efficiency and effectiveness of care delivered. Coordinates medical and nursing care needs with other health care providers and departments. Ensures proper functioning of equipment and unit compliance with safety and environmental standards. Monitors nursing care quality standards, and implements corrective actions as needed. Attends and participates in medical committees to represent nursing staff needs and the individual population, and participates in writing of care standards. Identifies staff training needs and collaborates with unit educators to develop and implement educational programs. Develops and implements orientation plans for new employees and participates in staffing decisions. QUALIFICATIONS Graduate Nurse (T&RC) Open Competitive: possession of limited permit as a graduate nurse in New York State; or eligible to enter examination for licensure as a registered professional nurse in New York State. Registered Nurse 1 (T&RC) Open Competitive: possession of a license and current registration as a registered professional nurse in New York State. Registered Nurse 2 (T&RC) Promotion: possession of a license and current registration as a registered professional nurse in New York State and one year of service as a Registered Nurse 1 (T&RC). Open Competitive: possession of a license and current registration as a registered professional nurse in New York State; and two years of post-licensure clinical nursing experience in the acute care specialty area. Substitution: a bachelor’s degree in nursing may substitute for one year of post-licensure clinical nursing experience; and a master’s degree in nursing may substitute for two years of post-licensure clinical nursing experience. Registered Nurse Supervisor 1 (T&RC) Promotion: possession of a license and current registration as a registered professional nurse in New York State and two years of service as a Registered Nurse 1 (T&RC); or one year of service as a Registered Nurse 2 (T&RC). Open Competitive: possession of a license and current registration as a registered professional nurse in New York State; and three years of post-licensure acute care clinical nursing experience. Substitution: a bachelor’s degree in nursing may substitute for one year of post-licensure clinical nursing experience; and a master’s degree in nursing may substitute for two years of post-licensure clinical nursing experience.
RN ER Full-time
SUNY Downstate Health Sciences University

Registered Nurse 1, Emergency Room - Multiple Positions

SUNY Downstate Health Sciences University New York, NY
JOB DESCRIPTION Distinguishing Characteristics Graduate Nurses (T&RC) and Registered Nurses 1 (T&RC) perform similar nursing tasks and activities; coordinate and provide nursing care to individuals in State University of New York teaching and research center hospitals; administer treatments and nursing procedures within established guidelines and as prescribed by licensed health care providers; and consult on nursing matters with treatment teams and other disciplines. Levels in the series are primarily distinguished by scope and independence of operation, which is based on incumbents’ credentials (i.e., possession of a limited permit as a graduate nurse or eligible to enter examination for licensure as a registered professional nurse; or possession of a license and current registration as a registered professional nurse in New York State). Graduate Nurse (T&RC): entry level; possesses a limited permit as a graduate nurse or is eligible to enter examination for licensure as a registered professional nurse in New York State; under the close supervision of a higher-level registered nurse, provides direct nursing care to individuals in accordance with Article 139 of the Education Law. Registered Nurse 1 (T&RC): full performance level; possesses a license as a registered professional nurse in New York State; under the general direction of a higher-level registered nurse or licensed health care provider, independently provides direct nursing care to individuals in accordance with Article 139 of the Education Law; supervises nursing care activities; and provides clinical supervision and training to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff. Registered Nurse 2 (T&RC): advanced performance level; provides direct nursing care to individuals in an acute care environment requiring advanced clinical interventions; performs professional nursing functions in three areas: direct individual care, preceptor, and clinical management. Registered Nurse Supervisor 1 (T&RC): supervisory level; provides administrative and clinical supervision to lower-level registered nurses and direct care staff; oversees and coordinates nursing services for an assigned unit; and may be involved in teaching and orientation functions. Related Classes Teaching & Research Center Licensed Practical Nurses are licensed practical nurses that provide direct nursing care to individuals receiving treatment in State University of New York teaching and research center hospitals under the direction of a registered nurse, physician, or other licensed health care provider. Illustrative Duties Graduate Nurse (T&RC) Prepares or assists with preparation of nursing care plans consistent with individuals’ comprehensive treatment plans and medical needs. Carries out treatment procedures, administers medications, and monitors individuals’ conditions. Records notes and maintains individuals’ medical records and nursing care plans, including nursing care, medications, and treatments, reactions to care and treatment, intake and output of liquids and solids, and vital signs. Participates in the development, implementation, and revision of individual care plans as a member of a multidisciplinary treatment team. Modifies nursing care plans based on individual condition and responses to care and treatment. Triages individuals by inquiring about illnesses, injuries, and symptoms, and records findings and observations. Assesses findings, and either refers individuals directly to a physician in emergency cases or initiates appropriate remedial action; as directed, assists physicians with treatment functions. Provides education and counseling to individuals and families regarding health, medications, procedures, and treatment goals. Practices and ensures compliance with established infection control policies and procedures. May train paraprofessional staff by demonstrating nursing techniques and providing instructions on use of techniques and nursing equipment. Registered Nurse 1 (T&RC) Independently performs the duties described above and provides clinical supervision and instruction to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff in completing care tasks. Delegates responsibility for appropriate nursing activities, skills, and/or procedures to nursing and direct care staff; and makes clinical rounds to assess individuals’ nursing care needs and observe and evaluate the provision of nursing services. May perform the full range of supervisory duties over Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff; provide information to Registered Nurse Supervisors 1 (T&RC); and prepare or contribute to the preparation of reports and performance evaluations for lower-level staff involved in nursing care activities. Registered Nurse 2 (T&RC) Positions perform duties in each of the three functional areas described below. Direct Individual Care: Provides nursing care to individuals in an acute care environment requiring complex nursing skills; uses advanced knowledge and skill in nursing assessment, planning, implementation, and evaluation activities. Observes and responds to individual emergency situations, and sets priorities for care based on individual acuity, preferences, and the possibility of effective intervention. Implements nursing interventions in response to changes in individual status and unusual circumstances. Interprets assessment data to determine if individuals are at physiological or psychosocial risk. Takes steps to decrease stress and increase the effectiveness of individual coping mechanisms; uses effective communication strategies with individuals, families, staff, and the general public. Assesses individual status upon entry to the hospital and throughout hospitalization. Identifies implications of individuals’ statuses and prioritizes data collection based on individuals’ immediate needs. Identifies safety and security risks to promote a culture of safety and to prevent injury and harm to individuals, visitors, and staff. Preceptor: Guides lower-level, and new to specialty, registered nurses in choosing nursing interventions, developing skills, and applying knowledge. Serves as a resource nurse for staff members, orienting new staff and providing feedback on nursing skills for specialty care areas. Develops and maintains care standards knowledge bases for specialty care areas and develops care guidelines for unit-specific individual populations. Maintains a minimum standard of continuing education for specialty areas. Evaluates and assesses individual staff and nursing student development needs. Counsels and implements a variety of teaching strategies to meet those needs in consultation with nursing management staff. Participates in in-service and other educational programs related to clinical specialties. May identify, develop, and implement nursing research studies on clinical units, in consultation with medical staff consultants. Clinical Management: Consults and coordinates with other health care team members to resolve complex clinical issues and develop short and long-term clinical goals for assigned units. Integrates and evaluates clinical care knowledge specific to the needs of unit individuals; develops unit-specific policies and procedures in consultation with nursing management staff. Identifies and implements corrective actions to improve the quality of individual care; may oversee equipment testing and supplies. Leads and attends various hospital committees. Assists Registered Nurse Supervisor 1 (T&RC) staff with implementing and achieving unit operating changes; may take charge of a unit in the absence of a Registered Nurse Supervisor 1 (T&RC). Resolves individual relation issues. Identifies and reports issues related to individual care, operation, and quality outcomes. Identifies potential conflict situations and facilitates solutions. Registered Nurse Supervisor 1 (T&RC) Plans, directs, and supervises nursing services on an assigned unit, including direct supervision of Registered Nurse 1 (T&RC) and other staff. Directs the development and implementation of nursing care plans on a unit. Provides individual care, and functions as an educator and nursing services expert. Assesses work methods of nursing staff and provides feedback to improve the efficiency and effectiveness of care delivered. Coordinates medical and nursing care needs with other health care providers and departments. Ensures proper functioning of equipment and unit compliance with safety and environmental standards. Monitors nursing care quality standards, and implements corrective actions as needed. Attends and participates in medical committees to represent nursing staff needs and the individual population, and participates in writing of care standards. Identifies staff training needs and collaborates with unit educators to develop and implement educational programs. Develops and implements orientation plans for new employees and participates in staffing decisions. QUALIFICATIONS Graduate Nurse (T&RC) Open Competitive: possession of limited permit as a graduate nurse in New York State; or eligible to enter examination for licensure as a registered professional nurse in New York State. Registered Nurse 1 (T&RC) Open Competitive: possession of a license and current registration as a registered professional nurse in New York State. Registered Nurse 2 (T&RC) Promotion: possession of a license and current registration as a registered professional nurse in New York State and one year of service as a Registered Nurse 1 (T&RC). Open Competitive: possession of a license and current registration as a registered professional nurse in New York State; and two years of post-licensure clinical nursing experience in the acute care specialty area. Substitution: a bachelor’s degree in nursing may substitute for one year of post-licensure clinical nursing experience; and a master’s degree in nursing may substitute for two years of post-licensure clinical nursing experience. Registered Nurse Supervisor 1 (T&RC) Promotion: possession of a license and current registration as a registered professional nurse in New York State and two years of service as a Registered Nurse 1 (T&RC); or one year of service as a Registered Nurse 2 (T&RC). Open Competitive: possession of a license and current registration as a registered professional nurse in New York State; and three years of post-licensure acute care clinical nursing experience. Substitution: a bachelor’s degree in nursing may substitute for one year of post-licensure clinical nursing experience; and a master’s degree in nursing may substitute for two years of post-licensure clinical nursing experience.