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Nursing Jobs in Fishkill, NY

Registered Nurse - ICU

$60 - $90 / hour

181001 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Conducts patient interview, explains policies and procedures to patient/ significant others, reviews patient’s chart and answers questions correctly and courteously; assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; assesses level of pain and pain management; communicates/documents patient’s physiologic health status and plan of care; assesses patient’s psychosocial health status; elicits perception of medical/nursing care and the expectation of care. Determines coping mechanism, knowledge level, and ability to comprehend; identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; communicates and documents psychological status and care plan of support groups, counseling services, and social services; identifies patient outcome; develops criteria for measurement of patient outcomes; identifies actual/potential patient problems; identifies patient’s need for teaching based on psychosocial and developmental assessment. 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 the 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. 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).

Certified Medical Assistant (CMA) - Stony Point Multispecialty Clinic - Part-time

VCU Health Stony Point, NY

We are a fast-paced Multispecialty Clinic at Stony Point that is primarily comprised of patient services in Internal Medicine Specialties. Our largest patient populations are Pulmonary and Endocrine. We are also home to a few other specialties that rotate during the week, to include a multiple disciplinary sarcoidosis team, as well as a pulmonary hypertension team. Our clinic is continually growing to meet the needs of our community! Our team is made up of RNs, LPNs and CMAs. Our RNs are primarily responsible for triage and message management but are also actively involved in coordination of support staff visits and assisting with direct patient care. We value getting to really know our patients and working closely with their providers in order to best meet their needs and create a positive patient experience. Our clinic hours are Monday-Friday 7:00am-5:30pm. No nights, weekends, or on-call time is required and we are closed most major holidays. Our team members enjoy free parking onsite at the Stony Point campus. The Certified Medical Assistant provides direct, age-specific care to a patient or group of patients based on medical orders and the plan of care under the direction of the physician. Licensure, Certification, or Registration Requirements for Hire: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. Licensure, Certification, or Registration Requirements for continued employment: Current Medical Assistant Certification through a recognized national professional association such as, the American Association of Medical Assistants, the American Medical Technologists, The National Association of Healthcare Professions, the American Registry of Medical Assistants, or the National Healthcare Association. AHA BLS HCP Certification or equivalent Experience REQUIRED: One (1) year of medical assistant work experience within the last three (3) years if individual is not a graduate of a medical assistant program No work experience if individual is a graduate of a medical assistant program Previous experience using a personal computer and various software applications, including Microsoft, e-mail, etc. Demonstrated experience utilizing strong organizational, problem solving, communication and interpersonal skills Experience PREFERRED: Two (2) to three (3) years of previous experience as a Certified Medical Assistant Previous experience in an academic health care environment Education/training REQUIRED: High School Diploma or equivalent Education/training PREFERRED: Graduation from a Medical Assisting training program from an accredited program of study such as the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES). Independent action(s) required: Functions under direction of a licensed independent practitioner, manager and/or RN in providing patient care, emotional support, and problem solving; all in accordance with hospital, nursing and unit policy/procedure. Requires prior approval or guidance from supervisor: time/schedule changes; legal issues; directed care which deviates from standard; and identify educational resources to meet developmental needs. Job duties may include the handling, transportation, access to and/or contact with medications and related supplies. Supervisory responsibilities (if applicable): N/A Additional position requirements: Certified Medical Assistants work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet clinic requirements and/or as needed. Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Able to handle multiple priorities, Able to adapt to frequent, change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.