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NYC Health + Hospitals New York, NY

$119,867 / year

Marketing Statement NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country. 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, and as part of the multidisciplinary team, provides care related to assessment and treatment of patients with wounds, ostomies, continence and foot wounds, as well as patient and staff education and consultation, while ensuring optimal utilization of resources, service delivery, safe patient care, and compliance with all applicable local, state, federal and NYC Health + Hospitals rules and regulations and nursing standards of care. Essential Duties And Responsibilities Conducts comprehensive assessment and continuous assessment of deep wounds, skin tears, ostomies, severe burns, pressure injuries or bedsores, continence and diabetic foot wounds to determine potential wound complications, immediate treatment needs, and long-term treatment plans; works with other members of the health care team to determine if additional treatments or changes in care are required. Collaborates with clinical providers and health care team to establish individualized, comprehensive plans of care for patients with complex wounds, ostomies, and/or continence conditions based on the patient risks, diagnosis and individual patient needs. Creates a plan of care for the interdisciplinary health care team, including the staff nurses, to follow. Completes a thorough wound care evaluation and documents assessments and treatment recommendation. Provides staff, patient and family education and counseling regarding wound care, risk factors associated with pressure injury, infection prevention, treatment measures and other related issues; provides teaching, guidance and direction to allied nursing personnel in rendering patient care. Refers other acute/chronic skin alterations to appropriate specialty services (i.e., Surgery, Vascular, Podiatry, Dermatology, Plastic). Develops and implements wound and skin care prevention, and treatment programs, and provides corresponding education to patients, family members/caregivers, and health care setting and allied personnel; evaluates and monitors effectiveness of programs to ensure successful functioning and efficiency. Participates in product evaluation for ostomy and skin care needs for the health care setting to ensure cost-effective quality patient care. Participates in the development, evaluation and revision of health care setting policies, procedures, and guidelines related to wound care, based on patient needs, evidenced-based trends, and industry standards. Collaborates with appropriate staff to establish protocols, which support best practices to achieve optimal clinical outcomes. Serves as a clinical expert to provide staff nurses with wound treatment protocols and assists in the education of staff nurses on how to stage wounds. Observes, records, and interprets patient response and wound status, reporting any changes to appropriate members of the health care team; records and maintains nursing care plans and progress notes on patients. Participates in departmental and interdisciplinary conferences, nursing quality committee, and/or quality improvement initiatives relating to wound, ostomy and continence issues. Manages the collection and analysis of all data related to Hospital Acquired Pressure Injuries. Utilizes quality measures of pressure injuries and standards to mitigate risk and drive improvement efforts in the performance of nursing care. If assigned to Community Care, maintains ongoing follow-up evaluation for patients after discharge from the health care setting to provide continuity of care. Performs other professional nursing activities as delegated by nursing service administration. Minimum Qualifications Valid license and current registration to practice as a Registered Professional Nurse issued by the New York State Education Department (NYSED); and Current certification in one of the following: Certified Wound Ostomy Continence Nurse (CWOCN) issued by the Wound, Ostomy and Continence Nursing Certification Board (WOCNCB); or Certified Wound Ostomy Nurse (CWON) issued by the WOCNCB; or Certified Wound Care Nurse (CWCN) issued by the (WOCNCB); or Certified Wound Specialist (CWS) issued by the American Board of Wound Management (ABWM); or Wound Care Certified Certification (WCC) issued by the National Alliance of Wound Care and Ostomy (NAWCO). Holds or obtains 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

Full-time

1 month ago

Staff Nurse - Medicine, Surgery

NYC Health + Hospitals New York, NY

NYC Health + Hospitals New York, NY

$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 If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.