SUNY Downstate Health Sciences University

Nursing Assistant 2, NS33 MICU (Nights)

Job Description Distinguishing Characteristics All positions are in the non-competitive jurisdictional class. Nursing Assistant 1: entry level; performs basic patient care duties under direction of a nurse, physician, or other clinician; may assist Nursing Assistants 2, physicians, and nurses in the performance of care functions. Incumbents at this level receive in-service training in a limited number of care procedures, leading to eligibility to qualify for appointment to Nursing Assistant 2. Nursing Assistant 2: full performance level; using detailed guidelines, standards, and procedures, and under the supervision of clinicians, observes patients and performs prescribed simple treatment procedures; attends to personal hygiene needs of patients; and performs limited cleaning and housekeeping duties directly related to patient care. Treatment tasks performed require only knowledge of a limited number of specific treatment procedures performed at the facility. Nursing Assistant (Certified): full performance level; performs duties similar to a Nursing Assistant 2, but functions are performed in a long-term care facility and require certification as a New York State Certified Nursing Assistant. Related Classes Rehabilitation Hospital Nursing Assistants perform similar functions to those of Nursing Assistants but are focused on rehabilitation activities and are only classified at DOH’s Helen Hayes Hospital. Licensed Practical Nurses are classified in a variety of State health care settings and observe patients for symptoms and reactions to treatments; treat patients for physical maladies as directed and under close supervision; and attend to patients’ personal hygiene needs. Incumbents are licensed New York State Licensed Practical Nurses. Illustrative Duties Nursing Assistant 1 Under Direct Clinical Supervision, Performs The Following Duties Changes simple dressings as directed, gives enemas, douches, and irrigations as directed. Applies abdominal “T” binders, hot water bottles, aqua “K” pads, ice bags, and coolers, and hot and cold compresses to patients as directed. Assists patients in collecting urine and stool specimens. Observes and records patients’ quantitative food and fluid intake and waste output. Takes temperature, pulse rate, blood pressure and respiration rate. Gives therapeutic baths such as sitz and fever sponge baths. Measures and records height and weight. Inspects functioning oxygen therapy equipment including tents, masks, and cannulae to ensure appropriate functioning. Recognizes and reports abnormal signs and symptoms of common diseases and conditions to clinical staff. Applies splints, braces, slings and other self-help devices. Operates a variety of specialized patient monitoring and treatment devices. Attends to patients’ hygiene and daily living needs in order to maintain an atmosphere conducive to patient comfort and treatment. Examples include bathing and dressing patients, brushing teeth, and trimming nails. Collects and carries patients’ laundry and dry cleaning and delivers objects to appropriate locations in the health care facility. Receives patients’ belongings and transports objects to safe storage, keeping appropriate records. Feeds patients requiring assistance. As directed by clinical staff, moves, positions, lifts and transports patients using a variety of lifts and other aids in order to make patients comfortable, prepare patients for treatment, deliver patients to treatment areas, and to prevent contractures. Brings bedpans and urinals to patients requiring assistance and attends to incontinent patients. Talks and listens to patients and responds by encouraging patients to cooperate and participate in treatment activities. May transport patients and supplies on occasion. May perform a variety of limited housekeeping and cleaning duties related to direct patient care in order to ensure that treatment and patient areas are clean, sanitary, orderly, and properly supplied. Nursing Assistant 2 Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 1, but with greater proficiency. Positions may assist with training new staff in assigned treatment areas. Nursing Assistant (Certified) Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 2, but also participates in required quarterly in-service education to maintain certification and meet all necessary requirements to be re-certified every two years. Communication Nursing Assistants have frequent face-to-face communication with patients and visitors for the purposes of conveying treatment procedure and visitor information. Incumbents attempt to encourage and support patients who may be despondent or apprehensive, and regularly communicate with clinical staff to convey information on patients’ physical conditions and responses to treatment. This information includes items such as observable physical behavioral changes, fatigue levels, and general behaviors and responses to routine treatments, such as foot soaks. Qualifications Nursing Assistant 1 Non-Competitive: possession of or ability to acquire the necessary knowledge, skills and abilities during the probationary period. Nursing Assistant 2 Non-Competitive: one year of satisfactory full-time experience in the provision of simple treatment and other patient care services under professional supervision. Possession of current certification as a New York State Certified Nursing Assistant may substitute for the required experience. Nursing Assistant (Certified) Non-Competitive: possession of current certification as a New York State Certified Nursing Assistant.
SUNY Downstate Health Sciences University

Nursing Assistant 2, Ambulatory Dialysis (Evenings)

Job Description Distinguishing Characteristics All positions are in the non-competitive jurisdictional class. Nursing Assistant 1: entry level; performs basic patient care duties under direction of a nurse, physician, or other clinician; may assist Nursing Assistants 2, physicians, and nurses in the performance of care functions. Incumbents at this level receive in-service training in a limited number of care procedures, leading to eligibility to qualify for appointment to Nursing Assistant 2. Nursing Assistant 2: full performance level; using detailed guidelines, standards, and procedures, and under the supervision of clinicians, observes patients and performs prescribed simple treatment procedures; attends to personal hygiene needs of patients; and performs limited cleaning and housekeeping duties directly related to patient care. Treatment tasks performed require only knowledge of a limited number of specific treatment procedures performed at the facility. Nursing Assistant (Certified): full performance level; performs duties similar to a Nursing Assistant 2, but functions are performed in a long-term care facility and require certification as a New York State Certified Nursing Assistant. Related Classes Rehabilitation Hospital Nursing Assistants perform similar functions to those of Nursing Assistants but are focused on rehabilitation activities and are only classified at DOH’s Helen Hayes Hospital. Licensed Practical Nurses are classified in a variety of State health care settings and observe patients for symptoms and reactions to treatments; treat patients for physical maladies as directed and under close supervision; and attend to patients’ personal hygiene needs. Incumbents are licensed New York State Licensed Practical Nurses. Illustrative Duties Nursing Assistant 1 Under Direct Clinical Supervision, Performs The Following Duties Changes simple dressings as directed, gives enemas, douches, and irrigations as directed. Applies abdominal “T” binders, hot water bottles, aqua “K” pads, ice bags, and coolers, and hot and cold compresses to patients as directed. Assists patients in collecting urine and stool specimens. Observes and records patients’ quantitative food and fluid intake and waste output. Takes temperature, pulse rate, blood pressure and respiration rate. Gives therapeutic baths such as sitz and fever sponge baths. Measures and records height and weight. Inspects functioning oxygen therapy equipment including tents, masks, and cannulae to ensure appropriate functioning. Recognizes and reports abnormal signs and symptoms of common diseases and conditions to clinical staff. Applies splints, braces, slings and other self-help devices. Operates a variety of specialized patient monitoring and treatment devices. Attends to patients’ hygiene and daily living needs in order to maintain an atmosphere conducive to patient comfort and treatment. Examples include bathing and dressing patients, brushing teeth, and trimming nails. Collects and carries patients’ laundry and dry cleaning and delivers objects to appropriate locations in the health care facility. Receives patients’ belongings and transports objects to safe storage, keeping appropriate records. Feeds patients requiring assistance. As directed by clinical staff, moves, positions, lifts and transports patients using a variety of lifts and other aids in order to make patients comfortable, prepare patients for treatment, deliver patients to treatment areas, and to prevent contractures. Brings bedpans and urinals to patients requiring assistance and attends to incontinent patients. Talks and listens to patients and responds by encouraging patients to cooperate and participate in treatment activities. May transport patients and supplies on occasion. May perform a variety of limited housekeeping and cleaning duties related to direct patient care in order to ensure that treatment and patient areas are clean, sanitary, orderly, and properly supplied. Nursing Assistant 2 Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 1, but with greater proficiency. Positions may assist with training new staff in assigned treatment areas. Nursing Assistant (Certified) Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 2, but also participates in required quarterly in-service education to maintain certification and meet all necessary requirements to be re-certified every two years. Communication Nursing Assistants have frequent face-to-face communication with patients and visitors for the purposes of conveying treatment procedure and visitor information. Incumbents attempt to encourage and support patients who may be despondent or apprehensive, and regularly communicate with clinical staff to convey information on patients’ physical conditions and responses to treatment. This information includes items such as observable physical behavioral changes, fatigue levels, and general behaviors and responses to routine treatments, such as foot soaks. Qualifications Nursing Assistant 1 Non-Competitive: possession of or ability to acquire the necessary knowledge, skills and abilities during the probationary period. Nursing Assistant 2 Non-Competitive: one year of satisfactory full-time experience in the provision of simple treatment and other patient care services under professional supervision. Possession of current certification as a New York State Certified Nursing Assistant may substitute for the required experience. Nursing Assistant (Certified) Non-Competitive: possession of current certification as a New York State Certified Nursing Assistant.
SUNY Downstate Health Sciences University

Registered Nurse Supervisor 1, Cardiac Catheterization Lab

Job Description The Department of Nursing at SUNY Downstate Health Sciences University is seeking a full-time Registered Nurse Supervisor 1, Cardiac Catheterization Lab. Distinguishing Characteristics The Registered Nurse Supervisor 1 (T&RC) is supervisory level, and 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. Illustrative Duties 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 Required Qualifications Possession of a license and current registration as a registered professional nurse in New York State; and 3-years of post-licensure acute care clinical nursing experience. A Bachelor’s Degree in Nursing can substitute for 1-year of post-licensure clinical nursing experience; and a Master’s Degree in Nursing can substitute for 2-years of post-licensure clinical nursing experience. 55 B/C Qualifications Individuals certified eligible for the 55 B/C program under the Governor's Program to Hire Persons/Veterans with Disabilities pursuant to Section 55 B/C of the Civil Service Law will also be considered. To be considered, you must provide a copy of your letter of eligibility with your response. It is essential that candidates clearly and concisely indicate exactly how they meet the above minimum qualifications in their resume. Failure to show how you meet the minimum qualifications above may result in disqualification and removal from consideration.
SUNY Downstate Health Sciences University

Registered Nurse 1, NS32 Obstetrics

Job Description The Department of Nursing at SUNY Downstate Health Sciences University is seeking a full-time Registered Nurse 1, NS32 Obstetrics. Distinguishing Characteristics The Registered Nurse 1 (T&RC) is a full performance level nurse position and 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. Illustrative Duties 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. Qualifications Required Qualifications Open Competitive: possession of a license and current registration as a registered professional nurse in New York State. Preferred Qualifications Bachelor of Science Degree in Nursing. 1 year of relevant clinical experience.
SUNY Downstate Health Sciences University

Nursing Assistant 2, NS81 Med/Surgery CPCU (Nights)

Job Description The Department of Nursing at SUNY Downstate Health Sciences University is seeking a full-time Nursing Assistant 2, NS81 Med/Surgery CPCU (Nights). Distinguishing Characteristics Nursing Assistants provide care to individuals in hospitals and long-term care facilities operated by New York State. Care ranges from attending to patients’ personal hygiene needs, to performing a limited number of simple treatments and therapies under direction of licensed clinical staff. Incumbents provide direct hands-on care to individuals by assisting with bathing, dressing, perineal care, mobility, eating, and other daily living activities. Illustrative Duties Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 1, but with greater proficiency. Positions may assist with training new staff in assigned treatment areas. Changes simple dressings as directed, gives enemas, douches, and irrigations as directed. Applies abdominal “T” binders, hot water bottles, aqua “K” pads, ice bags, and coolers, and hot and cold compresses to patients as directed. Assists patients in collecting urine and stool specimens. Observes and records patients’ quantitative food and fluid intake and waste output. Takes temperature, pulse rate, blood pressure and respiration rate. Gives therapeutic baths such as sitz and fever sponge baths. Measures and records height and weight. Inspects functioning oxygen therapy equipment including tents, masks, and cannulae to ensure appropriate functioning. Recognizes and reports abnormal signs and symptoms of common diseases and conditions to clinical staff. Applies splints, braces, slings and other self-help devices. Operates a variety of specialized patient monitoring and treatment devices. Attends to patients’ hygiene and daily living needs in order to maintain an atmosphere conducive to patient comfort and treatment. Examples include bathing and dressing patients, brushing teeth, and trimming nails. Collects and carries patients’ laundry and dry cleaning and delivers objects to appropriate locations in the health care facility. Receives patients’ belongings and transports objects to safe storage, keeping appropriate records. Feeds patients requiring assistance. As directed by clinical staff, moves, positions, lifts and transports patients using a variety of lifts and other aids in order to make patients comfortable, prepare patients for treatment, deliver patients to treatment areas, and to prevent contractures. Brings bedpans and urinals to patients requiring assistance and attends to incontinent patients. Talks and listens to patients and responds by encouraging patients to cooperate and participate in treatment activities. May transport patients and supplies on occasion. May perform a variety of limited housekeeping and cleaning duties related to direct patient care in order to ensure that treatment and patient areas are clean, sanitary, orderly, and properly supplied. Qualifications Required Qualifications Non-Competitive: 1-year of satisfactory full-time experience in the provision of simple treatment and other patient care services under professional supervision. Possession of current certification as a New York State Certified Nursing Assistant may substitute for the required experience. 55 B/C Qualifications Individuals certified eligible for the 55 B/C program under the Governor's Program to Hire Persons/Veterans with Disabilities pursuant to Section 55 B/C of the Civil Service Law will also be considered. To be considered, you must provide a copy of your letter of eligibility with your response. It is essential that candidates clearly and concisely indicate exactly how they meet the above minimum qualifications in their resume. Failure to show how you meet the minimum qualifications above may result in disqualification and removal from consideration.
SUNY Downstate Health Sciences University

Nurse Manager, Ambulatory Dialysis

Job Description The Department of Ambulatory Dialysis at SUNY Downstate Health Sciences University is seeking a full-time Assistant Director of Nursing / Nurse Manager. The successful candidate will be accountable for the following areas of responsibility: Foundational Thinking Skills Develops and implements Innovative strategies to promote support of patient/family. Responsible for planning, implementation and evaluation of long- and short-range goals and objectives related to patient care services. Responds to the needs of the work environment creating a safe and efficient workplace. Analyzes relationships among several parts of a problem or situation to determine a solution. Anticipates obstacles and thinks ahead about the next step. Encourages and demonstrates creative and innovative thinking. Strategic Management Encourages collaborative relationships at all levels and participates in team projects. Solicits ideas and opinions from other individuals and units. Frequently exchanges information and resources with others throughout the organization. Promotes the strategic plans of the hospital and department of nursing. Creates a culture of safety throughout the department. Human Resource Leadership Skills Directs and monitors the personnel management and supervision in the service/line area. Acts as a resource to other members of the health care team and assists with staff teaching and development. Promotes education and professional development for staff and students. Recruits and retains high performing staff. Ensures challenging assignments and opportunity for staff growth. Provides timely and specific feedback with the intent of Improving performance. Applies human resource policies fairly and consistently. When necessary, works with DHR to apply the progressive discipline policy. Is well versed in the union contracts and abides by their requirements. Financial Management Responsible for managing human and material resources of the department within budget/targets. Uses innovation and creativity to explore ways to reduce costs while maintaining or Improving quality patient outcomes. In collaboration with Finance, develops an annual expense and revenue budget in order to ensure the ability to monitor overall financial performance of the department and make timely adjustments to achieve operating financial targets. Relationship Management Represents UHB in a positive manner by demonstrating respect and courtesy to all internal and external customers. Practices the Principles of Service Excellence in all interactions with patients, families and colleagues. Creates an environment that is supportive of the healthcare related cultural practices of the hospital's primary patient populations. Communicates effectively with customers, visitors, patients, staff, faculty and students. Establishes goals and objectives and implement plans to achieve the vision and mission and values of UHB. Works collaboratively with other members of the healthcare team and establishes appropriate lines of communication for problem solving. Builds a partnership with physicians and other healthcare professionals as champions for patient care, quality and professional practice. Personal And Professional Accountability Accepts responsibility and is outcomes driven. Inspires and motivates staff to perform at their highest level and to continuously improve their practice. Utilizes ANA Code of Ethics as a guide to support staff in addressing ethical issues that impact patients and staff in the work environment. Maintains confidentiality of information, adheres to HIPAA regulations. Collaborates with the Education Department In the development and implementation of effective educational programs and teaching to enhance staff knowledge and confidence. Participates in cross-divisional and Interdepartmental activities to improve organizational performance. Career Planning Assures personal and professional growth through self-study/attendance/participation in seminars/workshops. Demonstrates knowledge of job responsibilities. Evaluates own performance based on professional practice standards. Fostering Professional Environment Encourages staff to advance their own professional career. Utilizes research findings and observational data to promote unit-based research and integrates evidenced-based practice and knowledge into the delivery of nursing care. Encourages professionalism, mutual respect and understanding amongst colleagues to create a healthy work environment. Recommends staff for promotions and awards. Develops and implements innovative strategies to promote and foster team spirit. Optimizing The Leader Within/Reflective Practice Behavior Demonstrates integrity, truthfulness and fairness when working with others. Creates an environment of acceptance and respect in the work place. Promotes a culture of resource efficiency. Communicates important organizational information to staff and encourages open communication from staff and actively listens. Demonstrates strong verbal and written communication skills that promote effective communication with all "customers" and staff. Takes ownership and responds appropriately to mistakes, (i.e. investigates complaints to improve quality of service). Demonstrates flexibility to adapt to new challenges. Cultural Competence Integrates knowledge of cultural competence and inclusion in all dally practices such as assessment, documentation, communication, etc. Ensures culturally and linguistically appropriate healthcare services across the healthcare continuum of care. Participates within the community performing nursing health related activities, which contribute to the positive Image of nursing service. Shared Decision Making Facilitates the shared decision-making process by encouraging staff participation in unit-based councils. Takes a strategic approach to identify problems and opportunities in setting priorities. Empowers and engages staff to actively participate in unit and departmental decision making and performance improvement. . Interacts with and contributes to the professional development of peers and others practicing in a shared governance model of nursing practice. Actively works to develop positive group interaction interdepartmentally and intradepartmental. Empowers staff at all levels to impact the patient care experience positively. Performance Improvement Contributes to organizational, departmental and unit-based process Improvement activities. Maintains a safe and efficient work environment. Demonstrates working knowledge of legal, regulatory and union requirements for service; monitors these to maintain full compliance. Leads/delegates group activities to solve problems or accomplish a specific task. Participates in the development of nursing service policies; supports and assists in the implementation of these policies. Utilizes objective data to assess outcomes to plan and Improve patient care. Technology Demonstrates knowledge of basic computer skills Including capability with Microsoft Office applications. Is capable in navigating the electronic medical record. Demonstrates ability to integrate technology into patient care processes in order to improve patient outcomes and work efficiency. Uses technology to improve intra and inter-unit communications. Clinical Practice Knowledge And Skill Ensures that care delivered is individualized, consistent with the plan of care and consistent with evidenced-based standards of practice. Demonstrates knowledge of normal growth and development in the delivery of care to patient. Demonstrates expertise in the development and implementation of evidence-based nursing standards for the management of specific patient populations. Evaluates health care delivery by identifying problems, seeking resolutions, implementing change, assessing progress and evaluating outcomes in collaboration with appropriate personnel. Uses appropriate policies and procedures to deliver quality services and assists in revising policies and procedures to adapt practice to evidence as it emerges. Maintains clinical expertise, role-model clinical excellence and supports staff through direct patient care at scheduled intervals and at periods of high acuity as necessary to maintain safe patient care. Qualifications Required Qualifications New York State Registered Nurse Licensure. Bachelor of Science Degree in Nursing. Master's Degree in Nursing or enrolled in a Master's program. 3 to 5 years of active relevant clinical experience. Progressive leadership accomplishment in nursing. Or, a satisfactory equivalent combination of experience, education and training. Preferred Qualifications Prior management or leadership experience preferred.
SUNY Downstate Health Sciences University

Clinical Nurse Specialist, NS35 NICU

Job Description The Department of Nursing at SUNY Downstate Health Sciences University is seeking a full-time Clinical Nurse Specialist, NS35 NICU. Reporting directly to the Director of Nursing for Maternal Child Health, the successful candidate will: Serve as a content and clinical expert in the neonatal intensive care unit. Collaborate effectively as a team leader serving as a resource to the nursing staff, in order to optimize the delivery of patient care for this most fragile group of patients. Provide patent care service by evaluating current nursing practices, and plan, manage and deliver continuing nursing education and training for all nursing staff to meet any and all best practice initiatives put forth by professional organizations and regulatory agencies. Ensure the nurses who are hired and continue to work in NICU have the knowledge base, expertise, developed intuition, and critical care skills needed to assess the subtle changes in a baby's behavior that may be signs of impending problems. Provide specialized direct and indirect care to inpatients and outpatients within a designated specialty. Assess the unique nursing needs of these patients, formulates nursing care plans and writes nursing orders under the direction of the attending physician or independently manages the nursing care and/or additional specific aspects of the clinic. Develop, implement and evaluate standards of the specialty's nursing practice. Guide subordinate nursing staff in assessment, development, implementation and evaluation of disability/illness, management, technology and resources for their own learning needs and their patients. Anticipate, identify and address the needs of patients through observation, specialty assessment, patient rapport, staff and significant others to provide optimal health care for the patient. Perform discharge planning. Work collaboratively with other members of the Nursing Department, other health care professionals and services to ensure optimal care for patients. Teach and instruct students and all medical staff; and is active in the formulation and implementation of the Outreach Program. Participate in clinical research for their own learning needs and their patients. Participate in specialty associations for the enhancement of continuing education. Participate in clinical research projects including protocol review, patient record review, and compliance monitoring and meeting with regulatory authorities. Function with defined lines of supervision to the Director of Nursing, the Department Chairman or designee, and the attending physician. Work independently with minimal supervision. As needed, may supervise subordinate nursing personnel assigned to the specialty. Qualifications Required Qualifications Master's Degree in Nursing. New York State Registered Nurse Licensure. 5+ years of experience in the specialty, to include some level of supervisory experience. Specialty certifications.
SUNY Downstate Health Sciences University

Registered Nurse 1, Post-Intervention Recovery Room

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.
SUNY Downstate Health Sciences University

Nurse Practitioner / Assistant Director of Nursing, Ambulatory Care, Suite D Pediatrics

Job Description The Department of Ambulatory Care Services at SUNY Downstate Health Sciences University is seeking a full-time Assistant Director of Nursing / Nurse Practitioner, Suite D Pediatrics. The successful candidate will: Provide primary care services to individuals and families; this will include care for incumbents own panel of patients, as well as seeing walk-in patients of the practice as needed. Document all care provided in the patients medical records. Develop further, maintain/manage patient care panel with participation in managed care programs and other direct patient care programs as applicable. On a daily bases, review all laboratory and radiology reports to identify abnormal results for urgent follow up; ensure that patients are contacted to arrange additional care and that their primary providers are notified. Participate in and provide departmental and Family Medicine educational activities to medial students and allied health professional students. Participate in hospital and departmental health fairs, community education events and speak to community groups, when requested. Qualifications Required Qualifications Master of Science Degree in Nursing. New York State Registered Nurse Licensure with Certification as a Family Nurse Practitioner (FNP). BCLS certification. Preferred Qualifications 2+ years of relevant clinical work experience as an FNP.
SUNY Downstate Health Sciences University

Registered Nurse 1, Ambulatory Care Services Adult Infusion

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.
SUNY Downstate Health Sciences University

Nurse Practitioner / Assistant Director of Nursing, Outpatient Pediatric Gastroenterology Infusion

Job Description The Department of Pediatrics at SUNY Downstate Health Sciences University is seeking a full-time TH Assistant Director of Nursing / Nurse Practitioner, Outpatient Gastroenterology Infusion Center. The successful candidate will: Provide advanced care, including administering intravenous medications, fluids and nutrients to children to treat chronic illnesses, infections, or for wellness purposes like dehydration and fatigue. Demonstrate responsibility for patient management assessing and educating patients and families, and monitoring patients before, during and after therapy. Oversee pediatric infusions, providing a higher level of care and diagnostic capabilities, including ordering necessary lab tests and adjusting treatment plans. Work both independently and under physician supervision, to create treatment plans, start infusions, monitor for reactions, and educate families. Perform patient assessments, manage medications, order diagnostics, and assist with procedures like endoscopies and colonoscopies. Provide assistance in coordinating, scheduling of the outpatient procedures and prior authorizations for infusions. Coordinate patient care for infusions and therapy. Document all care provided in the patient's medical record; completes all required patient care documentation and submit all documents to the office. Develop further and manage patient care panel with participation in managed care programs, and other direct patient care programs as applicable. Participate in and provide departmental education activities to medical students, residents, fellows and allied health professional students. Participate in hospital and departmental health fairs, community education events and speak to community groups when requested. Qualifications Required Qualifications Bachelor of Science Degree in Nursing. Master of Science Degree in Nurse Practitioner. New York State Registered Nurse and/or Nurse Practitioner Licensure. Current BLS Certification. Preferred Qualifications Previous experience in outpatient infusion. National Certification as Nurse Practitioner.
SUNY Downstate Health Sciences University

Registered Nurse Supervisor 1, Operating Room

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.
SUNY Downstate Health Sciences University

Registered Nurse 1, NS 81 CPCU (Nights)

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 postlicensure 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 postlicensure clinical nursing experience; and a master’s degree in nursing may substitute for two years of post-licensure clinical nursing experience.
SUNY Downstate Health Sciences University

Nursing Assistant 2, NS35 Neonatal ICU (Nights)

Job Description Distinguishing Characteristics All positions are in the non-competitive jurisdictional class. Nursing Assistant 1: entry level; performs basic patient care duties under direction of a nurse, physician, or other clinician; may assist Nursing Assistants 2, physicians, and nurses in the performance of care functions. Incumbents at this level receive in-service training in a limited number of care procedures, leading to eligibility to qualify for appointment to Nursing Assistant 2. Nursing Assistant 2: full performance level; using detailed guidelines, standards, and procedures, and under the supervision of clinicians, observes patients and performs prescribed simple treatment procedures; attends to personal hygiene needs of patients; and performs limited cleaning and housekeeping duties directly related to patient care. Treatment tasks performed require only knowledge of a limited number of specific treatment procedures performed at the facility. Nursing Assistant (Certified): full performance level; performs duties similar to a Nursing Assistant 2, but functions are performed in a long-term care facility and require certification as a New York State Certified Nursing Assistant. Related Classes Rehabilitation Hospital Nursing Assistants perform similar functions to those of Nursing Assistants but are focused on rehabilitation activities and are only classified at DOH’s Helen Hayes Hospital. Licensed Practical Nurses are classified in a variety of State health care settings and observe patients for symptoms and reactions to treatments; treat patients for physical maladies as directed and under close supervision; and attend to patients’ personal hygiene needs. Incumbents are licensed New York State Licensed Practical Nurses. Illustrative Duties Nursing Assistant 1 Under Direct Clinical Supervision, Performs The Following Duties Changes simple dressings as directed, gives enemas, douches, and irrigations as directed. Applies abdominal “T” binders, hot water bottles, aqua “K” pads, ice bags, and coolers, and hot and cold compresses to patients as directed. Assists patients in collecting urine and stool specimens. Observes and records patients’ quantitative food and fluid intake and waste output. Takes temperature, pulse rate, blood pressure and respiration rate. Gives therapeutic baths such as sitz and fever sponge baths. Measures and records height and weight. Inspects functioning oxygen therapy equipment including tents, masks, and cannulae to ensure appropriate functioning. Recognizes and reports abnormal signs and symptoms of common diseases and conditions to clinical staff. Applies splints, braces, slings and other self-help devices. Operates a variety of specialized patient monitoring and treatment devices. Attends to patients’ hygiene and daily living needs in order to maintain an atmosphere conducive to patient comfort and treatment. Examples include bathing and dressing patients, brushing teeth, and trimming nails. Collects and carries patients’ laundry and dry cleaning and delivers objects to appropriate locations in the health care facility. Receives patients’ belongings and transports objects to safe storage, keeping appropriate records. Feeds patients requiring assistance. As directed by clinical staff, moves, positions, lifts and transports patients using a variety of lifts and other aids in order to make patients comfortable, prepare patients for treatment, deliver patients to treatment areas, and to prevent contractures. Brings bedpans and urinals to patients requiring assistance and attends to incontinent patients. Talks and listens to patients and responds by encouraging patients to cooperate and participate in treatment activities. May transport patients and supplies on occasion. May perform a variety of limited housekeeping and cleaning duties related to direct patient care in order to ensure that treatment and patient areas are clean, sanitary, orderly, and properly supplied. Nursing Assistant 2 Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 1, but with greater proficiency. Positions may assist with training new staff in assigned treatment areas. Nursing Assistant (Certified) Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 2, but also participates in required quarterly in-service education to maintain certification and meet all necessary requirements to be re-certified every two years. Communication Nursing Assistants have frequent face-to-face communication with patients and visitors for the purposes of conveying treatment procedure and visitor information. Incumbents attempt to encourage and support patients who may be despondent or apprehensive, and regularly communicate with clinical staff to convey information on patients’ physical conditions and responses to treatment. This information includes items such as observable physical behavioral changes, fatigue levels, and general behaviors and responses to routine treatments, such as foot soaks. Qualifications Nursing Assistant 1 Non-Competitive: possession of or ability to acquire the necessary knowledge, skills and abilities during the probationary period. Nursing Assistant 2 Non-Competitive: one year of satisfactory full-time experience in the provision of simple treatment and other patient care services under professional supervision. Possession of current certification as a New York State Certified Nursing Assistant may substitute for the required experience. Nursing Assistant (Certified) Non-Competitive: possession of current certification as a New York State Certified Nursing Assistant.
SUNY Downstate Health Sciences University

Nursing Assistant 2, Float Team (Nights)

Job Description Distinguishing Characteristics All positions are in the non-competitive jurisdictional class. Nursing Assistant 1: entry level; performs basic patient care duties under direction of a nurse, physician, or other clinician; may assist Nursing Assistants 2, physicians, and nurses in the performance of care functions. Incumbents at this level receive in-service training in a limited number of care procedures, leading to eligibility to qualify for appointment to Nursing Assistant 2. Nursing Assistant 2: full performance level; using detailed guidelines, standards, and procedures, and under the supervision of clinicians, observes patients and performs prescribed simple treatment procedures; attends to personal hygiene needs of patients; and performs limited cleaning and housekeeping duties directly related to patient care. Treatment tasks performed require only knowledge of a limited number of specific treatment procedures performed at the facility. Nursing Assistant (Certified): full performance level; performs duties similar to a Nursing Assistant 2, but functions are performed in a long-term care facility and require certification as a New York State Certified Nursing Assistant. Related Classes Rehabilitation Hospital Nursing Assistants perform similar functions to those of Nursing Assistants but are focused on rehabilitation activities and are only classified at DOH’s Helen Hayes Hospital. Licensed Practical Nurses are classified in a variety of State health care settings and observe patients for symptoms and reactions to treatments; treat patients for physical maladies as directed and under close supervision; and attend to patients’ personal hygiene needs. Incumbents are licensed New York State Licensed Practical Nurses. Illustrative Duties Nursing Assistant 1 Under Direct Clinical Supervision, Performs The Following Duties Changes simple dressings as directed, gives enemas, douches, and irrigations as directed. Applies abdominal “T” binders, hot water bottles, aqua “K” pads, ice bags, and coolers, and hot and cold compresses to patients as directed. Assists patients in collecting urine and stool specimens. Observes and records patients’ quantitative food and fluid intake and waste output. Takes temperature, pulse rate, blood pressure and respiration rate. Gives therapeutic baths such as sitz and fever sponge baths. Measures and records height and weight. Inspects functioning oxygen therapy equipment including tents, masks, and cannulae to ensure appropriate functioning. Recognizes and reports abnormal signs and symptoms of common diseases and conditions to clinical staff. Applies splints, braces, slings and other self-help devices. Operates a variety of specialized patient monitoring and treatment devices. Attends to patients’ hygiene and daily living needs in order to maintain an atmosphere conducive to patient comfort and treatment. Examples include bathing and dressing patients, brushing teeth, and trimming nails. Collects and carries patients’ laundry and dry cleaning and delivers objects to appropriate locations in the health care facility. Receives patients’ belongings and transports objects to safe storage, keeping appropriate records. Feeds patients requiring assistance. As directed by clinical staff, moves, positions, lifts and transports patients using a variety of lifts and other aids in order to make patients comfortable, prepare patients for treatment, deliver patients to treatment areas, and to prevent contractures. Brings bedpans and urinals to patients requiring assistance and attends to incontinent patients. Talks and listens to patients and responds by encouraging patients to cooperate and participate in treatment activities. May transport patients and supplies on occasion. May perform a variety of limited housekeeping and cleaning duties related to direct patient care in order to ensure that treatment and patient areas are clean, sanitary, orderly, and properly supplied. Nursing Assistant 2 Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 1, but with greater proficiency. Positions may assist with training new staff in assigned treatment areas. Nursing Assistant (Certified) Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 2, but also participates in required quarterly in-service education to maintain certification and meet all necessary requirements to be re-certified every two years. Communication Nursing Assistants have frequent face-to-face communication with patients and visitors for the purposes of conveying treatment procedure and visitor information. Incumbents attempt to encourage and support patients who may be despondent or apprehensive, and regularly communicate with clinical staff to convey information on patients’ physical conditions and responses to treatment. This information includes items such as observable physical behavioral changes, fatigue levels, and general behaviors and responses to routine treatments, such as foot soaks. Qualifications Nursing Assistant 1 Non-Competitive: possession of or ability to acquire the necessary knowledge, skills and abilities during the probationary period. Nursing Assistant 2 Non-Competitive: one year of satisfactory full-time experience in the provision of simple treatment and other patient care services under professional supervision. Possession of current certification as a New York State Certified Nursing Assistant may substitute for the required experience. Nursing Assistant (Certified) Non-Competitive: possession of current certification as a New York State Certified Nursing Assistant.
SUNY Downstate Health Sciences University

Medical Assistant, Obstetrics & Gynecology

JOB DESCRIPTION Distinguishing Characteristics Medical Assistant: Non-supervisory; performs clinical and/or laboratory duties at least 50% of the time in accordance with prescribed procedures. Duties of the position may vary when assigned to an inpatient versus outpatient care area of the hospital. Illustrative Duties Medical Assistants function under the direct supervision and guidance of nursing personnel, physicians, and other medical and laboratory personnel in the performance of assigned duties. The Supervisor: Oversees and instructs on unusual or special procedures and techniques Spot-checks work and provides overall direction, control, and guidance Reviews and investigates abnormal findings or conditions Medical Assistants: Must share pertinent patient care information with physicians and nursing personnel Are expected to obtain assistance during emergencies and may assist in gathering necessary equipment Clinical and Laboratory Activities Acclimatizes patient and family to unit; provides general information regarding room, unit, and hospital Obtains, records, and exchanges information on behalf of or with patient Prepares patient for exam or laboratory test Answers routine questions and assists physician during examinations (including chaperoning) Records reason for visit, recent problems, and other required info Reviews relevant information with patient and distributes informational packets Obtains and records weight, height, blood pressure, vital signs Performs routine lab techniques (e.g., dipstick urine, fingerstick glucose, vision testing) Provides basic patient care (e.g., ambulation, ROM, hygiene, comfort, hydration, toileting) Escorts/transports patients Processes patient/lab/medical orders; schedules follow-ups; performs non-sterile dressing changes Operates laboratory equipment (e.g., centrifuges) and records results Centrifuges specimens, subdivides and identifies those for external labs Cleans and sterilizes instruments, disposes of contaminated supplies per protocol Draws blood, obtains EKGs, documents and reports glucose results; performs glucometer quality checks Performs phlebotomy (adult and pediatric), handles specimens safely, labels properly, resolves labeling/test order issues Serves as patient safety companion; monitors patients on suicide watch; documents behavior and safety responses Summons emergency assistance and gathers required equipment Clerical Activities Greets and directs visitors; answers routine questions Processes incoming/outgoing mail and prepares routine correspondence Answers phones, screens/routs calls, and takes messages; escalates as needed During phone triage, determines severity of condition and directs accordingly; records info per protocol Responds to inquiries from medical staff regarding patient/test info Answers routine patient questions about scheduling, billing, and testing Prepares daily scheduling reports; transcribes/processes orders; routes correspondence Performs patient reception, schedules appointments and testing, provides visit instructions, handles changes Accessions lab tests and inputs info using CAIS or Laboratory Info System; generates barcodes Processes specimens (labeling, data entry, preparation for transport) Registers and/or enters patient information (demographics, charges) Checks insurance eligibility, obtains approvals, collects co-pays, issues receipts Reviews and enters patient charges based on CPT codes Maintains supplies; conducts inventory; reorders using manual or automated systems Maintains and updates charts and logs; ensures records are accurate and complete Identifies and contacts resources for maintenance; arranges for work orders Communication Medical Assistants: Frequently communicate orally with patients and families to obtain, provide, or elicit information Have daily contact with physicians and medical/lab personnel during routine duties Regularly consult with professional staff about procedures and processes Are expected to immediately notify physicians/nursing staff in emergency situations QUALIFICATIONS Open Competitive: One year of experience performing clinical and clerical support activities in a health care setting, or completion of a medical assistant program.
SUNY Downstate Health Sciences University

NP - Joint Reconstruction, Orthopaedic Surgery

Job Description The Department of Orthopaedic Surgery & Rehabilitation Medicine at SUNY Downstate Health Sciences University is seeking a full-time TH Assistant Director of Nursing / Nurse Practitioner, Joint Reconstruction. The successful candidate will: Support the outpatient clinic operations for Joint Reconstruction Service physicians in reliable, timely, and efficient manner. Provide consultation to clinical staff regarding the nursing management of Joint Reconstruction Service patients. Work collaboratively with other members of the Department, other health care professionals and physicians to enhance the quality of patient care outcomes. Utilize evidence-based practice data to identify trends and improve outcomes. Collaborate with healthcare team to ensure efficient patient admission, transfer, and discharge. Participate in QAPI projects. Support the delivery of quality patient care by holding self and staff accountable to meeting or exceeding established standards. Act as a clinical resource for novice staff members as well as assisting experienced staff in problem solving skills for complex patient care situations. Attend weekly grand rounds and case presentations to build knowledge base. Assist residents on the service and in the Division of Orthopaedic Surgery with processing paperwork and patient logistics. Compost clear, succinct, thorough, and appropriate clinic notes, utilizing templates where possible to improve efficiency. Arrive on time to clinic and stay until all necessary and reasonable tasks have been completed. Follow and anticipate attending physician instructions, especially for common tasks. Continually seek to increase knowledge and understanding of the Orthopaedic joint reconstruction sub-specialty. Arrange consults when appropriate. Use macro templates in EHR systems. Create progress and discharge notes, where appropriate, for each patient seen. Use service recovery strategies within scope of responsibility to resolve immediate patient concerns. Participate in the development, implementation and evaluation of clinically based education programs. Participate in specialty associations for the enhancement of continuing education. Perform other tasks for the department and practice as needed. Demonstrate flexibility to adapt to new and evolving challenges. Recognize changes in clinical situations and act in a timely manner. Adhere to the hospital and medical group policies and procedures. Be a role model for other members of the team. while modeling the WE CARE values of the institution. Qualifications Required Qualifications New York State Registered Nurse & Nurse Practitioner Licensure. Preferred Qualifications 2+ years of experience in a professional practice.