Responsibilities POSITION SUMMARY The Assistant Director of Nursing ensures that standards of professional practice are developed and maintained on a 24-hour basis, 7 days a week to achieve excellence and continuity in resident care on the unit in a manner that is reflective the ESCC Core Values. The Assistant Dir. of Nursing will ensure that nursing care goals are established for each resident and provides guidance for the clinical care team to work toward established goals, ensuring that appropriate nursing care is provided and required documentation is completed. The Assistant Dir. of Nursing will function as an advocate for resident and family, intervene and provide leadership and guidance in crises, and in assuring the resident achieves their highest level of functioning within a least restrictive environment. Responsible for the leadership, direction, supervision, evaluation, hiring and termination of all nursing staff assigned to the neighborhood, the Assistant Dir. of Nursing serves as a support person for members of the staff and acts as a role model to instill in the staff that patient safety, wellbeing and family collaboration are the hallmarks of clinical nursing excellence. The Assistant Director of Nursing will be responsible for working an on-site schedule of a 5 days/week that may include weekends. The ideal candidate has strong clinical skills in change management, emotional intelligence and demonstrated leadership experience in a residential or behavioral health setting. ESSENTIAL JOB FUNCTIONS & RESPONSIBILITIES Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Understands and promotes Elizabeth Seton Children’s Mission, Vision, and Core Values to ensure application with organizational policies and procedures and everyday practices. Lead the planning, development, organization, implementation and evaluation of the neighborhood to facilitate a child/ young adult and family-centered environment that promotes the theme of “children come first”. Plan, develop, organize, implement, evaluate and direct nursing programs and activities. Create and maintain good physician, resident/parent, employee and vendor relationships. Identify and remedy patient care issues by placing a strong emphasis on quality patient care and customer satisfaction. Knows and enforces infection control policies and procedures. Assure that staff schedules are consistent with the resident needs and provide the accountability of established standards of care 24 hours a day, 7 days a week. Review clinical services policies, procedures, manuals, job descriptions, etc., at least annually, and participate in making and implementing recommended changes. Facilitate identification of neighborhood quality and safety concern and/or issue for study and improvement. Provide follow up and corrective action for audits (including medication errors, quality audits, medical record audits, mock survey etc.) Ensure all purchase requisitions and purchase orders are properly prepared, signed and submitted as required. In collaboration with neighborhood staff, ensure adequate and appropriate par levels of supplies and linen. Perform administrative requirements such as completing forms, reports, etc., and submitting to the Director of Nursing as required. Establish a least restrictive environment where restraints are only used after the care plan team agrees that all other alternatives have been exhausted. Responsible for ensuring regulatory compliance for completion of MDS and Care Plans for each resident according to the pre-determined schedule. Assures that all documentation is completed by established deadlines. Ensures coverage for completion of MDS/Care Plans when assigned staff are unavailable. Coordinate and oversee the Care Plan meetings. Responsible for ensuring completion and follow up of occurrence reports, medication error forms, skin care forms and continually work on reducing occurrences and medication errors through root cause analysis, education and quality improvement processes. Rounds on Neighborhoods for the purpose of obtaining clinical information on residents, to support and educate staff, to assist with family issues and endorses complete information to next shift. Promotes 24 x7 accurate, objective clinical and administrative reports. Responsible for review of EMR status board and other variance reports and follow up with staff on outstanding items. Establish a schedule for and coordinate neighborhood meetings. Assure that information is disseminated to all appropriate parties timely. Review complaints and grievances and make oral/written reports to the Director of Nursing and Vice President of Operations. Coordinate investigations as necessary including gathering statements, interviews, review of cameras, photos, disciplinary proceedings and remedial education as appropriate. Coordinate with Talent Management as necessary Collaborates with clinical educators to ensure all required educational opportunities for staff are attended and that mandatory clinical skills competency requirements are completed. Maintains accurate and clear records regarding changes in shift assignment in accordance with rules of the Center and the 1199 bargaining unit contract. Monitor the performance of ANM, ANCC and charge nurses to ensure that they meet facility and regulatory standards in regards to care provided, leadership growth, professionalism, interpersonal skills, team building. Establish a protocol for the interviewing process and orienting new members to the neighborhoods. Facilitate self-staffing in collaboration with neighborhood staff and Staffing Office. Manage budget for neighborhood. Participate in research, evidence-based practice and demonstration of new products/equipment for the Children’s Center. Represent the Children’s Center at and participate in meetings as required. Participate in the establishment and/or review of center wide policies, procedures and long-term care regulatory requirements and assure all team members are knowledgeable in these areas. Stay current with regard to changes in policies and regulatory requirements and update staff at monthly meetings or as necessary. Support a system for recognition and rewards for service excellence in the neighborhood. Other related duties as may become necessary or as directed by your supervisor, department director, and/or administrator. Qualifications Education Requirements: Bachelor of Science degree in nursing or related field. Master of Science degree (required) New York State Nursing License. BCLS/ PALS Experience Minimum five (5) years RN experience with at least three years in a supervisory role. Experience in pediatric and adolescent chronic and restorative nursing modalities preferred. Employee Requirements: Must be able to read, write, speak, and understand the English language fluently. Must meet or exceed all health standards and requirements for the position as established by NYDOH and all other regulatory agencies. Must meet the general health requirements set forth by the policies of this Center which includes a medical and physical examination. Must be able to push, pull, move, and/or lift a minimum of thirty-five (35) pounds. Perform tasks that may involve exposure to the resident’s blood/body fluids. Must be able to assist in the evacuation of residents, if necessary. Working Conditions: Will work in a well-lighted and ventilated area. Will be subject to frequent interruptions. May be asked to work beyond normal working hours, and in other positions temporarily, when necessary. Salary Range: $147,000/Yr. To $162,000/Yr.
Responsibilities POSITION SUMMARY The purpose of this position is to support the Nurse Manager to ensure standards of professional practice are developed and maintained to achieve excellence and continuity in resident care. The Assistant Nurse Manager will be responsible for working in a collaborative manner with the Nurse Manager to direct and organize the nursing care for their assigned neighborhoods. The Assistant Nurse Manager will support the leadership, direction, and supervision of nursing staff, including RNs/LPNs, CNAs and Companions. This includes working in collaboration with the Nurse Manager and the neighborhood staff to balance schedules and maintain staffing levels that are consistent with resident needs, including needs as defined by their Plan of Care, activity and daily schedules, outside and in-house clinic visits, and school programs. The Assistant Nurse Manager will also review and/or modify staff assignments as necessary to ensure quality resident care. In addition, the Assistant Nurse Manager will participate in the hiring, interviewing and onboarding process, as well as periodic evaluation of staff that are assigned to their floor. Evaluations include annual performance reviews as well as interim coaching, counseling and progressive disciplines that may be required. The Assistant Nurse Manager will be responsible for working an on-site schedule of at least 4 days per week a that includes providing evening supervisory coverage and reporting off daily concerns and significant changes in resident condition to the night supervisors. The Assistant Nurse Manager will be included in a Nursing Leadership weekend rotation to ensure continuity of systems and protocols are maintained through the entire week. The Assistant Nurse Manager will demonstrate a commitment to the continuum of care for our residents, through participating in and promoting nursing practice while in the Elizabeth Seton Children’s Center and through follow up with collaborating hospitals in the case of transfers for escalations in care. Consistent with our Mission and the philosophy of child/family centered care, the Assistant Nursing Manager will participate in the QAPI process to identify opportunities for system improvements and will establish collegial interdisciplinary relationships in order to foster communication and growth between nursing and other departments The Assistant Nurse Manager will function as an advocate for residents and their families through a culturally competent, trauma informed approach that will include escalating and participating in the family grievance process, attending clinical status meetings daily, communicating concerns to the interdisciplinary team, and ensuring families are kept updated with clinical concerns and changes that are reported through the incident reporting process. ESSENTIAL JOB FUNCTIONS & RESPONSIBILITIES Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Understands and promotes Elizabeth Seton Children’s Mission, Vision, and Core Values to ensure application with organizational policies and procedures and everyday practices. Continually strive to improve the organization’s systems and/or services. Contributes to team decisions to fulfill our mission, share recognition, and learn from prior initiatives. Treat every resident, family member, and co-worker with dignity, respect, and courtesy. Coordinates with the Nurse Manager to ensure neighborhood coverage is provided in the event of absences, including personal time off. Participates in committees as assigned. Works in collaboration with Materials Management to maintain adequate supplies on the neighborhood(s), and coordinates with neighborhood staff to ensure restocking of rooms. In coordination with the Nurse Manager, ensures staff conduct themselves professionally, courteously and with a customer service mindset that emphasizes high quality resident care. Acts as superusers for clinical systems, including but not limited to SigmaCare, Capsule and Radar. Is knowledgeable of and enforces regulatory compliance, including infection control policies and procedures. Collaborates with clinical educators to ensure all required educational opportunities for staff are attended and that mandatory clinical skills competency requirements are completed. Collaborates with preceptors and clinical educators to ensure new hires are provided an appropriate and thorough orientation experience that prepares them for working independently on their neighborhoods. Support all nursing staff, serve as a clinical resource and mentor for nursing staff , addressing complex patient care issues. Participates in and promotes Quality Assurance/Performance Improvement (QAPI) activities including neighborhood-based quality council meetings, safety huddles, occurrence reporting, QAPI Performance Improvement Projects (PIPs), and evidence-based practice. In coordination with the Nurse Manager addresses and resolves patient and family concerns, escalating issues when appropriate. Participate in schedule neighborhood meetings. Assure that information is disseminated to all appropriate parties timely. Activity participate in the interviewing and selection process for new team members with the Nurse Manager. Collaborate with Nurse Manager, supervise and support nursing staff, including performance evaluations, coaching and counseling. Supports the Nurse Manager by assuming administrative responsibilities as delegated, and helping to maintain daily neighborhood workflows. Supports the development and execution of emergency preparedness plans as needed. Qualifications Education Requirements: Bachelor of Science degree in nursing or related field. Master of Science nursing degree (preferred) New York State Nursing License. BCLS/PALS Experience At least three years clinical nurse experience. A minimum of two (2) year supervisory experience. Employee Requirements: Must be able to read, write, speak, and understand the English language fluently. Must meet or exceed all health standards and requirements for the position as established by NYDOH and all other regulatory agencies. Must meet the general health requirements set forth by the policies of this Center which includes a medical and physical examination. Must be able to push, pull, move, and/or lift a minimum of thirty-five (35) pounds. Perform tasks that may involve exposure to the resident’s blood/body fluids. Must be able to assist in the evacuation of residents, if necessary. Working Conditions: Will work in a well-lighted and ventilated area. Will be subject to frequent interruptions. May be asked to work beyond normal working hours, and in other positions temporarily, when necessary. Salary Range: $130,000/Yr. To $145,00.00/Yr.
Responsibilities Certified Nursing Assistant Full Time Evening 3:00pm-11:30pm Serves as a clinical assistant to the licensed nursing staff by performing nursing procedures, basic patient care tasks in a manner that is reflective the ESC Core Values under the supervision of an RN or LPN. Elizabeth Seton Children’s is a pioneering provider of care, education and hope for children with some of the most challenging medical conditions any person can face. Featuring the largest residential medical center of its kind in the United States, we change lives, one child at a time. With more than 35 years of success, we are a national leader in serving children with deeply complex medical conditions because we provide the entire around-the-clock continuum of medical, educational and therapeutic services. This means these children can do more than survive – they thrive and can pursue a full life. They have the right to safely become adults. Elizabeth Seton Children’s serves more than 2,000 children each year across our united organizations. We also help their families with travel, places to gather and peace of mind. We create possibilities like no other place. And we are forever inspired by the children we serve. JOB FUNCTIONS & RESPONSIBILITIES Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Understands and promotes Elizabeth Seton Children’s Mission, Vision, and Core Values to ensure application with organizational policies and procedures. Report on and off duty to NCC Performs assigned duties under the direction of the NCC or her designee (i.e. the nurse in charge). Takes report and makes rounds on assigned residents. Prepare and transport residents to therapy in a timely manner. Is responsible for the care and safety of assigned resident until relieved by on coming caregiver. Participate in the implementation of the treatment plan including rehabilitation and continuous learning for the residents within the CNA scope under the direction of the RN or LPN. Provide or assist residents with activities of daily living. Performs therapeutic procedures for children such as bathing, grooming, playing, feeding, positioning as per policy and procedure. Document appropriately on all flow sheets. Assist RN and LPN as necessary in the performance of nursing care tasks. Observe, report and record abnormal vital signs, temperatures, seizures activity, vomiting, diarrhea, behavior changes or any other abnormalities to the RN or LPN in charge. Attend appropriate meetings and in-services Functions as an adult role model for residents. Performs all assigned duties in accordance with the Center for Pediatrics and Rehabilitation’s policy and procedures Bath residents according to the Center for Pediatrics and Rehabilitation policy and Procedure. Inspect resident’s skin and promptly report any changes to the NCC. Carries out mouth care, hair care and as necessary trim finger and toe nails. Make two hourly checks on incontinent residents and wash and change as necessary. Encourages self-help measures as appropriate so that each child may reach his/her appropriate level of independence. Check and record urine and bowel movements. Ensure that assigned residents are appropriately prepared for school, clinic, recreation and hospital visits as scheduled and accompany/transport them as assigned. Ensure that bedfast residents are repositioned as directed by NCC but not less than two repositions per resident hourly. Performs restorative and rehabilitative activities as instructed and as directed by Plan of Care. Assists in applying safety restraints to residents when directed; Monitors residents in restraints, release restraints and documents according to policy and procedure Ensures that each resident who can use a call bell has one within reach and remind him/her to use it. Assists co-workers with lifting, positioning and other procedures as necessary. Be aware of facility policy on child abuse and/or neglect and promptly report any instances of abusive or inappropriate behaviors towards any resident to the NCC. Knows and follows The Center policy and procedure with regard to infection control including hand washing and types of isolation. Keep resident care area clean and free of clutter. Report any unsafe conditions immediately to NCC. Properly stores and safeguard residents’ clothing and reports too many or too few clothing and or toys to NCC. Feeds residents or teaches residents to feed themselves as appropriate. Ensure that hands are washed (child and caregivers) and that meal times are pleasant, dignified experiences Qualifications High School Diploma or equivalent required Successful completion of NYS approved Nurse Assistant Certification Program Active CNA Certification on the NYS Nurse Aide Registry required Experience Experience working with children. One year of experience as Nurse’s Aide preferred Employee Requirements: Must be able to read, write, speak, and understand the English language fluently. Must meet or exceed all health standards and requirements for the position as established by NYDOH and all other regulatory agencies. Must meet the general health requirements set forth by the policies of this Center which includes a medical and physical examination. Must be able to push, pull, move, and/or lift a minimum of thirty-five (35) pounds. Perform tasks that may involve exposure to the resident’s blood/body fluids. Must be able to assist in the evacuation of residents, if necessary. Working Conditions: Will work in a well-lighted and ventilated area. Will be subject to frequent interruptions. May be asked to work beyond normal working hours, and in other positions temporarily, when necessary. Salary Range: $24.31/hr to $26.06/hr
Responsibilities POSITION SUMMARY Serves as a clinical assistant to the licensed nursing staff by performing nursing procedures, basic patient care tasks in a manner that is reflective the ESC Core Values under the supervision of an RN or LPN. JOB FUNCTIONS & RESPONSIBILITIES Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Understands and promotes Elizabeth Seton Children’s Mission, Vision, and Core Values to ensure application with organizational policies and procedures. Report on and off duty to NCC Performs assigned duties under the direction of the NCC or her designee (i.e. the nurse in charge). Takes report and makes rounds on assigned residents. Prepare and transport residents to therapy in a timely manner. Is responsible for the care and safety of assigned resident until relieved by on coming caregiver. Participate in the implementation of the treatment plan including rehabilitation and continuous learning for the residents within the CNA scope under the direction of the RN or LPN. Provide or assist residents with activities of daily living. Performs therapeutic procedures for children such as bathing, grooming, playing, feeding, positioning as per policy and procedure. Document appropriately on all flow sheets. Assist RN and LPN as necessary in the performance of nursing care tasks. Observe, report and record abnormal vital signs, temperatures, seizures activity, vomiting, diarrhea, behavior changes or any other abnormalities to the RN or LPN in charge. Attend appropriate meetings and in-services Functions as an adult role model for residents. Performs all assigned duties in accordance with the Center for Pediatrics and Rehabilitation’s policy and procedures Bath residents according to the Center for Pediatrics and Rehabilitation policy and Procedure. Inspect resident’s skin and promptly report any changes to the NCC. Carries out mouth care, hair care and as necessary trim finger and toe nails. Make two hourly checks on incontinent residents and wash and change as necessary. Encourages self-help measures as appropriate so that each child may reach his/her appropriate level of independence. Check and record urine and bowel movements. Ensure that assigned residents are appropriately prepared for school, clinic, recreation and hospital visits as scheduled and accompany/transport them as assigned. Ensure that bedfast residents are repositioned as directed by NCC but not less than two repositions per resident hourly. Performs restorative and rehabilitative activities as instructed and as directed by Plan of Care. Assists in applying safety restraints to residents when directed; Monitors residents in restraints, release restraints and documents according to policy and procedure Ensures that each resident who can use a call bell has one within reach and remind him/her to use it. Assists co-workers with lifting, positioning and other procedures as necessary. Be aware of facility policy on child abuse and/or neglect and promptly report any instances of abusive or inappropriate behaviors towards any resident to the NCC. Knows and follows The Center policy and procedure with regard to infection control including hand washing and types of isolation. Keep resident care area clean and free of clutter. Report any unsafe conditions immediately to NCC. Properly stores and safeguard residents’ clothing and reports too many or too few clothing and or toys to NCC. Feeds residents or teaches residents to feed themselves as appropriate. Ensure that hands are washed (child and caregivers) and that meal times are pleasant, dignified experiences Qualifications High School Diploma or equivalent required Successful completion of NYS approved Nurse Assistant Certification Program Active CNA Certification on NYS Nurse Aide Registry required Experience Experience working with children. One year of experience as Nurse’s Aide preferred Employee Requirements: Must be able to read, write, speak, and understand the English language fluently. Must meet or exceed all health standards and requirements for the position as established by NYDOH and all other regulatory agencies. Must meet the general health requirements set forth by the policies of this Center which includes a medical and physical examination. Must be able to push, pull, move, and/or lift a minimum of thirty-five (35) pounds. Perform tasks that may involve exposure to the resident’s blood/body fluids. Must be able to assist in the evacuation of residents, if necessary. Working Conditions: Will work in a well-lighted and ventilated area. Will be subject to frequent interruptions. May be asked to work beyond normal working hours, and in other positions temporarily, when necessary. Salary Range: $24.31/hr to $26.06/hr
Responsibilities Certified Nursing Assistant Full Time Evening 3:00pm-11:30pm Serves as a clinical assistant to the licensed nursing staff by performing nursing procedures, basic patient care tasks in a manner that is reflective the ESC Core Values under the supervision of an RN or LPN. Elizabeth Seton Children’s is a pioneering provider of care, education and hope for children with some of the most challenging medical conditions any person can face. Featuring the largest residential medical center of its kind in the United States, we change lives, one child at a time. With more than 35 years of success, we are a national leader in serving children with deeply complex medical conditions because we provide the entire around-the-clock continuum of medical, educational and therapeutic services. This means these children can do more than survive – they thrive and can pursue a full life. They have the right to safely become adults. Elizabeth Seton Children’s serves more than 2,000 children each year across our united organizations. We also help their families with travel, places to gather and peace of mind. We create possibilities like no other place. And we are forever inspired by the children we serve. JOB FUNCTIONS & RESPONSIBILITIES Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Understands and promotes Elizabeth Seton Children’s Mission, Vision, and Core Values to ensure application with organizational policies and procedures. Report on and off duty to NCC Performs assigned duties under the direction of the NCC or her designee (i.e. the nurse in charge). Takes report and makes rounds on assigned residents. Prepare and transport residents to therapy in a timely manner. Is responsible for the care and safety of assigned resident until relieved by on coming caregiver. Participate in the implementation of the treatment plan including rehabilitation and continuous learning for the residents within the CNA scope under the direction of the RN or LPN. Provide or assist residents with activities of daily living. Performs therapeutic procedures for children such as bathing, grooming, playing, feeding, positioning as per policy and procedure. Document appropriately on all flow sheets. Assist RN and LPN as necessary in the performance of nursing care tasks. Observe, report and record abnormal vital signs, temperatures, seizures activity, vomiting, diarrhea, behavior changes or any other abnormalities to the RN or LPN in charge. Attend appropriate meetings and in-services Functions as an adult role model for residents. Performs all assigned duties in accordance with the Center for Pediatrics and Rehabilitation’s policy and procedures Bath residents according to the Center for Pediatrics and Rehabilitation policy and Procedure. Inspect resident’s skin and promptly report any changes to the NCC. Carries out mouth care, hair care and as necessary trim finger and toe nails. Make two hourly checks on incontinent residents and wash and change as necessary. Encourages self-help measures as appropriate so that each child may reach his/her appropriate level of independence. Check and record urine and bowel movements. Ensure that assigned residents are appropriately prepared for school, clinic, recreation and hospital visits as scheduled and accompany/transport them as assigned. Ensure that bedfast residents are repositioned as directed by NCC but not less than two repositions per resident hourly. Performs restorative and rehabilitative activities as instructed and as directed by Plan of Care. Assists in applying safety restraints to residents when directed; Monitors residents in restraints, release restraints and documents according to policy and procedure Ensures that each resident who can use a call bell has one within reach and remind him/her to use it. Assists co-workers with lifting, positioning and other procedures as necessary. Be aware of facility policy on child abuse and/or neglect and promptly report any instances of abusive or inappropriate behaviors towards any resident to the NCC. Knows and follows The Center policy and procedure with regard to infection control including hand washing and types of isolation. Keep resident care area clean and free of clutter. Report any unsafe conditions immediately to NCC. Properly stores and safeguard residents’ clothing and reports too many or too few clothing and or toys to NCC. Feeds residents or teaches residents to feed themselves as appropriate. Ensure that hands are washed (child and caregivers) and that meal times are pleasant, dignified experiences Qualifications High School Diploma or equivalent required Successful completion of NYS approved Nurse Assistant Certification Program Active CNA Certification on the NYS Nurse Aide Registry required Experience Experience working with children. One year of experience as Nurse’s Aide preferred Employee Requirements: Must be able to read, write, speak, and understand the English language fluently. Must meet or exceed all health standards and requirements for the position as established by NYDOH and all other regulatory agencies. Must meet the general health requirements set forth by the policies of this Center which includes a medical and physical examination. Must be able to push, pull, move, and/or lift a minimum of thirty-five (35) pounds. Perform tasks that may involve exposure to the resident’s blood/body fluids. Must be able to assist in the evacuation of residents, if necessary. Working Conditions: Will work in a well-lighted and ventilated area. Will be subject to frequent interruptions. May be asked to work beyond normal working hours, and in other positions temporarily, when necessary. Salary Range: $24.31/hr to $26.06/hr
