Overview The Registered Nurse is responsible and accountable for utilizing the nursing process in the provision of safe quality care of patients undergoing diagnostic and therapeutic gastroenterological and pulmonary procedures to include patient teaching, physical and psychological preparation. An Endoscopy Registered Nurse’s duties range from pre -and intraprocedural interventions to immediate postprocedural assessment, care of equipment, specimen handling, and documentation. Responsibilities Performs assessment/data collection in an ongoing systematic manner, focusing on physiologic, cognitive and cultural diversity of the patient. Responsible for supervising and directing patient care in the endoscopy suite while ensuring proper techniques are used. Ensures patient identification by checking patient identifiers. Verifies procedure, consent, NPO status, and any allergies. Communicates data collected with other health care team members participating in the patient’s care to ensure a completed Pre-Procedure Verification Checklist. Collaborates as appropriate with proceduralist and other members of the multidisciplinary team in planning interventions to meet patient and family needs. Assists the proceduralist and health care team in safe patient positioning for the procedure. Intervenes with proper technique, procedure and safety precautions to meet individual needs of patients and families. Evaluates and documents patient response to and outcome of care provided and revises plan of care accordingly. Ensures all supplies and equipment required are sterile or high level disinfected and available for use. Observes and communicates to team any changes in the patient’s condition. Directs other staff when necessary and reports any unusual occurrences to proceduralist. Ensures all medications on field are administered and charted. Ensures care and handling of specimens, confirming labeling and quantity with proceduralist in debriefing and secured as per policy. Performs other duties as required. Qualifications Education: Bachelor’s degree in Nursing. Experience: Minimum three (3) years experience in an Endoscopy Unit, Operating Room, or Critical Care setting. Licenses, Certifications: Current NY State RN License required. Basic Cardiac Life Support (BCLS) required. Knowledge and Skills : Proficiency with Office PC's, Desktops, and Laptop software in addition to familiarity with Microsoft Office softwares to include Word, Excel, Outlook, etc. Good interpersonal skills a must. Ability to communicate effectively in English, both verbally and in writing. Good written and verbal communication skills. Physical Requirements : Position may require prolonged periods of standing, walking, talking, sitting, hearing, and bending throughout the work day. May include some repetitive motions. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
Overview Under the supervision of the Nurse Manager, Critical care Nurses provide direct and individualized nursing care to patients based on the application of scientific nursing principles. In addition to general nursing care, responsibilities of Critical care Nurses include (but are not limited to): Assessment: Conducts ongoing focused physical, psychosocial, and pain assessments; includes assessment of patient education needs. Planning : Utilizes the assessment, identifies problems, and makes nursing diagnoses, formulate goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn, and incorporates family into the plan of care. Implementation : Prioritizes and implements an efficient nursing plan of care. Evaluation/Reassessment : Consistently conducts timely evaluations, recognizes changes in patient conditions, determines when reassessments are needed, and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care. Evaluate patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care. Responsibilities Utilizes the nursing process in taking care of the patient. Assesses condition of the patient and documents findings in EHR. Utilizes principles of Infection Control in the delivery of care. Implements appropriate nursing interventions to facilitate recovery of patient and prevent complications. Evaluate patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care. Implements discharge planning based on patient care needs. Initiates and documents patient education based on treatment plan in the language that the patient understands. Documents assessment, interventions, changes in the patient’s condition and response to interventions based on hospital policy on documentation. Initiates appropriate actions effectively in an emergent situation. Prioritizes tasks and adjusts priorities, maintain orderly, efficient, and timely flow of patients. Recognizes and reports errors or unusual occurrences, and initiates corrective action when appropriate. Makes accurate, complete, and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicate with all members of the healthcare team, patient, and patient family and then assess, plan, implement and evaluate patient care. Know how to start standard interventions to stabilize the patient. Communicates with colleagues and interdisciplinary team about the prevention, treatment and patient care needs of the patient that has pressure injuries (reports, dietary consults, communicates with physicians). Basic cardiac rhythm monitoring techniques, interpretation, and treatment. Recognizes lethal arrhythmias and acts appropriately. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology. Recognize the signs and symptoms of cardiopulmonary and respiratory emergencies and knowing how to start standard interventions to stabilize the patient. Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy. Calculate drug dosage, administering continuous medication infusion, and monitoring patients for effects of medication. IV pump setup. Use of Doppler. Phlebotomy /IV start. Cardio pulmonary monitoring/ Arrhythmia recognition & treatments. Medication Indication, dosage, action, side effects of anti-platelets/ coagulants. Blood and blood product transfusions and assists with Massive blood transfusion. Care of mechanically ventilated. Assisting with Emergency Management. Urinary Catheterization – Male and Female. Start standard interventions to stabilize the patient. Communicates with colleagues and interdisciplinary team about the treatment and patient care needs of the patient that has pressure ulcers (reports, dietary consults, communicates with physicians). Management patient post neuro procedure, or Neuro patient transferring from Surgical intensive care unit. Have knowledge of all vasoactive Drugs such as Vasopressors, Inotropes, Catecholamine, and Adrenergic. Calculate and administer according to the guideline. Monitors and adjusts specialized equipment used on patients, and interprets and records electronic displays, such as intracranial pressures, arterial line pressures, central venous pressures, pulmonary artery pressures, Balloon Pump, Hypo/Hyperthermia machine, CVVHD, Peritoneal Dialysis. Initiates patient education plan, as prescribed by physician. Teach patients and significant others how to manage their illness/injury, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation. Demonstrates efforts in the prevention of hospital acquired conditions (HAC) CAUTI, CLABSI, Pressure injuries and Falls. Records all patients’ medical information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms. Prepares equipment and assists physician during examination and treatment/procedures of patient at the bedside. Participates in the formulation, review and or revision of departmental policies. Proactively participates in performance improvement initiatives to continuously improve the quality of patient care. Uses hospital resources effectively in providing patient care. Follows the process of reporting broken equipment. Recovering patient after sedation analgesia. Transferring patient to floor after verbal report/electronic report using Hand-off. Involves Patient and family in discharge teaching. Discharge patients safely if out patients. Performs other duties as assigned within the RN scope of practice. Qualifications Education: Internal & 1199 SEIU: Graduate of accredited nursing program(s). Bachelor's degree in Nursing preferred. Non 1199 SEIU Candidates: Bachelor’s degree in Nursing or equivalent to BSN program. Master's degree in Nursing, preferred. Experience: Minimum two (2) years' Telemetry experience required. Minimum one (1) year Critical Care nursing or equivalent experience preferred. Knowledge and Skills: Knowledge of Neuro assessment, and documentation, NIHSS scale. Knowledge of critical lab values. Critical thinking, math, and computer skills; Works as a team player. Demonstrates respect and professionalism in all interactions. Excellent oral and communication skills. Decision making and problem solving. Able to read, write, see and hear English. Licenses, Certifications: Current NY State RN License required. Basic Life Support (BLS) from the American Heart Association, required. Advanced Cardiovascular (ACLS) from the American Heart Association, required. CCRN (required within one (1) year of hire). Basic Arrhythmia Class with Certificate required. Stroke Certification required. Trauma Care After Resuscitation (TCAR) required. Physical Requirements: Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day. Position will be required to stoops, bends, lifts, carry items weighing up to 35 pounds for routine performance of essential functions. An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions. Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients. Manual and finger dexterity, as well as hand and eye coordination. Corrected vision and hearing to within normal range Frequently sitting at desk working on computer Ability to flex working hours. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
Overview Provides direct patient care and related support. Performs other related duties. Responsibilities Provides routine personal care to patients in a timely, safe and effective manner. Care may Include bathing, shaving, brushing teeth, dressing patients and attending to any and all of their personal care needs Prepares Patients For Meals, Feeds And/Or Assists With Feeding As Necessary Empties Bedpans And Collects Urine And Other Specimens Transfers Patients To And From Bed And/Or Chair Via One-Person Transfer, Two-Person Transfer, And Use Of A Hoyer Lift Takes accurate vital signs, temperatures, pulse and respirations. Records All Necessary Information According To Policy And Procedure; Performs ROM Using Proper Technique Assists Patients In Walking And In Transporting Patients By Means Of Wheel Chair Or Stretcher Performs other related duties. Qualifications Education: High School Diploma or GED required. Experience: No prior experience needed. Knowledge and Skills: Ability to work in surroundings with degree of dust, noise, etc. without undue discomfort. Ability to hear, talk, walk, stand, bend and stretch Ability to read, write and interpret documents Ability to sit for long periods of time at desk to perform job functions Ability to stand for long periods of time at required patient bedside and/or procedural areas Ability to communicate effectively with patients and/or co-workers May be required to handle reasonably heavy weights across distances May be required to handle/ assist in lifting patients onto/out of exam beds/procedure stations Must be trained in and knowledgeable of all Kingsbrook/Rutland policies and procedures pertaining to hazardous waste and hazardous materials and maintain qualifications applicable to assigned work Other: Knowledge of all codes and demonstrate understanding Licenses, Certifications: New York State Certification as a Nursing Attendant. Physical Requirements : Duties performed routinely require exposure to blood, body fluid and tissue. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
Overview Provides direct patient care and related support. Performs other related duties. Responsibilities Provides routine personal care to patients in a timely, safe and effective manner. Care may Include bathing, shaving, brushing teeth, dressing patients and attending to any and all of their personal care needs Prepares Patients For Meals, Feeds And/Or Assists With Feeding As Necessary Empties Bedpans And Collects Urine And Other Specimens Transfers Patients To And From Bed And/Or Chair Via One-Person Transfer, Two-Person Transfer, And Use Of A Hoyer Lift Takes accurate vital signs, temperatures, pulse and respirations. Records All Necessary Information According To Policy And Procedure; Performs ROM Using Proper Technique Assists Patients In Walking And In Transporting Patients By Means Of Wheel Chair Or Stretcher Performs other related duties. Qualifications Education: High School Diploma or GED required. Experience: No prior experience needed. Knowledge and Skills: Ability to work in surroundings with degree of dust, noise, etc. without undue discomfort. Ability to hear, talk, walk, stand, bend and stretch Ability to read, write and interpret documents Ability to sit for long periods of time at desk to perform job functions Ability to stand for long periods of time at required patient bedside and/or procedural areas Ability to communicate effectively with patients and/or co-workers May be required to handle reasonably heavy weights across distances May be required to handle/ assist in lifting patients onto/out of exam beds/procedure stations Must be trained in and knowledgeable of all Kingsbrook/Rutland policies and procedures pertaining to hazardous waste and hazardous materials and maintain qualifications applicable to assigned work Other: Knowledge of all codes and demonstrate understanding Licenses, Certifications: New York State Certification as a Nursing Attendant. Physical Requirements : Duties performed routinely require exposure to blood, body fluid and tissue. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
Overview The role of the Case Management Nurse coordinates and directs the patient care case management strategies to ensure quality care and efficient use of resources. Provides for staff management and leadership in departmental planning and policy development. Responsibilities Assists in the development of the clinical pathways for assigned DRG’s in cooperation with medical and nursing staff. Reviews the management of care by all care givers against the clinical pathway. Identifies, documents variances and determines justification and appropriateness of same. Takes appropriate action. Conducts care management reviews effectively and takes appropriate action for all deviations that neither do nor meet criteria/or without justification. Screens for quality, appropriateness and practitioner performance, using pre-established criteria. Makes appropriate referrals. Conducts focused reviews as assigned. Prepares and submits timely and accurate reports on same assigned. Actively participates in multi-disciplinary conferences for patients with special needs/problems. Provides information such as DRG LOS to other disciplines for timely discharge planning. Provides timely clinical reviews to Third party Payers utilizing Milliman guidelines and Interqual criteria. Coordinates the discharge appeal process accurately and timely when applicable. Serves as resource/consultant to clinical departments regarding case management issues of policies. Notifies Physician Advisors of need for review. Prepares and presents accurate reports and serves on committees assigned. Participates in the evaluation of UR, Discharge Planning, and QA programs annually and assists in strategic planning activities for the department. Conduct orientation and in-service programs for topics related to the department on a unit level. Collects QA data relative to the physician credentialing/re-appointment process. Collects data for employees practices patterns and refer same to appropriate department. Recommend policies/procedures/standards/for the department. Supervises proper level of care assignment. Completes and submits ALC notices, PRI’s, HINN’s and reinstatement notices, accurately and timely as indicated. Maintains competency through attending seminars, regarding job related topics. Performs other duties as required. Qualifications Position Requirements: Minimum BSN in Nursing degree required. Current NYS Registered Nurse licensure. Minimum of three (3) years clinical experience in an acute care setting. Critical care experience preferred. Minimum of three (3) years prior Utilization Review/Case Management/Discharge. Planning/Quality Planning experience a must. PRI certification required. Knowledge and experience in utilizing MCG and Interqual criteria a must. Language Skills: Ability to communicate effectively in English both verbally and in writing. Skills: Knowledge of Federal, State and JCAHO guidelines for utilization review, discharge planning/quality assurance/infection control. Knowledge of Milliman guidelines and Interqual criteria. Understanding EPIC and the integration with INDICIA/CareWebQI. Physical Demands: Involves standing, walking, sitting, talking, hearing and bending. May include some repetitive motions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH). OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
