Overview Assumes responsibility and accountability for patient screenings; triage; pain management; falls prevention, nutritional and psychosocial, discharge planning and other interventions to restore, maintain or promote patients’ physical health. Utilizes the nursing process in the provision of direct patient care. Assists all patients, families/significant others through the healthcare system by acting as a patient advocate and navigator. Responsible and accountable for prescribing, delegating, and coordinating all care provided to assigned patients. Executes medical plan of care, at the direction of the treating clinician, in accordance with licensure of a Registered Professional Nurse. Utilizes nursing diagnoses to treat human responses to actual and potential health problems through such services as case finding, health teaching, health counseling, and provision of care supportive or to restorative of life and well-being. Supervises patient care provided by Licensed Practical Nurses (LPN), Medical Office Assistants (MOAs), Nursing Attendants (NAs), technicians, and supplemental staff. Supports patients’ self-management of disease and behavior modification interventions. Coordinates continuity of patient care with external healthcare organizations and facilities, including the process from admission to discharge and referrals from the primary care provider to the specialty care provider. Promotes clear communication amongst a care team and treating clinicians by ensuring awareness regarding a patient’s plan of care. Participates on a team for data collection, health outcomes reporting, clinical audits, and programmatic evaluation related to Patient-Centered Medical Home and ambulatory care initiatives. Assists in the prior authorization process for clinical and pharmacy related orders. Demonstrates the ability to function as part of an interdisciplinary health care team. Responsibilities Assesses the immediate and continuing care needs of the patient/families/significant other. Develops comprehensive and current plans of care which include physical needs, patient teaching, discharge planning and psychosocial/spiritual needs. Provides direct patient care based on assessed needs and the medical regimen. Oversees and ensures the provision of all aspects of care for the patient. Supervises the care provided by other nursing personnel including Licensed Practical Nurses (LPN), Medical Office Assistants (MOAs) and Nursing Attendants (NAs), as defined in the scope of practice. Participates in Quality Improvement activities related to patient care delivery and the development of nursing/hospital/ambulatory care standards. Recalls patients for abnormal results and/or follow-ups as requested by Provider. Documents all attempts via telephone and correspondence. Establishes priorities for care in collaboration with the multidisciplinary team and initiates follow-up, as indicated, to ensure timely provision of patient care and therapeutic modalities. Observes, evaluates, documents, and communicates to relevant team members the patient's response to illness and/or therapeutic modalities as related to diagnosis. Ensures timely reassessment of patient responses to treatment and when significant changes occur in patient condition and/or diagnosis. Participates in Patient Centered Medical Home Model including conducting daily briefings and huddles, as required. Provides Patient and Family education, as needed. Daily, weekly and monthly checks of all logs including refrigerators, medications, testing equipment as per established protocols. Coordinates the overall plan of care to ensure implementation of nursing interventions and consistency with medical regimen. Assures the plan of care integrates age-specific care needs (e.g. pediatrics, geriatrics) as defined in the unit scope of care. Accepts responsibility and accountability for nursing interventions and outcomes based on professional clinical judgments. Demonstrated ability to communicate effectively, manage stressful situations appropriately and facilitate interpersonal relationships with other disciplines. Ensures that patients receive timely and appropriate care within the delivery system and assists with facilitating internal and external referrals. Communicates with pharmacies as well as insurance companies related to patient treatment plans and approvals of medications and/or procedures/Diagnostic Imaging. Collaborates with medical providers in identifying patient’s educational needs and provides resources to meet these needs. Performs vital signs: T-P-R, O2 Sat, as required and weight, height and blood pressure, as needed. Performs diagnostic testing: EKG, point of care testing, as needed. Administration of medications and immunizations at the direction of the physician. Orders all vaccines, including Vaccines for Children Program and documenting pediatric immunizations in City wide Immunization Registry. Collects various screening information including: Falls, Nutritional, Psychosocial and Pain Assessments, as required and documents findings. Assumes role of patient advocate and conforms to policies and regulations governing patient rights, confidentiality and the HIPAA Privacy & Security Rules. Participates in Performance Improvement/Quality Assurance activities and demonstrates initiative in identifying and communicating performance improvement/quality assurance problems and issues. Participates in appropriate professional and community organization activities. Obtaining prior authorizations for (this list is not all inclusive): MRI, CAT Scans, EMG, Video Ambulatory and Ambulatory EEGs, medications, diagnostic testing and procedures, as applicable to insurance carriers. Includes review of Provider documentation to ensure tests/procedures are included for insurance purposes. Ensure lab testing has been ordered as per specialty clinic guidelines, i.e., every visit or every quarter including Genetic testing, Specialized Hematology, Renal and Gastroenterology services Schedule external appointments for (this list is not all inclusive): Early Intervention; PT/OT; Neurosurgery; Pediatric services: Orthopedics, Eye, Genetics and Psychiatry, as applicable. Establish routine communication with foster care agencies/Nursing staff; ACS; School Nursing, Psychiatry and Social Work staff, internal and external resources. Completion of school, foster care agency and early intervention forms are completed in a timely manner. All other duties as assigned. Qualifications Education / Experience: Internal & 1199 SEIU: Graduate of accredited nursing program(s). Bachelor's Degree in Nursing preferred. Minimum three (3) years’ experience in outpatient clinics with adult population and one (1) year with pediatric populations. Phlebotomy experience preferred. Non 1199 SEIU Candidates: Bachelor’s Degree in Nursing (BSN) required. Master's Degree in Nursing, preferred. Minimum three (3) years’ experience in outpatient clinics with adult population and one (1) year with pediatric populations. Will Accept Associate’s Degree with minimum five (5) years of clinical experience in outpatient clinics. Phlebotomy experience preferred. New Graduates: Bachelor’s Degree in Nursing (BSN) required. All required certifications within six (6) months of hire. Phlebotomy experience preferred. Knowledge and Skills: Demonstrates a commitment to continuing professional growth and development. Critical thinking, math, and computer skills – Excel & Word. Works as a team player. Demonstrates respect and professionalism in all interactions. Excellent oral and communication skills. Decision making and problem solving. Able to see, hear, read and write English. Ability to fully utilize BHMC’s electronic record systems, equipment and healthcare and billing systems relevant to this position. Licenses, Certifications: Current NY State RN License required. Basic Life Support (BLS) from the American Heart Association, required. Advanced Cardiovascular Life Support (ACLS) from the American Heart Association, required. Pediatric Advanced Life Support (PALS) from the American Heart Association, required. Certified Pediatric Nurse (CPN) preferred. Medical Surgical Certification required. Physical Requirements: Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day. Position will be required to stoop, bend, lift, and 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 work flex 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 The Registered Professional Nurse is responsible and accountable for prescribing, delegating and coordinating all nursing care. This is done by utilizing standards of care and standards of practice. Comprehensive mental health nursing care focuses on helping the substance abuser and mentally disturbed patient achieve their optimum health potential. This is best achieved within the framework of the nursing process. The activities are carried out in collaboration with other members of the health care team in response to patient and family needs. The Registered Professional Nurse is responsible and renders service to acutely ill adult psychiatric/substance abuse patients ranging from 16 years old and older. Responsibilities In accordance with professional nursing standards and practice, the mental health nurse will provide optimum health care to the substance abuser, emotionally disturbed patient and patients with a dual diagnosis by assisting them in attaining the highest level of wellness of which they are capable. The mental health nurse provides care of the patient using the nursing process. The mental health nurse assumes a leadership role in prioritizing assignments based on patient activity, complexity, resources available, staffing and skills mix. NURSING PROCESS Assessment Assesses patient’s physical, social and psychological status through direct observation, interview of the patient and the medical, physical and mental assessment. Utilizes observational skills to assess patients and family needs. Documents a complete nursing assessment to include fall, pain, suicide and nutrition, psychosocial, environmental factors, educational level and needs and discharge planning factors. Obtains and review available data base and any data collected by other members of the health team. Identifies nursing care problems resulting from substance abuse or prolonged use of neurolepties, mental illness. Re-assesses continuously to improve patient care. Communicates findings with other members of the health team. Summarizes and documents all findings clearly and concisely. Nursing Diagnosis Formulates, prioritizes and document nursing diagnosis consistent with the assessment data. Includes physiological, psychosocial, emotional and educational needs of the patients. Planning Formulates and documents patient centered, measurable goals consistent with the nursing diagnosis. Documents the written plan of care reflecting knowledge of physiological, psychological and emotional aspect of care for patients. Identifies patient level of education, learning needs and discharge planning needs on the day of admission. Intervention/Implementation Communicates and collaborates with the interdisciplinary team in implementing comprehensive plan of care in response to patient needs. Utilizes clinical skills in the provision of nursing care and management of patient including but not limited to: Identification of withdrawal symptoms Management of the agitated patient Administration of medications Management of the dependent / suicidal patient. Intervenes appropriately in psychiatric emergencies utilizing the non-violent crisis interventions. Maintains all levels of Infection Control Standards. Provides for psychosocial and educational needs of the patients. Provides health teaching /counseling sessions on an individual basis and in a group setting on the unit. Provides health teaching counseling sessions on an individual basis and in a group setting on the unit. Participates in treatment plan, medical rounds, interdisciplinary rounds and clinical assessment as scheduled. Ensures that all procedures are performed based on established nursing mental health standards. Demonstrates competency in performing all procedures within scope of practice. Investigate, resolve, communicates, and documents all required information regarding unusual occurrences. Delegates, guides and assists ancillary nursing personnel in tasks appropriate to their role. May have unsupervised patient contact in the course of performing their duties. Evaluation Interprets, communicates and documents the patient’s response based on the nursing and medical regimen. Revises the patient’s plan of care based on evaluation of the interventions and expected outcomes in collaboration with other members of the health care team. Evaluates the patient’s/significant other response to patient/discharge teaching. Qualifications Education: Bachelor’s degree in Nursing. Experience: Minimum one (1) year medical/surgical nursing experience preferred. Knowledge and Skills: Ability to communicate effectively both verbally and in writing. Additional languages preferred. Excellent interpersonal and presentation skills. Licenses, Certifications: Current NY State RN License required Basic Cardiac Life Support (BCLS) required Physical Requirements: 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.
Overview The Registered Professional Nurse is responsible and accountable for prescribing, delegating and coordinating all nursing care as defined by The New York State Nursing Practice Act. Comprehensive Medical/Surgical nursing care focuses on helping each patient to achieve their optimum health potential. This is achieved within the framework of the nursing process. The Medical/Surgical Registered Professional Nurse is responsible and renders services to Adult Medical/Surgical patients ranging from 18 years and older. Responsibilities In accordance with professional nursing standards and practices, the Telemetry nurse will provide nursing care to all patients with medical and surgical diagnoses. The Telemetry Nurse is responsible and accountable for the nursing care of the patients. Assessment Assesses patient’s physical, social and behavioral, mental status through direct observation, interview, and medical record review. Utilizes observational skills to assess patient’s needs. Documents a nursing assessment to include psychosocial, environmental factors, educational level and needs. Obtains and reviews available data base and any data collected by other members of the health team (medical/surgical/other history, physical exam mental status, therapist reports and community referrals). Identifies medical problems resulting from mental illness and use of medications. Communicates findings with other members of the health team. (Social Worker, Case managers, therapist, physician). Planning Identifies and addresses needs for admission based on acute medical/surgical diagnoses and presenting physical/psychological symptoms Identifies and addresses patient level of education, learning needs. Makes appropriate referral to other disciplines and documents same. Intervention/Implementation Management of clinical skills in the provision of nursing care and management of the patient including but not limited to: Identification of symptoms Management of the disease entity Treatment modalities Administration of medications Intervenes appropriately in medical/surgical emergencies utilizing non-violent crisis intervention. Utilizes infection control procedures; collaborates with the infection control department in preventing and controlling infection control. Practices infection control: personal hygiene; hand washing; and dress code Provides for psychosocial and educational needs of all medical/surgical patients. Provides health teaching and medication instructions. Ensures that all procedures are performed based on established standards of care Demonstrates competency in performing all procedures within the scope of practice and in accordance with Interfaith Medical Center. Investigates and communicates all required information regarding unusual occurrences or patient care incidents. Acts as a patient advocate. Evaluation Revises the patient’s plan of care based on evaluation of the interventions and expected outcomes in collaboration with other members of the health care team. Qualifications Education: Bachelor’s degree in Nursing. Experience: Minimum one (1) year acute care nursing experience preferred. Knowledge and Skills: Ability to communicate effectively in English both verbally and in writing Licenses, Certifications: Current NY State RN License required. Basic Cardiac Life Support (BCLS) required. Physical Requirements: 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.
Overview The Registered Professional Nurse is responsible and accountable for prescribing, delegating and coordinating all nursing care as defined by The New York State Nursing Practice Act. Comprehensive Medical/Surgical nursing care focuses on helping each patient to achieve their optimum health potential. This is achieved within the framework of the nursing process. The Medical/Surgical Registered Professional Nurse is responsible and renders services to Adult Medical/Surgical patients ranging from 18 years and older. Responsibilities In accordance with professional nursing standards and practices, the Medical/Surgical nurse will provide nursing care to all patients with medical and surgical diagnoses. The Medical/Surgical Nurse is responsible and accountable for the nursing care of the patients. Assessment : Assesses patient’s physical, social and behavioral, mental status through direct observation, interview, and medical record review. Utilizes observational skills to assess patient’s needs. Documents a nursing assessment to include psychosocial, environmental factors, educational level and needs. Obtains and reviews available data base and any data collected by other members of the health team (medical/surgical/other history, physical exam mental status, therapist reports and community referrals). Identifies medical problems resulting from mental illness and use of medications. Communicates findings with other members of the health team. (Social Worker, Case managers, therapist, physician). Planning: Identifies and addresses needs for admission based on acute medical/surgical diagnoses and presenting physical/psychological symptoms Identifies and addresses patient level of education, learning needs. Makes appropriate referral to other disciplines and documents same. Intervention/Implementation: Management of clinical skills in the provision of nursing care and management of the patient including but not limited to: Identification of symptoms Management of the disease entity Treatment modalities Administration of medications Intervenes appropriately in medical/surgical emergencies utilizing non-violent crisis intervention. Utilizes infection control procedures; collaborates with the infection control department in preventing and controlling infection control. Practices infection control: personal hygiene; hand washing; and dress code Provides for psychosocial and educational needs of all medical/surgical patients. Provides health teaching and medication instructions. Ensures that all procedures are performed based on established standards of care Demonstrates competency in performing all procedures within the scope of practice and in accordance with Interfaith Medical Center. Investigates and communicates all required information regarding unusual occurrences or patient care incidents. Acts as a patient advocate. Evaluation: Revises the patient’s plan of care based on evaluation of the interventions and expected outcomes in collaboration with other members of the health care team. Qualifications Education: Associate degree in nursing required and bachelor’s degree in nursing preferred. Experience: Minimum three (3) years' medical-surgical nursing experience preferred. Knowledge and Skills: Ability to communicate effectively in English both verbally and in writing Licenses, Certifications: Current NY State RN License required. Basic Cardiac Life Support (BCLS) required. Physical Requirements: 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.
