Staff Nurse

NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs. Our diverse workforce of more than 42,000 employees are uniquely focused on empowering New Yorkers.

NYC Health + Hospitals/Correctional Health Services is one of the nation's leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS leverages the resources of the nation's largest municipal health care system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City's criminal justice reform efforts.

Work Shifts

Time: 8pm-8:30am

Schedule Note:

• This position follows a 12-hour shift schedule, totaling 13 shifts per month, including every other weekend.
• Various Locations at Rikers Island

Duties & Responsibilities

Nurses work in collaboration with physicians to provide patients with care, education, and support. Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. May advise patients on health maintenance and disease prevention or provide case management. Coordinating and assigning duties to other health care personnel, such as licensed practical nurses, nursing aides, and patient care associates.

Detailed task

• Provide direct patient care as necessary.
• Coordinate the nursing care provided for patients within a given unit by:
• Assigning appropriate nursing staff for patient care activities such as admissions, sick calls, treatments, medications, unit rounds, follow-ups, etc.
• Assisting the ADON and nurse schedulers with staffing needs and communicating staffing concerns immediately with the ADON.
• Utilizing therapeutic communication skills and effective interviewing techniques to elicit pertinent historical information and to make appropriate referrals as required.
• Screening patients with mental health problems immediately and making appropriate referrals as required.
• Making rounds to patient care areas to assess, plan, implement, document, and evaluate unit nursing care delivery.
• Providing guidance and assistance to nursing personnel in the delivery of patient care.
• Ensuring continuity of care on other shifts through written and/or verbal communication.
• Communicating special care needs to the appropriate member of Leadership.
• Collaborate with the ADON to orient new staff. Evaluate the new nurse on an ongoing basis, write a formal evaluation at the end of the probation period, and make recommendations to the ADON.
• Monitor, record, and report patients' medical information, vital signs, symptoms, and changes in condition and escalate care as appropriate according to established policies, procedures, and standards of care.
• Comply with procedures, regulations, and rules in maintaining medical records.
• Modify patient treatment plans as indicated by patients' responses and conditions.
• Monitor all aspects of patient care, including diet and physical activity.
• Perform administrative and managerial functions, such as taking responsibility for a unit's staff, and planning.
• Direct and supervise less-skilled nursing/health care personnel, or supervise a particular unit on one shift.
• Prepare patients for, and assist with, examinations and treatments.
• Observe nurses and patients to ensure that proper nursing care is provided.
• Instruct individuals, and other groups on topics such as health education, disease prevention, and childbirth, and develop health improvement programs.
• Prepare rooms, sterile instruments, equipment, and supplies, and ensure that stock of supplies is maintained.
• Administer local, inhalation, intravenous, and other medications as ordered.
• Provide health care, first aid, immunizations, and assistance in convalescence and rehabilitation.
• Conduct specified laboratory tests.
• Direct and coordinate infection control services, advising and consulting with specified personnel about necessary precautions.
• Provide or arrange for training/instruction of auxiliary personnel.
• Refer patients to specialized health resources or community agencies.
• Consult with institutions or associations regarding relevant issues and concerns.
• Assess patient needs and provide clear education on the management of their care.
• Engage in nursing research.
• EMERGENCY RESPONSE
• Responding to/addressing medical emergencies, such as falls, heart attacks, strokes, burns, and recovering post-operative patients.
• Evaluate a patient's condition to determine the right course of treatment.
• When clinically indicated, provide emergency care, such as CPR, AED, shock prevention, bleeding control, and techniques to prevent worsening of spinal damage, etc.
• Monitor patients' condition and keep it stable while en route to the clinic.
• Aid in preparing patients for transfer to the emergency units or hospitals.
• Document the medical treatment that is given to the patient.
• Keep the equipment clean after use; check and replace damaged and used supplies.
• Collaborate with the pharmacy to replenish supplies.

PHYSICAL DEMANDS

• Ability to lift fifty (50) pounds.
• Moving, lifting, or transferring patients may involve lifting up to 100 pounds.
• Ability to stand for extended periods.
• Fine motor skills.
• Visual acuity.

Minimum Qualifications
1. A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and
2. Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA).
Special Note:
For assignments in Post-Acute Care ONLY, individuals meeting the following criteria may also be considered for appointment: Graduation from a nursing education program registered by the New York State Education Department (NYSED) as licensure qualifying for Registered Professional Nurse (RN) and has applied for licensure as an RN. These unlicensed individuals may be employed to practice under the immediate and personal supervision of a NYS licensed, currently registered, RN for up to 90 days immediately following graduation pending receipt of a limited permit, which selected candidates must apply for and receive within the same 90-day period. Once a limited permit is received, individuals can practice nursing, under the immediate and personal supervision of a NYS licensed, currently registered, RN at a NYC Health + Hospitals health care setting for up to one (1) year from the date of issuance of the limited permit. In addition, must hold or obtain through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA).

Department Preferences

1. Licensed Registered Professional Nurse currently registered to practice in New York State.
2. A baccalaureate degree in nursing is preferred.
3. Demonstrated clinical competence and leadership traits (e.g. decision-making ability and skills in problem-solving, communication, priority-setting, and interpersonal relationships) with a minimum of one year of clinical nursing practice as a medical/surgical, behavioral health, or correctional health nursing experience preferred.
4. Demonstrated commitment to continuing professional development through attendance at continuing education programs and participation in professional/organizational committees/councils
5. Basic Life Support Certification is required; ACLS is preferred.

Additional Salary Compensation

In addition to base compensation, you may also receive the following based on the Collectively-Bargained Agreement:

An annual education differential if you currently possess an appropriate degree in nursing or an allied health discipline from an accredited college or university, as listed below:

• Bachelors in allied health discipline = $900
• Masters in allied health discipline = $1,200
• Bachelors of Science in Nursing (BSN) = $1,800
• Masters of Science in Nursing (MSN) = $2,000
• Doctorate in Education, Nursing Practice or PhD in Nursing (DNP) = $2,500

An annual certification differential if you currently hold appropriate certifications that are nationally recognized in the discipline or area of specialization for which you are employed, as listed below:

• Certifications in the following disciplines/areas of specialization are eligible for premium pay at $3,000:
  • Behavioral Health
  • Emergency
  • Surgical Services
  • Critical Care
• Certifications in the following disciplines/areas of specialization are eligible for premium pay at $2,000:
  • Med-Surgical/Dialysis
  • Correctional Health Professional - if assigned to Correctional Health
• All other nationally recognized certifications are eligible for regular pay at $1,878.

An annual certification differential ranging from $1,878 up to $4,878 if you currently hold appropriate certifications that are nationally recognized in the discipline or area of specialization for which you are employed.

An annual nursing experience differential ranging from $987 up to $8,190 for up to 10 years of experience if you have outside nursing experience as a Staff Nurse.

Benefits

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• Loan Forgiveness Programs for eligible employees
• College tuition discounts and professional development opportunities
• College Savings Program
• Union Benefits for eligible titles
• Multiple employee discounts programs
• Commuter Benefits Programs

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

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