Outposted Therapeutic Housing Units Program (OTxHU)
Since 2016, Correctional Health Services (CHS) has been the direct provider of health care in the New York City jails. Deeply committed to human dignity and patient rights, CHS is part of the NYC Health + Hospitals system and is a key partner in the City's efforts to reform the criminal-legal system. Our in-jail clinical services include medical, nursing, and mental health care; pharmacy services; substance-use treatment; social work; dental and vision care; discharge planning; and reentry support.
Given the high visibility of this initiative, we are seeking the highest caliber health care professionals in key clinical services to staff our Outposted Therapeutic Housing Units (OTxHU). To be located in three NYC Health + Hospital acute care facilities, the OTxHU is a pioneering approach to safely increasing access to high quality clinical care for patients in custody who have complicated health conditions. OTxHUs will bridge the gap in the continuum between care provided in the jails and inpatient hospitalization, with admission to and discharge from the OTxHU in accordance with a patient's clinical needs. CHS will be the primary health care providers on these units and the NYC Department of Correction will provide security and custody management.
The OTxHU at NYC Health + Hospitals/Bellevue in Manhattan will be the first of this unique, groundbreaking project to open with a planned completion date as early as the end of 2024. This is an incredible opportunity to be part of a passionate and motivated team providing care to some of the City's most marginalized, vulnerable people.
*To help support continuity of operations and care, staff selected to work in the OTxHU may also be required to work in CHS locations within the jails. Additionally, while CHS seeks the most qualified individuals for these positions, preference will be given to equally qualified, internal candidates.
Position Overview
Job Description
The Supervisor of Nurses (SON) diagnosis and treats human responses to actual or potential health problems through such services as data collection, physical assessment ,case-finding, health teaching, health counseling and provision of care supportive to /or restorative of life and well-being as data collection, physical assessment, health teaching, health counseling, and provision of care supportive to or restorative of life and well-being and executing medical regimens prescribed by a licensed physician , dentist or other health care provider legally authorized under this title and in accordance with the commissioner's regulation.
Under the guidance of the On-Site Director of Nursing (OS-DON), the Supervisor of Nurses is responsible for directing and administering nursing care to patients. He/she coordinates activities through collaboration with physicians, administration, pharmacy, clerical, and correctional staff, etc.
He/she is guided by a thorough knowledge of principles of nursing based on biological, physical, and psychosocial sciences.He/she possesses a working knowledge of principles of leadership and utilizes that knowledge in guiding and directing nursing staff.
He/she assists the OS-DON in ensuring compliance with standards, policies and procedures of NYC Health and Hospital and the Department of Nursing. He/she will be working with adult male and females between sixteen to eighty and infants from birth to one year of age.
Responsibilities
Provides direct patient care as necessary. Using the problem-oriented progress notes, written to match each problem documented on the Problem List and organized using the SOAP format.Coordinates the nursing care provided for patients within a given unit by:
Assigning appropriate nursing staff for patient care activities such as admissions, sick call, treatments, medications, punitive segregation rounds, follow-up, etc.Problems in staffing must be communicated to the On-Site Director of Nursing.Utilize therapeutic communication skills and effective interviewing techniques to elicit pertinent historical information and to make appropriate referrals as required. Screen patients with mental health problems in an immediate manner and makes appropriate referral as required.Making rounds to patient care areas for the purposes of assessing, planning, implementing, documenting, and evaluating unit nursing care delivery. Assist OS-DON in staffing needs. Provides guidance and assistance to nursing personnel in the delivery of patient care.Assuring continuity of care on other shifts through written and/or verbal communication. Communicates special care needs of particular patients to the psychiatrist, On-Site Director of Nursing or the On-Island Administrator.Collaborates with the OS-DON in the orientation of new staff on the unit. Evaluates the new nurse on an ongoing basis; writes a formal evaluation at the end of the probation period, and makes recommendations to the OS-DON.Evaluates and provides feedback to staff on an ongoing basis and in an annual formal evaluation conference. Collaborates with the OS-DON and/or Deputy Director of Nursing.Provides appropriate documentation and records of nursing personnel activities.Identifies staff development needs and plans strategies to meet the needs in collaboration with available nursing resources.Conducts meetings with his/her staff, in collaboration with the On-Site Director of Nurses, to share information, discuss problems and potential solutions, and to promote cooperative professional relationships among the staff.Monitors the quality of patient care through quality assessment -improvements mechanisms.Communicates, documents and collaborates on an ongoing basis, with the On-Site Director of Nursing concerning patient care and unit administration.EMERGENCY RESPONSE
- Responding to/addressing medical emergencies, such as falls, heart attacks, strokes, and burns as well as recovering post-operative patients
- Evaluate a patient's condition in order to determine the right course of treatment
- When clinically indicated, provide care, such as CPR, AED, prevent shock, control severe bleeding, prevent spinal damage, etc.
- Monitor patient's condition and keep stable
- Communicate with interdisciplinary team for the care of patients.
- Aid in the preparation of the transfer of patients to the emergency units and/or hospital floors
- Document medical treatment given to the patient
- Keep the equipment clean after use; check and replace damaged and used supplies.
- Collaborate with pharmacy to replenish supplies.
COORDINATOR / SUPERVISOR RESPONSIBILITES:
Coordinates the intra-disciplinary team providing comprehensive patient care.
Familiarizes self with and participates in defining, maintaining and interpreting standards of nursing practice through the application of nursing policies and procedures according to the Policy and Procedure Manual and specific policies of the Correctional Health Services.Identifies those components of the nursing plan, which may be delegated to allied nursing and other non-professional personnel, and provides teaching, guidance and supervision as necessary.Assists with the unit orientation of nursing personnel through participation in the precepting function.Counsels nursing staff and directs information to the On-Site Director of Nursing. Provides documentation as needed on a timely basis.Supervise all care provided by PCA and assumes other related responsibilities as required.Administer medication in a safe and efficient manner consistent with prescribed orders, mouth checks, and established standards.Participates in a system of ongoing monitoring activities, including peer, content, and quality reviews to ensure delivery of quality care. Makes recommendations for change where problems are identified.Continues professional development through:Participation in the evaluation process.Formal undergraduate, graduate and post-graduate courses.Attendance at continuing education programs sponsored by community and other health agenciesParticipation in unit conferences and staff development programs.Participates in projects and research activities that identify patient care needs.Shares with peers the knowledge that is gained at continuing education programsCARE OF THE ENVIRONMENT
Contributes to an environment that is conducive to meeting patients' needs by taking initiative in maintenance of supplies and equipment.Demonstrates awareness of the correctional health environment through observance of security regulations and appropriate care of contraband.Contributes to maintenance and/or improvement of the unit morale by:Utilizing established channels of communication.
Recognizing, accepting, and respecting people as individuals.
Demonstrating concerns for unit and patient needs over a 24-hour period.
HUMAN RELATION SKILLS:
Assists other employees where needed.Is responsible and cooperative with supervisors, fellow associates, patients, visitors, and Department of Corrections personnel.Maintains friendly working atmosphere.Maintains professional demeanor.Maintains professional appearance and adheres to uniform policy of Department of Nursing.Accepts constructive criticism as evidenced by appropriate changes in behavior.Utilizes established channels of communication.Recognizes, accepts, and respects people as individuals.Recognizes limitation and seeks assistance appropriately.WORKING CONDITIONS :
Clinic and Infirmary environment. Constant standing, walking: frequent bending, lifting and reaching + Occasional exerting up to 100pounds of force.
Corporate title Qualifications
A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA); andThree (3) years of experience as a registered nurse.