Job DescriptionPerforms an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team.Responsibilities:1. Assesses the patient's physiologic health status
- Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously;
- Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status;
- Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate;
- Assesses level of pain and pain management;
- Communicates/documents patient's physiologic health status and plan of care.
2. Assesses patient's psychosocial health status
- Elicits perception of medical/nursing care and the expectation of care;
- Determines coping mechanism, knowledge level, and ability to comprehend;
- Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction;
- Communicates and documents psychological status and care plan; support group, counseling services, social services.
3. Identifies patient outcome
- Develops criteria for measurement of patient outcomes;
- Identifies actual/potential patient problems;
- Identifies patient's need for teaching based on psychosocial and developmental assessment;
- Develops patient outcome statement (s) and establishes individualized patient goals.
- 4. Formulates the plan of care and establishes the priorities necessary to achieve expected outcome
- Identifies care activities and establishes the priorities necessary to achieve expected outcome;
- Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome;
- Documents the plan of care and collaborates with physicians and other health team members.
5. Implements the plan of care
- Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.);
- Exercises professional skills related to the plan of care;
- Reassesses patients as needed and appropriately revises plan of care;
- Correctly administers prescribed treatments;
- Correctly uses equipment necessary for patient care;
- Provides emotional support to patient and significant other;
- Applies scientific principles in performing procedures; carries them out safely, timely and efficiently;
- Makes accurate observations of patient's conditions during treatments/procedures. Reports and records same as appropriate;
- Keeps accurate documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions;
- Uses appropriate methods of documentation according to departmental policy;
- Acts rapidly and effectively during any emergency situation, managing self, patients and other employees;
- Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient's family or caretakers;
- Participates in planning for discharge and coordinates referrals, as appropriate;
- Provides discharge instructions to patient and significant other.
6. Evaluates care provided for patient outcome
- Demonstrates ability to measure effectiveness of care provided and documents same;
- Performs variance analysis related to outcome data for performance improvement;
- Designs, implements, and evaluates systems to improve care in Unit;
- Keeps accurate documentation of patient's treatment, activity and condition;
- Uses appropriate methods of documentation according to departmental policy.
7. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team
- Collaborates with the appropriate physician on patient's plan of care;
- Accurately interprets and implements treatment regimen as prescribed by the Physician;
- Assists the Physician during treatments and/or diagnostic procedures;
- Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient's condition and/or treatments, as appropriate;
- Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion.
8. Performs grade I-IV Decubitus Care
- Performs preventive skin care measures
- Applies simple dressings, maintaining principles of aseptic technique;
- Applies warm & cold compresses, consistent with facility procedure;
- Performs irrigations, consistent with Facility procedure;
- Performs other procedures related to skin care, as necessary.
9. Administers medications correctly and safely
- Correctly identifies medication: action; dosage; side effects and implications for the patient;
- Meets standard on medication administration examination;
- Demonstrates preparation of local solutions;
- Demonstrates preparation of I.V. drips;
- Administers and documents medication correctly;
- Administers IVP medication as per department policy and procedure;
- Educates patients and significant others related to drug and food interactions.
10. Participates in patient and family education
- Provides the patient with an explanation of his/her condition as indicated;
- Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies;
- Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching;
- Provides for early discharge planning and appropriate referrals for post-hospital care;
- Evaluates the effectiveness of teaching by feedback from patient/family and documents same.
- 11. Performs related duties, as required.
Qualifications: • Minimum 1-2 years of professional nursing experience in the related specialty.• Current license to practice as a Certified Surgical Technologist in New York State, required.• BLS required, plus specialized certifications as needed.ResponsibilitiesParticipates as a member of the Perioperative team by performing direct and indirect Perioperative tasks for patients having surgical procedures. Performs delegated patient care activities while ensuring patient safety.
Responsibilities:
*Implements and communicates the age specific plan of care and gives thorough reports at change of shift and relief time. Communicates with team members regarding the need for special equipment and supplies, and implementation of care per established policy. *Participates in turnover activities and room set up for each surgical procedure, including connection of suction, electrical cords, power cables and electrocautery; break down of operating room following each surgical procedure; assists with ensuring adequate supply of stock for patient care. *Monitors each case to ensure all infection control measures are met and all sterilization standards are adhered to. Establishes and maintains a sterile field and monitors the aseptic technique of the surgical team; documents accordingly and takes corrective action, as necessary. *Adheres to and monitors principles of aseptic techniques in the clinical environment including use of sterile instruments and supplies. Follows procedure for decontaminating of all instruments used during the procedure and assists with instrument processing and sterilization. *Maintains environmental controls and takes appropriate precautions regarding waste disposal. *Performs sponge, sharp, and instrument counts with the RN according to policy. Takes appropriate action when counts are incorrect. *Ensures appropriate and safe use of equipment and instrumentation prior, during and post-operatively. Second assists as needed under the direction of the surgeon. Correctly holds retractors as prescribed by the supervising physician; anticipates the need for surgical equipment and supplies and secures same. Checks and or troubleshoots equipment for proper functioning prior to use and removes malfunctioning equipment for repair. *Assists surgeon with patient care procedures including proper labeling of all specimens from surgical field, tapping mallet and cutting suture (licensed personnel only) and performing surgical skin prep. Performs related duties as assigned.*ADA Essential FunctionsQualifications: - Minimum of one (1) year experience as a Surgical Technologist or in a clinical setting (for LPN's), required.
- Successful completion from a nationally accredited educational program for surgical technologist, and holds and maintains a certified surgical technologist (CST) credential administered by the National Board of Surgical Technology and Surgical Assisting (NBSTSA), required.
OR (meets one for the following) - Completed an appropriate training program for surgical technology in the United States Army, Navy, Air Force, Marine Corps, Coast Guard, or Public Health Service Commissioned Corps;
- Provides evidence that the person was employed as a surgical technologist in a healthcare facility for a cumulative period of one year, occurring within the four years immediately prior to January 1, 2015; or
- In the service of the federal government, to the extent the person is performing duties related to that of a surgical tech.
*a person may be employed or contracted with to practice surgical technology during the 12-month period immediately following successful completion of a surgical technology program, but may not continue to be employed beyond that period without documentation that the employee holds and maintains a certified surgical technologist credential required.
- Must be and remain in good standing with NYS regulations, required.
- Ability to function effectively in emergency situations.
*Additional Salary Detail 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 may 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., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).