Registered Nurse

ID
2022-30912
Department
Labor & Delivery
Work Hours
1900-0730*
Position Type
Regular Full-Time
Hours Per 2-Week Pay Period
72 Hours
Location
US-NY-Plattsburgh
Weekend Requirements
Working every other weekend required and holidays as scheduled

Overview

The Registered Nurse is responsible for the management of patient care, utilizing the nursing process to assess, plan, implement and evaluate patient outcomes.  The nurse directs and guides the delivery of nursing care, patient education, and all care related activities, while maintaining standards of professional nursing collaborating with other disciplines as appropriate.

Special Criteria Details

*WAIVER REQUIRED

Responsibilities

  1. Practices within the boundaries of the NYS Practice Act for Registered Professional Nurses and provides care according to CVPH (generic & unit-specific) Standards of Care and Practice.
  2. Assesses patient by performing a functional health pattern/physical assessment on all patients as indicated when he/she is admitted, when a significant change in condition occurs, upon transfer to/receiving from another unit, and as defined by CVPH generic and unit-specific Patient Care Standards.
  3. Direct Patient/Family Contact
  4. Blood & Body Fluid Exposure
  5. Chemical Solutions Specific to Department
  6. Potential Exposure to Airborne Disease
  7. Use of Electrical Equipment
  8. Verifies and/or transcribes and implements physician orders.
  9. Develops/Revises plan of care to include discharge plan that prescribes nursing actions to achieve age-specific outcome goals for the patient(s) with various diagnosis.
  10. Provides nursing care to the patient requiring monitoring/intervention with “Point of Care Testing” (e.g., fingersticks, stool/gastric testing),  patient care devices (e.g., PCA, suction apparatus),  input/output tubes/devices (e.g., NG tubes, urinary drains, surgical drains, enteral feeding tubes), and other such devices/treatments.
  11. Documents/communicates nursing care, physiological responses to other health care providers through verbal reports and patient record(s) as dictated by policy/guidelines; Reports to physician changes/deviations from expected norm.
  12. Provides nursing care through utilization of the electronic information system, (e.g, Order Entry for orders, retrieving of lab data, etc)
  13. Provides leadership and measures effectiveness of nursing care by providing supervision, delegation, monitoring/reassessment of all patient care as required.
  14. Performs in crisis/emergency (e.g. Infant Abduction, Code Stork, Code White, 99, 66) while maintaining a positive/ calm approach.
  15. Provides prioritized patient/family education.
  16. Provides nursing care to the patient requiring medication administration by the applicable routes to include controlled substances.
  17. Provides nursing care for the patient requiring pain management (labor, surgical, chronic and terminal) according to organization and unit standards.
  18. Provides nursing care for the patient requiring blood/blood product therapy
  19. Demonstrates the competence to read, interpret fetal monitoring strips with appropriate interventions.
  20. Provides nursing care for the patient requiring preventive skin care, wound management, pressure ulcer prevention/treatment and stoma care
  21. Provides nursing care to the patient requiring various respiratory therapy modalities such as oxygen therapy and use of the inspirometer.
  22. Provides nursing care for the patient with a tracheostomy and/or requiring suctioning (nasopharyngeal, oropharyngeal, or tracheal) in collaboration with Respiratory Therapyand utilizing other resources when necessary.
  23. Provides nursing care for the patient requiring specimens.
  24. Provides nursing care to the patient requiring restraints/ protective/ supportive devices, wandering/elopement, seizure and suicide precautions, and the patient on fall protocol.
  25. Demonstrates respect for the diversity of patient population providing comprehensive holistic care for the dying patient, including post mortem care and support of the patient’s spirituality. Will collaborate care with Palliative Care, PCC, TRS and other units as needed.
  26. Provides nursing care to the patient requiring IV therapy to include various routes (e.g., peripheral), methods (e.g., continuous, intermittent, IVPB, IVP), and solutions/medications (e.g.,  TPN, PPN, lipid infusions, medicated drips, pitocin, magnesium sulfate).
  27. Provides nursing care for the patient requiring procedures/interventions to include lumbar puncture, chest tube insertion, thoracentesis, liver biopsy, bone marrow, etc, with or without sedation (conscious sedation), and assist anesthesia with labor epidurals.
  28. Provides care using infection control practices as outlined in Medical Center policies/procedures (e.g. Universal Standard Precautions and Isolation Techniques).
  29. Advocates patient rights and demonstrates a working knowledge of Advance Directive practices, organ donation and procurement as evidenced by completion of documentation as outlined by CVPH policy/procedures.
  30. Manages conflict/identifies ethical dilemmas and assists patients and families in resolving.
  31. Supports fluctuation in patient care needs by floating/overtime when required.
  32. Perform family assessment (e.g., assess dynamics and resources).
  33. Evaluate patient knowledge of labor process (e.g. previous experience, childbirth classes, and patient expectations) anticipate and provide individualized education and care.
  34. Evaluate patient's knowledge of ante-partum testing (e.g. NST, CST, Amniocentesis) anticipate and provide individualized education and care.
  35. Develop nursing plan of care based on appropriate data base and rationale that identifies short and long term goals and expected outcomes for the family unit, with the family participation in the planning process.
  36. Perform technical procedures. (IV starts, phelbotomy)
  37. Promote development and integration of the infant within the family through teaching, counseling and discharge planning.
  38. Initiates appropriate referral for follow up and home care.
  39. Evaluate and devise plan of care in collaboration with other health care providers in order to achieve optimal outcomes.
  40. Facilitate and participate in research, and apply research findings to clinical practice.
  41. Participate in the educational activities of nursing students and inservice education of nursing staff.
  42. Transport high risk patients to tertiary care center.
  43. Makes appropriate patient care assignments using nursing judgment and considering the patient's needs and qualifications/skills of available staff.
  44. Demonstrates commitment to continuing education by attendance at inservice nursing education programs.
  45. Keep current in newborn and maternal nursing through continuing education and review of pertinant, evidence-based literature.
  46. Safeguards the client and public when health care and safety are affected by the incompetent, unethical or illegal practice of any person.
  47. Successfully assumes the charge role as assigned.
  48. Provides nursing care for the patient during induction and emergence of anesthesia.
  49. Provides nursing care for the patient in a malignant hyperthermia crisis.
  50. Provides nursing care to that patient requiring applied devices.
  51. Functions as a circulator/scrubbed member of the surgical team.
  52. Implements safety measures for the patient and surgical team.
  53. Maintains principles of aseptic techniques.
  54. Helps prepare room between patients in a timely manner.
  55. Provides cardiovascular/respiratory/neuro assessment as patient condition or unit standards dictate.
  56. Provides physiological monitoring during a procedure.
  57. Provides nursing care by positioning patient for procedure.
  58. Ensures necessary equipment, supplies and instrumentation is available in a timely manner.
  59. Identifies/Utilizes appropriate methods of sterilization/disinfection.
  60. Functions as the scrub technician in emergent situations if no scrub technician is available.
  61. Supports fluctuation in patient care needs by floating/overtime when required, willing to take any reasonable assignments to assure meeting targeted goals such as room turnover, patient satisfaction, etc. and follows defined O.R. attire and traffic policies.
  62. Assists during endotracheal intubations by maintaining cricoid pressure.
  63. Provides equipment and supplies based on patient needs.
  64. Provides nursing care for the patient requiring cardiac or invasive monitoring.
  65. Provides immediate postoperative nursing care for the patient who has had anesthesia.
  66. Evaluates status of recovery room patients (e.g. vital signs, level of consciousness, activity level, respiratory effort, color, circulation, appearance of dressing, fluid and electrolyte balance, hemolytic status).
  67. Other duties as assigned that are within competency, skills and scope of practice.

Qualifications

The WCC nurse provides skilled nursing care for gynecological patients, antepartum patients,  intrapartum patients, post partum patients, newborns, and patients requiring perioperative and postanesthesia care.

 

  1. Graduate from an accredited School of Nursing.
  2. Currently licensed as a Registered Professional Nurse in New York State.
  3. Previous experience preferred.
  4. Excellent verbal and written communication skills.
  5. Ability to work with other healthcare team members.
  6. Meets requirements of physical/pre-employment screening and physical.
  7. Excellent attendance record required.
  8. Possess basic windows knowledge.
  9. Must be able to take call as scheduled.
  10. Must be self-motivated and technically adept.
  11. Able to handle a high stress level.
  12. Must be able to stand for prolonged periods.
  13. ACLS Certified preferred or obtain within six months of hire; continued maintenance of ongoing ACLS certification required.
  14. Completion of NRP (Neonatal Resuscitation Program) within six months of hire; bi-annual renewal and maintenance of NRP status is a requirement to maintain status as a WCC RN.
  15. Additional education or experience as needed. Educational preparation may be obtained informally through in-service or continuing education programs (e.g. STABLE, CLC).
  16. WCC is a comprehensive and collaborative care unit comprised of Labor & Delivery, Newborn Nursery and Mother Baby Care. Upon hire, WCC leadership will determine which area of the unit an RN will orient to initially based upon need assessment and experience/skills.  Upon completion of orientation to one of the areas, each RN will be required to orient to a 2nd area within 18 months of hire.  The timeline for orientation to a 3rd area will be at the discretion of WCC Leadership and will also be driven by department needs/skill mix.  All WCC RNs will be assigned to care for patients in all areas where they are trained to work on a rotating basis.

 

As applicable, the individual has training/competency in attending the special needs and/or behaviors appropriate to the age of the patients for which care is being provided.

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed