Staff Nurse-Emergency Svcs

NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country.At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.Work ShiftsROTATIONAL SCHEDULE NightsJob Description1. Provide initial assessment and triage on all patients that present to the Emergency Department.2. Plan care according to appropriate nursing and medical needs.3. Perform an on-going assessment and evaluation of effectiveness of treatment modalities and care implemented based on review of patient's laboratory test and procedure results.4. Confirms with the hospital protocol for complying with applicable statutes report child,sexual and other abuse.5. Confirms with the hospital policy on reporting Domestic Violence.6. Perform nursing assessment, planning, intervention and evaluation of patient in the following areas of the Emergency Department.a. Triageb. Trauma Roomc. Surgeryd. Medicinee. Psychiatryf. Pediatricsg. Holding Areah. Diagnostic Area7. Perform skills including but not limited to the following as outlined in the Nursing Policy and Procedures and Emergency Department specific competency.a) Administration of Intravenous Medicationb) Administration of Oxygenc) Administration of Oral, Rectal, and Parental Medicationd) Auto Transfusione) Aseptic Technique/ Infection Control Practicesf) Blood, Blood Components and Special Blood Products Transfusion g) Blood Alcohol Level Drawingh) Cardiac Monitoring, CPRi) CVP, A-Line, and Swan- Ganz Monitoringj) Controlled Drugs (handling)k) Cardioversion / DefibrillationL) Insertion of Oropharyngeal Airwaym) LV. Therapy and Phlebotomyn) NGT, Foley Catheter Inse1tiono) Oropharyngeal / ETT Suctionp) Sexual Assault Evidence Collectionq) Tracheostomy Care / ETT Care / Chest Tuber) Urine/ Stool Specimen Collections) Throat Culturet) Blood Culture Specimen Collectionu) Vascular Access Portv) Visual Acuityw) Wound Irrigation, Cleansing and Dressing8. Assist the physician with following procedures:a) Bedside Bronchoscopy, Gastroscopy, Endoscopyb) Lumbar Puncturec) Intubationd) Peritoneal Lavagee) Chest Tube Insertionf) Hemostatic Measuresg) CVP, Swan-Ganz, A-Line Insertionh) Temporary Pacemaker Insertion/ placement9) Administer medication, record vital signs and other findings in patient's medical record.10) Instruct patient/family regarding health and discharge instructions and follow up clinic visit.Maintain preparedness to respond to emergency situations, e.g. Rapid Response (RRT), Code Blue, Internal and External Disaster. Participate in the Performance Improvement activities in the ED and Hospital-Wide.Minimum Qualifications1. A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and2. 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).NYC Health and Hospitals offers a competitive benefits package that includes:Comprehensive Health Benefits for employees hired to work 20+ hrs. per weekRetirement Savings and Pension PlansLoan Forgiveness Programs for eligible employeesPaid Holidays and Vacation in accordance with employees' Collectively bargained contractsCollege tuition discounts and professional development opportunitiesMultiple employee discounts programs