Position: Registered Nurse
- Participates in departmental and unit planning.
- Plans and implements nursing care for residents on a daily basis using nursing diagnosis, history and current nursing assessment.
- Formulates nursing care plan together with resident, family, other nurses, disciplines and community agencies as needed.
- Evaluates and continually reassesses the nursing needs of the residents and makes revisions to the plan as necessary.
- Provides nursing care in accordance with physician orders, standards of care, and departmental policies and procedures.
- Demonstrates competency in all skills required by this facility, including but not limited to: knowledge of infant/toddler/school age/adolescent growth and development, venipuncture, infusion therapy, device care, tracheotomy care, , internal feedings, ability for safe utilization of apnea monitor, pulse oximeter, CPAP and PCA pump.
- Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate and in accordance with the nursing care plan. Makes referrals to other disciplines as indicated by the resident’s needs and documents.
- Administers medications in accordance with nursing practice standards, and evaluates responses and outcomes.
- Observes, reports and documents adverse effects.
- Observes and reports changes in the resident’s condition to the physician and/or other appropriate health professionals.
- Evaluates and documents in the medical record resident/family responses to treatments, procedures, therapies and nursing interventions with accuracy, timeliness and according to policy and procedure.
- Initiates discharge planning with resident/family on day of admission and plans same with case manager, social services, home care, other disciplines and other appropriate agencies, as needed. Continually assesses discharge needs.
- Assesses and identifies learning needs of the resident/family, plans for and provides for patient/family training and education, and evaluates level of learning. Utilizes educational materials, as appropriate. Documents needs assessment, training and resident and/or family performance in the medical record.
- Functions as an integral part of the interdisciplinary and primary care team. Attends and participates in care planning, team conferences and discussions. Initiates appropriate discussion/meeting among team members to address all care needs of
- Directs and supervises the Licensed Practical Nurse (s) Child Care Technician(s) and CNA(s), coaching and demonstrating appropriate methods and practices for resident care and crisis intervention.
- Communicates plan of care changes as often as necessary and at the beginning/end of each shift.
- Assists medical provider with examinations, treatments and other interventions as needed.
- Accurately interprets lab values and reports abnormalities to medical provider.
- Transcribes physician’s orders accurately and insures prompt and accurate implementation.
- Orients and precepts new staff as directed. Cooperates with instructors of affiliating nursing programs and participates in the education of student nurses.
- Identifies and immediately reports unsafe practices and/or conditions related to resident care, resident abuse and potential to cause physical or emotional harm to a resident including signs and symptoms of suicidal ideation including but not limited to, suspected child abuse/child neglect, (Immediately removes any material that may be an actual or potential harm to any patient and gives it to supervisor / manager.
- Accompanies and transports residents inter-facility when medically necessitated.
- Continuously aware of the twenty-four hour staffing for the particular unit and organizes patient care in accordance with the staffing available on each shift daily. Communicates staffing needs to Nurse Manager/Supervisor on a consistent basis.
Non Essential Duties:
- Provides input into unit staffing needs and recurrent budgets. Demonstrates and recommends cost effective methods in the provision of patient care.
- Supports and participates in quality improvement activities on the patient care unit and hospital.
- Licensed to practice professional nursing in the State of New York.
- Basic Life Support (BLS) certification and Pediatric Advanced Life Support (PALS) certification required.
Previous experience required:
- One year nursing experience preferred in pediatrics or medical surgical nursing.
St. Mary’s Healthcare System for Children is one of the nation’s premier providers of intensive rehabilitation and specialized care for children with special needs and life-limiting conditions. The largest pediatric post-acute care provider of its kind in the region, St. Mary’s treats 2,000 children each day through our hospital, Home Care and Community Programs in the five boroughs of New York City, Nassau, Suffolk, Westchester and beyond. Following hospitalizations for complications from premature birth, illness and injury, or when special services are needed, children and their families come to St. Mary’s to receive exceptional care, learn to manage their condition, and achieve a better quality of life.
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.