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 Shifts

ROTATING SHIFTS

Job Description

PURPOSE OF POSITION:

The staff Nurse assigned to the Neonatal Intensive Care Unit has knowledge and expertise in the area of neonatal high-risk nursing. She work within the guidelines of the American Academy of Pediatrics, Association of Women, Obstetrics neonatal; and New York State Department of Health 405.21: Maternal and Newborn Standards, other Regulatory Agency Standards and the clinical departments.

RESPONSIBILITIES:
• Intervenes effectively with safe comprehensive nursing care based on pathophysiologic processes and nursing observations of the critically ill child.
• Provides highly skilled care to the critically ill child by monitoring and assessing physiologic variables and administers appropriate interventions for positive outcomes.
• Initiates and completes patient admission history and assessment according to established guidelines.
• Performs a systemic pediatric assessment.
• Assesses patient's psychosocial needs and behaviors relating to current situation and develops individualized plan of care for each patient. Revise plans as needed.
• Observes symptoms or changes in patient status and responds promptly, exercising reasonable judgment.
• Explains the rationale for selected therapies based on observation and findings.
• Evaluate the patient's response to the therapeutic regimen.
• Administers blood and blood product according to the hospital standards.
• Correctly obtain and interprets blood gas values.
• Participates in the resuscitation of the patient.
• Initiates and maintain IV therapy. Administers fluids and electrolytes based on lab values.
• Monitors children on mechanical ventilation and trouble shoots equipment if needed, Sets up hemodynamic monitoring equipment. Maintains the arterial line. Calibrates hemodynamic monitoring equipment for accuracy.
• Demonstrates collaborative practice through effective communication with the multidisciplinary team.
• Reports significant condition which might impact patient safety and work habits.
• Observes, follows, and enforces infection control protocols.
• Describes the actions, uses, dosages, side effects, and nursing responsibilities associated with administration of specific medications.
• Records data reflecting pertinent trends in the child's condition according lo the hospital's standards and practices.
• Initiates, evaluates, and documents parental teaching based on identified learning needs.

Minimum Qualifications
1. A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and
2. 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).