Urgent need for NICU RN in Brooklyn, NY
DirectShifts
Brooklyn, NY, USA
Posted 6+ months ago
Responsibilities
- Has thorough knowledge of the pathophysiology and developmental growth of the neonate.
- Conducts a complete assessment and reassessment of the neonate according to policy (patient acuity).
- Delivers patient care based on neonate’s gestational age and stage of development.
- Utilizes the nursing process in providing nursing care based on the identified needs/problems.
- Monitors vital signs as per policy (patient acuity).
- Understands and performs pain assessment and reassessment using age-appropriate tools.
- Cares for the neonatal patient utilizing the NICU policies and procedures.
- Participates in policy and procedure development and revisions.
- Participates in unit based performance improvement initiatives.
- Demonstrates and states use of and functions of NICU equipment.
- Explains use and necessity of high-tech equipment to parents.
- Actively participates in parent teaching in the care of the neonate and fostering family-centered care.
- Assesses parent-infant interaction and makes appropriate referrals to support services when necessary.
- Participation in multi-disciplinary meetings and parent conferences.
- Aware of current trends in neonatal nursing.
- Provides safe and effective respiratory care to the neonate.
- Demonstrates the ability to care for a ventilated patient.
- Provides nursing care for the neonatal/pediatric patient receiving inhalation medication via nebulizer.
- Provides nursing care for the neonatal/pediatric patient on high frequency ventilation.
- Safely administers and monitors blood/blood products to the neonatal/pediatric patient.
- Properly inserts and removes nasogastric tubes.
- Starts, assesses and monitors IV infusions (peripheral and umbilical).
- Safely administers medications with knowledge of neonatal/pediatric medication and their common side effects. Prepares and administers ordered medications as per physicians order.
- Accurately calculates medications using mgs/kgs/dose/day.
- Demonstrates the ability to titrate intravenous medications according to the patient's hemodynamic status.
- Draw blood gases from indwelling arterial catheter.
- Performs venipuncture for blood sampling.
- Obtain blood via finger or heel stick.
- Management of neonate receiving phototherapy (bili-lights and bili-blankets).
- Supports breastfeeding mothers and neonates.
- Provide safe and effective pre and post op care of the neonate pedaitric patient.
- Monitors lab values and provides care accordingly.
- Monitor nutritional needs.
- Involved in palliative care and initiates bereavement when indicated.
- Aware of Code Pink infant safety policies and procedures.
- Assists the medical team with bedside procedures.
- Monitors and accompanies infants transported off of the unit for diagnostic procedures or tests.
- Demonstrates knowledge about neonatal infections, RDS, and other disease processes that affect the neonate.
- Attends deliveries on Labor and Delivery of high-risk neonates or when requested. (Write NA if non-applicable).
- Performs transitional duties; assists with the initiation of skin to skin and newborn care after NSVD and C-Sections.
- Participate in clinically appropriate continuing education activities.
- Delegates’ responsibilities to PCA/PCT to ensure tasks are completed; provide assistance as needed.
- Performs skin assessment per policy; utilizes BRADEN Q scale, participates in turning, positioning and skin care.
- Aware of developmental milestones and any deviations.
- Aware of NICU developmental care.
- Actively involved discharge planning.
- Initiates and assists with neonatal resuscitative measures.
- Sets up emergency equipment as needed.
- Ensuring regulatory requirements are met and maintained. Follows infection control standards of care
- Conducts individual and group discharge education and breastfeeding classes.
- Provide low-risk neonatal care to infants in the well-baby nursery including newborn assessments, daily care, audiology, phototherapy and other procedures as ordered.
- Collaborates with social work/case management for appropriate referrals to ACS, external agencies, etc.
- Monitors and performs essential tests on newborns.
- Performs duties of transitional nurse: assisting with skin to skin initiation ns newborn care after vaginal and cesarean delivery.
- Participates in clinically appropriate continuing education activities.
- Delegates responsibilities to PCA/PCT to ensure tasks are completed; provide assistance as needed.
- Maintains current nursing knowledge to assure a safe working environment
- Maintains competency and updates knowledge of standards of practice in scope of practice as per AWHON.
- Participates in assigned departmental or organizational committees, meetings and/or conferences.
- Performs other duties as assigned within the RN scope of practice.
Qualifications
Education:
Internal & 1199 SEIU:
- Graduate of accredited nursing program(s).
- Bachelor's degree in Nursing preferred.
Non 1199 SEIU Candidates:
- Bachelor’s degree in Nursing or equivalent to BSN program.
- Master's degree in Nursing, preferred.
Experience:
- Minimum one (1) year neonatal or pediatric experience.
Knowledge and Skills:
- Critical thinking, math, and computer skills; Works as a team player.
- Demonstrates respect and professionalism in all interactions.
- Excellent oral and communication skills.
- Decision making and problem solving.
- Able to read, write, see and hear English.
Licenses, Certifications:
- Current NY State RN License required.
- Basic Life Support (BLS) required.
- Neonatal Resuscitation Program Certification (NRP) required.
- Pediatric Advanced Life Support (PALS) required.
- WHO 20 hour Breastfeeding Course (Women and Children Division) or equivalent training required.
- Certified Lactation Counselor preferred
- International Board Certified Lactation Consultant preferred
- Neonatal Critical Care Certification preferred
Physical Requirements:
- Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day.
- Position will be required to stoops, bends, lifts, carry items weighing up to 35 pounds for routine performance of essential functions.
- An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions.
- Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients.
- Manual and finger dexterity, as well as hand and eye coordination.
- Corrected vision and hearing to within normal range
- Frequently sitting at desk working on computer
- Ability to flex working hours.