FlexStaff

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Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team.

Responsibilities:




*1. Assesses the patient’s physiologic health status

Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously;
Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status;
Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate;
Assesses level of pain and pain management;
Communicates/documents patient’s physiologic health status and plan of care.

*2. Assesses patient’s psychosocial health status

Elicits perception of medical/nursing care and the expectation of care;
Determines coping mechanism, knowledge level, and ability to comprehend;
Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction;
Communicates and documents psychological status and care plan; support group, counseling services, social services.

*3. Identifies patient outcome

Develops criteria for measurement of patient outcomes;
Identifies actual/potential patient problems;
Identifies patient’s need for teaching based on psychosocial and developmental assessment;
Develops patient outcome statement (s) and establishes individualized patient goals.

*4. Formulates the plan of care and establishes the priorities necessary to achieve expected outcome

Identifies care activities and establishes the priorities necessary to achieve expected outcome;
Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome;
Documents the plan of care and collaborates with physicians and other health team members.

*5. Implements the plan of care

Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed.  (Side rails up, call lights and bedside stand within reach, etc.);
Exercises professional skills related to the plan of care;
Reassesses patients as needed and appropriately revises plan of care;
Correctly administers prescribed treatments;
Correctly uses equipment necessary for patient care;
Provides emotional support to patient and significant other;
Applies scientific principles in performing procedures; carries them out safely, timely and efficiently;
Makes accurate observations of patient’s conditions during treatments/procedures.  Reports and records same as appropriate;
Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions;
Uses appropriate methods of documentation according to departmental policy;
Acts rapidly and effectively during any emergency situation, managing self, patients and other employees;
Provides a calm, quiet, restful atmosphere.  Communicates effectively with the patient’s family or caretakers;
Participates in planning for discharge and coordinates referrals, as appropriate;
Provides discharge instructions to patient and significant other.

*6. Evaluates care provided for patient outcome

Demonstrates ability to measure effectiveness of care provided and documents same;
Performs variance analysis related to outcome data for performance improvement;
Designs, implements, and evaluates systems to improve care in  Unit;
Keeps accurate documentation of patient’s treatment, activity and condition;
Uses appropriate methods of documentation according to departmental policy.

*7. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team

Collaborates with the appropriate physician on patient’s plan of care;
Accurately interprets and implements treatment regimen as prescribed by the Physician;
Assists the Physician during treatments and/or diagnostic procedures;
Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate;
Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion. 

*8. Performs grade I-IV Decubitus Care

Performs preventive skin care measures
Applies simple dressings, maintaining principles of aseptic technique;
Applies warm &amp; cold compresses, consistent with facility procedure;
Performs irrigations, consistent with Facility procedure;
Performs other procedures related to skin care, as necessary.

*9. Administers medications correctly and safely

Correctly identifies medication: action; dosage; side effects and implications for the patient;
Meets standard on medication administration examination;
Demonstrates preparation of local solutions;
Demonstrates preparation of I.V. drips;
Administers and documents medication correctly;
Administers IVP medication as per department policy and procedure;
Educates patients and significant others related to drug and food interactions.

*10. Participates in patient and family education

Provides the patient with an explanation of his/her condition as indicated;
Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies;
Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching;
Provides for early discharge planning and appropriate referrals for post-hospital care;
Evaluates the effectiveness of teaching by feedback from patient/family and documents same.

11. Performs related duties, as required.




*ADA Essential Functions

FlexStaff New York New York FlexStaff Job ID #20240425-12. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

FlexStaff Bayshore New York FlexStaff Job ID #20240424-11. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

Responsibilities: 
•        Prepares patient for examination
•        Explains procedure in layman terms to relieve patient of anxiety
•        Sets-up equipment to administer the proper procedure in a timely fashion
•        Ensures patient is screened according to protocol, and assures consent for the procedure has been obtained, when necessary
•        Performs MRI procedures to include: abdominal, thoracic, neurological exams, and extremities
•        Places patient on the exam table and positions within the gantry
•        Keys in patient history data and other pertinent information obtained from a requisition completed by the referring physician who includes anatomical area of interest, slice thickness and pulse sequences
•        Calculates the number of scans to be obtained based on patient size, and operates the equipment ensuring the required images were obtained as ordered by the Radiologist
•        Contacts Radiologist to review and ascertain whether additional scanning is required
•        Operates equipment for the transfer of computed images to film, the archival of disc memory to tape, and proper use of PACS System
•        Assists the Radiologist with administration of I.V contrast
•        Monitors patient condition and directly observes patient during the examination
•        Recognizes and promptly reports to the radiologist, changes in the patient's condition and/or motor abnormality complaints by the patient including: fainting, discoloration, etc
•        Performs minor repairs and frequent calibration checks and adjusts equipment, when necessary
•        Troubleshoots mechanical problems of the equipment by performing minor repairs, as necessary
•        Recognizes and reports major problems to management to ensure prompt resolution
•        Assists in patient flow including scheduling exams; assuring patients are sent for in advance of scheduled exam; assuring premedication has been administered on the unit; and completing exams
•        Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

FlexStaff Staten Island New York FlexStaff Job ID #20240307-5. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

Responsibilities:
•	Prepares patients for examination and explains procedures and sets up equipment to administer the proper procedure in a timely fashion
•	Ensures that a consent form for IV contrast materials has been obtained and screens for pregnancy
•	Performs CT procedures to include: abdominal, thoracic, neurological exams, extremities, sub-periosteal implant planning, radiation therapy treatment planning, biopsies, etc.
•	Prepares patient for exam by placing and positioning patient on exam table within the gantry
•	Adjusts and ensures proper slice thickness and couch increment
•	In collaboration with Radiologist, extends parameters, if needed, within established imaging protocols
•	Utilizes special devices (i.e. bromide shield) to reduce exposure to ionizing radiation of radiosensitive areas (i.e. breast, thyroid, etc.).
•	Adjusts CT equipment to capture appropriate field of view and transmits cases to on-call Radiologist through use of Tele-Radiology system, as well as administers intravenous (IV) and oral contrast agents as per Radiologist order and performs venipuncture of the appropriate gauge necessary for examination
•	Explains in layman's terms the administration of IV contrast, and completes the IV Contrast Information Sheet with information provided by the patient, family member or health care proxy
•	Utilizes appropriate flush technique for an existing IV line, if needed and utilizes power injector to administer IV contrast, as well as recognizes and assists in the treatment of contrast agent reactions and IV extravasations
•	Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions

FlexStaff Staten Island New York FlexStaff Job ID #20240307-4. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. 
Job Responsibility
1.Conducts patient interview, explains policies and procedures to patient/ significant others, reviews patient’s chart and answers questions correctly and courteously.
2.Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; assesses level of pain and pain management.
3.Communicates and documents patient’s physiologic health status and plan of care.
4.Assesses patient’s psychosocial health status. Elicits perception of medical/nursing care and expectation of care. Determines coping mechanism, knowledge level, and ability to comprehend. Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction. Communicates and documents psychological status and care plan of support groups, counseling services, and social services. Identifies patient’s need for teaching based on psychosocial and developmental assessment.
6.Identifies patient outcome. Develops criteria for measurement of patient outcomes. Identifies actual/potential patient problems. Develops patient outcome statement (s) and establishes individualized patient goals.
7.Identifies care activities and establishes priorities necessary to achieve expected outcome. Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome. Documents plan of care and collaborates with physicians and other health team members.
8.Implements plan of care. Maintains constant vigilance over patients care to ensure safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.). Exercises professional skills related to the plan of care. Reassesses patients as needed and appropriately revises plan of care.
9.Correctly administers prescribed treatments. Correctly uses equipment necessary for patient care. Provides emotional support to patient and significant other. Applies scientific principles in performing procedures, carrying them out safely, timely and efficiently. Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate.
10.Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions. Uses appropriate methods of documentation according to departmental policy.
11.Acts rapidly and effectively during any emergency situation, managing self, patients and other employees. Provides a calm, quiet, restful atmosphere. Communicates effectively with patient’s family or caretakers.
12.Participates in planning for discharge and coordinates referrals, as appropriate. Provides discharge instructions to patient and significant other. Evaluates care provided for patient outcome. Demonstrates ability to measure effectiveness of care provided and documents same.
13.Performs variance analysis related to outcome data for performance improvement. Designs, implements, and evaluates systems to improve care in unit.
14.Keeps accurate documentation of patient’s treatment, activity and condition. Uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team; collaborates with the appropriate physician on patient’s plan of care.
15.Accurately interprets and implements treatment regimen as prescribed by Physician. Assists Physician during treatments and/or diagnostic procedures. Keeps Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate. Uses clinical judgment in delegating assignments in providing patient care, and ensures assignments are completed in a timely fashion.
16.Performs grade I-IV Decubitus Care; performs preventive skin care measures. Applies simple dressings, maintaining principles of aseptic technique. Applies warm and cold compresses, consistent with facility procedure. Performs irrigations, consistent with facility procedure. Performs other procedures related to skin care, as necessary.
17.Administers medications correctly and safely; correctly identifies medication in terms of action, dosage, side effects, and implications for the patient. Meets standard on medication administration examination. Demonstrates preparation of local solutions. Administers and documents medication correctly. Educates patients and significant others related to drug and food interactions.
18.Participates in patient and family education. Provides patient with an explanation of his/her condition as indicated. Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies. Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching. Provides for early discharge planning and appropriate referrals for post-hospital care. Evaluates effectiveness of teaching by feedback from patient/family and documents same.
19.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
Graduate from an accredited School of Nursing, required. Bachelor’s Degree in Nursing, preferred.
Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date.
Current License to practice as a Registered Professional Nurse in New York State required,
plus specialized certifications as needed.
Valid Driver’s License in New York State required may be required depending on area of assignment.

FlexStaff Nassau County New York FlexStaff Job ID #20240410-9.

FlexStaff Montauk New York FlexStaff Job ID #20240307-7.

FlexStaff Eastern Suffolk County New York FlexStaff Job ID #20240307-6.

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