Registered Nurse , NS24 SICU

Graduate Nurse (T&RC)

Graduate Nurses (T&RC) and Registered Nurses 1 (T&RC) perform similar nursing tasks and activities; coordinate and provide nursing care to individuals in State University of New York teaching and research center hospitals; administer treatments and nursing procedures within established guidelines and as prescribed by licensed health care providers; and consult on nursing matters with treatment teams and other disciplines.

Levels in the series are primarily distinguished by scope and independence of operation, which is based on incumbents' credentials (i.e., possession of a limited permit as a graduate nurse or eligible to enter examination for licensure as a registered professional nurse; or possession of a license and current registration as a registered professional nurse in New York State).

Graduate Nurse (T&RC): entry level; possesses a limited permit as a graduate nurse or is eligible to enter examination for licensure as a registered professional nurse in New York State; under the close supervision of a higher-level registered nurse, provides direct nursing care to individuals in accordance with Article 139 of the Education Law.

Illustrative duties include preparing or assisting with preparation of nursing care plans consistent with individuals' comprehensive treatment plans and medical needs, carrying out treatment procedures, administering medications, and monitoring individuals' conditions. Graduate Nurses (T&RC) also record notes and maintain individuals' medical records and nursing care plans, participate in the development, implementation, and revision of individual care plans as a member of a multidisciplinary treatment team, triage individuals by inquiring about illnesses, injuries, and symptoms, and provide education and counseling to individuals and families regarding health, medications, procedures, and treatment goals.

Graduate Nurses (T&RC) also practice and ensure compliance with established infection control policies and procedures and may train paraprofessional staff by demonstrating nursing techniques and providing instructions on use of techniques and nursing equipment.

Registered Nurse 1 (T&RC) independently performs the duties described above and provides clinical supervision and instruction to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff in completing care tasks. Delegates responsibility for appropriate nursing activities, skills, and/or procedures to nursing and direct care staff; and makes clinical rounds to assess individuals' nursing care needs and observe and evaluate the provision of nursing services.

May perform the full range of supervisory duties over Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff; provide information to Registered Nurse Supervisors 1 (T&RC); and prepare or contribute to the preparation of reports and performance evaluations for lower-level staff involved in nursing care activities.

Positions perform duties in each of the three functional areas described below.

• Provides nursing care to individuals in an acute care environment requiring complex nursing skills; uses advanced knowledge and skill in nursing assessment, planning, implementation, and evaluation activities.
• Observes and responds to individual emergency situations, and sets priorities for care based on individual acuity, preferences, and the possibility of effective intervention. Implements nursing interventions in response to changes in individual status and unusual circumstances.
• Interprets assessment data to determine if individuals are at physiological or psychosocial risk.
• Takes steps to decrease stress and increase the effectiveness of individual coping mechanisms; uses effective communication strategies with individuals, families, staff, and the general public.
• Assesses individual status upon entry to the hospital and throughout hospitalization.
• Identifies implications of individuals' statuses and prioritizes data collection based on individuals' immediate needs.
• Identifies safety and security risks to promote a culture of safety and to prevent injury and harm to individuals, visitors, and staff.

• Guides lower-level, and new to specialty, registered nurses in choosing nursing interventions, developing skills, and applying knowledge.
• Serves as a resource nurse for staff members, orienting new staff and providing feedback on nursing skills for specialty care areas.
• Develops and maintains care standards knowledge bases for specialty care areas and develops care guidelines for unit-specific individual populations.
• Maintains a minimum standard of continuing education for specialty areas.
• Evaluates and assesses individual staff and nursing student development needs.
• Counsels and implements a variety of teaching strategies to meet those needs in consultation with nursing management staff.
• Participates in…