Associate Director of Nursing - Cardiology

NYC Health + Hospitals/Bellevue is America's oldest public hospital, established in 1736. Affiliated with the NYU School of Medicine, the 844-bed hospital is a major referral center for highly complex cases, with its 6,000 employees including highly skilled, interdisciplinary clinical staff. It sees more than 110,000 emergency room visits and 500,000 outpatient visits annually. Bellevue is an academic medical institution of international renown. We have served as an incubator for major innovations in public health, medical science, and medical education. Bellevue is a Level I Trauma Center delivering around-the-clock care in adult, pediatric, psychiatric and pediatric psychiatric emergencies as well as in the nationally-designated categories of cardiology, neurology, toxicology, and neonatology. In addition to providing comprehensive inpatient and outpatient state-of-the-art care Bellevue is a city-wide medical specialty referral source. Bellevue's clinical centers of excellence include: Emergency Medicine and Trauma Care; Cardiovascular Services; Designated Regional Perinatal Center and Neonatal Intensive Care Unit (ICU); Comprehensive Children's Psychiatric Emergency Program; and Cancer Services.

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.

Job Description

Under general supervision by the Director of the Coronary Care Unit, this critical care and ECMO trained nurse practitioner (NP) is responsible for all aspects of monitoring and troubleshooting the ECMO circuit and related equipment during the treatment period in addition to providing care to the general CCU/Cardiac Stepdown patient. The ECMO/Cardiac NP is also responsible for collaborating with bedside RNs, physicians, and other members of the health care team to coordinate care for these very complex patients as well as other patients in the CCU an Cardiac Stepdown Unit.

Summary of Duties:

• Planning and Managing Care - According to NYC H+H/Bellevue and department standards, and utilizing unique knowledge regarding extracorporeal circulation and cardiovascular disease and their effects on the body, independently uses and documents effective planning, deliverance and evaluation of goal focused, individualized safe age and culture-specific care for all patients. Works in conjunction with the bedside and cardiac catheterization laboratory nurse to ensure that the cardiac patient and those on ECMO have adequate end organ perfusion, maintains acid base balance and hemodynamic stability within ordered parameters, has adequate oxygenation and ventilation, along with maintaining other parameters as ordered by the ECMO service/cardiac team. Assists interventionalist at bedside and in cardiac catheterization laboratory during and peri-procedures.
• Continuum of Care Planning - Consistently role models the coordination of comprehensive, age and culture specific continuum of care planning for all patients and families. Using available internal resources and systems, consults with healthcare team providing complete and appropriate information for complex continuum of care planning. Ensures, documents and provides follow up of patients once discharged from CCU and hospital.
• Patient and Family Education - Independently develops, evaluates and revises individualized, age and culture-specific teaching plans/programs and materials for all patients and families. Provides family with at least daily updates and facilitates direct communication with patient and family. Participates in family meetings. Assists with organization of family/patient support groups and related community activities.
• Problem Solving - Identifies problems and utilizes problem solving skills to participate in finding solutions to resolve problems, following through to implement solutions. Role models the use of the problem-solving process.
• Communication and Collaboration - Clearly and efficiently communicates significant information from one level or location of care and/or from one caregiver to another. Independently collaborates with multidisciplinary team members. Role models effective communication/collaboration and directly manages conflict resolution. Provides support for clinical registries and research related to patients in CCU and Cardiac Stepdown Unit to ensure access for all relevant cardiac patients. Provides support for transfer service and provides feedback and acts as liaison to referring facilities regarding their referred patients.
• Continuous Learning - Assumes responsibility for continuous learning, engaging in educational activities annually or pursuing advanced academic education. Develops and achieves personal and professional goals. Is proactively involved in quality improvement by the identification of issues, planning and evaluation of quality improvement projects and operational and quarterly and annual meetings.

Minimum Qualifications
1. Licensed and currently registered to practice as a Professional Nurse in New York State, plus (2) or (3) below.
2. A Masters Degree in Nursing Administration, Education or an equivalent field and a minimum of six years of satisfactory nursing experience, of which four years shall have been in a supervisory, teaching or administrative capacity; or,
3. A Baccalaureate Degree in Nursing and seven years of satisfactory nursing experience, five years of which shall have been in a supervisory or teaching capacity; or,
4. A satisfactory equivalent combination of education and experience. However, all candidates must be licensed and currently registered to practice as a Professional Nurse in New York State

Department Preferences

A minimum of two years of critical care experience and one year of ECMO experience required.

CPR-BLS successfully completed before hire.

Master's degree in Nursing preferred.

Advanced knowledge of principles and techniques of extracorporeal support. Interpersonal communication skills necessary to work with hospital employees, physicians, patients, family members and community professionals. Must possess exceptional critical thinking skills and deal with extreme pressure and stress. Ability to rotate shifts and/or work flexible hours to meet patient care needs.

If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs