Occ. Code 5500510
NURSE 1, GRADE 14
NURSE 2, GRADE 16
New York State Department of Civil Service
BRIEF DESCRIPTION OF CLASS SERIES
Nurses 1 and 2 (registered professional nurses) conduct health assessments; diagnose and treat an individuals* responses to actual, potential, or diagnosed health problems through the provision of care supportive to or restorative of life and well-being; and execute medical regimens prescribed by a licensed health care provider. Nurses also serve on interdisciplinary health care teams and health related committees to plan and implement health care.
Nurses exist in multiple agencies, primarily in the Office of Mental Health, Department of Corrections and Community Supervision (DOCCS), Office for People With Development Disabilities, Department of Health, Office of Alcoholism and Substance Abuse Services, Office of Children and Family Services, and State University of New York campuses.
*Individual refers to the person who is being treated or cared for, and is used in place of patient, client, or other nomenclature specific to an agency.
Nurses 1 work under the supervision of a higher-level nurse or licensed medical professional, and provide nursing care within established guidelines and procedures to individuals with conditions and treatments that are non-critical. They may provide clinical supervision to paraprofessional and direct care personnel. At DOCCS and State University of New York Student Health Services Centers, a Nurse 1 may be the highest-level nurse on duty.
Nurses 2 supervise nursing care activities, including the preparation, evaluation, and implementation of nursing care plans; instruct nurses and direct care staff to ensure quality individual care; and train and develop staff. They provide consultation on nursing matters to members of the clinical team, treatment team leaders, other disciplines represented on treatment teams, and supervise Nurses, Licensed Practical Nurses, and direct care staff assigned to the teams.
Licensed Practical Nurses provide skilled nursing care tasks and procedures under the direction of a Registered Nurse or other health care provider.
Nurses 3 in various specialties are advanced practice nurses; and provide direct individual care to those requiring advanced clinical interventions, and provide training and clinical consultation to nursing staff.
Nurse Administrators provide second level clinical and administrative oversight to subordinate nursing staff.
· Administers medications to individuals and monitors individuals for reactions or side effects.
· Records individuals' medical information and vital signs.
· Monitors, records, and reports symptoms or changes in individuals' conditions.
· Consults and coordinates with healthcare team members to assess, plan, implement, or evaluate individual care plans.
· Modifies individual treatment plans as indicated by individuals' responses and conditions.
· Monitors all aspects of an individuals care, including diet and physical activity.
· Oversees licensed and unlicensed healthcare staff; a Nurse 2 may supervise a unit or units.
· Prepares individuals for and assists with examinations or treatments.
· Instructs individuals, families, or other groups on topics such as health education, disease prevention; and develop health improvement programs.
· Assesses the needs of individuals, which can include an assessment of the care received, services available, and assessment of the individuals' home or work environments to identify potential health or safety problems.
· Refers individuals to specialized health resources or community agencies for assistance.
· Provides health care, first aid, immunizations, or assistance in convalescence or rehabilitation.
· Conducts laboratory tests.
· Implements infection control protocols, advising or consulting with staff about necessary precautions.
· Engage in data collection and related activities to support medical research.
· Performs, coordinates, directs, and provides nursing care on a facility unit or units, in clinics or infirmaries, or in State-operated community residential programs and other community-based settings.
· As the nursing representative on a treatment team, provides information on nursing needs to the clinical team, treatment team leaders, and other disciplines; and supervises l staff assigned to the team.
· May function as a unit supervisor on the evening and night shifts or oversee nursing for an entire small facility on the evening and night shifts.
· Prepares daily time and work schedules.
· Evaluates work performance of subordinates through observation and checks completed work. Discusses results and methods to improve performance, and prepares or contributes to the preparation of written performance evaluations and other required reports.
· Ensures that subordinate staff consider and include the physiological, psychological, social, spiritual, ethnic, cultural, and linguistic needs of recipients in the development and provision of services.
· Ensures that inventory standards for medicines, solutions, supplies, and equipment are maintained to meet nursing care needs.
· Accounts for the issuance of controlled drugs and narcotics; and inventories such drugs on each shift worked.
· Maintains accurate and detailed reports and records.
· Make clinical rounds on ward(s) to assess nursing care needs of recipients and supervise the delivery of nursing services.
· Either orally or in writing, provides information to members of a multi-disciplinary team, the Nurse Administrator 1, and/or other appropriate staff regarding nursing issues; the acceptable level of nursing care; and the required number and type of personnel to meet requirements.
Nurses 1 and 2 provide clinical supervision to licensed, paraprofessional, and direct care personnel involved in the care and treatment of individuals assigned to their care on a shift or in a community setting. They supervise nursing care activities; instruct nurses and direct care staff on treatments and procedures; and ensure that individuals receive all necessary care in accordance with the nursing care plan, established protocols, and standards of health care. Nurses 1 and 2 do not generally provide administrative supervision, such as setting performance standards or taking disciplinary actions; however, they may assist the administrative supervisor in these tasks.
Open-Competitive: Possession of or eligibility for a license to practice as a registered professional nurse in New York State.
Open-Competitive: Possession of a license to practice as a registered professional nurse in New York State and one year of post-licensure clinical nursing experience.
NOTE: Classification Standards illustrate the nature, extent, and scope of duties and responsibilities of the classes they describe. Standards cannot and do not include all the work that might be appropriately performed by a class. The minimum qualifications above are those required for appointment at the time the Classification Standard was written. Please contact the Division of Staffing Services for current information on minimum qualifications for appointment or examination.
NURSE 2 (PSYCHIATRIC)
Nurses 2 (Psychiatric) plan, provide, and supervise nursing interventions for individuals with mental illness, alcoholism, or substance abuse. Incumbents supervise other professional nursing staff, Mental Hygiene Therapy Aides, and Addictions Counselors in the provision of nursing interventions to individuals with mental illness, alcoholism, or substance abuse.
These positions are classified in the Office of Mental Health and the Office of Alcoholism and Substance Abuse Services.
Open-Competitive: License and current registration to practice as a registered professional nurse in New York State and one year of post-licensure clinical nursing experience working with individuals with mental illness, or alcoholism or substance abuse.
NURSE 2 (REHABILITATION)
Nurses 2 (Rehabilitation) e coordinate, direct, and provide comprehensive nursing care to acute and chronically disabled children and adults; and train staff and individuals.
These positions exist only in the Helen Hayes Hospital of the Department of Health.
Open-Competitive: Possession of a license to practice as a registered professional nurse in New York State and one year of post-licensure clinical nursing experience in a rehabilitation setting.