Occ. Code 5506150
TEACHING AND RESEARCH CENTER SPECIALTY NURSE, GRADE 18
Teaching and Research Center Specialty Nurses are experienced registered nurses whose advanced knowledge and skill in the assessment and delivery of nursing care in an acute care setting provide the basis for: 1) expanded responsibility for complex nursing care in critical/emergency situations; 2) leadership role as preceptor to staff nurses, student and other health care professionals for specialty care skill development and application; and 3) coordination of unit health team members to facilitate unit operating changes and ensure quality care delivery. These positions exist in the teaching and research center hospitals operated by the State University of New York.
Non-supervisory; function in three general areas: direct patient care, preceptor, and clinical management.
Under the general supervision of the Teaching and Research Center Nurse 3, incumbents perform activities and tasks in each of the three functional areas described below.
Direct Patient Care:
־ Provides nursing care to patients in an acute care environment requiring complex nursing skills; uses advanced knowledge and skill in assessment, planning, implementation and evaluation of nursing care.
־ Observes and responds to patient emergency situations, setting priorities for care based on acuity, patient preference and/or the possibility of effective intervention.
־ Interprets covert and overt assessment data to determine when the patient is currently and potentially at physiological or psychosocial risk.
־ Adapts to changes in the unit by setting priorities for emergencies and provides necessary nursing intervention in response to changes in patient status and unusual circumstances.
־ Maintains consistency of patient care in an unpredictably changing environment by making nursing decisions based on interpretation of facts and experience.
־ Takes steps to decrease stress and/or increase the effectiveness of coping mechanisms of patients/families having extreme or unexpected difficulty dealing with illness and hospitalization; uses effective communication strategies with patients, families, staff and the general public.
־ Guides Teaching and Research Center Nurses 1 and 2 in choosing nursing interventions, developing skills and applying knowledge; serves as a consultant/resource nurse on a consistent basis for staff members orienting new staff and for specialty area skill application on other nursing units.
־ Develops knowledge base related to standards of care for specialty, developing guidelines of care for unit-specific patient population.
־ Maintains a minimum standard of continuing education for specialty area. Evaluates and assesses individual staff development needs. Counsels and implements a variety of teaching strategies to meet those needs in consultation with the Head Nurse and Nursing Administrators.
־ Participates in in‑service and other educational programs related to clinical specialty. Assists in providing educational programs and learning aids to staff and to affiliated nursing students.
־ Collaborates with medical staff consultants for identification, development, and implementation of nursing research studies on the clinical units.
־ Coordinates with other health team members for consultation and problem solving of complex clinical issues. Collaborates with Head Nurse to develop short and long-term clinical goals for the unit.
־ Evaluates and integrates clinically specific information on patient care and related unit functions with written reports; develops unit-specific policies and procedures in consultation with Head Nurse.
־ Defines, recommends and provides corrective action to formulate and upgrade standards for quality and appropriateness of care; may oversee testing of equipment and supplies for effectiveness in patient care.
־ Facilitates, leads, and/or represents unit on various hospital committees.
־ Assists the Teaching and Research Center Nurse 3 to implement and achieve necessary unit operating changes. May take charge in absence of Teaching and Research Center Nurse 3.
Open Competitive: possession of or eligibility for a license to practice as a registered nurse in New York State and two years of post-licensure clinical nursing experience in an acute care specialty area. Acute care is defined as medical services provided for illnesses that are short-term (usually less than 30 days), intense, and have a relatively severe to very severe course, requiring knowledge and expertise in the vigilant monitoring of subtle changes in the patients condition, as well as ability to quickly recognize and identify potential problems and conditions resulting from a previous disease. Specific examples include surgery, cardiology, burns, oncology, etc.
Promotion: two years of permanent competitive service as a Teaching and Research Center Nurse 1, Grade 14;
one year of permanent competitive service as a Teaching and Research Center Nurse 2, Grade 16.
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 of the work that might be appropriately performed by a class. The minimum qualifications are those which were required for appointment at the time the Classification Standard was written. Please contact the Division of Staffing Services for current information on minimum qualification requirements for appointment or examination.