Archive for category: Clinical Care
Celebrating acts of kindness among our family of Northwell heroes
Though we span across 23 hospitals and more than 750 ambulatory locations, our Northwell Health team is one big family. And as a family, our team members are committed to not only delivering the best patient care, but caring for each other and our communities.
Check out these stories of our clinical and non-clinical team members alike working to bring moments of positivity, hope and support amid COVID-19.
Finding Connections Hospital to Hospital, Unit to Unit
Kindness is connecting our teams across Northwell through video messages, photos, cards and other countless examples of ongoing support and humanity. For example, Krista Griffin, a patient access team member at Southside Hospital, raised money with her family to have catered food delivered to overnight workers in the ED. Also, the NICU team at Cohen Children’s Medical Center created and delivered care packages to other Northwell hospitals, and our nutrition and dining services teams baked fresh cookies for workers to bring home after a long day.
Bringing the Grocery Stores to our Team Members
Hospitals across Northwell realized the need to help support our healthcare heroes get the necessities they need at home. Hospital cafes have turned into temporary grocery stores, where our nurses, environmental services workers, physicians, therapists, transporters, techs and others can safely shop to stock their pantry or choose a freshly prepared meal to take home.
Stitching for our Heroes
Gloria Medina, a booking clerk at one of Northwell’s endoscopy practices, posted a call to action for all stitchers to help create artwork for our heroes. These custom portraits are being delivered to our healthcare heroes on the front lines as a way to say thank you and make them smile.
Finding Inspiration at Glen Cove Hospital
The 1 South Rehab team at Glen Cove Hospital created an Inspiration Tree within the hospital to leave small tokens of wisdom and motivation for team members and patients. These messages help them to find optimism and the importance of what matters most.
Chalk Art Acts of Kindness
Throughout the health system, chalk art has been popping up outside our hospitals. Messages from team members and our communities are being drawn to thank our workers and give them something bright and cheery to look at as they walk in and out of work.
Take 5 for YourSELF Fridays
The Employee Wellness team collaborated with myHealthBody to start a weekly series to encourage team members to take five minutes to care for themselves with “Take 5 for YourSELF Fridays”. The weekly videos and printouts include guided stretches and exercises to help relieve tension and grant wellness benefits that last all day.
We are all filled with gratitude for our wonderful Truly Together team. Their passion, dedication and kindness inspires us daily. To all healthcare heroes here and everywhere – THANK YOU!
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Northwell Health teams give back to their communities
As the largest healthcare provider and private employer in New York State, Northwell Health is committed to giving back to the communities it serves across the greater New York area. Throughout the year, different team members at Northwell Health will dedicate time to volunteer for the local communities we serve. From service projects and fundraising to soup kitchens and clothing drives, our Northwell family is giving back in a rewarding way.
Two recent teams who spent time giving back to our communities were our Center for Emergency Medical Services (CEMS) team and our Talent Acquisition (TA) team.
CEMS team launches Packages of Hope initiative
The CEMS team, through the launch of Packages of Hope, created care packages for homeless men and women to help take care of them during winter months. The Packages of Hope are distributed throughout NYC, Nassau and Suffolk Counties by our CEMS crews. The team donated items and their time to put together the care packages which included feminine products, warm socks, blankets, water, hand warmers and snacks.
Members from all over the department including EMTs, paramedics, the medical director and even children of team members came together to help make over 100 packages for initial distribution. The first event was such a success that there is already another day scheduled.
Seeing the difference volunteering makes has strongly impacted the team members. “I had the opportunity to hand out one of the packages,” says one CEMS team member. “His response to a small token of items was tears in his eyes and thank you as he walked away. What an awesome idea!”
“Giving back is a part of who this department is,” says Bernard Robinson, MHA, regional director at CEMS. “Not only does teamwork increase every time we volunteer, we’ve also seen an increase in new ideas and suggestions from our staff and occurrences of them taking the initiative to go above and beyond to serve our communities.”
Talent Acquisition volunteers with Long Island Cares
TA’s leadership team also recently gave back to our community volunteering with Long Island Cares during a recent team building initiative. The TA team prepared bags of groceries for the senior population in the Long Beach area who Long Island Care serves. The groceries are then delivered to seniors who can’t drive, leave their homes, or can only drive limited distances.
Working together, the team was able to prepare over 300 bags of groceries in just one afternoon! It was such a rewarding experience to give back to our community that the team is already planning to make volunteering a routine event.
“Volunteering at Long Island Cares was an honor and it offered the leadership team an opportunity to fulfill the Northwell employee promise and contribute to something greater than ourselves,” says Patricia Brown, Assistant Vice President of TA. “It gave us a great sense of achievement to be able to play our part in contributing to the well-being of the community Northwell serves. The opportunity to give our time and to be in service of others does wonders for team bonding on an emotional level and helps us grow as a group on a personal level.”
Are you Made for caring and giving back to our patients and communities? Explore jobs.
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Child life specialists help kids be kids
Four-hour blood transfusions used to tax 14-year-old Akayllah McEwan’s mind as much as her body. While the healthy red blood cells pumped into her body treated her sickle cell disease, she struggled with the scourge of adolescence: boredom.
Then Child Life Specialist Sammy Sherman taught Akayllah to make “Blood Soup,” mixing water, red food coloring, marshmallows, red hot candies and toffees in mason jars to illustrate sickle cell disease’s effect on a cellular level and what the transfusions do to help her.
“I wanted to eat the food,” Akayllah giggled, then acknowledged, “I always kind of understood why I needed the transfusions. Sammy made it specific for me.”
Supporting patients and their families
At Cohen Children’s Medical Center, Sammy is one of two certified child life specialists in the hematology-oncology division who accompany kids from diagnosis through treatment. Since 2014, her position has been funded by a generous gift from Delta Air Lines.
Over the past decade, Delta has contributed more than $2 million to Cohen Children’s Medical Center. “Child Life is one of the programs not covered by health insurance,” explained Tricia Rumola, Delta Air Lines’ general manager of Community Engagement. “We hope our support will help families and patients have a sense of comfort going through an incredibly difficult time in their lives.”
Helping kids overcome fear and embrace hope
Delta’s sponsorship of Sammy’s position helps kids overcome fears and anxieties and learn to cope with challenging medical experiences. “My goal is to empower patients and families,” said Sammy, who holds a master’s degree in child life.
She uses Surgi Dolls and makes treatments more relateable to patients by helping them understand hospital equipment through therapeutic activities. Sammy also supports kids when they receive a terminal diagnosis, giving them space to enjoy time with their family, and feel like kids who happen to be sick — not sick kids.
“Sammy has an extraordinary ability to connect with children,” said Cynthia Rodriguez, Child Life and Creative Arts Therapy Program director. “While they may think they are just having fun with Sammy, she is undoubtedly teaching them, supporting them, and helping them to learn how to navigate their journey successfully.”
Sammy also connects patients with each other since they have limited opportunities to socialize with other kids. She started a monthly newsletter where they can submit jokes, stories and artwork to express themselves.
“Sammy is my go-to person at the hospital,” said Akayllah. “She takes my mind off of the transfusion and makes the hospital a normal area where I can be myself.”
“Sammy is really doing the work that is her life’s calling,” said Tricia. “Delta couldn’t be prouder to have our name connected to Sammy and the work she is doing.”
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Day in the life: Central Sterile Processing Technician
Instrument sterilization is a vital step in any surgical procedure, but you may not always think about what goes into the process – or who’s doing it. At Northwell, we know our sterile processing technicians are invaluable members of our operating rooms. These technicians handle the sterilization of our instruments from decontamination to dispatch all inside our new centralized facility in Bethpage, NY. Working in the world’s largest sterile processing center, our technicians provide around-the-clock services using the most innovative technology available.
“Our new central sterile processing facility was built with the comfort of our sterile processing technicians in mind,” says Marc MacLaren, RN, BSN, MSN, program director of System Sterile Operations. “As we continue to grow and refine our procedures, we listen to their feedback. The work our technicians do every day is changing the way people look at sterile processing and defining the future of where the industry is going.”
Follow a day in the life of some of our sterile processing technicians at our new state-of-the-art central sterile processing facility in Bethpage.
Step 1: Surgical instruments are brought in for the decontamination team
The first step of sterilization is decontamination. With the facility servicing operating rooms from hospitals all across Northwell, it’s important for our central sterile processing technicians in the decontamination room to handle each delivery promptly and efficiently. The technicians soak the trays as they come in, hand washing them before placing them on the cart to go through the automated sterilized washers.
Step 2: Instruments are unloaded and tracked through automated systems
After the instruments go through the washing cycle, a sterile processing technician unloads the clean instruments from the machine into the ‘clean room’ which is kept sterile to protect the instruments. Each tray is processed through a barcode system so it can be tracked throughout the sterilization process. “My favorite thing is how organized our team is to keep things running smoothly,” says Libin John, supervisor, central sterile. “It’s also great knowing our work is helping patients even though we don’t have a clinical degree.”
Step 3: Sterile processing technicians sort trays to create priority order
The washed trays are then sorted in priority order. And with the facility’s capacity to handle a maximum of 22 million instruments a year, our technicians know the important role keeping the trays in priority order plays in ensuring prompt delivery back to the hospitals. Caprice Morgan, lead sterile processing technician, places the trays on shelves to mark them for the proper turnaround time. “I love working as a sterile processing tech because you are always learning new things,” says Caprice. “Every day is a new opportunity to grow.”
Step 4: Instruments are counted and passed through a safety test
Once the trays are separated, the instruments are counted, inspected and placed for packing by our technicians. It’s a vital step to make sure that the instruments are not only accounted for, but properly hand-washed and still maintaining their integrity. “It’s great being able to work on the instruments and know that even though you’re not in the operating room, you still are a part of the surgery helping that patient,” says Kevin Vega, sterile processing technician.
Step 5: Team members package the instruments for sterilization
Clean instrument trays are then packaged by the technicians. Packaging the instruments keeps them safe for when they are placed into sterilizers to finish disinfection before their return to the hospitals. The work spaces in the new facility allow for plenty of room for packing the large trays and individual instruments. “At the new Bethpage facility there’s more room to work and more space for everybody” says sterile processing assistant Patty Guess, who transferred to the facility from a Northwell hospital in April.
Step 6: Instrument trays are sent into the sterilization systems
Now that the instrument trays have been packaged, they’re ready for the final step of sterilization. Sterile processing technicians track and check the trays before placing them in autoclaves (which use steam at high temperatures to sterilize) or into low temperature sterilizers (which use low temperatures and gas to ensure missing something here) depending on the needs of the instrument. “This is my favorite spot to work because it keeps me on my toes,” says Gregory Thurneau, sterile processing technician. “I did it for eight years at Long Island Jewish Medical Center and now being able to do it at the Bethpage facility gives me an opportunity to expand my horizons.”
Step 7: Technicians sort the trays for hospital dispatch
Trays are passed directly through the sterilization systems built into the wall moving them from the ‘clean room’ to dispatch. There they are prepared for delivery back to the hospital. Once the trays have been tracked and accounted for, sterile processing technicians sort them into their respective cabinets for the transport teams. “It’s an important part of making sure the hospitals are getting their trays on time,” says Thomas Varkey, sterile processing technician. “Being part of that helps me make sure the patients get the care they need when they need it.”
Interested in becoming a central sterile processing technician? Explore job opportunities today!
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Certified Sterile Processing Apprentice Program celebrates its first graduating class
As part of our commitment to growth, development and education, Northwell Health partnered with the 1199SEIU United Healthcare Workers East and the 1199 Training and Employment Funds to create a new Certified Sterile Processing Apprenticeship Program that is registered with the Federal Department of Labor (DOL).
Due to our new Certified Sterile Processing Apprenticeship Program, Northwell Health 1199 team members from various departments across the organization had an opportunity to train in a new specialty and grow their careers. Team members were provided with the education and training they needed to become a certified sterile processing technician (CST), including the support in preparing for the certified registered central service technician (CRCST) exam so they could earn their national certification. Thanks to the partnership program, Northwell was able to provide employees with paid training in addition to free tuition, books, exam prep and other classroom materials.
We’re proud to announce that all 11 of our program participants passed the exam and all received full time positions at Northwell Health.
“The apprenticeship program has opened doors for employees who otherwise may not have had the opportunity to advance in their field,” says Marc MacLaren, RN, BSN, MSN, program director of System Sterile Operations. “It allows us to ‘grow our own’ within healthcare and empowers individuals in our organization who otherwise might not be eligible for technical professional careers.”
“This program helped me achieve a goal in my career,” says Gabriel Taveras, a recent graduate. “I started as a housekeeper and now I’m a certified central sterile technician. It has changed my life.”
Students in this unique program are prepared for their career with:
- 200 classroom hours
- 400 hours of on-the-job training
- 600 additional on-the-job hours to earn the Federal DOL certification
Upon graduation, students earned:
- CRCST certification
- LaGuardia Community College Adult Continuing Education Certificate
- Federal DOL Certificate
“I was given an opportunity that will change my life for the better,” says fellow graduate Candice Thomas. “I’m grateful that Northwell and 1199 believed in me. The possibilities are endless. Because I stepped outside of my comfort zone and learned what it meant to be a CRCST, I now have a great career.”‘
View some photos from our graduation celebration:
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2019 President’s Award Finalists: Teamwork
Each year, Northwell’s President’s Awards recognize team members who not only surpass our expectations and standards of excellence, but also those who drive innovative business outcomes.
The Teamwork award recognizes a team who is flexible, hardworking and made for unwavering support. They successfully collaborate to improve quality, financial performance and/or patient-centric care by leveraging and embracing diversity while creating a feeling of belonging. Meet this year’s finalists.
Deliver the Vote
Lenox Hill Hospital
A pair of nurses with a strong commitment to upholding the right to vote, and an amazing determination not to take no for an answer enabled dozens of hospitalized patients to participate in the American electoral system.
Their efforts began two years ago when a patient inquired about voting but at that point, they were unable to help. Ahead of the 2018 election, Lisa Schavrien and Erin Smith decided to be pro-active, exploring ways to help their patients be heard at the ballot box. Their inquiries led them to a series of rejections by boards of elections, non-responses from political offices and a trip to a courtroom in Queens.
With the help from other volunteers, they canvassed their hospital for patients who wanted to vote. In one room, a patient facing brain surgery managed to cast her vote before surgery; in another, a patient’s partner was unable to get a ballot for the patient because they weren’t married, but Lisa obtained a ballot for him.
Voting may not seem like an issue clinical team members need to tackle, and they could find no other hospital making the same effort, but thanks to this team that went above and beyond, 75 Northwell patients were able to cast their ballots.
ECMO-TO-GO
Long Island Jewish Medical Center, North Shore University Hospital, Southside Hospital
Made up of a team of well-honed specialists, ECMO-TO-GO takes its life-saving skills wherever they are needed, elevating the level of care available to seriously ill patients. The team develops its successes with the cardiopulmonary bypass technique through continuity of communication and care delivered by all team members, commitment to continuous improvement and the depth of care provided by experts from across Northwell. The innovative approach of the team traveling to the patient rather than the other way around means a highly qualified, seasoned team is available to the sickest of patients. With a mortality rate of about 50 percent in these kinds of patients, the concept of such a team grew out of the establishment of an acute lung injury program at Long Island Jewish Medical Center and the launch of a heart transplant program. Northwell physicians recognized the need to provide stable, quality care as quickly as possible, leading to the ECMOTO- GO program.
The strength of the group comes from their ability to harness their differences in expertise to meet the dire needs of a complicated patient population. They do so with seamless coordination, deep compassion, and deliberate communication ultimately forging something stronger than any individual person.
Food as Health Implementation Team
Long Island Jewish Valley Stream
Team members have put reliable access to food at the center of a pioneering effort to improve the health of their patients. After people in multiple departments recognized that some patients had trouble finding affordable, nutritious food when they returned home, a team came together to brainstorm some solutions. Their conclusions: provide discharged patients with the resources to find affordable foods and to prepare meals that would help restore them to health.
The Food as Health (FAH) Program screens patients from the outpatient wound care center, and one inpatient unit for food insecurity. Patients in need with nutrition-related conditions (e.g. diabetes, hypertension, unintentional weight loss) are referred to the appropriate FAH service arm for support. Patients who are mobile and able to cook for themselves are referred to the FAH hospital-based onsite resource center. The patient is provided two days’ worth of nutritious emergency food, nutrition education and counseling, and referrals to community resources.
The collaborative effort of the multidisciplinary workgroup to identify clinical partners, establish workflows, reports and outcomes is a significant reason for the successful implementation of the FAH program. The team continues to work together to identify the outcome measures and establish reporting to demonstrate improvement in patient outcomes and hospital data such as decreased readmissions.
Inpatient Charge Capture (IPCC)
Corporate, Revenue Cycle Operations, Medical Group
When a small group of data-savvy professionals began examining the question of whether Northwell was billing and collecting for every professional service provided in hospitals, it quickly became clear that they needed more expertise.
The question of revenue capture is a long-standing one and quantifying it and executing a process across the health system was huge challenge. The team grew to involve several Information Services disciplines and data experts and as it grew, so did the project. Instead of finding a basic report on where to find the revenue opportunities, the team produced much more. They came up with a real-time, web-based tool that allows service lines and/ or individuals to know what the missing billing opportunities are daily/weekly/monthly. It allows the user to filter by service line, hospital, provider and unit. The tool is easy to navigate and provides a weekly “subscription” service for providers.
The deep dive in the collaborative effort also identified a $10 million revenue opportunity for Northwell, the result of experts collaborating and using their own areas of expertise to produce a positive outcome.
Northwell Transfusion Medicine
Northwell Health Labs
A team of professionals collaborated to take on the challenge of ensuring Northwell hospitals maintained fresh and adequate supply of platelets to cope with both routine and emergency use. Maintaining a blood product supply is essential to optimal patient care, but daily usage can be difficult to forecast. Platelets, expensive to produce, test and store, have a short shelf life and frequently expire before they can be used.
This team’s bold solution to meeting the need and reducing costly waste was to develop a delivery system that moves blood products throughout the health system, with many ultimately winding up at the hospitals that routinely need them the most. Breaking away from the existing system, the team began with data, figuring out a system to outline a new distribution process. That birthed a “Round Robin” transportation system to reduce supplemental and emergency deliveries. The concept of rotating platelets from the community hospitals to the final destination of one of two tertiary hospitals is based on usage. Long Island Jewish Medical Center and North Shore University Hospital combined utilize as many as 50 units a day for Cardiac, Trauma, Surgical, Oncology and Transplant services. Through extensive monitoring and trending of patient platelet needs, a dramatic savings of more than $200,000 was realized in 2018 in expiration waste.
School-Based Vocational Services
South Oaks Hospital
A committed group of professionals provides students challenged by intellectual and developmental disabilities with services that are tailored to individuals from 27 school districts across Long Island. Students receive coachin g, job readiness training and social skills development in both a classroom and professional setting with more than 100 participating companies with the goal of promoting independence and developing skills to prepare these young adults to enter the workforce after graduation.
The collaboration of these team members led to 64% of the graduating students finding employment post-graduation. On a daily basis, this team manages to touch the lives of more than 200 youths and parents, on Long Island. Nearly all of the team members work remotely and are required to travel throughout their day to meet the needs of the various sites they are working to serve.
The team has been able to create new approaches to learning in school settings by implementing in-school businesses where students can improve work readiness skills. Through personal dedication and putting creativity to work, they are making big differences in the lives of these students.
The Fin
Feinstein Institute for Medical Research
Experts with a diverse set of skills devised and conducted the first pilot clinical trial of the Fin, a novel 3D-printed swim prosthesis designed for use in a recreational pool setting. The dedicated group was seeking ways to improve recreational opportunities for people with lower-limb amputations, who, according to studies, are less likely to participate in physical activity than the general population.
Often working on their own time, they established protocols to ensure a thorough test that respected each individual’s dignity and needs while examining all aspects of the prosthesis. The most common design for a swim prosthesis has a fixed angle foot (“ankle foot”) that is at 90 degrees with the floor, which, while it is easy to use in the water, is not useful when walking over ground or transitioning into and out of the water. The 3-D printing also significantly lowers the typical cost of the prosthesis.
All participants in the test found the prosthesis easy to put on and take off. The majority (71%) of participants reported being extremely satisfied with the prosthesis.
Every member of the multidisciplinary team brought to the project their passion for wanting to improve the quality of life, participation and inclusion for individuals with lower limb amputations.
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5 STEM healthcare careers for students to explore
The need for students to pursue STEM (science, technology, engineering, and math) careers is greater than ever and for good reason. Between 2000 and 2010, STEM-related jobs grew three times as fast as non-STEM jobs – a rate projected to increase.
You may be left wondering what STEM jobs you can pursue. STEM careers go beyond just being a doctor or an engineer – the opportunities are endless! So what are some of the major STEM careers you should be exploring?
1. Imaging
Imaging technologists are Allied Health professionals that complete a two or four year program from accredited college. Graduates are licensed by the NYS Department Of Health or registered or certified in a sub-specialty area to perform diagnostic imaging examinations. Using the most advanced imaging equipment, imaging professionals are trained to produce high-quality images that enable the Radiologist (physician) to make a critical diagnosis. Without their expertise, care teams wouldn’t be able to diagnose and treat patients effectively.
You can enjoy the flexibility to choose additional specializations such as computed tomography (CT), ultrasound, nuclear medicine, mammography and more. And as an imaging professional, you’d have the ability to work in a variety of settings such as hospitals, diagnostic labs, and ambulatory centers.
Careers to consider:
- Ultrasound Technologist
- Radiology Technologist
- CT/MRI Technologist
- Mammography Technologist
- Nuclear Medicine Technologist
- Special Procedures Technologist
2. Certified Surgical Technologist
Surgical technologists have the important task of prepping patients for surgery and ensuring the operating room’s equipment has been sterilized and properly stocked with supplies. Your job as a surgical technologist doesn’t end there – you’d remain in the OR to assist surgeons throughout the surgery and then help to dress wounds. At Northwell, Registered Nurses and the Certified Surgical Technologist function as a subunit within a team, interacting through a unique, dynamic relationship—one sterile role and one nonsterile role, working in collaboration.
Job opportunities for surgical technologists are on the rise as the growth in population and technology leads to an increase in the frequency of surgical procedures. Completing a surgical technologist certification program usually takes around two years, allowing you the unique chance to quickly scrub into your first surgery after school.
3. Research
Becoming a doctor or nurse isn’t the only option for science majors to join the healthcare industry! Research careers enable professionals to work in programs and partnerships that help study, test and improve clinical breakthroughs. Medical research also includes working on some of the most exciting technology to treat disease and injury, such as bioelectronic medicine. Not all research careers are clinical either – as a medical researcher you can work in engineering, statistics, and more.
Join together research and technology as part of a team working on cutting-edge discoveries in areas such as health outcomes research, translational science, behavioral science and more. As a member of the research team, you’d also have the ability to work on breakthroughs in major diseases from cancer to lupus to sepsis. Your work could help discover new treatments, therapies and technologies for patients to live a healthier life.
Careers to consider:
- Associate Research Statistician
- Post Doc Research Trainees
- Investigator
- Research Coordinator
- Electrical Engineer
- Computer Scientists
- Neurophysiologists
4. Telemetry Technicians
Telemetry technicians, also called monitoring technicians or electrocardiograph technicians (EKG or ECG), are important allied health professionals. These technicians use non-invasive electrocardiographic equipment to monitor patients’ heart rhythms and alert nurses and physicians to changes in the patient’s rate, rhythm and the occurrence of dysrhythmias while on the Telemetry Unit.
Working as a telemetry technician allows you to work within a hospital using advanced technology. There are also increasing opportunities for you to deliver compassionate care to patients within a hospital or ambulatory setting. And training programs prepare you for entering the healthcare industry in just a few months!
5. Clinical Laboratory Scientist
To become a clinical laboratory scientist you must obtain your bachelor’s degree from an accredited clinical laboratory science program, pass your ASCP national certification exam and then become licensed by New York State Education Department (NYSED) to practice. As a clinical laboratory scientist, you can work in exciting fields such as:
- Microbiology
- Hematology
- Cytogenetics
- Chemistry
- Molecular Diagnostics
- Blood Bank
- Immunology
- Flow Cytometry
Fun fact, Northwell has two brand new, state-of-the-art labs. Our Core Lab/Automated Lab is the largest health system-based lab in the region with the largest Roche automated line of its kind in North America, and one of the largest in the world. Our new Microbiology Lab that has the largest Kiestra Micro automated line in the U.S!
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Here’s how Sypria Bernard, MSN, RN, CNOR, went from surgical technologist to registered nurse at Northwell Health
Surgical technologists have the unique opportunity to work with a nurse inside the operating room (OR) which can lead them to a career change like it did for Sypria Bernard, MSN, RN, CNOR. “Although I loved my career as a surgical technologist, there was that spark of ambition in me that always wanted to become a nurse.” With a passion for the OR guiding her, Sypria decided to become a registered nurse and North Shore University Hospital (NSUH) was there to lend support.
Through the help of Northwell’s tuition reimbursement program*, team members like Sypria can go back to school to continue their education and progress into fields such as nursing with financial assistance. Sypria did just that and NSUH worked with her and other surgical technologists who are seeking to become RNs to help develop their skills and grow professionally. The surgical technologist program at NSUH doesn’t just prepare surgical technologists for the opportunity to go into a nursing role, it also fosters their growth in their current roles. Sypria appreciated this dual approach to her career transition, “I became proficient in sterile technique, instrumentation, and procedures and I used my expertise as a surgical technologist to enable my smooth transition into OR nursing.”
After their training, surgical techs-turned-RNs can receive additional support by NSUH through an operating room fellowship. This fellowship builds on their skills to help develop well-rounded OR nurses. The support of NSUH helped Sypria get to where she is today, “I currently hold a position as a nurse manager in the Neurosurgery OR and just completed my master’s in nursing leadership. Without the support of Northwell and NSUH this would not have been possible.”
Explore our PeriOperative opportunities and discover the career path you’re Made for.
*Northwell’s tuition reimbursement program is for eligible non-union employees. Union employees receive benefits based on their CBA.
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An Appointment With: Jaclyn Schindler, Clinical Director, Medicine Service Line
Just as Northwell Health’s Medicine Service Line continues to grow so has Jaclyn’s career within the organization over the past 16 years. Today she serves as the clinical director of the Medicine Service Line, which includes more than 100 internal and family medicine practices across the New York metropolitan area..
Throughout her career, including her start as an RN patient education coordinator, Jaclyn has always felt encouraged to spread her wings by her senior nursing leaders. Nominated into the High Potential Program, she gained exposure to health care experts, skills and concepts that helped her develop professionally.
The experience Jaclyn gained throughout her tenure at Northwell has helped her lead tremendous growth in ambulatory care since 2017. Learn more from her about the Medicine Service Line and advantages of working in ambulatory practices.
Tell us about the growth of the Medicine Service Line.
Since I joined this team in 2017, the outpatient Medicine Service Line has grown in both size and scope, and today is spread geographically across Suffolk and Nassau counties, Queens and Manhattan, with partnerships in medical outpatient groups in Staten Island and Westchester.
We have doubled the amount of nursing staff, both registered nurses and nurse practitioners, as these roles have become essential to effective patient management and facilitation of access to care.
Our team is highly structured to provide support to individuals and keep everyone connected. Communication is valued and opinions are sought from all. Talent is welcomed from all areas, and existing team members are encouraged to grow through opportunities for promotion.
Could you talk about the various types of Medicine Service Line practices and locations?
The majority of Medicine Service Line practices are centered on primary care in internal and family medicine. Many specialties exist within the service line, including: endocrinology, rheumatology, GI, pulmonology, gerontology, hepatology, nephrology, infectious disease, and occupational health.
Services include preventive health measures, annual assessments, treatment of acute illness, and overall health promotion. Scope has expanded during the past decade as the focus of medicine has shifted to promoting wellness rather than solely treating illness. More care is delivered out of the hospital, and attention given to lifestyle changes and holistic measures.
A portion of our practices support academic partnerships. Medical residents treat patients in supervised clinics and participate in ongoing grant and research activity.
Thus, Medicine is the largest and most diverse service line within Northwell Health!
What types of positions are available within the Medicine Service Line?
The ambulatory team is centered around the office site, whether a two-person or 30-person practice.
The team is typically led by a practice manager, with physicians and advanced care providers (NP, PA, CNM) treating patients. Other positions include medical office assistants, licensed practical nurses, practice office associates, front desk staff, billers, and other support functions. On-site teams may also include registered dietitians, certified diabetes educators, pharmacists, and behavioral health coaches.
The role of the registered nurse is shaped in ambulatory locations to add value to the patient visit and facilitate achievement of health care goals. RNs practice at the top of their license; they administer medication, provide patient counseling, and enable care through medication/treatment renewals, referrals, and preventive care services. Patients may also have “Nurse Visits” which capitalize on expertise in nursing science and allow enhanced access to provider appointments. These visits allow patients to receive care directly from nurses and may include Coumadin management, blood pressure checks, vaccination, and diagnosis-specific education.
And, there is a huge amount of behind the scenes support in the areas of project management, finance, leadership, quality review, and business development.
What are some of the advantages of working in an ambulatory practice?
Ambulatory is an exciting and rewarding opportunity for career and skill development.
Advantages include:
- Smaller teams than inpatient counterparts mean that the work environment is truly collaborative, and all disciplines learn from each other.
- Relationships developed over time with patients and their families contribute to professional reward and purpose, where one can see the effect of invested effort.
- All staff have a great impact on quality output, patient experience, patient empowerment, improved health outcomes, and quality of life for our customers.
- Cognitive and critical thinking skills, as well as engagement of technological advancements, are essential to success.
- Ambulatory setting provides work-life balance for those who wish to make a difference in health care yet have personal home and/or family obligations to juggle.
- Schedules tend to be more regular, without overnight shifts, most major holidays are off, and the weekend and evening obligations are reduced, depending on the site.
Do you have any advice for people looking to get into internal medicine?
Understand the environment. Visit a practice if you can and note what you think works or does not work. We are always looking for new solutions.
Nurses can check out the Ambulatory Nurses’ Association (AAACN) website. Ask colleagues or interviewers to describe the differences between inpatient and outpatient settings. If you are looking for a supportive role, achieve certification if offered, such as for a medical assistant.
We look for individuals who have a passion for people, and demonstrate creative thinking, excellent customer service, and the ability to work well with team members.
Are you Made for delivering care in ambulatory setting? Explore practice RN positions here.
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