Archive for category: Nursing
Explore nursing careers at Northwell Health
Nursing Careers at Northwell Health
At Northwell Health, we know our strongest asset has always been our people. That’s why we give our nurses the support they need to grow their careers here. Watch our video to discover why our nurses–whether in emergency, oncology, home care, women’s health, periOperative and more– love working at Northwell.
Operating Room Nursing Careers at Northwell Health
Meet Ana, an operating room registered nurse at North Shore University Hospital. Learn about how Northwell has supported growth in her career from surgical technologist to RN and why she loves coming into work as an OR nurse every day in the video below.
Women’s Health Nursing Careers at Northwell Health
Hear from Joelle, a registered nurse working as a practice manager in women’s health. Discover why she’s proud to be a women’s health nurse and how Northwell has supports nurses in their journey to leadership in this video.
Home Care Nursing Careers at Northwell Health
For Melissa, working as a Northwell Health At Home nurse gives her the unique opportunity to work independently and form close bonds with her patients. Discover why our home care nurses take pride in being able to deliver exceptional care and health education to patients in the home in the below video.
Oncology Nursing Careers at Northwell Health
Hear from Iris, nurse manager at Monter Cancer Center, on the impact of being an oncology nurse at Northwell Health and working at the cancer center that treats more New Yorkers than any other health care provider. Watch below to learn how Northwell gives oncology nurses the resources you need to grow as a nurse and deliver exceptional care to their patients.
Emergency Nursing Careers at Northwell Health
Hear David, assistant director of nursing at Lenox Hill Hospital, talk about his love for working as an emergency room nurse. Discover why a nursing career in Northwell Health’s emergency rooms could be Made for you in the video below.
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2019 President’s Award Finalist: Leader of the Year
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 Leader of the Year award recognizes an individual who is made for Northwell Health because Northwell was not made for just anyone. It’s their spark and instinct to care that changes lives. This leader always acts with intent, with heart and with passion. They communicate openly while providing empathy and support, gains and shares expertise with others, acts honestly, professionally, and consistently achieves high-level results. Meet this year’s finalists.
Mary Brennan, RN
Associate Director, Nursing Education, North Shore University Hospital
Mary Brennan’s dedication to improving the lives of patients inspires colleagues and many well beyond Northwell. She is a worldwide thought leader on wound and ostomy care, improving on the prevention and treatment of skin wounds, and teaching others how to help patients and their families avoid suffering.
Her work combating pressure wounds has led to the naming of a medical condition in her honor . Working with Nurse Manager Kathy Trombley, the pair identified the differences between pressure injuries and terminal tissue injury. This research has yielded a tool that assists nurses in identifying patients who are in the last hours of life, which allows team members to empathetically communicate with family members.
A Wound Care Symposium first proposed by Mary has turned into an interdisciplinary two-day conference at Hofstra University that attracts both physicians and nurses. Her leadership includes publishing papers on wound care, as well as building and overseeing a North Shore University Hospital team of more than 100 skin care champions. Her creative strategies have contributed to the success of this program, keeping others engaged and involved in identifying best practices to reduce incidents of pressure injuries. Thanks to her efforts, hundreds of team members at Northwell and thousands of others around the world know how to prevent and treat thiscomplex clinical problem.
Ryan J. Guda, RN
Nurse Manager, Dialysis Services, Ambulatory
Building on his array of experiences in different fields, Ryan Guda has rebuilt a workplace that adapts to change and established a culture of respect with dramatic effects on the quality of care.
Shortly after joining Northwell in 2015, Ryan met with each team member to hear their opinions about their work environment. By listening and acknowledging his team’s feelings, he was able to re-direct negative behavior in a nonjudgmental manner and win their trust. Even his adept computer skills helped during a transition to electronic record-keeping.
Ryan quickly became an agent of change that has improved the work environment and directly affected the quality of services delivered to patients living with end-stage renal failure. He was successful in turning the team members’ fear of change into hope.
Marcia Hall, RN
Director, Patient Services, Northwell Health At Home
Marcia Hall is known for her enthusiastic, even disposition and willingness to step up to assist team members. She has a talent for connecting with patients and staff alike. As a leader in a busy business unit, Marcia sees her role as the person who supports, teaches and always tries to lighten the load of those in the office and out in the field. By making herself available to patients and team members alike, she is able to allay concerns and offer encouragement to those who need it.
Marcia was an early adopter of “Leader Rounds,” an innovative approach more difficult to accomplish with patients in the community, and advises supervisors to take time each day to assess what they are seeing in patient care, to spot trends or potential problems.
As a leader determined to spread positivity, Marcia looks to motivate people to be their best, whatever the challenge. She stands by team members who might feel overwhelmed by the responsibilities of caring for patients in the field. Reducing unnecessary hospitalizations is a key part of the Health At Home program and requires attention to detail. Above all, she demonstrates a strong ability to connect with patients and their families, a calming force to those facing a difficult situation.
Robert Kerner Jr., JD, EdD, RN, EMT-P, CHSE
Assistant Vice President, Patient Safety Institute, Assistant Professor, Hofstra Northwell School of Graduate Nursing and Physician Assistant Studies
Dr. Robert Kerner engages his team through reflective questions, allowing team members to self-direct on projects and listening to them in a style that makes everyone feel that they’re a valuable part of the team. He demonstrates concern for his colleagues, both personally and professionally, strengthening their connection to their profession and their colleagues. Dr. Kerner is committed to educational and clinical innovation and regularly puts forth new methods to meet the needs of our customers.
His ability to bring innovation in education from PSI to the units has been instrumental in allowing team members from Northwell to benefit from these efforts. Dr. Kerner has and continues to nurture relationships with both new and seasoned customers, as well as serve outside communities. Leaders from across Northwell reach out to Dr. Kerner to assist with projects that will enhance communication, situational awareness and competency skill sets in a variety of venues.
Paula McAvoy
Senior Administrative Director, Hospice and Palliative Care, University Hospice, Staten Island University Hospital
Compassion and a set of values that includes connectedness, awareness, respect and empathy guide the work of Paula McAvoy. She is 100 percent committed to caring for those facing the end of their lives. She ensures that her team members feel valued and engaged as they apply those beliefs to their patients and each other. Paula believes in an open-door policy to make sure open lines of communication are maintained.
Despite her heavy workload, she sets an example for colleagues with her commitment to professional development. She leads a session “Building High Performance Teams” as part of Northwell’s Leadership Essentials program.
In nearly 30 years at Staten Island University Hospital, she has excelled in any number of roles, where she began as an on-call hospice nurse, and has become a recognized expert in the field of end-of-life care.
Nina Ng, RN
Assistant Director, Nursing, Syosset Hospital
A deeply held concern for the suffering of refugees, victims of war and poverty has stirred Nina Ng to travel the world to deliver compassionate care to those in need. Nursing was the career she chose and for the first few years, she focused on learning all she could to develop her career. Then a trip to Haiti to care for orphans after a hurricane refocused her priorities and has nurtured a desire to take a leadership role in health care by helping the underserved, underprivileged, abused and forgotten people of war-torn and destroyed countries. After several trips abroad, including into a war zone, Nina has a desire to continue to expand her influence locally, regionally and globally, and continues to find new ways she can positively affect the lives of others.
Nina’s desire to lead isn’t limited to the world stage. She insists on accountability and recently published an article in the Journal for Emergency Nursing about workplace bullying.
Nina also has taken the initiative to reduce pressure wounds in patients with enhanced collaboration between the Emergency and Inpatient departments.
Northwell and Syosset Hospital benefit from Nina’s leadership and compassion, and her actions represent a total commitment to our values.
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2019 President’s Award Finalists: Nurse of the Year
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 Nurse of the Year award recognizes a nurse who is made for going the extra mile for his or her patients, families and colleagues. Exemplifying our Northwell values and behaviors, this individual delivers high-quality clinical care and a compassionate patient experience. Meet this year’s finalists.
Angela Daly, RN
Physician Partners, Cardiology at Southampton
Inspired by the extra efforts she saw nurses and others doing to take care of her mother, Angela Daly knew nursing was what she was meant to do. During the course of her career, she’s demonstrated efficiency and compassion, finding the small ways in which nurses can have a major impact on patients’ lives. Angela has solved problems, finding ways to improve how nurses were deployed throughout the Cardiac service line and how information was conveyed.
Taking a creative approach, Angela developed a telephone triage and patient education guide for her Flex Pool to demonstrate the best workflow in addressing patient calls, elevating patient concerns to providers and educating patients in a way that they can understand. Her guide is used throughout Northwell’s Cardiac service line. Angela also sends letters to every doctor that her patients see to ensure interdisciplinary communication is intact and that the patient’s treatment course with an investigational drug product is considered in the spectrum of their care. When she saw some information wasn’t making its way to all inpatient team members, she worked to develop chart notes that would be delivered to those who need them. And after realizing that more nurses were needed in the Cardiac service line, Angela worked to create a “Float Pool,” and recruited more than 90 nurses, trained them to cover the practices and developed guidelines so that the nurses would have the tools they needed to care more efficiently for our patients.
Alexa Damone, RN
Medical Surgical Unit, Glen Cove Hospital
Alexa Damone’s passion for her work is evident to her patients and colleagues by constantly learning new skills to improve medical care.
Alexa has the ability to relate to patients and their families through her caring manner and attentive demeanor. Her deep commitment is evident to her patients and her colleagues and was recognized by the hospital when she was honored in the hospital’s first “Breakfast with the Stars.” She is empathic, compassionate, an excellent communicator, possesses solid clinical and problem-solving skills and serves as an advocate for her patients.
Her commitment to helping peers is inspirational. Upon returning from a sepsis conference, Alexa shared her newly developed knowledge with her peers to improve the identification and prompt treatment of sepsis. She was a part of a project on infection control that led to better hand hygiene and infection control practices on the unit. Alexa is involved in another project aimed at improving the patient experience. With diabetes becoming increasingly prevalent, especially among the elderly, she attended a two-day workshop recognizing the importance of diabetes knowledge, management and education, enabling her to become a unit champion and valuable resource for her peers and patients.
Maryann Portoro, RN
Emergency Department, Phelps Hospital
Maryann Portoro sets a calm tone for patients and team members who, in the sometimes chaotic emergency care environment, need reassurance and compassion. She has devoted 45 years of her nursing career to caring for patients requiring emergency interventions. Maryann’s nursing role is characterized by her philosophy “Don’t worry, I’ve got it.” She is noted for her quick assessment and innovative interventions to support excellence in patient care. She demonstrates her leadership skills by taking charge while not losing her compassionate approach in the Emergency Department, sometimes rocking babies, other times holding the hand of an upset or frightened patient.
Maryann’s care doesn’t stop with patients; she provides timeouts to ease a team member experiencing grief after a loss.
Her sensitivity to people’s needs is in real time with positive, thoughtful recognition. She uses her abilities to think quickly and creatively in any situation, de-escalating a crisis by knowing just what to do to calm and control a situation. Her dedication extends to finding and implementing ways to improve new nursing care delivery models.
Dominick Pugliese, RN
Northwell Health At Home
Dominick Pugliese represents the future of Northwell Health nursing care. As a young RN he has already impressed his supervisors with his ability to learn quickly and with his commitment to caring for those in need. Joining Northwell Health At Home just a little over a year ago, he made the switch from a hospital Respiratory Care Unit to Home Health because he wanted to work with patients as their primary nurse in their homes. He had been inspired by his involvement with Project Hope on Staten Island. He was among the part-time team member who went door-to-door to provide crisis counseling to families who were suffering from the fear, anxiety, anger and helplessness after the destruction wrought by Hurricane Sandy in 2012. He rode on a medical bus, which was run by nurses.
At Northwell Health At Home, he mixes an interest and skill in using technology, such as the telehealth program, with devotion to hands-on care that depends on personal attention to a patient’s needs. Dominick’s potential led to his appointment to a task force that created Northwell Health At Home’s Heart Failure program, which was recently certified by the Joint Commission.
Jeffrey Rosa, RN
Surgical Intensive Care Unit, Long Island Jewish Medical Center
Passion for his patients and awareness of the complexities of navigating the emotions and needs of those in the Surgical Intensive Care Unit drive the care provided by Jeffrey Rosa. He witnessed the excellent care provided to his grandmother, and, later, as a paramedic, responded to the horrors of the Sept. 11 attack at the World Trade Center, which solidified his determination to become a nurse.
At Long Island Jewish Medical Center (LIJMC), Jeffrey is known as “the go-to player,” someone who has made it his business to know everything he needs to know about every patient in a unit where extra compassion, understanding and respect for what patients and families are going through are crucial. He is completely dedicated to inspiring and teaching new nurses to share his passion and expertise. He coaches, mentors and serves as a role model for his peers. Jeffrey lectures the hemodynamics portion of the nursing fellowship curriculum and shares his passion for work he does daily.
Jeffrey participates in countless committees, including the Magnet task force, and as co-chair of the Surgical ICU’s Collaborative Care Council, he facilitates the agenda and pushes LIJMC nursing units to share innovative solutions and champion new ideas and processes.
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Delivering critical care from the front lines to the Cardiothoracic ICU
For Jared Singer, a career in the military fueled his passion to help people in critical situations.
Jared, now a Cardiothoracic ICU registered nurse at Lenox Hill Hospital, served active duty in the United States Air Force for five years following high school. During his time in the military, he was exposed to various forms of emergency medicine training. His dream: to ultimately become a flight nurse and perform emergency medical evacuations out of helicopters.
With this goal in mind, Jared earned his Bachelor of Science in Nursing after his service. But to become a flight nurse, Jared knew he’d need critical care experience from a hospital. After applying to numerous ICU units across the five boroughs with no response, Jared’s professor recommended Northwell’s Critical Care Nursing Fellowship.
Following his professor’s advice, Jared attended a military veteran career event so he could meet with recruiters. “No hospital would take a chance to invest in me besides Northwell Health,” says Jared. “The military veteran career event let me promote what I could bring as an individual to recruiters, directors, and I even personally met Northwell’s President and CEO Michael Dowling. I felt a part of the team as soon as I walked into that event.”
Meeting with Northwell team members gave Jared the opportunity to showcase the skills that his unique experience as a veteran brought to nursing. “Not even a week after that event, I was sitting down with the manager of the Cardiothoracic ICU in Lenox Hill Hospital–my dream job.”
Finding a new mission in the Critical Care Fellowship
From there, Jared’s career as an RN in the Critical Care Fellowship at Lenox Hill Hospital began. In Phase one of the program, he learned the systems, pharmacology and equipment specific to the ICU. With help from his educators, the simulation lab, and hands-on experience, Jared was given the foundation nurses need to be comfortable, as well as the critical thinking and theory necessary to thrive in such a high-speed environment.
Jared’s skills are continuing to grow as he works as a nurse on the floor during Phase two of the fellowship program. As part of his fellowship, he cares for critical patients and works hand-in-hand with nurses, PCAs, physician assistants, respiratory therapists, surgeons and others – and there is something to learn from everyone. “I was able to stand in during a seven-hour surgery and was blown away with the technology, professionalism, and skills every individual had in performing such intricate procedures. My eyes were wide open in absolute awe of what we’re able to accomplish as a team for each patient we interact with.”
And for Jared, the Critical Care Fellowship is only the beginning of his career at Northwell and the new adventures he seeks.
“I have climbed Mt Fuji; I’ve been interviewed on live TV Christmas morning; and I’ve even jumped out of a plane 14,000 feet above the Hawaiian shores, but nothing compares to the rush and feeling of the satisfaction I get when I make medical interventions that can be the difference in the outcomes of my patients.”
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Delivering state-of-the-art care in North Shore University Hospital’s new Transplant/Surgical ICU
Northwell Health has recently opened a state-of-the-art Surgical/Trauma and Transplant Intensive Care Unit at North Shore University Hospital (NSUH). The new 13,000 square feet unit cost nearly $24 million and is an important step as NSUH prepares to launch Long Island’s first liver transplant program.
The new unit is not only an example of Northwell’s commitment to its patients but also to its employees through investment in the latest technology that will make it even easier for employees to provide top quality patient care 24/7.
“The unit is very nice. It’s more up-to-date and we have more resources. Everything is accessible within the patient room, you don’t have to move equipment in and out. Meds, charting, supplies – it’s all already in there,” says Jessie Dominique, respiratory therapist at NSUH. Her fellow respiratory therapist Margarette Timothee agrees, “It really makes our work easier.”
With 18 private rooms for its patients, the unit will focus on delivering care for trauma, liver transplants, colorectal surgeries, pancreatic islet cell surgeries and other complex surgeries. It will also work to support NSUH’s Level I trauma center.
“I can already see the benefits of the new and updated technology for the patients,” says Jaclyn Gomez, registered nurse at NSUH. “The bigger rooms are nice and having things like wireless technology and medicine securely available in the room really helps the patient experience.”
The new unit uses innovative technology that enhances the patient’s experience, while also ensuring that staff members have access to advanced equipment and technology to ensure they can provide priority patient care with ease. A few examples include ground-breaking eICU systems, which provide immediate access to telehealth support and around-the-clock patient monitoring. Other innovative enhancements include advanced lighting, glass privacy windows instead of curtains to reduce the spread of germs, an infrared badge system that shows when a patient is being attended to and by who, and a new patient lift technology for safe patient handling.
Are you Made for delivering exceptional care with state-of-the-art technology? Explore jobs at North Shore University Hospital.
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10 ways we celebrated Nurses Week at Northwell Health
With 16,000+ nurses across Long Island, New York City, Staten Island and Westchester, there were thousands of reasons to celebrate Nurses Week at Northwell Health. Nurses Week is a time for nurses to reflect on the countless lives they’ve touched throughout the year and honor the differences they’re making for patients, families and coworkers. Celebrations across the organization recognized the dedication, skill and compassion that RNs provide 365 days a year. Nurses Week is not only a celebration but a true representation of Northwell’s culture and commitment to our nurses. See below for only 10 of the many ways we celebrated Nurses Week. Also, explore job opportunities and apply to join our creative, fun and compassionate nursing team.
1. Walked the red carpet
To kick off the week, many of our locations gave our nurses the celebrity treatment. Rolling out the red carpet let each nurse take center stage as they arrived to work.
2. Recognized outstanding team members with awards
Our nurses are Made for delivering outstanding care and there are countless records of nurses going above and beyond for their patients. Sites across the system honored some of their brightest stars at their Center of Excellence Ceremonies with various awards from Rookie Awards to Humanism Awards to the prestigious Zuckerberg Award. Hearing the amazing stories about the nominees and winners recognized their compassionate care while inspiring other nurses.
3. Food, food, and more food!
From ice cream sundaes to hot breakfasts, nurses were spoiled with sweet and savory treats. Hospitals and ambulatory locations brought in every type of food imaginable throughout both the day and night shifts. Not only did it keep our nurses well-fed but it provided them with an opportunity to celebrate and bond with their fellow nurses.
4. Took time for wellness and self-care
Just as our nurses are committed to caring for their patients, Northwell is committed to the wellbeing of our team members! Nurses were able to take time to relax and unwind in a variety of ways–from relaxing with our pet therapy dogs to enjoying Reiki and massage therapy. Some sites also hosted lessons on stress management techniques and self-care workshops to empower our nurses throughout the year.
5. Fun in photobooths
In between rounds, nurses were able to have fun in photo booths and take pictures with coworkers to create photographic memories of all the fun they had throughout the week.
6. Dressed up for Spirit Days
Hospitals and locations throughout Northwell hosted a crazy scrub week, a favorite sports team day, college swag night, and more, to let nurses share their interests beyond scrubs. Some even dressed up in their best Florence Nightingale costume in celebration of one of the most famous nurses!
7. Won big with our basket raffles
The basket raffles during Nurses Week are legendary across Northwell for not only their big prizes but the creativity and teamwork that goes into them. Many sites hosted themes for their basket raffles and the enthusiastic nursing teams worked together to fill and decorate their baskets. After voting and announcing a winner, the prizes then went home with lucky nurses from each unit who won.
8. Listened to keynote presentations from Phyllis Quinlan PhD, RN-BC
Northwell’s Phyllis Quinlan PhD, RN-BC spoke to nurses at Peconic Bay Medical Center, Northern Westchester Hospital, and Cohen Children’s Medical Center to help teach them self-care practices and to develop their emotional intelligence. “Nurses are among the most generous people on the planet,” says Phyllis. “Their ability to turn their compassionate nature into the action we call caregiving is a precious gift that they are willing share. It is vital to make time to reconnect,, refresh, celebrate and rejuvenate.”
9. Blessing of the Hands
The Blessing of the Hands is a voluntary non-denominational tradition that recognizes and unites nurses around the world who use their hands daily in the caring of patients. During this special ceremony, warm water is gently poured over the nurses’ hands to refresh and renew their spirit and help their hands continue to heal those that they touch.
10. Spent time together
And most importantly, our nurses were able to spend time Truly Together! Throughout all our activities, nurses reflected on the results of their teamwork and hard work the past year and energized them for the year ahead. At Northwell, our nursing units aren’t just coworkers, they’re family.
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Michele Avent
Nurse Practitioner, Gastrointestinal
"I‘m Made for making a difference. It’s very rewarding to me to help someone and see the positive changes in their lives."
Stephany Charles
OB Technician
"I‘m Made for teamwork. Any department or any position that needs my assistance, I don’t mind going out and helping because we are a team here at Northwell."
Sarah Hughes
Registered Nurse, Med/Surg and Hospice
"I‘m Made for laughs because I like to see my patients smile even when they’re in tough situations."
Melissa Clarke
PCA, Emergency Department
"I‘m Made for smiling because I want to ensure that when the patient comes in, they’re always greeted with a smile. A smile goes a long way. It gives patients hope and comfort."
Dora Kakurieva
PCA, Post-Partum
"I’m Made for helping people. I love for patients to be comfortable and to learn from me and the other staff on how to care for their new babies."
Dennis Magapan
Surgical Technologist
"I‘m Made for resiliency. Being in the operating room is an adventure every day. It’s a stressful place to be but at the same time, it‘s rewarding. You’re able to help the surgeon accomplish their mission.
April Macabagdal
Registered Nurse, Critical Care
"I’m Made for being a team player. I like to boost the morale of my coworkers and push them to the max of their capabilities."
Grace Maya
Turnover Tech, OB
"I’m Made for helping people at Forest Hills Hospital."
Tova Miller
Nurse Practitioner, Internal Medicine
"I‘m Made for patient centered care. Every patient is unique and if you don’t look at patients as individuals, you won’t be able to do the best job you can in treating the patient as a whole."
Damion Kirkpatrick
PCA, Med/Surg and Telemetry
"I‘m Made for helping. Helping is so much more than it sounds - it’s a skill. It’s seeing the big picture and filling in where needed.You have to know when to help, where to help, and how to help."
Julie Minogue
Registered Nurse, Emergency Department
"I’m Made for advocating for my patients. A lot of the patients we see in New York might not have family with them and need someone to advocate for them."
Tara Morales
Registered Nurse, Labor and Delivery
"I‘m Made for preparing new moms. My job is to welcome mom into Labor and Delivery and explain to her all of the benefits of the care she’s going to receive while she’s in her labor process."
Stephanie Ortiz
Registered Nurse, ICU
"I’m Made for communication. Communication is one of the most important aspects of working at a hospital.
Dina Trotto
Nurse Educator
"I‘m Made for staff development. Staff development is important to me because it’s essential for every nurse to do what they’re best at and what they love the most. I get to know all of my nurses and find out what their goals are because I love that collaboration in getting them to where they want and need to go."
Ludney Jean Baptiste
PCA, ICU
"I’m Made for happiness. Whenever I enter a room, I make sure the patient has a smile on their face."
Margarite Soh-Choe
Registered Nurse, ICU
"I‘m Made for compassion. My compassion makes me able to put myself in the shoes of my patients and their family’s. This truly lets me provide the best care I can."
Edward Gona
Assistant Nurse Manager, Cardiac
"I’m Made for teamwork. I want to ensure all my staff work as a team in taking care of patients to give the best quality care."
Roseline Utti
Nurse Educator
"I‘m Made for love and respect. I love people and respect people’s opinions and that is what LIJ Forest Hills Hospital is all about."
Why being a home care nurse is so rewarding
Conducting more than 550,000 visits each year across Long Island, Queens, Manhattan, and Staten Island, our home care nurses at Northwell Health At Home are committed to bringing outstanding, innovative and award-winning care Northwell is known for right to the patient’s home. A commitment that has led our home care services to be recognized among the top 500 providers nationwide three years in a row by Homecare Elite and earning the Joint Commission’s Gold Seal of Approval for Heart Failure Certification – one of only a handful of organizations in New York State to achieve this distinction.
Serving as the link between patients with their physicians to ensure continuity of care, home care registered nurses help patients in the comfort of their own homes. Traveling to see their patients helps build a close bond between the nurse and patient while awarding greater flexibility and autonomy outside of the hospital setting.
Meet two of our team members and hear why they love being home care nurses at Northwell Health At Home.
What do you love about being a home care registered nurse?
Working as a Home Care nurse has given me the opportunity to see “behind the scenes” in my patient’s life. Many times, there are challenges at home that contribute toward a patient’s illness and access to healthcare, such as lack of transportation or the inability to read small print on medication bottles. Working in home care gives me the ability to prioritize my patients’ needs and provides flexibility in my day.
Why is the work of home care nurses so important?
As a home care nurse for Northwell Health at Home, I have the opportunity to help my patients transition easier from hospital to home. Many patients have been away from home for weeks, sometimes months, and they are overwhelmed when they arrive home. Often, they have new medications or changes they don’t understand, wounds that have not healed and different types of equipment that are required. Returning home doesn’t always mean their skilled needs have ended. Patients and their families require support and education. I can help the patient prevent another hospitalization and have the best possible outcome.
What advice do you have for people looking to become home care nurses?
When considering a career in home care, you must have flexibility as well as good communication and organizational skills. The home care nurse is responsible with coordinating all services the patient requires at home including physical therapy, occupational therapy, speech therapy, home health aide services and social work in conjunction with the patient’s physician. Timely follow up when changes are made in the patient’s plan of care, treatment or medications is crucial. The nurse is responsible for coordination with the multidisciplinary team on a regular basis to best meet the patient needs.
What do you love about being a home care registered nurse?
I’ve worked in a lot of different areas of nursing and for me, I feel that home care gives me the opportunity to really build a relationship with my patient and their families. It encompasses the whole picture which allows us as nurses to treat and help our patient heal better.
Why is the work of home care nurses so important?
Patients heal better at home. Home care nurses provide the proper one-on-one education, therapy, and overall care to help patients remain home and more independent.
What advice do you have for people looking to become home care nurses?
The beauty of nursing are the opportunities we are able to have in caring for patients, whether in a hospital or at home. Home care nursing is more than just medicine and diagnoses, it’s helping the patient live their best life in the place they feel the safest – home. If you enjoy a more personal relationship with your patients, it’s a great avenue.
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CNO Corner – A conversation with Irene Macyk
In her career, Irene Macyk, PhD, RN, NEA-BC has always aspired to do more, “when I get comfortable in a role, I feel compelled to change it. Although there was no premeditation to lead, I was always the person to raise my hand to try something new.”
This drive to take on new challenges has led to Irene’s impressive 10-year career at Northwell. Irene started as a director of nursing education at Cohen Children’s Medical Center (CCMC), and has held various leadership positions throughout the health system. The energy and enthusiasm that she experienced in that first interview at CCMC inspired her desire to be part of the Northwell team. Today, Irene is the chief nursing officer and associate executive director for patient care services at Lenox Hill Hospital (LHH), Manhattan Eye, Ear and Throat (MEETH), and Lenox Hill Greenwich Village (LHGV). Read more from our CNO Corner interview with Irene.
In what areas are Lenox Hill Hospital, MEETH and Lenox Hill Greenwich Village experiencing the most growth in nursing?
Nursing at LHH, MEETH and LHGV are experiencing growth is so many ways. Looking at quality, safety, patient experience and nurse engagement, we are in the top half of the nation for the past two years. Our professional footprint is strong with BSN rates at 93% and RN professional certification rates at greater than 40%.
Could you talk to the exciting things happening in your surgical services departments?
Over the past few years our surgical services have grown and received national recognition for excellence. We have a very active cardiothoracic program, a comprehensive neuro surgical service and a mature and well-respected orthopedic presence. Additionally our general surgery and GYN programs are continuing to innovate and challenge the status quo by implementing our enhanced recovery after surgery (ERAS) protocols.
What are some key nursing initiatives in 2019 at your hospitals?
Key nursing initiatives in 2019 for LHH, MEETH and LHGV all involve continuing our evolution as a culture of excellence. In its third year, our shared governance model continues to mature and nurses are the key decision maker in how nursing practice is conducted. We have nursing quality, evidence based practice and research, education, recruitment and retention and an advance practice council. In these councils, clinical RNs and leaders work together to create a healthy, professional work environment and drive the professional image of nursing. In 2018 alone, we had over 28 evidenced based, process-improvement projects that were completed and are in different stages of dissemination. With the desire to celebrate nursing accomplishments, we put in our application for ANCCs Magnet® recognition, and this year we are gathering the sources of evidence and documenting the stories to showcase.
How can nurses take advantage of growth and professional development opportunities at LHH, MEETH and LHGV?
As members of Northwell Health, we have an entire community of support for professional development. Clinical RNs can take advantage of guidance from clinical experts in the nursing education department at LHH, or seek professional development for the various programs offered at Northwell’s Institute for Nursing (IFN) and Center for Learning and Innovation (CLI). Nurses can also become a mentor or mentee in our mentorship program or take advantage of the generous tuition reimbursement by continuing their education at a master’s degree level.
What is the most important quality to have as a nurse?
Resilience. Nursing is hard work but we are privileged to work with people in a very vulnerable time in their lives. The ability to think critically, re-prioritize at a moment’s notice and stay calm under extreme pressure are key qualities of a nurse. In any given day we laugh, we cry, are a sounding board for the frustrated and a shoulder for someone grieving. This privilege can deplete one’s empathy banks and challenge one’s spirit. Resilience is the ability to maintain one’s core purpose and integrity among unforeseen shocks and surprises, the ability to bounce back, to regain strength and come back strong.
What is the best advice you’ve learned over the course of your career?
“It’s not what you look at that matters, it’s what you see.” – Henry David Thoreau
Are you Made for a nursing career at Northwell Health? Apply today!
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Celebrating National Certified Nurses Day
Celebrated on March 19th, National Certified Nurses Day is a special day that allows us to acknowledge all nurses who have gone the extra mile to earn professional certification in their specialty practice area. All of our Northwell Health nurses are committed to improving care delivery and positive outcomes for our patients and families and those who have earned professional certification exemplify their commitment through national recognition as a certified nurse!
Why get certified? Achieving certification affirms the knowledge, skill, and practice within a specialty of nursing. The certification is nationally recognized and promotes a dedication to lifelong learning that is above and beyond the state requirements to practice as a nurse.
Northwell Health boasts a nursing certification rate that is above the national average for Magnet ® hospitals.
Northwell Health offers professional development programs that support nurses in getting prepared to successfully earn certification including continuing education programs and discounts on selected certification exams. Northwell Health also recognizes professionally certified nurses through our certified RN bonus pay program.
This year, there’s even more to celebrate! Congratulations to Launette Woolforde, EdD, DNP, RN-BC, vice president of System Nursing Education and Professional Development at Northwell for being named a winner of 2019’s Certified Nurse Award by the American Nurses Credentialing Center (ANCC). Launette was recognized for demonstrating the value and impact of specialty certification and creating a pathway to help 16,000+ nurses at Northwell achieve certification.
“Becoming certified has been one of the proudest achievements I’ve obtained in my career and also a necessary step in the continuum of my professional growth. It has allotted me a chance to be recognized for my knowledge and skills as a nurse and has enhanced my confidence when providing care.”
“Northwell Health at Huntington Hospital made it financially possible for me to obtain dual ANCC certifications by reimbursing me for the out of pocket costs. Without this assistance it may not have been feasible for me during these difficult times. Additionally, the continuing education programs including a medical surgical certification preparation course prepared me for success.”
Congratulations to all Northwell Health Certified Nurses!
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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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MEETH the team at Manhattan Eye, Ear, & Throat Hospital revolutionizing perioperative ambulatory care
Throughout 2018, Manhattan Eye, Ear & Throat Hospital (MEETH) worked hard to increase the efficiency and quality of care in our ambulatory OR in New York City.
As part of this effort, MEETH had the exciting addition of robotic surgery in November, making us the first Northwell Health ambulatory center to perform robotic surgery. The program launched with Robotic Assisted Hernia Repair and Robotic Assisted Cholecystectomy cases to great success. The addition of robotic cases within MEETH empowers our team to deliver state of the art and highest quality care to our patients.
By allowing surgeons greater precision, dexterity, control, and visualization, robotics have proven to contribute to less post-operative pain and discomfort, minimal scarring and improved patient recover times. The OR team here at MEETH is very excited and proud to be able to offer this great service to our patients!
The OR Team at MEETH has also started doing ambulatory Total Shoulder Replacement Cases. We’ve also increased our ENT, GU, General Surgery, and GYN case volume to help better serve patients. This increase in volume has come along with a steady increase of our on time start times for the first cases of the day – with a 10% improvement over 2017.
Our collaborative care council has been revitalized to help improve our work environment with collaborative feedback from our team. Employees also participated in the MEETH Career Day Panel which helped introduce high school students to different healthcare opportunities and help excite them about joining the industry.
Not to mention, there’s always something to celebrate! One of our surgical technicians presented in-service focusing on the history of surgical technologists and the proud moments from MEETH during Surgical Technologist Week. In celebration of Perioperative Nurses Week, MEETH hosted our very own fashion show in which the staff created designs from unused OR supplies. During the holiday season, we hosted an International Holiday Breakfast/Lunch during which our team could bring in and share their traditional food to celebrate our diverse heritages.
Check out the photos below!
Are you Made for delivering exceptional care from an ambulatory location? Join our team at MEETH!
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CRNAs go above and beyond while their patients are under. Learn more in Northwell Health’s CRNA Fact Sheet:
CRNAs are invaluable members of our patient care teams. Every year, they safely administer more than 45 million anesthetics to patients in the U.S. through a safe and cost-effective way. Explore this fact sheet and learn more about this noble profession:
What is a CRNA?
CRNAs are advanced practice nurses who’ve earned the credential of Certified Registered Nurse Anesthetist after passing a certification exam. They have over 2000 hours of advanced clinical training. CRNAs work with healthcare providers, ranging from surgeons and anesthesiologists to dentists and podiatrists and administer anesthesia to all surgical cases.
Where do CRNAs practice?
Wherever anesthesia is being delivered, CRNAs are there, caring for patients. Inside private practices, surgical suites, specialty offices, Obstetrics and U.S. military sites, CRNAs are caring for millions of people around the world each day.
What makes CRNAs so important to health care?
CRNAs are also a cost-effective alternative to anesthesiologists, making a huge difference for patients and insurance companies fighting against rising healthcare costs. CRNAs aren’t just important to save on healthcare costs, in many rural communities of the U.S., they’re vital as they are the primary anesthesia care provider. In many states, nearly 100% of rural hospitals rely on CRNAs as the sole providers for anesthesia care, meaning that without CRNAs, surgeries would be impossible.
What education is required to become a CRNA?
The minimum education and experience required to become a CRNA include:
● Baccalaureate or graduate degree in nursing or other applicable major
● Valid registered professional nursing license and/or APRN
● Minimum of one-year full-time work experience, or its part-time equivalent, as a registered nurse in a critical care setting within the United States, its territories, or a U.S. military hospital outside of the United States.
● Graduation with a minimum of a master’s degree from a nurse anesthesia educational program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs
What is a CRNA program like?
Depending on the university, nurse anesthesia programs can vary from 24-51 months. Most programs have gone or are in the process of offering the DNP as the entry to practice terminal degree. After 7-8.5 years of study, professionals leave fully prepared for their position, graduating with immense clinical experience that averages to 9,369 clinical hours. All of this work culminates in a master’s or doctoral degree from a program that’s accredited by the Council of Accreditation of Nurse Anesthesia Educational Programs.
As an acknowledgment of CRNAs’ growing importance and educational expectations, by 2025 all CRNAs will receive a doctoral degree. Once they receive a degree, a CRNA graduate they must also pass the National Certification Examination before they can start practicing on their own.
What are the career opportunities for CRNAs?
CRNAs are highly regarded advanced practice professionals who enjoy real autonomy and incredible professional respect in their roles. Since they’re are solely responsible for the anesthetic care of their patients, their compensation reflects that immense responsibility. Beyond their degrees, some CRNAs utilize their fellowships to specialize in areas of anesthesiology like chronic pain management.
How do I become recertified as a CRNA?
We’re excited that you want to become recertified as a CRNA! You can enroll in the Continued Professional Certification Program, an eight-year program that’s dividing into two four-year cycles. Administered by the National Board of Certification and Recertification for Nurse Anesthetists, the CPC is based on four components: traditional continuing education, professional development, core content modules, and a comprehensive exam.
Are you Made for a career as a CRNA? Learn more about CRNA opportunities at Northwell Health.
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