Ambulatory care is a highly skilled diverse unit which centers its care on the preoperative surgical care, specialized procedural care and outpatient infusion therapy.
A high degree of patient/family contact is offered on the 2-7/1-1 Access Units, where outpatients and inpatients are admitted to the hospital for a variety of procedures and treatments. Patients are prepared for procedures (e.g., cardiac catheterization, blood transfusion, surgery, interventional radiology, medication infusion, etc.) both physically and emotionally. Every measure is taken to help ease the anxiety of family members while they wait for their loved ones. After their procedures, outpatients return to the units for additional observation, review of their discharge instructions and to ensure the proper supportive services are in place prior to discharge.
Hours: The units are open Monday through Friday from 5:30 a.m. to 9:30 p.m. (Call is not required)
In the Endoscopy Unit (EU), more than 3,000 procedures a year are performed. The EU combines the technological aspect of the Operating Room with the patient contact of the Access Units. EU nurses are responsible for admitting and discharging outpatients, intraprocedural monitoring of patients receiving Moderate Sedation, and assisting with procedures such as colonoscopy, gastroscopy, bronchoscopy, and endoscopic retrograde cholangiogram pancreatogram. The patient population ranges from newborns to geriatrics.
Hours: The EU is open Monday through Friday 6:30 a.m. to 5:30 a.m. with call for weekends and holidays.
Telemetry is a dynamic, challenging and highly technical aspect of nursing. At St. Joseph’s Hospital Health Center, our services are comprised of units 2-4 & 2-5.
Cardiac Medical Services
We are a 41 bed unit with the potential to cardiac monitor 38 patients. We provide services for cardiac medical patients, pre and post-procedure CHF, stroke, Cardiovascular Lab patients, patients with other conditions, and those who require continuous EKG monitoring outside the critical care setting.
Housed within this unit is an eight bed Cardiac Service step down unit from ICU. This unit provides services to mechanically ventilated patients, peritoneal dialysis stable medication infusions and cardiovascular patients needing increased RN to patient care.
A multidisciplinary approach to care allows patients to maintain as much control of their lives as possible while providing an optimal level of wellness and safety. Registered professional nurses direct the nursing care and coordinate the delivery of interdisciplinary care. They are responsible for the assessment, planning, intervention and evaluation of the patient centered care.
Hours: A variety of staffing patterns is offered.
Educational Opportunities: We offer a stimulating and supportive environment for your professional growth. An extensive orientation program includes a basic critical care course (Core 1). Other special programs include an advanced critical care course (Core 2). National certification is available through the American Association of Critical Care Nurses (AACN) or the American Nurses Association (ANA).
Cardiovascular Surgical Services
We are a 43 bed unit with the potential to cardiac monitor 24 patients. We provide services for the pre and post-operative cardiac patients, the pre and post-operative vascular patient and the pre and post-procedure Cardiovascular Lab patient.
A multidisciplinary approach to care allows patients to maintain as much control of their lives as possible while providing an optimal level of wellness and safety. Registered professional nurses direct the nursing care and coordinate the delivery of interdisciplinary care. They are responsible for the assessment, planning and intervention and evaluation of patient-centered care.
Hours: A variety of staffing patterns is offered.
Educational Opportunities: We offer a stimulating and supportive environment for your professional growth. An extensive orientation program includes a basic critical care course (Course 1). Other special programs include cardiac and vascular surgery and an advanced critical care course (Core 2). National certification is available through the American Association of Critical Care Nurses (AACN) or the American Nurses Association (ANA).
Citical Care Emergency Services
Critical care and emergency services are dynamic, challenging and highly technical aspects of nursing. At St. Joseph’s Hospital Health Center, they are comprised of emergency services, the Surgical Intensive Care Unit (SICU) and Medical Intensive Care Unit (MICU).
Our brand new Emergency Services building is community-centered and provides entry into our health care network for more than 70,000 patients of all ages each year. Two tiers of service allow for efficient access to the emergency services required. One is for the seriously ill or injured patients, including those who require basic and advanced life support, and cardiac monitoring. The other is our Fast Track for patients with minor illness or injuries.
The Emergency Department (ED) has a full time pharmacist and pharmacy technician on site to assist with medication reconciliation. Phlebotomy/ECG technicians and respiratory therapy staff members are available 24 hours a day, seven days a week. A full time equipment technician provides inventory and equipment control. There are 24-hour transport services within the ED and throughout the hospital, and 24-hour housekeeping services for efficient bed turn over.
St. Joseph’s Hospital Health Center is the cardiac center for Central New York. The ED provides patients direct access to our state-of-the-art cardiac catheterization laboratory. Our team of professionals makes St. Joseph’s the place to go for cardiac care.
We follow the Emergency Nurses Association guidelines for nurse patient staffing ratios. Staffing patterns are predominantly a patient to nurse acute care ratio of three to one.
A supportive environment is provided through 24-hour management via three clinical coordinators, a manager and director.
Experience: One year of recent professional experience is required.
Hours: A variety of staffing patterns are offered. Flexible staffing patterns include four-, eight-, 10-, and 12-hour shifts. We pride ourselves in assisting each employee to achieve a schedule that meets his or her needs.
Educational Opportunities: We offer a stimulating and supportive environment with preceptor and mentoring opportunities for your professional growth. A one on one orientation program includes an extensive critical care and emergency nursing course. Other programs include ACLS, PALS, or ENPC, TNCC and an advanced critical care course with a strong concentration on 12 lead ECG interpretation. National certification is available through the Emergency Nurses Association (ENA). Hospital tuition reimbursement is available.
Surgical Intensive Care Unit (SICU)
Our state-of-the-art Surgical Intensive Care Unit is a 21-bed unit providing an interdisciplinary approach for critically-ill surgical patients whose conditions necessitate this level of intervention. Specialties include cardiac, vascular, neuro, gastrointestinal, pulmonary surgery, renal and trauma. Thanks to a dedicated staff, St. Joseph’s cardiac surgery program has ranked among the best in New York State, performing 900 cases a year. Our vascular program is one of the latest diagnostic and treatment programs in the state. The nursing process is utilized in the provision of care.
Educational Opportunities: We offer a stimulating and supportive environment for your professional growth. An extensive orientation program includes a basic critical care course. Other special programs include ACLS training, cardiac surgery, dialysis, chronic renal replacement therapy, ventricular assist device and an advanced critical care course. National certification is available through the American Association of Critical Care Nurses (AACN)
Hours: A variety of staffing patterns is offered.
Medical Intensive Care Unit (MICU)
Our state-of-the-art Medical Intensive Care Unit is a 15-bed unit providing an interdisciplinary approach for critically ill medical patients whose conditions necessitate this level of intervention and care. Specialties include cardiac, pulmonary, neuro, renal and endocrine. The nursing process is utilized in the provision of care.
Education Opportunities: We offer a stimulating and supportive environment for your professional growth. An extensive orientation program includes a basic critical care course, ACLS training, dialysis and an advanced critical care course. National certification is available through the American Association of Critical Care Nurses (AACN).
Hours: A variety of staffing patters is offered.
Educational Programs for Critical Care, Telemetry and Emergency Services
An extensive orientation program is provided for St. Joseph’s Hospital Health Center registered nurses who choose to work in the settings of the Medical Intensive Care Unit (SICU), Surgical Intensive Care Unit (SICU), Cardiac Services (medical and surgical telemetry), Post Anesthesia Care Unit (PACU), emergency Services or the Cardiovascular Lab. A comprehensive classroom orientation is offered in segments over several month. This provides the new graduate or the experienced practitioner the chance to expand his/her knowledge in conjunction with a well–developed preceptor program provided on the clinical units.
This basic critical care course is provided to all registered nurses in the above departments. The program consists of a seven-part course in basic EKG interpretation followed by a two day course in medication administration with a heavy emphasis on IV medications, cardiac medications and ACLS protocols. The third portion of Core I incorporates four days of indepth information utilizing specialists from neurology, cardiology, nephrology and others. Critical car nurses also receive instruction in ventilator management, hemodynamic monitoring and peritoneal dialysis. In addition, nurses employed in the SICU receive classroom preparation in the care of the cardiac surgical patient.
This course is offered to SICU, MICU, PACU, ED, Cardio Lab and telemetry nurses after at least six month employment. This is an eight day course with a focus on application of knowledge to clinical situations. The final two days explore advanced EKG arrhythmia interpretation, dual chamber pacemakers, 12-lead EKG interpretation and advanced hemodynamic monitoring.
Other Critical Care Courses
Intra-aortic Balloon Pump: This 20-hour course reviews the theory of counterpulsation and the management of this cardiac assist device. It is available to MICU, SICU and Cardiovascular Lab nurses.
CRRT: The Surgical Intensive Care Unit offers a 12- hour course in the management of the patient undergoing continuous renal replacement therapy.
Intra-aortic Balloon Pump Troubleshooting: This seminar on IABP is offered 3 times a year for nurses already familiar with this therapy who wish to enhance their skills.
Experienced Practitioner Course: For nurses with greater than three years critical care experience, we offer a course that enhances and reviews concepts learned earlier in orientation and builds on knowledge using a case study approach.
Dialysis Services at St. Joseph’s Hospital Health Center, one of the largest in Central New York, annually provide 50,000 chronic hemodialysis treatments and 2,000 acute dialysis treatments for patients in a 100-mile radius of Syracuse.
Care and Convenience
St. Joseph’s has been providing this critical care service since the 1960s with an annual growth rate of 16 percent. The success of our program is due in part to St. Joseph’s staff of eleven well-known nephrologists, who refer patients to our services.
Dialysis Services provide several modalities of treatment, including chronic, acute, homehemodialysis and peritoneal dialysis. Our services have several different locations to provide in-center hemodialysis. Our 30-chair Regional Dialysis Center is located at 973 James Street in Syracuse, with satellite units located in Liverpool, Camillus, Fayetteville and Cortland. These satellite units allow patients the option of having dialysis closer to home and also allow staff flexibility in choosing convenient work assignments.
Dialysis staff includes RNs, LPNs, patient care technicians, patient educators, dietitians, social workers and equipment technicians.
Clinical staff responsibilities include instituting and terminating hemodialysis treatment, pre– and post-assessment of the patient, monitoring during dialysis treatment, and providing ongoing care planning for each dialysis patient in conjunction with a multidisciplinary team approach.
Hours: Dialysis Services operate Monday through Saturday. There are no Sunday hours.The unit is open 6:30 a.m. to 11:00 p.m. Home dialysis operates 7:00 a.m. to 4:30 p.m. and acute care from 6:30 a.m. to 7:00 p.m.
We are closed on Thanksgiving, Christmas and New Years Day. Flexible scheduling is available. There is no night shift.
Educational Opportunities: All staff members participate in a comprehensive 8-12 week orientation process. Continuing education, inservice education and staff development are provided on an on-going basis. Clinical and career ladder incentives are available. Staff members also participate in performance improvement and risk management activities regularly. Clinical staff is encouraged to develop and utilize all professional skills.
Home Care Services
St. Joseph’s Certified Home Health Agency provides personal, quality health care in the home setting. It is a unique and wonderful career opportunity.
St. Joseph’s Certified Home Health Agency is the only hospital-based agency in Onondaga County. We provide services to more than 4,000 patients a year. St. Joseph’s Home Care offers a completely computerized medical record that supports our patient-centered approach to care.
“Home Care With a Heart” is our philosophy. We are committed to fostering an environment of caring as we meet the needs of our patients and their families. We also strive to maintain continuity of care from hospitals, skilled nursing facilities, rehabilitation facilities and the community. We provide one-stop referral service. Our central focus is promoting independence so our patients can safely care for themselves at home.
Palliative Care Program
Dedicated to allowing terminally ill patients and their families to remain in the comfort of their homes. Education and collaboration assist the patient and the family in making decisions regarding treatment options.
Spiritual Care Services
Available for patients upon request. The chaplain makes home visits to those in need, particularly bereavement counseling.
Educational Opportunities: Our orientation programs include all areas of home care. Clinical Nurse Specialists are available for assistance with professional growth. Inservices are offered several times a month.
Hours: Eight-hour shifts are available Monday through Friday. Evening and weekend shifts are also available. A rotating on-call schedule applies to nursing and home health aide positions. A pay-per-visit program is available for nurses.
Women & Children's Services
Women & Children's Services offers many options for mom-to-be, as well as a variety of experiences for nurses. We focus on the physical, social and emotional needs of the mother, child and family.
Labor & Delivery
Approximately 2,000 babies enter the world each year in our newly built, state-of-the-art Labor & Delivery Unit. An all RN staff works with midwives, family practice physicians and obstetricians to deliver comprehensive care to both high risk and low risk mothers.
The Labor & Delivery Unit includes eight private Labor, Delivery, Recovery rooms (LDRs), which provide spacious and comfortable surroundings for mothers and their families. Nine triage/recovery beds allow for renatal diagnoses, treatment and recovery of operative patients. Two operative delivery suites are ready for both scheduled and emergency Cesarean sections. Code “C” allows emergency Cesarean sections to be performed in only minutes.
Our philosophy of family-centered care means each mother chooses her support persons during labor and delivery. Once the baby is born, the new arrival stays with the family for an extended period. High-tech care is provided, as needed, including amnioinfusions and versions.
St. Joseph’s Hospital Health Center was the first hospital in the US to complete the MORE OB Safety Program, training all nurses, physicians, and midwives. We have recently completed the Advancing with Mom Program.
The Birth Place
More than 200 babies are born at St. Joseph’s Birth Place each year. Designed for low risk mothers desiring little or no medical intervention, the Birth Place is unique to Central New York. RNs experienced in obstetrics promote the non-intervention philosophy which encourages natural techniques to reduce labor pain and effect descent and delivery. During labor, staff members perform ausculatation of fetal heart rates and vaginal exams, working directly with midwives, obstetricians and family practice physicians.
Once baby arrives, nurses provide concentrated patient education in baby care, as well as continuous support to ensure success for breastfeeding mothers. Partners are encouraged to stay overnight with mother and baby in each room’s queen sized bed. Mom and baby go home after a 24-36 hour stay, and Birth Place nurses provide a home follow-up visit usually within 48 hours.
An RN and LPN staff provide antepartal, postpartal and neonatal care in this unit equipped with 24 beds for moms and 30 nursery cribs. Satellite nursing stations place nurses closer to patients. Babies “room-in” with their moms, allowing nurses to provide mother-baby care at bedside. Breastfeeding educators—RNs certified as lactation consultants—assist moms and keep staff up-to-date on the latest research and recommendations in support of breastfeeding. The breastfeeding educators also see out patients in the Breastfeeding Support Center on the unit.We are certified as a Baby-Friendly institution by the World Health Organization (WHO).
Our family-centered care philosophy allows moms to decide who is considered “family”, and open visiting hours encourage dads, siblings and extended family to bond with their babies.
Nursery Intensive Care Unit
St. Joseph’s Intensive Care Nursery is a 14 bed - Level 3 ICN
Commitment to Safety
- Bar-coding medications and patients
- All RN staff
- NNPs 24/7
- Neonatologists 24/7
- Excellent nurse to patient ratio
- MORE OB program
- All staff trained in neonatal resuscitation
- All equipment state-of-the-art
- Locked unit
- Vermont Oxford benchmarking
Commitment to Education
- Extensive set of Neonatal specific policies and procedures
- All policies and procedures evidenced based
- Neonatal resuscitation nstructors
- 30% of RN staff nationally certified in Neonatal Nursing
- 100% of Neonatal Nurse Practitioners nationally certified
- Physician to physician collaboration
- Continuous research
- Pediatric/Neonatal CNS on staff as well as 8 Advanced Practice Nurses
Commitment to our Parents
- Discounted parking in the garage
- Guest status for Mom’s
- Lactation consultants available in hospital and after discharge
- Neonatal Discharge Planner to coordinate discharge
- Open visitation including sibling visitation for children over 3 years
- High patient satisfaction scores with 100% follow-up phone calls at discharge
Hours: Nurses work 8-hour or 12-hour shifts. Day/evening and day/night rotations are available. 12-hour day/evening or evening/night are also available.
Educational Opportunities: All our staff members participate in a comprehensive 12-week orientation process. Continuing education, in-service education and staff development are provided on an on-going basis. Clinical and career ladder incentives are available. Staff members also participate in performance improvement and risk management activities regularly. Our clinical staff is encouraged to develop and utilize all professional skills.
The medical-surgical patient care areas provide a full spectrum of health care services. These services range from primary care to specialized medical and surgical procedures, complemented by a full array of rehabilitation and home care services.
St. Joseph’s patient-centered care approach strives to fulfill a vision of health care leadership established more than a century ago. We provide quality medical treatment for a variety of patients including general surgical, orthopedic, neurological, genitourinary, gynecologic, respiratory-comprised and those with exacerbation of their medical condition. We strive to maintain a caring environment for patients, families and each other. Nurses provide patients and their families with comprehensive education and support. A multidisciplinary approach to care allows patients to maintain as much control of their lives as possible while providing an optimal level of wellness and safety.
Registered professional nurses direct the nursing care and coordinate the delivery of interdisciplinary care. They are responsible for the assessment, planning, intervention and evaluation of the patient’s plan of care.
Formal and informal orientation is both general and unit specific. Unit specific orientation is provided by an assigned preceptor who plans an individual orientation and guides the orientee through the process. Continuing education, in-service education and staff development are provided on an ongoing basis.
Flexible scheduling is available on a variety of nursing units. Shift schedules include day/evening/night rotations with options of eight and twelve hour shifts.
Medical-surgical nursing offers a stimulating and supportive environment to enhance professional growth and personal fulfillment. Educational support is offered through specialty classes, clinical coordinators on each unit, staff educators and clinical specialists, and a tuition reimbursement program. Clinical Ladder incentives are available in all areas. Our clinical staff regularly participates in clinical practice committees as well as performance improvement and risk reduction activities. National certification is available in all areas.
St. Joseph’s offers nurses a variety of experiences in the mental health field—both inpatient and outpatient. This unique nursing area provides endless opportunities which foster both professional growth and personal fulfillment.
Continuing Day Treatment
The Continuing Day Treatment (CDT) Unit is a day program for those with ongoing mental health issues. Patients in the CDT are adults, age 18 and over, with a functional deficit that hinders their abilities to manage in the community. The program provides psychoeducation, case management, and therapy designed to stabilize and provide structure for those with mental illness.
RNs in the CDT have a number of roles including primary therapist, group leader charge nurse and medication nurse. As a staff member on the unit, each RN is responsible for the primary care of a caseload of patients, providing individual/group treatment and case management. The RN is a part of an interdisciplinary team within the CDT unit.
Inpatient Mental Health Facility
St Joseph’s inpatient mental health facility is a 30 bed unit providing intervention in acute mental health crises. Staff members, who play a key role as part of a multidisciplinary team, gain experience with a variety of neuro-biological illnesses. Handling medications, charge duties, and admissions are just some of the responsibilities of nurses on this unit.
Educational Opportunities: Formal and informal orientation is both general and unit specific. On average, RN orientation in CDT and in the inpatient facility takes from three to six months, depending on each nurse’s experience and familiarity with mental health. Continuing education, in-service education, and staff development are provided on an ongoing basis.
Hours: The CDT unit is open Monday through Friday, 8:30 a.m. to 5:00 p.m. All RNs work day shifts. The inpatient unit is open around the clock with RNs working eight-hour day, evening or night shifts.
Comprehensive Psychiatric Emergency Program (CPEP)
The Comprehensive Psychiatric Emergency Program (CPEP) is a licensed emergency room specifically designed to care for patients who are experiencing a psychiatric emergency. Patients are evaluated by a clinical team comprised of nurses, a mental health professional, and a psychiatrist. Some patients remain at CPEP for multiple days in a short term stabilization area. CPEP cares for patients of all ages.
RNs in the CPEP setting perform medical triage, medication administration, patient education, and other patient care activities. CPEP offer RNs the opportunity to work in a fast paced environment, as part of the direct care clinical team.
Hours: CPEP is open and fully staffed 24 hours a day, 7 days a week.