Graduate Nurse - Med Surg, Tele/Obs, IMCU, Rehab - Night
Company: Wellspan Health Services
Location: Chambersburg
Posted on: May 8, 2024
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Job Description:
Graduate NurseMedical Surgical, Telemetry/Observation, IMCU and
Acute RehabThe Registered Nurse is responsible and accountable for
implementing, directing and coordinating the care of patients
through the use of the nursing process: assessment, planning
implementation and evaluation. Included is recognition and
treatment of the physical and psychosocial changes unique to the
age/population group served on the specific unit.Essential
Functions and ResponsibilitiesCore Values: Service, Integrity,
Compassion1. Demonstrates service excellence and patient and family
centered care by showing respect, honesty, fairness and a positive
attitude toward all customers.2. Maintains confidentiality.3.
Demonstrates dependability, to include attendance and
punctuality.4. Is accountable - takes initiative and ownership of
issues.5. Displays a professional demeanor. Represents hospital in
a positive way. Has a compassionate working relationship with
patients and families.6. Assumes personal responsibility for 2-way
communication. Communicates and listens effectively with patients,
families, coworkers, other departments, physicians/providers and
community.7. Supports coworkers, initiatives and a patient and
family centered philosophy; pitches in; does own part and helps
others.8. Works to continuously improve work environment/processes
(Performance Improvement). Demonstrates a patient and family
centered focus when considering/developing improvement solutions.9.
Represents willingness/enthusiasm to create, embrace and facilitate
change.10. Develops self and others; supports a learning
environment; leads by example. Encourages patients and families to
give feedback and suggestions for improvement.11. Develops working
relationships critical to the organization including patients,
families, coworkers, other departments, physicians/providers and
community.12. Encourages others by providing recognition and
support.Technical Excellence1. Thinks critically; utilizes sound
judgment; promptly reports potential risks.2. Maintains state of
art knowledge of area of specialty, healthcare trends and practice,
and populations served.3. Maintains a level of computer literacy
appropriate to their role.4. Meets and maintains current all unit
specific and organizational skills/competencies,
certifications/licensures, as required.5. Completes
hospital-required reviews, e.g. HIPAA, safety, health screening,
care concerns, and others as assigned.6. Adheres to National
Patient Safety Goals.Job Class Specifics1. Demonstrates safe
medication practice.2. Maintains a professional image that reflects
the employee's role in health care, with confidence and a positive
impression.3. Completes chart check to ensure no missed orders.4.
Accurately transcribes physician's orders.5. Demonstrates
therapeutic communication skills.6. Demonstrates ability to assess
patient education needs and use of patient education resources.7.
Demonstrates involvement in unit by attending 50% of
staff/committee meetings and in-services for area.8. Demonstrates
leadership through the nursing process and supervision while
maintaining accountability for treatment and patient outcomes.9.
Acts as a resource person regarding patient care, specialty area,
orientation and teaching of staff.10. Responds to delays in a calm
manner. Apologizes for inconveniences and gives alternatives.11.
Analyzes assessment data, identifies priority problems and
documents on Plan of Care in PCS for patients and families and
significant others.12. Uses effective problem-solving skills to
plan patient care.13. Identifies critical factors evidencing
changes in patient condition and responds appropriately.14.
Completes and documents discharge assessment against plan of care
goals.15. Initiates and maintains Intravenous Therapy according to
IV standards.16. Responds appropriately to emergency situations.17.
Utilizes proper body mechanics to prevent injury to self and
others. Safely positions, transfers and transports patients.General
RequirementsThe following requirements are expected of all
employees:Core Values: Integrity, Compassion, Excellence,
ServiceAnnual Health Screening with Infection Control and Blood
Borne Pathogens EducationSafety Awareness: Hospital Fire, Safety,
and Disaster ProceduresConfidentiality: Maintains Employee and
Patient Confidentiality.Attendance: Regular attendance is an
essential function of the positionLeadership Standards:Character:
Attitude, Integrity, Role ModelingJob Performance: Results
Orientation, Customer Focus, Decision Making,
AwarenessInterpersonal Skills: Communication,
Relationship-building, Team Player, CelebrationInnovation:
Breakthrough Thinking, Knowledge-Building/Sharing,
Coaching/Empowering, System Vision & ManagementPhysical and Mental
Requirements: Classified as medium work by Dictionary of
Occupational Titles: May exert 20-50 pounds of force occasionally,
and/or 10-20 pounds of force frequently/and/or greater than
negligible (up to 10 pounds) force constantly in order to move
objects.- Stands frequently during a normal shift.- Walks
frequently within the department.- Sits occasionally.- Lifts up to
50 pounds laterally to and from waist level.- Pulls/pushes up to
125 pounds.- Carries up to 15 pounds.- Frequent bending, kneeling
and squatting from an upright position to lower levels.- Reaches to
heights of up to 2 feet.- Occasional twisting from upper torso.-
Ability to move rapidly in response to unpredictable
emergencies/patient behaviors.- Ability to physically restrain
average person (weighing 155 pounds) by assisting in a 2-person
lift.- Near-visual acuity with color perception in order to view
computer screen, decipher fine print and colors of medications and
solutions; also must be able to observe specific actions and from a
distance. Assessment of patients including the ability to perform
the following: Recognition of body color changes including but not
limited to pallor, flushing, cyanosis, and jaundice; evaluation of
skin rashes, erythema, and wounds, including color and quality of
wound bed and exudate if present; and detection of visible blood or
bile in urine, stool, sputum, and vomit. Use of area-specific
monitoring equipment, potentially including color-coded
information.- Auditory acuity; able to hear phone conversation,
overhead pagers, alarms and call bells, heart and lung and bowel
sounds (differentiating the quality of each), normal voice tones
when not facing the individual, and able to hear as well as see
blood pressure reading with accuracy.- Ability to occasionally
operate hand/arm and foot/leg controls on beds, stretchers, bed
scales, wheelchairs and lifts.- Manual dexterity, digital
sensitivity, and flexibility (i.e. ability to program equipment,
start IV's, give injections, check pulses and temperatures of
patient, adjust flow rates, open medications and utilize a
keyboard).- Good hand/eye coordination.Mental Requirements: Must
possess good general mental health; ability to work under pressure;
ability to communicate effectively in both written and verbal form.
Must establish priorities among essential functions of the job and
coordinate these functions with others; ability to speak, read, and
write the English language.Working Environment: Work is performed
in a clean well-ventilated, indoor area. Possible exposure to
patients with infectious diseases or to bodily fluids, which may
contain infectious agents. Some risk of harm through dealing with
patients who may pose a danger to self, others or property.
Interfaces with a diversity of customers. Exposure [occupational
level] to ionizing radiotion while utilizing protective shielding.
Possible exposure to patients with infectious diseases or to bodily
fluids which may contain infectious agents. Exposure to high
magnetic fields and high radio frequency waves created by
superconductive magnet.Reporting Structure:A. Formal Reporting and
Chain of Command - Patient Services: Reports to the Clinical
Manager of the assigned unit or their designee. In his/her absence,
reports to Nurse Manager, Administrative Resource Coordinator,
Director of Patient Services and/or Vice President of Patient
Services.Cardiovascular Services: Reports to the Manager with
oversight from the Director of Patient Services. In their absence,
reports to another designated Nurse Manager and/or to the Vice
President for Patient Services.Physical Medicine: Wound Care Center
reports to the appropriate Clinical Manager and Cardiac Rehab
reports to the Cardiac Rehab Coordinator. In their absence, reports
to another designated Clinical Manager or the Administrative
Director of Wound Care Services and Outpatient Physical Medicine
and Rehabilitation. In the Directors absence reports to the VP for
Administration.B. Informal Reporting and Relationships -
Establishes and maintains harmonious, productive relationships with
all levels of nursing personnel,other hospital personnel,
management, physicians, patients and the general public.Disclaimer:
These essential job functions are requirements of the position
which must be performed either with or without reasonable
accommodation. The essential job function list is intended to be a
guide rather than a limitation. The Chambersburg Hospital possesses
the right to add new responsibilities to the list as business
demands dictate. Some of the essential job functions may exclude
individuals who pose a direct threat/significant risk to the health
and safety of themselves or others.By identifying essential job
functions, we are in no way stating or implying that these required
tasks are the only activities that are to be performed by the
employee occupying this position. In addition, employees will also
be expected to follow any other job-related instructions and to
perform any other job-related duties that are included in the job
description. The preceding requirements represent only the minimum
acceptable levels of knowledge, skills, and/or abilities that a job
incumbent must possess; in order to perform the job successfully,
the incumbent will possess additional aptitudes so as to perform
the other duties that the job description entails.Revised Date:
10/06/2023In the section below, you will find the Registered Nurse
department specifics.Position Title: Registered NurseDepartment:
Medical/Surgical1. Completes accurate problem focus patient
assessments and treatments.2. Identifies abnormal clinical findings
and responds appropriately.3. Evaluates patient response to
medications and treatments.4. Performs peritoneal dialysis (only
RNs assigned to renal, pediatrics, and oncology 3 East unit).5.
Accesses and deacceses med ports.6. Administers chemotherapy
agents.7. Demonstrates appropriate procedure for the discard of
chemotherapy agents and clean-up of spills.8. Demonstrate the
appropriate technique for bladder scanner.9. Cares for the
Bariatric patient.10. Performs continuous bladder irrigation.11.
Performs intermittent hand bladder irrigation.12. Cares for the
postoperative orthopedic patient.13. Cares for the neurological
patient.14. Cares for the patient receiving lidocaine infusion.15.
Cares for the postoperative neurological patient.16. Cares for the
neurovascular patient.17. Cares for the acute renal failure
patient.18. Demonstrates appropriate care of the patient with a PCA
or epidural pump.19. Rounds with physicians.20. Demonstrates
appropriate pre/post operative patient management.21. Utilizes
appropriate fall prevention protocols.22. Demonstrates
understanding and application of pain management techniques.23.
Provides care to the pediatric/adolescent in accordance with age
specific development (Videos and hands on demonstration are
required to be viewed on orientation and reviewed yearly at skills
day), including a medication exam.24. POC demonstration in PCS
(Attention to age specific documentation). This is audited with PE
tools.25. Completion of 8 hour Pediatric Emergency Assessment
Recognition and Stabilization (PEARS) class.Qualifications and
StandardsEducation:- Graduate of an accredited School of Nursing
required; Bachelor of Science in Nursing is preferred.- Evidence of
participation in educational programs to update and maintain
current knowledge and clinical skills.Experience:- Experience
applying customer service behaviors and communication skills
required.- Previous nursing experience in specialty area
preferred.- For Cath Lab, one year of acute carenursing experience
(ED, Cath Lab, CCU, IMCU, Tele-Observation) preferred.- For Cardiac
Rehab, two years experience in Critical Care and/or Progressive
Care required.- For Cardiovascular Services, two years of
experience reading cardiac monitors and be self directed in
responding to abnormalities or cardiac arrests codes as a team
member.- For Device Clinic, at least one year of device management
services required. Successful completion of EKG course required. At
least two years of acute care nursing required (Tele-Observation,
IMCU, CCU, Cath Lab, ED).- For Emergency Department, at least one
year of RN experience in ED or Critical Care required.- For Family
Birthing Services, a minimum of 1 year Labor and Delivery
experience (within the last five years); For Family Birthing
position posted as a trainee position, requirement of at least 1
year of experience as an RN with preferred areas of ICU, CCU, IMCU,
EDor internal nurse intern upon successfully completing accredited
nursing program. Experience requirement does not apply to an RN in
the Family Birthing Services Fellowship Program (FBSFP)- For
Infusion Services, 6 months of infusion nursing experience
required, and 6 months Midline and PICC experience required.- For
Wound Care Center, two years experience and expertise in the
nursing process related to wound care required. Experience in
advanced wound care initiatives preferred.- For Outpatient
Behavioral Health Services, two years experience in
Behavioral/Psychiatric nursing is required. Previous experience in
a Behavioral Health Outpatient setting preferred. Child Abuse
Recognition and Reporting Training in accordance with Act31 of 2014
required. Federal Bureau of Investigation (FBI) Clearance and
finger printing required.- For Rapid Admission, requires one year
acute care experience and successful completion of EKG course
within six months of hire.- For SDS / PACU, must have experience
with, and be familiar with, reading cardiac monitors and be self
directed in responding to abnormalities or cardiac arrest as a team
member. Must have recent clinical experience with cardiopulmonary
resuscitation and have the ability to lead a Code Blue in the
absence of a higher level professional.- For Medical Surgical
(Renal, Oncology and Pediatrics), pediatric experience is
preferred.- For Level II NICU, a minimum of one year NICU
experience (within the last five years); For Level II NICU position
posted as a trainee position, requirement of at least 2 years of
experience in: NICU Level 1, Labor and Delivery, Post-Partum,
Nursery, PICU, ICU, ED, or CCU. Or, for Level II NICU position
posted as a trainee position, requirement of a new graduate RN with
(A) practicum/capstone in Labor and Delivery, Nursery, or NICU, or
(B) experience as Tech/Aide in Labor and Delivery, Post-Partum
Nursery, or NICU.Certifications/Licensure:- Eligible for or
currently licensed as a Registered Professional Nurse in
Pennsylvania.- Certification in specialty preferred.- CPR
certification required.- ACLS required for Cardiovascular Services,
CCU, Device Clinic, Emergency, IMCU, FBS, Tele Observation,
PACU/SDS, or achieved within one year of start date.- ACLS required
for Cardiac Rehab or achieved within 3 months of hire/transfer.-
Proficiency in cardiac monitor interpretation, conscious sedation,
and ACLS required for Cath Lab or achieved within 6 months of
hire/transfer.- ACLS required for Float Pool.- PALS required for
Emergency, PACU, and Pediatric trained staff within one year from
start date.- PALS and Conscious Sedation is required for SDS, or
must be achieved within four months of hire/transfer.- CNOR
preferred for OR.- CPAN/CAPA preferred for PACU/SDS.- CRRN
preferred for Rehabilitation Medicine.- NRP required for Level II
NICU.- NRP and Fetal Monitoring Pathway required for Family
Birthing Services within one year from start date.- STABLE required
for FBS, Level II NICU within 12 months from start date.- PMH-BC
preferred for BHS (IP and OP).- Proficiency in cardiac monitor
interpretation required for PACU/SDS, IMCU, Tele Observation, CCU,
Cardiac Rehab, Cardiovascular Services, Cath Lab, and Emergency.-
Temporarily reassigned personnel will work in a limited scope of
practice consistent with credentials and be surpervised by
appropriately credentialed staff.- WOCNCB or CWCN preferred for
Wound Care Center.Employment BenefitsSign-on incentives for new
employeesMedical, dental and vision insuranceLife and accidental
death insuranceSupplemental life insuranceRetirement savings
planPaid time off (PTO)PTO bridgingShort-term disabilityEducational
assistanceForgivable loanFlexible spendingCredit unionEmployee
recreational activitiesChildcareComplimentary medicine discountsby
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Keywords: Wellspan Health Services, Frederick , Graduate Nurse - Med Surg, Tele/Obs, IMCU, Rehab - Night, Healthcare , Chambersburg, Maryland
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