Registered Nurse - Outpatient Behavioral Health - Day/Evening

Company: Wellspan Health Services
Location: Chambersburg
Posted on: April 9, 2025

Job Description:

The 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 ResponsibilitiesUnit Based 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 employees role in health care, with confidence and a positive impression.3. Completes chart check to ensure no missed orders.4. Accurately transcribes physicians 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.18. Functions as a virtual nurse as assigned which includes, but is not limited to, admissions, discharges, education, documentation through a virtual platform and working collaboratively with the bedside nursing staff.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 IVs, 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: Behavioral Health Services1. Incorporates recovery principals into providing patient care.2. Applies mechanical restraints and RN face-to-face assessment (or completes restraint competency for BHU).3. Describes intervention for least restrictive alternative to restraints and demonstrates correct performance of de-escalation techniques (CPI certification/renewal up to date).4. Accurately describes process for leading crisis intervention (live performance demonstration, exemplar, or case example).5. Responds to behavioral health emergencies appropriately.6. Effectively facilitates group therapy and individual support.7. Provides psycho-education (individual and group).8. Describes responsibility in assessing and reporting physical, emotional, and sexual abuse and neglect, (including Tarasoff warnings).9. Demonstrates understanding of Shift Leadership Role.10. Participates in MOCK, medical emergencies and/or RRT.11. Demonstrates ability to perform CIWA, AIMS, DAST/AUDIT, and Suicide Risk Assessment.12. Performs Physical Systems assessment accurately.13. Describes Level of Care Policy, including responsibility and hand off process for minimum promise of every 15-minute safety checks.14. Incorporates Continuous Comprehensive Integrated System of Care (CCISC) principles into providing patient care.Position Title: Registered NurseDepartment: Behavioral Health Services - Outpatient1. Follows role and responsibility in assessing the reporting of physical, emotional, sexual abuse, and neglect in all populations.2. Demonstrates ability to assess and handle clients in crisis situations including verbal, de-escalation, and physical intervention skills.3. Performs all scales needed to assess the client in the OP BHS clinic.4. Maintains expected productivity rate of billable to paid time.5. Demonstrates the ability to provide and utilize supervision with peers and physicians to manage the care of clients.6. Interviews patients and family members to obtain information about home environment, family relationships, health history, and patient's personality traits.7. Demonstrates ability to develop treatment plans that meet licensing standards and are developed in conjunction with patients and provider input8. Administers medications as prescribed9. Coordinates care of assigned patients and keeps all relevant treatment team members informed.10. Conducts individual and or group therapy sessions. Assesses patients' progress and modifies or extends treatment program accordingly.11. Documents current, accurate observations of care to the patient in appropriate records.12. Provides health care instruction/education to patient and family members.13. Provides medication checks.14. Provides support to nurse triage phone calls when appropriate.15. Participates in development of safety plan with patients and review as applicable.16. Demonstrates knowledge of the principles of growth and development over the life span of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care to assigned patient age group(s).17. Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and 'error proof' systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.18. Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.19. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.20. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.21. Maintains the cleanliness of work areas as required22. Demonstrates the ability to function at an intermediate nursing level to assist in the planning and implementation of patient care in relevant assigned duties in the clinic.Position Title: Registered NurseDepartment: Cardiac Cath Lab1. Cath Lab Prep & Recovery:2. Demonstrates scheduling of patients for procedures performed in Cath Lab.3. Demonstrates competency with pre-procedural phone calls, procedural instructions, and chart preparation for procedures performed in the Cath Lab.4. Demonstrates proficiency with physical preparation of all patients undergoing procedures in the Cath Lab.5. Demonstrates competence with post-procedural follow up phone calls.6. Demonstrates correct patient identification by following Manual of Administrative Policy.7. Completes preprocedural assessment, procedural preparation, and teaching on all patients undergoing procedures in Cath Lab Suite, and documents assessment information.8. Demonstrates proficiency in the preparation of patient documentation, including review of diagnostic studies, completion of consents, and presence of H&Ps and notification of physician of abnormal results.9. Completes post-procedural assessment and teaching on all patients undergoing procedures in the Cath Lab suite, and documents assessment information.10. Continually monitors, assesses, and evaluates patient response during recovery phase, and reports changes in patient condition.11. Utilizes appropriate nursing assessment pre- and post-procedure, as established by the department standards of patient care.12. Follows established criteria in assessing patients for discharge readiness.13. Demonstrates ability to function in the resource role by assisting with flow of procedures.14. Achieves/maintains credentialing in moderate sedation per annual competency and demonstrates appropriate clinical performance as evidenced by successful observation and chart review.15. Demonstrates ability to maintain an open airway for the anesthetized patient.16. Identifies signs/symptoms of airway obstruction, laryngospasm, bronchospasm, aspiration, and respiratory arrest, and takes appropriate action to correct the problem.17. Demonstrates the ability to calibrate and to draw blood from an arterial line.18. Demonstrates proper technique for removal of venous/arterial sheaths and management of vascular complications.19. Demonstrates proper application of transcutaneous pacemaker.20. Demonstrates competency with defibrillating patients.21. Demonstrates working knowledge of high-risk medications that require independent double-checks, including dose calculation; commonly used medications in the Cardiac Cath Lab setting, including actions, side effects and rationale for use; and demonstrates proper initiation and titration of vasopressor agents.22. Demonstrate proper technique for sterile technique23. Demonstrates/maintains proficiency in point of care (POC) testing.24. Completes a 12 lead EKG.25. Participates in the annual malignant hyperthermia education.26. Achieves accurate SBAR hand off communication between levels of care.27. Collaboratively coordinates with other departments and disciplines to meet patients needs.28. Completes mandatory education and in-services by due date.29. Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.30. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.31. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.32. Maintains the cleanliness of work areas as required.33. Procedural Suite:34. Demonstrates competency with all elements outlined in Cath Lab Prep & Recovery area.35. Demonstrate/maintains sterile technique in procedural suite.36. Continually monitors, assesses, and evaluates patient response during recovery phase, and reports changes in patient condition.37. Recognizes signs and symptoms of cardiopulmonary emergencies and initiation of standardized interventions to stabilize the patient's awaiting transfer to a higher level of care.38. Demonstrates competency with all procedural and hemodynamic documentation.39. Demonstrates competency with cardioverting/defibrillating patients.40. Demonstrates competency on radiation safety by completing annual radiation safety education and following established radiation safety practices.41. Demonstrates proper technique for insertion and care of patient receiving IABP therapy.42. Demonstrates proper technique for insertion and care of patient receiving Impella therapy.43. Demonstrates proper technique for insertion and care of patient receiving temporary pacemaker therapy.44. Demonstrates proper use of all ancillary procedural equipment in Cath Lab, including cleaning of.45. Assists in operation of x-ray equipment, as allowable per governing bodies.46. Demonstrates competency with circulating during any procedure, providing the performing physician or assistant with any equipment need.47. Participation of On-call rotation.48. Assists with TEE's and Cardioversions.Position Title: Registered NurseDepartment: Cardiovascular Services1. Demonstrates excellent customer service skills by frequent interaction with patient and family, keeping them informed regarding status of care.2. Collaboratively coordinates with other departments and disciplines in order to meet patients needs.3. Assists staff with increased patient acuity, patient and family teaching, and complicated patient and family situations.4. Communicates with physicians and mid-level providers of any discrepancies prior, during and after patient testing, and notifies manager.5. Constructively collaborates with manager of the department to facilitate and improve the delivery of patient care.6. Provides basic dysrhythmia interpretation and treatment.7. Provides basic and advanced life support.8. Appropriate drug dosage calculation, continuous medication infusion administration, and patient monitoring for medication affects.9. Reviews and collects patient's medical/surgical history and medications from Meditech, Medent, etc. prior the initiation of tests.10. Identifies abnormal clinical findings and patient's response to medications and treatments.11. Assessment, monitoring, and management of patients during testing procedures: stress, holter, and echocardiograms.12. Provides pre and post testing education for patients on site and via phone calls related to individual testing.13. Demonstrates understanding and application of pain management techniques.14. Utilizes appropriate fall prevention protocols and coordinates sufficient staffing for patient transfer from litters, wheelchairs, etc. ensuring patient safety.15. Collaborates constructively with physicians following up with manager of the department and/or designee.16. Operates and sets up equipment appropriately, troubleshooting and reaching out to appropriate resources as needed when malfunction occurs: i.e. IS, Bio Med, Plant Ops, etc.17. Recognizes signs and symptoms of cardiopulmonary emergencies and initiation of standardized interventions to stabilize the patient's awaiting transfer to a higher level of care.18. Recognizes indications for and management of patients requiring noninvasive oxygen delivery systems.19. Ensures that all testing rooms have adequate supplies of medications, O2, suction, etc. prior to patient tests.20. Checks for department's supplies expiration dates, orders, and replenishes them as needed.21. Signs off on Crash Cart and restocks expired medication and supplies as needed.22. Completes rhythm strip reviews, attends educational day for Telemetry Observation as assigned to maintain rhythm competencies.23. Attends and completes all other unit specific competencies and tasks identify by Manager and/or designee.24. Accurately performs, transmits, and processes Stress Tests, 12 lead EKGs and Holter Monitors, as needed.25. Completes mandatory education and in-services by due date.26. Maintains general cleanliness of department.27. Demonstrates proper application of electrodes for cardiac testing.28. Facilitates patient surveys coordinating for the department.29. Coordinates or completes staff education and people link board as directed30. Completes RN resource responsibilities related to the annual competency functions as outlined by the manager31. Able to perform TEE functions as a nurse independently.Position Title: Registered NurseDepartment: Critical Care Unit1. Utilizes appropriate nursing assessment as established by the department standards of patient care.2. Sets up equipment and assists with the insertion of Swan-Ganz catheter/arterial line and/or multilumen.3. Cares for a patient with a Swan-Ganz, including cardiac outputs.4. Assists with temporary pacemaker insertion.5. Demonstrates proper application of external pacemaker.6. Defibrillates patient.7. Assists with cardioversion procedure.8. Demonstrates proper administration of thrombolytic agents.9. Cares for a patient receiving thrombolytic agents.10. Draws blood from a multilumen, Swan-Ganz or arterial line.11. Discontinues Swan-Ganz, multilumen, temporary pacemaker or arterial line.12. Cares for a patient on mechanical ventilation.13. Assists with intubation.14. Assesses and evaluates patient response during post surgical recovery phase for surgical critical care patients.15. Describes role and responsibility in assessing and reporting physical, emotional, sexual abuse and neglect.16. Able to demonstrate proper technique for IABP therapy.17. Completes cardiac rehab exercises.18. Achieves credentialing in conscious sedation by > 84% score on exam annually and demonstrates appropriate clinical performance as evidenced by successful observation and chart review.19. Completes a 12 lead EKG.20. Demonstrates proper initiation of vasopressor agents.21. Interprets ECG pattern.22. Cares for a patient with Impella catheter assist device.23. Cares for post tracheostomy patients.24. Cares for peritoneal dialysis patients.25. Collaboratively coordinates with other departments and disciplines to meet patients needs.26. Completes mandatory education and in-services by due date.27. Completes annual health screening.28. Demonstrates ability to assist with the insertion of chest tube, including set-up and post insertion patient care.29. Demonstrates proficiency in applying vac dressings.Position Title: Registered NurseDepartment: Dialysis1. Completes accurate problem focus patient assessment and treatments.2. Identifies abnormal clinical findings and responds appropriately.3. Evaluates patient response to medications and treatment.4. Access and deacceses dialysis catheter, AVF, and AVG.5. Demonstrates appropriate procedure for discarding used machine set up and clean-up of blood spills.6. Cares for HD patients.7. Cares for patients receiving blood transfusions.8. Cares for the acute renal failure and End stage renal failure patients.9. Demonstrates appropriate care of the patient with HD catheter, AVF, and AVG.10. Rounds with physicians.11. Utilizes appropriate fall preventions protocols.12. Demonstrates understanding and application of pain management techniques.13. Demonstrates appropriate procedure for cleaning and disinfecting machines between each use and at the end of every day.Position Title: Registered NurseDepartment: Device Clinic1. Implements changes to programming devices in real time based off formalized protocol sets developed by the electrophysiologist. Performed by an RN under the supervision of a physician. RN will collaborate care with the Nurse Practitioner and Physician.2. Consistently performs device clinic testing which includes: interrogation of device (remote or in person), programming of device and trans telephonic rhythm strip evaluation.3. Demonstrates ability to use device programmer: hooking up patient, printing pacemaker settings, measure pacemaker function and calculate battery life.4. Communicates with the cardiologists to revise follow-up visits or planned device replacement.5. Establishes, develops and maintains liaison with device (vendor) representatives related to service recommendations, product recalls, and service bulletins/alerts.6. Identifies potentially dangerous or life-threatening arrhythmias and notifies Cardiologist immediately.7. Evaluates, recognizes/identifies and documents ECG or related abnormalities during diagnostic testing procedures or tracing reviews; promptly communicates abnormalities to physician by noting name, date and time. Documents communications in the patient record.8. In Meditech, enters orders noting accuracy of information: correct patient name, correct medical record number, birth date, ordering physician, and account number. Edits orders to the correct status to bill procedure. Amends orders, as needed, to correct date, procedure, ordering physician and/or reason for exam.9. Receives requests for scheduling of Cardiovascular Device procedures. Effectively uses Meditech Community Wide Scheduling system to complete requests received from patients, physicians offices, nursing homes, and nursing floors. Schedules Cardiovascular Device procedures appropriately and accurately with attention to ordering physician and diagnosis in accordance with departmental guidelines. Instructs as appropriate on required preps for requested procedures.Position Title: Registered NurseDepartment: Emergency Department1. Completes accurate initial triage to ESI and department standards.2. Performs thorough and accurate chief complaint specific assessments on all age groups.3. Assesses and identifies patients for indications of physical, sexual, or psychological abuse and initiates appropriate follow-up.4. Implements advanced emergency skills to ED patients.5. Collaboratively coordinates with other departments and disciplines in order to meet patients needs.6. Achieves credentialing in conscious sedation annually and demonstrates appropriate clinical performance as evidenced by successful observation and chart review.7. Attends annual skills day for all other unit specific competencies and reviews.8. Early identification and expedient processing of AMI patients to cath lab to meet benchmark door to balloon times.9. Demonstrates appropriate technique of accessing, maintaining, and de-accessing indwelling ports.10. Accurately completes and transmits 12 lead EKGs.11. Able to demonstrate proper set up and verbalize proper nursing care during and after insertion of chest tube.12. Demonstrates proficient phlebotomy skills on all age groups and follows procedures for patient identification and specimen labeling.13. Demonstrates proper use of Lifepak in all functions.14. Properly identifies patients by chief complaint and initiates department protocols in collaboration with ED Physician.15. Demonstrates proper application of restraints in the ED setting and completes required documentation timely and accurately.16. Documentation thorough and complete as evidenced by random chart audits.Position Title: Registered NurseDepartment: Family Birthing Services1. Successfully completes the FBS Fetal Monitoring Pathway.2. Provides care to the Family Birthing Services population in accordance with age-specific development.3. Demonstrates accuracy and timely documentation in electronic health record.4. Demonstrates the ability to provide care to the cesarean patient-preoperatively, intraoperatively, and postoperatively.5. Demonstrates the ability to provide care to the ante partum patient.6. Demonstrates the ability to provide care to the intrapartum patient.7. Demonstrates the ability to provide care to the mother/baby couplet.8. Demonstrates the ability to provide care to the neonate requiring intermediate nursery care.9. Demonstrates the ability to function effectively in the resource nurse role upon successful completion of orientation to the resource nurse role and functions.10. Completes and maintains NRP program training.11. Completes and maintains S.T.A.B.L.E. program training (neonatal education program to focus on the post-resuscitation/pre-transport stabilization care of sick infants).12. Demonstrates the ability to perform newborn metabolic screening.Position Title: Registered NurseDepartment: Float Pool1. Maintains cross training skills, as applicable (i.e., Tele Observation, Intermediate Care Unit, Critical Care Unit, and/or Emergency Department.2. Maintains ACLS training.3. Maintains RN specifics for Medical/Surgical areas and Tele Observation areas.4. Maintain RN specifics for Family Birthing, NICU Level II, and Pediatrics may be substituted for Department Specific #3.Position Title: Registered NurseDepartment: Infusion Services1. Collaborates with Infusion Coordinator in the planning and purchasing of IV related equipment, i.e., pumps, tubing, and in demonstrating and/or trial use of various products and equipment.2. Accurately charges for all services rendered.3. Assists in on-going education of staff to ensure patients are receiving quality care according to policy/standards.4. Recommends, initiates, and coordinates the discharge process for home IV therapy clients and directs the process through to conclusion.5. Participates in professional organizations and networks with other professionals as appropriate to keep current in the field of Infusion Nursing.6. Maintains skill level for advanced intravenous device insertion and selection.7. Through daily rounds, focuses on patients with limited IV access, central lines, and other special infusion access needs.8. Adheres to proper procedures and safety guidelines for outpatient blood transfusions, therapeutic injections, and infusions.9. Handles outpatient scheduling of all IV related tasks.10. Supports Performance Improvement initiatives within the department, including the accurate collection of pertinent data, and active participation to insure positive outcomes.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.Position Title: Registered NurseDepartment: Level II Neonatal Intensive Care Unit (NICU)Level II NICU1. Provides care to the neonate admitted to the Level II NICU in accordance with age specific development.2. Successfully completes Level II NICU competency checklist.3. Demonstrates accurate observations of patient condition and timely documentation. Demonstrates ability to care for the critically ill newborn, late preterm or preterm neonate.4. Monitors and adjusts specialized equipment used on the patients, including incubators, ventilators, CPAP, I-STAT analyzer and medication and enteral feeding administration devices.5. Demonstrates the ability to act rapidly and effectively during any emergency situation using principles of NRP and STABLE to deliver care to the compromised neonate.6. Collaborates with other members of the care team to establish priorities necessary to achieve expected outcomes.7. Demonstrates competency in caring for umbilical venous/arterial, picc and peripheral intravenous therapy in the neonate.8. Demonstrates proficiency in collecting lab specimens.9. Completes and maintains certification in NRP training program.10. Successfully completes and maintain STABLE programming training.11. Successfully completes and maintains iSTAT training as required.12. Demonstrates the ability to provide care and emotional support to the neonate and family.13. Assists mother in maintaining breastfeeding by providing assistance to LATCH and breastfeed and/or by providing necessary education and training for using electric or manual breast pump to maintain breast milk supply.14. Instructs and educates patients family to participate in neonates care and planning for discharge.15. Performs other position-related duties as assigned, depending on assignment setting.16. Demonstrates the ability to provide care to the post-partum newborn and partner with FBS to coordinate care of the mother-baby couplet.17. Demonstrates the ability to provide assistance to the neonatologist/advanced practitioner/Pediatrician as needed to care for the compromised neonate.Position Title: Registered NurseDepartment: Pediatric1. Provides care to the patient admitted to Pediatrics in accordance with age specific development. Pediatric patient is defined as anyone under 18 years of age.2. Successfully completes Pediatric competency checklist and maintains Pediatric specific yearly competencies.3. Demonstrates accurate observations of patient condition and timely documentation.4. Demonstrates ability to care for the acutely ill Pediatric patient.5. Monitors and adjusts specialized equipment used on the patients including continuous pulse oximeters, cardiac/apnea monitors, weight-based medication and enteral feeding administration devices, glucometers, and appropriate oxygen delivery devices.6. Demonstrates the ability to recognize decline or change in condition and act rapidly and effectively during any emergency situation using principles of PALS.7. Collaborates with other members of the care team to establish priorities necessary to achieve expected outcomes.8. Demonstrates competency in starting and maintaining care for peripheral intravenous therapy in the Pediatric patient.9. Demonstrates proficiency in collecting appropriate lab specimens.10. Demonstrates appropriate pre/post operative patient management.11. Completes and maintains certification in PALS training program.12. Demonstrates the ability to provide care and emotional support to the pediatric patient and family.13. Instructs and educates patients family to participate in care and planning for discharge.14. Performs other position-related duties as assigned, depending on assignment setting.15. Demonstrates the ability to provide assistance to the neonatologist/advanced practitioner/Pediatrician as needed to care for the compromised pediatric patient.Position Title: Registered NurseDepartment: Peri-Operative Services PACU, PAT, Same Day Services, Surgical Services - ORDI/PACU/PAT/Same Day Services:1. Demonstrates ability to function in the resource role.2. Demonstrates correct patient identification by following the universal protocol.3. Completes preoperative teaching and documents PAT assessment information.4. Demonstrates compliance with screening criteria for assessment by Department of Anesthesia for all PAT assessments.5. Demonstrates excellent customer service skills in the collection of data during the completion of phone interviews and in the collection and sharing of data from allied health professionals.6. Demonstrates proficiency in the preparation of patient documentation, including review of diagnostic studies, completion of consents, and presence of H&Ps and notification of physician of abnormal results.7. Verbalizes knowledge of the most commonly used medications, including actions, side effects and rationale for use and including the use of the medication grid.8. Obtains and maintains equipment needed to implement standards of care.9. Abides by self-scheduling guidelines to assure proper patient care/safety.PACU/Same Day Services:1. Anticipates the need for pain relief upon emergence from anesthesia.2. Verbalizes and effectively uses appropriate pain assessment and interventions.3. Assesses and evaluates patient response to procedures and therapies.4. Effectively uses appropriate interventions to manage patients post-operative/post-procedure care.5. Verbalizes concepts in selection of drug delivery routes for effective and safe pain management strategies.6. Demonstrates proficiency in the use of CPAP/BiPAP equipment.7. Completes annual urine pregnancy testing competency.8. Completes annual glucometer competency.9. Demonstrates sterile technique and proper healthcare asepsis.10. Demonstrates correct patient identification; completes universal protocol, including time out.11. Follows established criteria in assessing patients for discharge readiness.12. Demonstrates competency on radiation safety by completing radiation safety education.13. Participates in the annual malignant hyperthermia drill.PACU:1. Demonstrates ability to maintain an open airway for the anesthetized patient.2. Identifies signs/symptoms of airway obstruction, laryngospasm, bronchospasm, aspiration, and respiratory arrest, and takes appropriate action to correct the problem.3. Demonstrates ability to program and to troubleshoot the ventilator, and verbalizes the process to include the Respiratory Therapy practitioner in the care of the patient.4. Safely extubates patient, when indicated.5. Demonstrates the ability to calibrate and to draw blood from an arterial line.6. Demonstrates ability to utilize the autotransfusion device.7. Demonstrates ability to assist with the insertion of a chest tube, including set-up and post-insertion patient care.8. Demonstrates working knowledge of high-risk medications that require independent double-checks, including dose calculation and key points and including the use of the medication grid (e.g., patient-controlled analgesia, epidural analgesia, or critical care drip medications).Same Day Services:1. Achieves/maintains credentialing in moderate sedation per competency.2. Demonstrates ability to assist physician with epidural modalities, nerve blocks and neuroblative/neurolysis procedures.3. Demonstrates ability to safely operate equipment specific to pain treatment procedures.4. Demonstrates ability to assist with procedures in the GI Lab, including the use of equipment specific to the procedures.5. Demonstrates ability to provide patient care during pH manometry studies.6. Demonstrates ability to assist during minor surgery procedures.7. Demonstrates proficiency with patient care during bladder instillation of medications.8. Demonstrates ability to provide patient care during urodynamic studies.9. Demonstrates ability to provide patient care during contingent procedures.10. Demonstrates ability to provide care for patients during EEG, including pediatric patients11. Demonstrates proficiency in the administration of blood transfusions or medication infusions.12. Demonstrates proficiency with the physical preparation of the patient for surgery.13. Demonstrates competency on radiation safety by completing radiation safety education.14. Demonstrates knowledge of MRI safety.Surgical Services - OR:1. Identifies the patient prior to admission to the OR, assesses and identifies operative site.2. Assesses the H&P and Anesthesia Assessment forms for information which will require adjustment to the standard protocol such as obesity, deafness, diabetes, etc.3. Completes continuous patient assessment during surgery, reporting abnormalities to the surgeon or Anesthesiology personnel immediately.4. Reports all pertinent intraoperative information to PACU personnel.5. Plans for appropriate and proper functioning of equipment and supplies based on the individual surgery and physician's preference, assisting with radiological procedures and equipment needs of the surgeon which includes but is not limited to stepping on the pedal.6. Obtains and maintains equipment needed to implement standards of care.7. Maintains proper position and draping of the patient in accord with physician protocols to prevent patient exposure, and damage to muscles, nerves, and blood vessels.8. Prepares skin according to physician protocols in order to prevent infection and skin damage.9. Creates and maintains a sterile field according to policy and procedure in order to prevent infection.10. Obtains and accounts for needles, sponges, sutures, instruments, and other supplies following established policies as evidenced by proper documentation on OR Count Sheet, Implant Records, and count board.11. Correctly handles surgical specimens per policy and procedure.12. Prepares the patient for transfer to PACU under the direction of the surgeon and Anesthesia personnel.13. Completes the Unit-based Electrosurgical Unit Competency.14. Completes the Unit-based Procedural Counts Competency.15. Completes the Unit-based Orthopat-Zimmer Competency.16. Documents appropriately and accurately in the ORM portion of Meditech.17. Maintains appropriate safety measures in surgical areas, i.e., strict compliance with all surgical initiatives including but not limited to all steps of Universal Protocol process, parallel processing, sharps safety, no pass zone, PPE protection in the surgical areas, medication labeling and specimen handling.18. Is cognizant and monitors SCIPS information as it pertains to their practice and hospital protocols.19. Achieves accurate SBAR hand off communication between levels of care.20. Prepares the operating room for cases by setting up table, instruments and supplies according to the type of cases.21. Prepares rooms between procedures and after terminal cleaning. Monitors and restocks supplies.22. Drapes patients for surgical procedures.23. Assists the surgical team during operative procedures.24. Assist in the maintaining correct count of instruments, sutures, and sponges.25. Prepares patient skin for surgery in accordance with hospital standards.26. Maintains aseptic techniques; actively monitors situations which could lead to breaches in aseptic techniques.27. Assists surgeons during operations by retracting tissues under direction.28. Identifies and cares for specimen.Position Title: Registered NurseDepartment: Physical Medicine Cardiac Rehab1. Interprets patients' ECG pattern.2. Identifies the cardiac needs of the cardiovascular patient.3. Completes Inpatient's Cardiac Rehab exercises, including patient education4. Defibrillates patient (may demonstrate in lab).5. Describes role and responsibility in assessing and reporting physical emotional, sexual abuse and neglect.6. Maintains general cleanliness of department.7. Schedules patient visits in CWS.8. Conducts outpatient Cardiac Rehab exercise sessions, including patient education.9. Monitors patient visit limits per exercise prescription and insurance restrictions.10. Documents in Quinton computer program.Position Title: Registered NurseDepartment: Intermediate Care Unit (IMCU)1. Provides basic dysrhythmia interpretation and treatment.2. Provides basic and advanced life support.3. Drug dosage calculation, continuous medication infusion administration, and patient monitoring for medication affects (e.g., vasoactive agents, platelet inhibitors, ant arrhythmic agents, insulin.).4. Monitoring patients using standardized procedures for preoperative, intraoperative, and postoperative procedures (e.g., cardiac catheterization with percutaneous coronary intervention, chest tube insertion).5. Cares for patients with a tracheotomy.6. Hemodynamic monitoring including equipment setup and troubleshooting, monitoring, and recognition of signs and symptoms of patient instability.7. Recognition of the signs and symptoms of cardiopulmonary emergencies and initiation of standardized interventions to stabilize the patient awaiting transfer to critical care.8. Interpretation of arterial blood gas analysis and communication of findings9. Recognizes indications for and management of patients requiring noninvasive oxygen delivery systems including oral airways, bi-level positive airway pressure, and continuous positive airway pressure.10. Recognition of indications for and complications of enteral and parenteral nutrition.11. Assessment, monitoring, and management of patients requiring renal therapeutic interventions (e.g., hemodialysis, peritoneal dialysis, stents, continuous bladder irrigation, urostomies).12. Completes a 12 lead EKG.13. Completes cardiac rehab exercises.14. Draws blood from an arterial line.15. Describes role and responsibility in assessing and reporting physical, emotional, sexual abuse, and neglect.16. Maintains general cleanliness of department.17. Demonstrates proper application of external pacemaker.18. Recognition of and evaluation of the familys need for enhanced involvement in care to facilitate the transition from hospital to home.Position Title: Registered NurseDepartment: Rapid Admissions1. Accurately completes all required admission paperwork; implements any STAT orders, initiates phone call to MD to clarify orders.2. Prioritizes pain control for the newly admitted patient.3. Completes appropriate documentation for discharge/transfer of ED patients; facilitates discharges/transfers.4. Collaboratively coordinates with other departments and disciplines in order to meet patient needs.5. Acts as a resource person for patient care as needed.6. Performs other duties as assigned.7. Takes a patient assignment as required to meet hospital staffing/census.8. Maintains RN specifics for Medical/Surgical and Tele Observation areas.9. Computer proficiency.10. Concise documentation.11. Demonstrates excellent customer service skills by frequent interaction with patient and family, keeping them informed regarding status of care.Position Title: Registered NurseDepartment: Rehab1. Successfully completes bladder scanner competency.2. Successfully completes C.P.M. competency.3. Successfully completes patient transfer technique.4. Successfully completes ace wrapping-below the knee.5. Successfully completes ace wrapping-above the knee.6. Successfully completes FIM Credentialing every two years.7. Successfully completes use of automated external defibrillator.Position Title: Registered NurseDepartment: Tele Observation1. Demonstrates excellent customer service skills by frequent interaction with patient and family, keeping them informed regarding status of care.2. Collaboratively coordinates with other departments and disciplines in order to meet patients needs.3. Completes accurate problem focused patient assessment and treatments.4. Provides basic dysrhythmia interpretation and treatment.5. Provides basic and advanced life support.6. Drug dosage calculation, continuous medication infusion administration, and patient monitoring for medication affects.7. Identifies abnormal clinical findings and responds appropriately.8. Evaluates patient response to medications and treatments.9. Performs peritoneal dialysis.10. Demonstrate the appropriate technique for bladder scanner.11. Assessment, monitoring, and management of patients requiring renal therapeutic interventions (hemodialysis, peritoneal dialysis, stents).12. Demonstrates appropriate pre/postoperative patient management.13. Demonstrates understanding and application of pain management techniques.14. Utilizes appropriate fall prevention protocols.15. Rounds with physicians.16. Hemodynamic monitoring including equipment setup and troubleshooting, monitoring, and recognition of signs and symptoms of patient instability.17. Recognition of the signs and symptoms of cardiopulmonary emergencies and initiation of standardized interventions to stabilize the patients awaiting transfer to a higher level of care.18. Interpretation of arterial blood gas analysis and communication of findings.19. Recognizes indications for and management of patients requiring noninvasive oxygen delivery systems.20. Recognition of indications for and complications of enteral and paraenteral nutrition.21. Completes annual glucometer competency.22. Attends annual skills day for all other unit specific competencies and reviews.23. Accurately completes and transmits 12 lead EKG2s.24. Completes mandatory education and in-services by due date.25. Maintains general cleanliness of department.26. Demonstrates proper application of external pacemaker.27. Recognition of and evaluation of the familys need for enhanced involvement in care to facilitate the transition from hospital to home.Position Title: Registered NurseDepartment: Wound Care Center1. Utilizes Clinical Information System (Meditech) for appropriate functions: CWS, PCM, EMR, etc.2. Demonstrates proficient phlebotomy skills on all age groups and follows procedures for patient identification and specimen labeling.3. Properly identifies patients complaint and initiates department protocols in collaboration with Wound Clinical Physician/Provider.4. Completes the nursing process: assessment, planning, implementing and evaluating on all age groups.5. Communicates patient information to all members of the wound center as appropriate to the plan of care.6. Demonstrates understanding and application of pain management techniques.7. Monitors patient visit limits per prescription and insurance restrictions.8. Successfully completes patient transfer technique.9. Successfully completes ace wrapping-below the knee.10. Verbalizes knowledge of the most commonly used medications and/or wound supplies/dressings, including actions, side effects and rationale for use and including the use of the medication grid.11. Prepares skin according to protocols in order to prevent infection and skin damage.12. Creates and maintains sterile field according to policy and procedure in order to prevent infection.13. Correctly identifies wound by type, pressure ulcers by stage and communicates to the physicians and clinician as appropriate.14. Demonstrates competency in application of unna boot and multi-layered compression bandages.15. Demonstrates competency in application of wound care dressings on formulary in wound clinic.16. Regularly performs Case Management or Case Coordination duties to facilitate coordination of patient needs, including but not limited to referral to other departments for procedures or exams; DME ordering; coordination of care with providers outside the Wound Clinic (e.g., home care agencies) as appropriate.17. Accurately measures patient for the over the counter and custom compression garments.Position Title: Registered NurseDepartment: Inpatient Wound Care1. Utilizes Clinical Information System for appropriate functions.2. Properly identifies patients complaint and initiates department protocols in collaboration with Physician/Provider.3. Completes the nursing process: assessment, planning, implementing and evaluating on all age groups.4. Communicates patient information to team members, including updates to the plan of care.5. Demonstrates understanding and application of pain management techniques.6. Verbalizes knowledge of the most commonly used medications and/or wound supplies/dressings, including actions, side effects and rationale for use and including the use of the medication grid.7. Prepares skin according to protocols in order to prevent infection and skin damage.8. Creates and maintains sterile field according to policy and procedure in order to prevent infection.9. Correctly identifies wound by type, pressure ulcers by stage and communicates to the physicians and clinician as appropriate.10. Works with nursing and social work to determine discharge needs with respect to wound and ostomy care.11. Collaborates with inpatient units, participates in quality initiatives and data collection.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.by Jobble

Keywords: Wellspan Health Services, Frederick , Registered Nurse - Outpatient Behavioral Health - Day/Evening, Healthcare , Chambersburg, Maryland