$2,000.00 Sign-On Bonus Essential Job Functions Deliver direct and indirect patient care in accordance with hospital policies, procedures, protocols and standards of care. Perform and/or assist with patient care needs as directed and assists patient with activities of daily living. Respond to call lights, inquiries and requests from patients and families in a timely manner. Collect, document and report ongoing patient care data as directed. Measure and/or document intake and output, including drainage and obtains daily weights when indicated. Obtain individual patient care equipment as directed. Transport patients as directed. May perform the following skills: obtain vital signs, apply heating pads, set up suction equipment, utilize E cylinders, apply antiembolic hose, aseptic techniques, distribute and maintain sufficient supply of linens, apply Sequential Compression Devices, perform blood glucose testing, perform ostomy care, simple dressing changes, apply telemetry leads, bladder scanning, preventative skin care. Apply pulse oximetry, urinary catheter care, transport blood and blood products from blood bank, perform EKGs, oral pharyngeal suctioning, place patient in CPM machine, prepare and maintain isolation boxes and supplies, declutter patient rooms and storage areas, deliver specimens to lab, crutch measurement and teaching, maintenance of specialty carts, supply inventory and special order supplies, stock warmers with blankets, saline, and water. Make regular rounds to address patient needs and physical environment - purposeful hourly rounding, Assist in the educational process to promote and maintain health, foster self-care, and improve outcomes. Obtain resources as needed. Report to the RN/LPN information regarding the patient's readiness to learn. Maintain a collaborative relationship with other health care providers to achieve desired outcomes and assure continuous flow of patient care. Communicate pertinent information of actual/potential problems to the professional/practical nurse. Communicate pertinent information at shift reports and during internal and external transfers. Participate in the unit performance improvement activities designed to enhance the quality of patient care and customer services. Assist in data collection process as requested. Recommend modifications for performance improvement. Demonstrate leadership by utilizing the behaviors inherent to the role of the technical partner. Demonstrate an ability to solve problems utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate. Maintain accountability for actions taken. Effectively function as a resource person. Act as a patient advocate. Perform effectively in the role of preceptor/mentor to new hires and/or students. Assist in maintaining/decreasing organizational/departmental costs. Assist in the department's compliance with state, Joint Commission, OSHA and other regulatory agencies. Assist in continuous survey readiness for inspections and surveys. Adhere to the infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Assist with maintaining sufficient and proper supplies on an assigned unit. Assist with monitoring sterile supplies for expiration date and replaces as needed. Provide for patient safety in compliance with hospital and nursing department policies. Utilize two forms of patient identification before implementing any form of patient care. Assume appropriate code team role during code situations or mock codes. Respond effectively during emergency situations, including internal and external disasters. Assist in maintaining a safe and clean environment for patients, visitors and staff. Complete proper collection, identification, labeling and delivery of specimens (including diagnostic studies) to the appropriate department. Support limited use of restraints in accordance with established standards and documents according to policies. Other duties as assigned. Required Qualifications High School Diploma, GED or higher level of education. Sound judgment, problem solving skills, strong oral and written communication skills, ability to follow directions from other team members; works independently assigned duties. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications Completion of a Nurse Aide or comparable program (such as EMT, Medical Assistant, nursing student with at least one semester of clinical or prior experience in related field. Computer skills, Phlebotomy, EKG experience. License, Certification & Clearances Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required or obtain within orientation period (five (5) days from hire). Act 33 with renewal. Act 34 with renewal. Act 73 FBI Clearance with renewal. Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat X Extreme Cold X Heights X Confined Spaces X Extreme Noise(>85dB) X Mechanical Hazards X Use of Vibrating Tools X Operates Vehicle X Operates Heavy Equipment X Use of Lifting/Transfer Devices X X Rotates All Shifts X X 8 Hours Shifts X X 10-12 Hours Shifts X X On-Call X Overtime(+8/hrs/shift; 40/hrs/wk) X X Travel Between Sites X Direct Patient Care X X Respirator Protective Equipment X X Eye Protection X X Head Protection (hard hat) X Hearing Protection X Hand Protection X X Feet, Toe Protection X Body Protection X X Latex Exposure X X Solvent Exposure X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure X X Chemicals (direct use) Exposure X X Mist Exposure X Wax Stripper (direct use) X Non-Ionizing Radiation Exposure X Ionizing Radiation Exposure X X Laser Exposure X Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) X X Sitting X X Walking X X Climbing Stairs X X Climbing Ladders X Standing X X Kneeling X X Squatting (Crouching) X X Twisting/Turning X X Keyboard/Computer Operation X X Gross Grasp X X Fine Finger Manipulation X X Hand/Arm Coordination X X Pushing/Pulling(lbs. of force) X 10# 20# 50# 50# Carry X 10# 10# Transfer/Push/Pull Patients X X Seeing Near w/Acuity X X Feeling (Sensation) X X Color Vision X X Hearing Clearly X X Pulling/Pushing Objects Overhead X X Reaching Above Shoulder Level X X Reaching Forward X X Lifting Floor to Knuckle X 10# Lifting Seat Pan to Knuckle X 50# 50# Lifting Knuckle to Shoulder X 10# 20# Lifting Shoulder to Overhead X 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
Job Summary The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. Essential Job Functions Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting in patient and department records. Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain patient confidence and protects operations by keeping information confidential. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promote patient's independence by establishing patient care goals, teaching patient/family to understand condition, medications, and self-care skills, and answering questions. Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Resolve patient problems and needs by utilizing multidisciplinary team strategies. Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team continuous quality improvement and problem-solving methods. Contribute to team effort by accomplishing related results as needed. Ensure operation of equipment by completing preventive maintenance requirements by following manufacturer's instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques. Maintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results. Specialty Job Functions Demonstrates knowledge of circulating/scrub nurse duties. Pre-ops patient at the appropriate time. Identifies patient, appropriate surgical procedure and surgical site by following the policy for surgical site identification. Positions the patient correctly for each procedure preserving skin integrity. Follows the principles of asepsis, reporting any breaks in aseptic technique and rectifying the situation. May perform laser procedures. May perform procedures involving radiation. Possesses the knowledge of proper instrument and equipment set up for each surgical procedure, coordinating with physician preference. Updates physician preference cards. Assists the surgeon in performing the surgical procedure. Handles specimens appropriately. Performs OR counts accurately and takes appropriate action in response to incorrect counts. Maintains the ability to adapt to the changing needs of the surgical team. May take call for OR on regular basis. The Registered Nurse provides direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised Other related duties as assigned. Required Qualifications Graduate of an accredited Nursing Program required. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications Bachelor’s Degree in Nursing preferred. One (1) year medical/surgical, operating room or surgical center experience. CNOR certification. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal. Act 34 with renewal. Act 73 FBI Clearance with renewal. Supervisory Responsibilities This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Work Environment : Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x Operates Vehicle (Company) x Operates Heavy Equipment x Use of Lifting/Transfer Devices x x Rotates All Shifts x x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x x Overtime(+8/hrs/shift; 40/hrs/wk) x x Travel Between Sites x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x Hand Protection x x Feet, Toe Protection x Body Protection x x Latex Exposure x x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure Chemo Units Chemo Units X all other Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling x x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x 10# 50# Carry x 25# Transfer/Push/Pull Patients x x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle x 10# Lifting Seat Pan to Knuckle x 50# Lifting Knuckle to Shoulder x 20# Lifting Shoulder to Overhead x 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
Job Summary The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. Essential Job Functions Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting in patient and department records. Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain patient confidence and protects operations by keeping information confidential. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promote patient's independence by establishing patient care goals, teaching patient/family to understand condition, medications, and self-care skills, and answering questions. Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Resolve patient problems and needs by utilizing multidisciplinary team strategies. Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team continuous quality improvement and problem-solving methods. Contribute to team effort by accomplishing related results as needed. Ensure operation of equipment by completing preventive maintenance requirements by following manufacturer's instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques. Maintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results. The Registered Nurse provides direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised. Other related duties as assigned. Specialty Job Functions Demonstrates the ability to interpret and treat arrhythmias in ICU. Reviews rhythm strips. Demonstrates appropriate treatment of arrhythmia. Utilizes appropriate protocols for administration of drugs for treatment of arrhythmias. Demonstrates the ability to care for a patient requiring ventilator support. Demonstrates ability to care for patient receiving invasive monitoring, not limited to Swan Ganz catheters, but including A-lines and CVP monitoring Required Qualifications Graduate of an accredited Nursing Program required. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications Bachelor’s Degree in Nursing preferred. Critical Care Experience Open Heart Experience One (1) year Med/Surg or PCU experience. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Current ACLS or completion within one (1) year of hire/transfer date into department NIH Stroke Scale – current or within six (6) months of hire/transfer into department. Supervisory Responsibilities This position has no direct supervisory responsibilities but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Work Environment : Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x Operates Vehicle (Company) x Operates Heavy Equipment x Use of Lifting/Transfer Devices x x Rotates All Shifts x x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x x Overtime(+8/hrs/shift; 40/hrs/wk) x x Travel Between Sites x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x Hand Protection x x Feet, Toe Protection x Body Protection x x Latex Exposure x x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure Chemo Units Chemo Units X all other Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling x x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x 10# 50# Carry x 25# Transfer/Push/Pull Patients x x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle x 10# Lifting Seat Pan to Knuckle x 50# Lifting Knuckle to Shoulder x 20# Lifting Shoulder to Overhead x 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
**Full Time: $10,000 SIGN-ON BONUS** Provide patient care services, including assessing and managing patients in the urgent care environment, by following established standards and practices within the urgent care specialty. Education: Minimum: Master Degree in Nursing Preferred: Doctor of Nursing Practice Registration/Certification/Licensure : Current PA RN and CRNP licenses, ACLS, and Act 33/73 clearances. Individual must meet the credentialing requirements of the Medical Staff Office. Experience: Minimum: None Rereferred: One year experience working as a CRNP. Other Requirements : N/A Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling Standing - Remaining on one's feet in an upright position remaining stationary - FREQUENT Walking - Remaining upright on one's feet, and moving about - FREQUENT Sitting - Body remains in a seated position - OCCASIONAL Stooping - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL Bending - To flex the upper body forward - OCCASIONAL Twisting - To rotate the upper body forward - OCCASIONAL Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL Ladders - To ascend and descend ladders - N/A Stairs - To ascend and descend stairs - OCCASIONAL Kneeling - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL Squatting - To move the body downwards by bending both knees - OCCASIONAL Crouching - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL Crawling - To move the body forward or backwards on hands and knees - N/A Reaching Horizontal - To extend the arms and hands outward, remaining under shoulder height - FREQUENT Reaching Overhead - To extend the arms and hands up and out over shoulder height - OCCASIONAL Grasping - Using functional gripping of the hand to handle an object - FREQUENT Finger Manipulation - To manipulate objects with the use of fingers - FREQUENT Seeing - Using visual feedback to accomplish a task or activity - CONSTANT Hearing - Using sound feedback to accomplish a task or activity - CONSTANT Repetitive Upper Extremity Use - Using the arms and/or hands continuously or more than 2/3 of the total time - N/A Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling Pushing - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person OCCASIONAL 50# - > 100# Pulling - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person OCCASIONAL 50# - > 100# Lift - Floor to Waist OCCASIONAL 20# - 50# Lift - Waist to shoulder OCCASIONAL Up to 20# Lift - Shoulder to overhead OCCASIONAL Up to 20# Carrying - To transport an object or article using the arms or hands (> 10 feet) OCCASIONAL Up to 20# Environmental Factors Working alone - OCCASIONAL Working in cramped quarters - N/A Constant interruptions - FREQUENT Working with hands in water - OCCASIONAL Use of power tools - OCCASIONAL Working on ladders/scaffolding - N/A Exposure to vibration - N/A Exposure to dust - OCCASIONAL Exposure to noise (constant) - N/A Exposure to electrical energy (outlets, etc) - OCCASIONAL Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A Exposure to slippery walking surfaces - OCCASIONAL Exposure to solvents, grease, oils - OCCASIONAL Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - OCCASIONAL Working with bloodborne pathogens - CONSTANT Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: Sedentary to Light - CONSTANT Medium - FREQUENT Heavy to Very Heavy - OCCASIONAL I. Specific Job Responsibilities (Essential Functions): Evaluates and administers appropriate treatment plan for the urgent care patient in conjunction with the supervising physician. Provides patient and/or family information regarding treatment or procedures, condition and expectation during illness or recovery. Provides patient education/counseling and instruction regarding common patient problems. Formulates differential diagnoses by priority considering multiple potential mechanisms causing complex acute, critical, and chronic illness states. Demonstrates effective verbal, nonverbal, and written communication skills, including documentation according to established standards while maintaining patient confidentiality. Displays commitment to expanding his/her knowledge base and views this as a continuous process to maintain professional and personal growth. II. Organizational Responsibilities: Completed mandatory education, annual competencies and department specific education within established timeframes. Completed annual employee health requirements within established timeframes. Maintained license/certification, registration in good standing throughout fiscal year. Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self. Identifies and works to reduce potentially unsafe patient care or other safety practices. Adheres to regulatory agency requirements, survey process and compliance.
Job Summary/Overall Objectives The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. This position floats between the short stay unit and recovery room. Essential Job Functions Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting in patient and department records. Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain patient confidence and protects operations by keeping information confidential. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promote patient's independence by establishing patient care goals, teaching patient/family to understand condition, medications, and self-care skills, and answering questions. Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Resolve patient problems and needs by utilizing multidisciplinary team strategies. Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team continuous quality improvement and problem-solving methods. Contribute to team effort by accomplishing related results as needed. Ensure operation of equipment by completing preventive maintenance requirements by following manufacturer's instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques. Maintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results. SHORT STAY Responsibilities Provides complete patient care by identifying age specific needs during the assessment, monitoring and education of patient’s pre and post procedures. Provides the patient/family with information related to procedures (pre and post). Initiates the discharge process following physician approval/order for discharge. Reviews discharge instructions with patient and family member or significant other, distributes appropriate educational materials. Discharges patient with a responsible adult. Prepares, assesses and discharges patients presenting for blood transfusions, therapies and nursing service visits. Administers blood transfusions according to established policies. Initiates series visit following series visit guidelines. Documents accurately and completely on appropriate series records. Assists Allied Health Care Professionals MDs/DOs/Pas/CRNAs/CRNPs in the provision of care during procedures that take place on the unit, in accordance with licenses and certifications. These would include but are not limited to (Bronchoscopy, PEG Tube Changes, Anesthesia nerve blocks…) Pre-ops patient at the appropriate time. Identifies patient, appropriate procedure and surgical site by following the policy for surgical site identification. Assists in Moderate Sedation administration in accordance with ACLS and hospital guidelines. Handles specimens appropriately. Maintains the ability to adapt to the changing needs of the perioperative team. Performs indirect patient care duties essential to maintaining safe operation of Short Procedure Unit. As assigned, opens SPU in AM and closes unit at the completion of the schedule. Checks crash cart when unit is open and completes appropriate RECOVERY ROOM Responsibilities Develops an educational process for the provision and coordination of patient care activities that promote and maintain health, fosters self-care and improves outcomes. Tailors the educational process to meet the needs of the patient/family while in the PACU with emphasis on age, culture, barriers to learning and readiness to learn. Assures that written postoperative orders are available before discharge from PACU and reviews with the receiving unit to ensure continuity of care. Keeps abreast of new procedures, treatments, drugs, equipment related to the care of the postoperative patient to assure progressive PACU care. Requires participation in a call schedule to ensure ability to take care of patient’s post-surgery 24/7. Other related duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited Nursing Program required. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience Bachelor’s Degree in Nursing preferred. One-year critical care or PACU experience. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Current PALS or completion within 1 year of hire/transfer into department Current ACLS or completion within 1 year of hire/transfer into department A Nursing refresher course may be required if employee has not worked in an acute care setting for his / her most recent three consecutive years of professional employment. Act 33 with renewal. Act 34 with renewal. Act 73 FBI Clearance with renewal. Supervisory Responsibilities This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x Operates Vehicle x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts x 8 Hours Shifts x 10-12 Hours Shifts x On-Call x Overtime(+8/hrs/shift; 40/hrs/wk) x Travel Between Sites x Direct Patient Care x Respirator Protective Equipment x Eye Protection x Head Protection (hard hat) x Hearing Protection x Hand Protection x Feet, Toe Protection x Body Protection x Latex Exposure x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x Sitting x Walking x Climbing Stairs x Climbing Ladders x Standing x Kneeling x Squatting (Crouching) x Twisting/Turning x Keyboard/Computer Operation x Gross Grasp x Fine Finger Manipulation x Hand/Arm Coordination x Pushing/Pulling(lbs. of force) x Carry x Transfer/Push/Pull Patients x Seeing Near w/Acuity x Feeling (Sensation) x Color Vision x Hearing Clearly x Pulling/Pushing Objects Overhead x Reaching Above Shoulder Level x Reaching Forward Lifting Floor to Knuckle 15 Lifting Seat Pan to Knuckle 5 Lifting Knuckle to Shoulder 5 Lifting Shoulder to Overhead 5
