Registered Nurse Observation Unit (Part Time/Evenings)

LOCATION: Lancaster, PA - Lancaster General Hospital 

HOURS: Part Time (24 hours per week). Evenings (3pm-3am). Rotating weekends and holidays.

This is a fast-paced 52 bed unit for both medical and surgical patients needing short-term care. As an extension of the ED, patients have an anticipated discharge of about 24-48 hours; enough time to receive treatments and procedures before being discharged. Top diagnoses in the Observation Unit include chest pain, Afib, TIA/CVA, CHR, asthma/COPD, vertigo, AFR/electrolyte abnormalities, syncope, hypoglycemia/hyperglycemia, and pre/post procedure (i.e. cardiac cath, OR, pacer, ablation, etc.). The unit requires strong assessment and critical thinking skills as a patients condition can change quickly. 

Summary:

Assume responsibility and accountability as defined by the American Nurses Association standards of nursing practice. 

• The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model.
• The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice. 
• The Clinical Nurse 2 Colleague exhibits Penn Medicine’s experience standards which reflect its mission and are embedded in the professional practice competency domains. 
• The Clinical Nurse 2 Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly.
• The Clinical Nurse 2 Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology Informatics, and Teamwork.
• The Clinical Nurse 2 Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age-appropriate considerations of assigned patients.
• The Clinical Nurse 2 Colleague seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies.

Qualified individuals must have the ability with or without reasonable accommodation to perform the following duties:

• Incorporates the Lancaster General Health mission, vision and values into planning patient care.
• Functions as an independent and interdependent member of the health care team as defined in unit based Plan for Provision of Care.
• Performs patient assessments, focusing on physiologic, psychological, and cognitive functions. Evaluates progress toward attainment of outcomes and adapts the plan of care based on recognized trends and changes. Collects and manages comprehensive data pertinent to the patient’s health or the situation.
• Analyzes the assessment data to determine the diagnosis or issues. Formulates age-appropriate and culturally and ethically sensitive plan of care
• Implements care in a knowledgeable manner and coordinates patient care across several disciplines and among caregivers.
• Provides leadership to other members of the team by effectively communicating expected standards of care and encouraging and supporting team members and their contributions.
• Demonstrates an understanding of and a commitment to our values of privacy, quality, respect, service and teamwork.
• Assigns, delegates, and supervises other employees and intervenes as appropriate to assure that the plan of care is carried out, continuity of care is provided and that established outcomes are achieved through availability and appropriated utilization of human, material and financial resources.
• Educates patients about healthy practices and treatment modalities.
• Systematically enhances the quality and effectiveness of nursing practices. Utilizes technology where appropriate.
• Considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services.
• Other duties as assigned.