RN Med-Surg Full-time
Independence Health System

REGISTERED NURSE -6 MAIN- MED-SURG

apartment Independence Health System location_onButler, PA
36 Hours per week - 3 - 12 hour shifts Straight Night Shift Hours: 7p-7:30a Responsible for providing direct nursing care to assigned medical/surgical, oncology and renal patients. The Registered Nurse’s responsibilities include, but are not limited to, utilization of the nursing process in the provision of care, communicating with all members of the health care team to assure patient goals are being met and coordinated, providing excellent customer service while supporting the patients and families physical and emotional health. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing Registration/Certification/Licensur Current PA RN license and Healthcare Provider CPR Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Clinical experience evident within the past 3 years or completion of refresher course within the last year. Other Requirements: Comprehensive Crisis Management per policy. Status: Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise note 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 - CONSTANT ● 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 - FREQUE ● Twisting* - To rotate the upper body forward - FREQUENT 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 - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTA ● 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 - CONSTANT ● ● 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. ● ● FREQUENT ● 20# - 50# 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 ● 20# - 50# ● Lift * - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift * - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift * - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying * - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions * - FREQUENT ● Working with hands in water * - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) * - OCCASIONAL ● Working with bloodborne pathogens * - OCCASIONAL 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 coa bailing hay, fire fighting, sawing by hand, splitting w As relates to this position: ● Sedentary to Light - N/A ● Medium * - FREQUENT ● Heavy to Very Heavy - N/A
CNA Part-time
Independence Health System

NURSING ASSISTANT - 6 MAIN

apartment Independence Health System location_onButler, PA
20 hours per week. Day/Evening Rotation Hours: 6a-630p, 6a-230p, 2p-1030p . Assists in the safe care of the patient on the 6 Main unit as directed. Assists in maintaining safe and efficient unit operations and utilizes excellent customer service skills. Permitted to change patient from portable O2 to wall O2. Education Minimum: High School Diploma or equivalent Preferred: Current enrollment or completion of a nursing assistant training program Registration/Certification/Licensure : Healthcare Provider CPR Experience Minimum: N/A Preferred: Previous experience working as a nursing assistant in an acute care facility Other Requirements : Comprehensive Crisis Management per policy. Responsible to safely access, transport, and handle single dose medications to includeprescription and non-prescription medications. Responsible to safely access, transport, and handle sharps, such as needles, suture kits,lancets, syringes, etc. Status : Non-Exempt 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 - CONSTANT Sitting * - Body remains in a seated position - OCCASIONAL First Name xxxxx Middle Name xxxxx Last Name xxxxx Position Code 10.3260000.0000.605 Position Name NURSING ASSISTANT Department Name BMH 6 M Facility Name Butler Memorial Hospital Employee Number xxxxx Stooping * - To bend the body downward and forward by bending the spine at the waist - FREQUENT Bending * - To flex the upper body forward - FREQUENT Twisting * - To rotate the upper body forward - FREQUENT 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 - OCCASIONAL Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - OCCASIONAL Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT Grasping* - Using functional gripping of the hand to handle an object - FREQUENT Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT 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 - CONSTANT 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 theperson. FREQUENT 20# - 50# Pulling * - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards theperson. OCCASIONAL 20# - 50# Lift * - Floor to Waist OCCASIONAL 20# - 50# Lift * - Waist to shoulder FREQUENT Up to 20# Lift * - Shoulder to overhead FREQUENT Up to 20# Carrying * - To transport an object or article using the arms or hands (> 10 feet) FREQUENT Up to 20# Environmental Factors Working alone - N/A Working in cramped quarters - OCCASIONAL Constant interruptions * - FREQUENT Working with hands in water * - FREQUENT Use of power tools - N/A Working on ladders/scaffolding - N/A Exposure to vibration - N/A Exposure to dust - N/A Exposure to noise (constant) - OCCASIONAL Exposure to electrical energy (outlets, etc) - N/A Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A Exposure to slippery walking surfaces - N/A Exposure to solvents, grease, oils - N/A Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - N/A Working with bloodborne pathogens * - OCCASIONAL Cardiovascular Energy Requirements - Physical Demand PhysicalDemand MetLevel Examples of similar activity intensity Sedentary toLight 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-playwith children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf(carrying clubs). Heavy to VeryHeavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailinghay, fire fighting, sawing by hand, splitting wood. As relates to this position: Sedentary to Light* - FREQUENT Medium - OCCASIONAL Heavy to Very Heavy - N/A
RN Telemetry Full-time
Independence Health System

REGISTERED NURSE RN - 5 MAIN - TELEMETRY

apartment Independence Health System location_onButler, PA
DAY/NIGHT ROTATION Hours: 7a-730p, 7p-730a Job Summary : Responsible for providing direct care on 5 Main, which is a Medical/ Surgical/Cardiovascular Telemetry unit that provides acute nursing care to patients requiring telemetry monitoring. The Registered Nurse's responsibilities include but are not limited to utilization of the nursing process in the provision of care, excellent customer service skills and communication skills, flexibility, quality improvement activities and professional growth for the following patient population: 1. Post-operative cardiothoracic surgical patients that are hemodynamically stable 2. Surgical patients requiring post-operative cardiac monitoring 3. Patients with coronary artery disease awaiting open heart surgery. 4. Patients with angina pectoris with and without cardiac interventions. 5. Patients with diagnosis of heart failure requiring cardiac monitoring. 6. Neuro medical requiring cardiac monitoring. 7. Medical surgical overflow not requiring cardiac monitoring. 8. Patients with concurrent mental health needs. The Registered Nurse will support the patients and families physical and emotional health. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing. Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, ACLS completed within one year of hire/transfer. Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Clinical experience evident within the past 3 years or completion of refresher course within the last year. Other Requirements : Comprehensive Crisis Management per policy. Status: Non-Exempt 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 - CONSTANT ● 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 - FREQUENT ● Twisting* - To rotate the upper body forward - FREQUENT ● 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 - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT ● 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 - CONSTANT ● 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 ● 20# - 50# ● 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 ● 20# - 50# ● Lift * - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift * - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift * - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying * - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions * - FREQUENT ● Working with hands in water * - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) * - OCCASIONAL ● Working with bloodborne pathogens * - OCCASIONAL 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 - N/A ● Heavy to Very Heavy - N/A
RN OR Per Diem
Independence Health System

RN PERIOPERATIVE - OPERATING ROOM - CASUAL

apartment Independence Health System location_onClarion, PA
Clarion Hospital Perioperative Registered Nurse - Per Diem O.R. - PA - Per Diem Job Title: Perioperative Nurse Department: Operating Room Position Summary The Perioperative Nurse effectively delivers perioperative care to the surgical patient through the nursing process of assessment, planning, intervention, implementation and evaluation. Demonstrates commitment to Clarion Hospital mission statement, vision statement and values. Essential Functions Adheres to hospital and department policies/procedures. Maintains good attendance record Arrives to work punctually Follows dress code Observes confidentiality Adheres to safety policies Participates in continuing education Complies with staffing rotations Patient care coordinator. Uses the nursing process. Assesses the patient Plans patient care. Documents patient care Collaborates with other members of the health care team. Instructs patient and family. Participates in performance improvement activities Provides patient care. Implements patient care. Administers medications. Administers treatments. Functions as a clinical preceptor. Performs scrub and circulating duties. Care of environment and equipment. Maintains unit. Maintains equipment. Requires a mechanical ability to deal with a large number of machines and special equipment in the department, including (but not limited to): Electrocautery units Autoclaves Tourniquets Positioning equipment Instruction of each service Perioperative suite in total Energy Devices Video Towers Information processing and documentation. Communicates patient information. Documents information. Charges for equipment and supplies. Uses computer system efficiently. Where appropriate, must be able to assess treatment and care for specific patient populations (i.e.: neonatal, pediatrics, adolescents, geriatrics). Should possess the ability to understand and react effectively to their unique needs. Maintains adherence to patient rights. Participates in nursing and hospital committees as appropriate. Attends at least 70% of department staff meetings. Agrees to comply with the Corporate Compliance Policy and all laws, rules, regulations, and standards of conduct relating to the position and has a duty to report any suspected violations of the law or the standards of conduct to his or her immediate supervisor, the Compliance Officer or the Chief Executive Officer. The intent of this job description is to provide a representative summary of the major duties and responsibilities performed with or without reasonable accommodations by incumbents of responsibilities other than those specifically presented in this description. Reporting Relationships Reports to: Operative Manager/OR Nurse Coordinator Supervises: Surgical Technologists Qualifications Graduate of a State Board approved program of professional nursing. Holds a current Pennsylvania State License as a registered nurse. Certified in BLS, ACLS and PALS in the future. Call Requirements.
RN Med-Surg Full-time
Independence Health System

REGISTERED NURSE -6 MAIN- MED-SURG

apartment Independence Health System location_onButler, PA
32 Hours per week - 2 - 12 hour shifts, 1 - 8 hour shift per week. Hours: 7a-730p, 3p-1130p, 7a-330p Responsible for providing direct nursing care to assigned medical/surgical, oncology and renal patients. The Registered Nurse’s responsibilities include, but are not limited to, utilization of the nursing process in the provision of care, communicating with all members of the health care team to assure patient goals are being met and coordinated, providing excellent customer service while supporting the patients and families physical and emotional health. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing Registration/Certification/Licensur Current PA RN license and Healthcare Provider CPR Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Clinical experience evident within the past 3 years or completion of refresher course within the last year. Other Requirements: Comprehensive Crisis Management per policy. Status: Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise note 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 - CONSTANT ● 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 - FREQUE ● Twisting* - To rotate the upper body forward - FREQUENT 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 - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTA ● 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 - CONSTANT ● ● 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. ● ● FREQUENT ● 20# - 50# 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 ● 20# - 50# ● Lift * - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift * - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift * - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying * - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions * - FREQUENT ● Working with hands in water * - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) * - OCCASIONAL ● Working with bloodborne pathogens * - OCCASIONAL 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 coa bailing hay, fire fighting, sawing by hand, splitting w As relates to this position: ● Sedentary to Light - N/A ● Medium * - FREQUENT ● Heavy to Very Heavy - N/A
RN ICU Full-time
Independence Health System

REGISTERED NURSE RN - SICU

apartment Independence Health System location_onButler, PA
Steady Nights Rotation, Shifts: 7p-730a Reports to : Clinical Supervisor, ICU Position Supervises : N/A Job Summary : Responsible for providing direct nursing care to assigned patients in the Intensive Care Unit. Provides intensive nursing care to acutely ill medical and/or surgical inpatients. The Registered Nurse’s responsibilities include, but are not limited to, performance improvement initiatives, utilization of the nursing process in the provision of care, communication skills, flexibility, quality improvement activities, and professional growth. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing, CCRN Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, ACLS within one year of hire/transfer, and Act 33/73 clearances Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Prior med-surg experience and arrhythmia interpretation. Critical Care experience, including but not limited to: IABP, IV insertion, care of the ventilator patient, ABG’s, Swan Ganz, Arterial Lines, care of the post open heart patient, and care of the patient requiring CRRT, ACLS, and PALS. Other Requirements : Comprehensive Crisis Management per policy, participation in the Rapid Response Team and the Cardiac Arrest Team as assigned. Status : Non-Exempt 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 - FREQUENT ● Twisting* - To rotate the upper body forward - FREQUENT ● 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 - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT ● 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 - CONSTANT ● 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 ● FREQUENT ● Up to 20# ● 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 ● 20# - 50# ● Lift* - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift* - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift* - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions - FREQUENT ● Working with hands in water* - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift)* - FREQUENT ● Working with bloodborne pathogens* - FREQUENT 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 - OCCASIONAL ● Heavy to Very Heavy - N/A
LPN Psych Outpatient Full-time
Independence Health System

LPN - OUTPATIENT BEHAVIORAL HEALTH

apartment Independence Health System location_onGreensburg, PA
Job Summary The Licensed Practical Nurse functions as a member of the health-care team by exercising sound nursing judgment. The LPN provides direct and indirect patient care for an assigned group of patients under the direction and supervision of the RN and according to the plan of care derived from physician's orders and Registered Nurse assessment. Nursing Care includes physical care, emotional support, and patient and family education. Will provide coverage in the clinics as deemed necessary by the management or psychiatric staff. Essential Job Functions Delivers direct and indirect patient care in accordance with the Pennsylvania Practical Nurse Law, hospital policies, procedures, protocols and other professional standards of care. Assists the RN in collecting patient health care data on admission by completing a focused assessment in an ongoing systematic manner, focusing on the physical, psychosocial, age, cultural and spiritual needs of the patient and which contributes to the comprehensive assessment by the RN. Works directly with the RN to implement an individualized, age-specific plan of care and evaluate its effectiveness. Assists the RN in reassessment of the patient's condition and takes appropriate action as indicated or by unit specific policy. Involves the patient/family and other health care providers when appropriate. Completes patient care related activities within scheduled time periods. Complies with completeness, accuracy and timeliness of documentation, utilizing the electronic medical record. Observes, records and reports to the appropriate professional the symptoms, reaction and changes including: Performs nursing functions as defined in Pennsylvania regulations, ( where applicable by location and department need) such as: Administration of medications, immunizations, and therapeutic treatments prescribed by the physician. Assists with the rehabilitation of patients according to the medical care plan, being aware of and encouraging the interests and special aptitudes of patients. Encouraging patients to help themselves within their own capabilities in performing activities of daily living. Assists in providing education for the provision and coordination of patient care activities that promote and maintain health, foster self-care and improve outcomes. Assists the RN in assessing the patient's readiness to learn, identifying educational barriers and adapting the process to meet the needs of the patient. Ensures education about safely and effectively using medication, pain and managing pain, available resources, how to obtain further care, and information about responsibilities in their care. Provides and reviews, upon request of the RN, written discharge instructions that demonstrate an inter-relationship between education, discharge planning and continuity of care. Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care conferences, shift reports and internal and external transfers. Participates in the unit performance improvement activities designed to enhance the quality of patient care and customer service. Demonstrates leadership by utilizing the concepts inherent to the practice of the professional nurse. Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate. Delegates patient care appropriately. Maintains accountability for actions taken. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and/or students. Assists in maintaining/decreasing organizational/department costs. Assists in the department's compliance with State, TJC, OSHA and other regulatory agencies. Participates in continuous survey readiness for inspections and surveys. Participates in the non-punitive medication reporting system. Ensures accountability for narcotics per regulatory/organizational policies. Adheres to the infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Provides for patient safety in compliance with hospital and nursing department policies. Utilizes two forms of patient identification before implementing any form of patient care. Involves the patient and/or family in patient safety standards and processes. Minimizes the use of patient restraints and, if patient's condition warrants, monitors per individual assessed need and documents per policy. Assumes appropriate code team role during code situations, including internal and external disasters. Other duties as assigned. Required Qualifications Graduate of an accredited School of Practical Nursing. Up to one (1) year experience in a behavioral health setting 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 Previous LPN Experience. Previous experience in the field of Behavioral Health. Pursing a BSN or desire to pursue. License, Certification & Clearances Current licensure to practice as a Licensed Practical Nurse in the State of Pennsylvania Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance 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 Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health 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.
RN PCU Full-time
Independence Health System

REGISTERED NURSE, RN - 3NS PCU

apartment Independence Health System location_onLatrobe, PA
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. Reviews rhythm strips. Demonstrates appropriate treatment of arrhythmia. Utilizes appropriate protocols for administration of drugs for treatment of arrhythmias. 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 One (1) year medical-surgical, PCU or critical care experience. Bachelor’s Degree in Nursing (BSN). 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 Current ACLS or completion within one (1) year of hire/transfer date into department. Current NIH Stroke Scale or completion 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 Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System 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.
RN Full-time
Independence Health System

CLINICAL SPECIALTY COORDINATOR, RN- OPERATING ROOM- THORACIC SPECIALTY

apartment Independence Health System location_onLatrobe, PA
Job Summary Oversees daily work flow in a department or specialty service. Oversight includes monitoring of human resources, equipment, supplies, volumes and quality. Responsible for orientation of new employees, yearly competencies and ongoing training regarding the specialty or services. Essential Job Functions Leads, motivates, initiates change and assumes responsibility for professional growth and development. Models and exemplifies the Leadership Pledge in a consistent and proactive manner. Leads change in a complex care environment. Assumes role of the Charge Nurse in his/her absence. Aligns department with strategy map and continually works to implement drivers in support of Excela Health mission and vision and values. Makes a recommendation for at least one process improvement initiative for department on an annual basis. Participates in root cause analysis of reoccurring problems and takes appropriate action. Holds oneself accountable for leadership development by 8 hours of EHA sponsored leadership education per year. Assists manager in departmental activities, represents department on committees. Standards and Accountability, Service Orientation and Customer Service. Maintains a safe working environment; assures staff comply with safety, environmental and infection control guidelines. Assists manager to assure completion of mandatory annual education and competencies relative to job-specific criteria within department (staff licenses/registration). Supports standards of attendance policy consistently (unscheduled absences, breaks or meal periods) to all department staff. Participates in decision making with Manager to consistently apply corrective action standards. Supports staff to comply with infection control and safety measures set forth by Excela Health. Practices and encourages survey readiness in compliance with agency regulations and guidelines. Demonstrates expectations of confidentiality by continually encouraging staff to keep private information confidential. Performs in accordance with Excela Health's behavioral standards in support of the mission, vision, true north and values. Hold staff accountable for modeling the behavioral standards. May and can conduct client service recovery issues within required time frame and to the satisfaction of the customer. Planning, Decision Making, Financial Management, Process Management, Prioritizing and Delegating Involves staff in decision making and problem solving. Considers global implementations of decisions made; involves all appropriate departments and individuals for optimal outcome. Is knowledgeable of and works within the department budgets; looks for opportunities to reduce operating costs while balancing quality resources. Identifies and recommends revenues enhancement opportunities. Provides input in performance appraisals and hiring decisions. May conduct interviews with Manager and/or Leadership and utilizes the peer interview process. Assists manager(s) to promptly investigate and resolve SORs and incident reports as necessary. Acts on most urgent tasks; available resources and provides clear direction. Recommends and may draft department policies and procedures. Communication In collaboration with the manager (where applicable) provides input for performance goals of staff; coaches toward compliance and addresses variance. Provides opportunities for staff to actively provide input into decision-making process. Seeks input before decision is made. Assists Manager with communication and maintaining a department communication board for the purpose of displaying current information. Will participate and lead daily meetings. Developing People and Managing Relationships Participates in decision making with Managers to hire, transfer and promote employees. Trains and develops other employees. Updates stakeholders on project process; uses sound judgment. Facilitates teamwork through coaching and mentoring of staff. Serves as a resource for other employees. Builds trust through fostering empowerment and shared decision making within the appropriate level and scope of authority. Clinical Practice Oversees the daily clinical practice activities to ensure that patient care is delivered in accordance with the PA Nurse Practice Act, hospital policies, procedures, and protocols, and other professional standards of care. Regularly reviews a sampling of patient charts to evaluate staff compliance with the nursing process and for completeness, accuracy and timeliness of documentation. Conducts daily patient rounds to assess the status of the patients and the quality of care delivered, where applicable. Monitors patient care to ensure that it is planned and provided through an interdisciplinary effort. Regularly accompanies and/or communicates with physicians to answer questions and resolve problems/issues related to medical treatment. Assigns patient care according to staff competency. Provides direct patient care as assigned. Where applicable attends and/or facilitates appropriate committee’s and Task Forces. Coordination of Patient Care Activities Develops an educational process for the provision and coordination of patient care activities that promote and maintain health, fosters self-care, and improves outcomes. Assists in the coordination of the educational process to ensure that patients/families and staff receive education specific to their clinical areas and the patients/families served. Ensures the process includes education about safely and the effective use of medication, pain and managing pain, available resources, how to obtain further care, and information about their responsibilities in their care. Plans and implements patient/family teaching and monitors staff compliance with the interdisciplinary record of patient education, where applicable. Provides and reviews written discharge instructions that demonstrate an inter-relationship between education, discharge planning and continuity of care, where applicable. Collaborative Relationships Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care (conferences, shift reports and internal and external transfers are respective to the nursing areas) not applicable for Bariatric Surgery)). Takes action to proactively identify and resolve patient needs. Patient Safety Provides for patient safety in compliance with hospital and/or nursing department policies. Utilizes two forms of patient identification before implementing any form of patient care. Involves the patient and/or family in patient safety standards and processes. Minimizes the use of patient restraints and, if patient's condition warrants, monitors per individual assessed need and documents per policy where applicable. Assumes appropriate code team role during code situations or mock codes, or RRT's where applicable. Responds effectively during emergency situations, including internal and external disasters. 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. Specialty Job Functions Demonstrates knowledge of department specific RN duties, as appropriate per department Prepares, discharges, and Pre-ops patient at the appropriate time. Identifies patient, appropriate procedure and site by following the policy for 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. Possesses the knowledge of proper instruments and equipment set up for each procedure, coordinating with physician preference. Assists the proceduralist in performing the procedure. Handles specimens appropriately, where applicable. Performs OR counts accurately and takes appropriate action in response to incorrect counts where applicable. Maintains the ability to adapt to the changing needs of the procedural team. Leads certain aspects of the Revenue Cycle through the department or services. Manages doctor preference cards and collaborates with other Clinical Specialty Coordinators to standardize where appropriate. Responsible for accurate and timely documentation during cases. Participates in the education and routine auditing. Responsible timely and accurate request through INFOR in collaboration with Expediter. Work with Perioperative Leadership and Expediters to establish new supplies within the department and /or specialty. Assists to implement, educate, and participate in auditing changes in the documentation or INFOR process with Leadership and others as appropriate and/or or required. Manages Supplies and equipment. Fosters and maintains relationships with vendors, the Expediters, and Supply Chain. Collaborates with leadership on urgent or emergent equipment needs. Manages the new product request process. Participates in the Value Analysis Team as needed. Works with IT and Revenue Cycle to implement changes to DPC’s. Actively participates in meetings that support their specialty and/or department including: Routine Staff meetings. Clinical Specialty Coordinator meetings. Daily departmental meetings. Coordinates education days with the assistance of the Nurse Educator. Takes a lead in onboarding new employees. Works with leadership and the nurse educator in establishing routine meetings and discussion regarding the orientation process. Other meetings as appropriated and/or assigned Other related duties as assigned. Required Qualifications Graduate of an accredited Nursing Program required. One (1) to three (3) years of relevant experience within departmental settings either as a nurse or technician. 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. Familiarity with auditing and tracking of stats. Ability to troubleshoot procedural equipment. Preferred Qualifications National certification in area of specialty. Credits toward an undergraduate degree in health or management field. Three (3) years of relevant procedural nursing experiencing is preferred. 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.
RN OR Full-time
Independence Health System

REGISTERED NURSE, RN - OPERATING ROOM

apartment Independence Health System location_onGreensburg, PA
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.
RN ER Full-time
Independence Health System

REGISTERED NURSE, RN - EMERGENCY DEPARTMENT

apartment Independence Health System location_onMount Pleasant, PA
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. 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 of med/surg, critical care or ER experience. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program. Current PALS or completion within one year of hire/transfer into department Current ACLS or completion within one year of hire/transfer into department NIH Stroke Scale – current or within 6 months of Hire/Transfer into Department. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearances 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.
RN ICU Full-time
Independence Health System

REGISTERED NURSE, RN - ICU

apartment Independence Health System location_onGreensburg, PA
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.
NP ICU Full-time
Independence Health System

CRNP - CRITICAL CARE

apartment Independence Health System location_onButler, PA
Provides patient care services, including assessing and managing patients in the inpatient environment, by following established standards and practices within the practice specific specialty. The Critical Care NP/PA is part of an interdisciplinary team of attending physicians, nocturnists and advanced practice providers (APPs) that provide care to medically complex patients in a high acuity and fast paced ICU setting. The team cares for patients, often with multiple underlying medical conditions, who are acutely decompensated with cardiac and/or pulmonary instability, and possible multi-organ dysfunction. Core Attributes and Skill Set: Strong communication skills - verbal and written Strong time management Participate in daily interdisciplinary rounds Maintain and document thoroughly in the EMR in a timely manner Performs H&P, Consults, Progress notes, Discharge Summary's, and in-hospital/out of hospital transfers Provide direct patient care in the ICU setting and in response to Rapid Response Team calls Assume appropriate role in Code Blue and other emergent situations Perform physical assessments and re-assessments as clinically indicated Timely recognition of patient changes, emergency situations and respond with appropriate actions Assess, diagnose and develop/enact treatment plans for critically ill patients Order and interpret appropriate labs and imaging studies Prescribe appropriate medications and therapies Collaborate with interdisciplinary teams to optimize safe and effective patient centered care Provide education to patients and families Participate in quality improvement initiatives Participate in education of staff, students, and providers including peers, nursing, NP/PA students and Residents Maintain current state licensure and board certification Possess BLS and ACLS provider certifications at all times Participate in regular and ongoing education/CME activities Procedures required: Central line insertion including temporary HD catheter placement, Arterial catheterization, Airway management, Chest tube placement, and Point of Care Ultrasound Education Minimum: Master Degree in Nursing Preferred: Doctor of Nursing Practice Registration/Certification/Licensure : Current PA RN and CRNP licenses, BLS & ACLS, and Act 33/73 clearances. Individual must meet the credentialing requirements of the Medical Staff Office. Experience Minimum: None Preferred: One year experience working as a CRNP. Other Requirements : N/A Status : Exempt 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): Manages day-to-day in and out patient care in conjunction with supervising physicians. Provides patient and or family with 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. III. Job Behaviors: “Sets the Stage” by using greetings/introductions when interacting with any customer or entering a patient room. Looks and acts like a professional. Uses consistent phone etiquette. Helps people who look lost or confused. Keeps a clean and professional environment and work space. Clarifies expectations and creates positive handoffs and positive lasting impressions. Fosters a teamwork approach by respecting other members of the hospital team. Stays involved and informed of happenings within the organizations. Creates win-win situations by helping others. Works to resolve conflicts and concerns in a constructive way and asks for assistance in helpful ways. Is the Owner: Takes responsibility for problems, issues or opportunities for improvement by initiating constructive review of concern rather than negatively attacking an issue. Understands systems and processes and uses appropriate channels to address concerns when out of own span of control. Demonstrates compassion and works beyond “own assignment” by seeing “big picture”. Creates a Caring Environment by communicating in helpful ways. Always protects the confidentiality and dignity of patients and others. Listens with empathy and understanding and provides options and choices. Provides Great Explanations through user-friendly information and explanations (uses language others can understand). Makes sure people know what they can and cannot expect and checks for understanding and agreement.
NP Urgent Care Full-time
Independence Health System

NURSE PRACTITIONER I PTE - URGENT CARE

apartment Independence Health System location_onGreensburg, PA
Essential Job 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 . Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Master’s degree in nursing 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 Doctor of Nursing Practice One year experience working as CRNP. Experience in Healthcare setting. 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.
LPN Psych Full-time
Independence Health System

LPN WEEKEND - ADOLESCENT INPATIENT BEHAVIORAL HEALTH

apartment Independence Health System location_onLatrobe, PA
SPECIAL WEEKEND RATE APPLIES Job Summary The Licensed Practical Nurse functions as a member of the health-care team by exercising sound nursing judgment. The LPN provides direct and indirect patient care for an assigned group of patients under the direction and supervision of the RN and according to the plan of care derived from physician's orders and Registered Nurse assessment. Nursing Care includes physical care, emotional support, and patient and family education. Essential Job Functions Delivers direct and indirect patient care in accordance with the Pennsylvania Practical Nurse Law, hospital policies, procedures, protocols and other professional standards of care. Assists the RN in collecting patient health care data on admission by completing a focused assessment in an ongoing systematic manner, focusing on the physical, psychosocial, age, cultural and spiritual needs of the patient and which contributes to the comprehensive assessment by the RN. Works directly with the RN to implement an individualized, age-specific plan of care and evaluate its effectiveness. Assists the RN in reassessment of the patient's condition and takes appropriate action as indicated or by unit specific policy. Involves the patient/family and other health care providers when appropriate. Completes patient care related activities within scheduled time periods. Complies with completeness, accuracy and timeliness of documentation, utilizing the electronic medical record. Observes, records and reports to the appropriate professional the symptoms, reaction and changes including: General physical and mental condition of patients, and signs and symptoms which may be indicative of untoward changes; and stresses in human relationships between patients, between patients and personnel, and between patients and their families and visitors. Performs nursing functions as defined in Pennsylvania regulations, such as: Initiates (peripheral short catheter) and maintains IV therapy; Assists with the rehabilitation of patients according to the medical care plan, being aware of and encouraging the interests and special aptitudes of patients. Encouraging patients to help themselves within their own capabilities in performing activities of daily living. Knowledge and application of the principles of prevention of deformities, the normal range of motion, body mechanics, and body alignment. Assists in providing education for the provision and coordination of patient care activities that promote and maintain health, foster self-care and improve outcomes. Assists the RN in assessing the patient's readiness to learn, identifying educational barriers and adapting the process to meet the needs of the patient. Ensures education about safely and effectively using medication, pain and managing pain, available resources, how to obtain further care, and information about responsibilities in their care. Acquires and distributes educational resources tailored to patient needs. Provides and reviews, upon request of the RN, written discharge instructions that demonstrate an inter-relationship between education, discharge planning and continuity of care. Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care conferences, shift reports and internal and external transfers. Reports changes in patient's condition to the RN, including the need to reassess patient or change the plan of care; confers with the RN when there is a need to contact the physician. Participates in the unit performance improvement activities designed to enhance the quality of patient care and customer service. Assists in data collection process as requested. Recommends modifications for performance improvement. Demonstrates leadership by utilizing the concepts inherent to the practice of the professional nurse. Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate. Delegates patient care appropriately. Maintains accountability for actions taken. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and/or students. Assists in maintaining/decreasing organizational/department costs. Assists in the department's compliance with State, TJC, OSHA and other regulatory agencies. Participates in continuous survey readiness for inspections and surveys. Participates in the non-punitive medication reporting system. Ensures accountability for narcotics per regulatory/organizational policies. Adheres to the infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Provides for patient safety in compliance with hospital and nursing department policies. Utilizes two forms of patient identification before implementing any form of patient care. Involves the patient and/or family in patient safety standards and processes. Minimizes the use of patient restraints and, if patient's condition warrants, monitors per individual assessed need and documents per policy. Assumes appropriate code team role during code situations, including internal and external disasters. Other duties as assigned. Required Qualifications Graduate of an accredited School of Practical Nursing. 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 Previous LPN experience. Pursuing a BSN degree or desire to pursue BSN with completion in 4 (four) years from start date. License, Certification & Clearances Current licensure to practice as a Licensed Practical Nurse in the State of Pennsylvania Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Current NIH Stroke Scale or completion within six (6) months of hire/transfer into department. 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 : 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.
NP Full-time
Independence Health System

NURSE PRACTITIONER IV-PULMONOLOGY - FULL TIME- LATROBE

apartment Independence Health System location_onLatrobe, PA
Regular, consistent, on-site, and timely attendance. Ensures the assessment of the patient and the direct and indirect care of the patient is delivered in accordance with all appropriate licensing boards, hospital policies, procedures, and all other professional standards. Collects patient assessment data in a systematic manner, focusing on the physical, psychosocial, age, cultural and spiritual needs of the patient. Performs systematic physical exam and history of present illness. Documents assessment data, history of present illness and physical findings as appropriate in the medical record within established time frame. Involves patient and family and other healthcare providers when appropriate directed by individual physician practice. Prescribes appropriate medications based on the patient's condition per state prescriptive authority guidelines and the Excela Health Allied Health Committee directed by individual physician practice. Demonstrates leadership by utilizing the behaviors inherent to the practice of a professional physician assistant. Solves problems utilizing critical thinking skills and seeks assistance from supervising physician as appropriate Maintains accountability for actions taken Effectively functions as a resource person Functions as a patient advocate Performs effectively in the role of preceptor for new employees Assists in maintaining/decreasing organizational costs. Completes competencies required annually. Assists in the department's compliance with state, JCAHO, OSHA and other regulatory agencies Assists in the preparation for surveys/inspections Participates in the non-punitive medication reporting system. Ensures accountability for narcotics per regulatory requirements. Participates in health system/office fire, safety, utility, hazard, and disaster drills. Provides for patient safety in compliance with nursing, hospital, and physician practice guidelines and policies. Utilizes two forms of patient identification before implementing any form of patient care Assumes appropriate code team role during emergency situations Responds effectively during emergency situations Assists in maintaining a safe and clean environment for patients, visitors and staff Adheres to infection control processes, including standard precautions to reduce the risk of acquiring or transmitting infections. Practices the National Patient Safety Goals. Participates in unit performance activities designed to enhance the quality of patient care and customer service Identifies initiatives to improve patient outcomes, satisfaction, or effectiveness. Assists in chart reviews/audits as needed for performance improvement data collection. Supports initiatives implemented to improve patient outcomes and/or office efficiencies. Manages the physical and psychological problems of the patient. Identifies normal and abnormal findings. Implements a plan of treatment and reassesses as needed directed by individual physician practice. Evaluates the physical and emotional responses to medications and treatments. Prescribes immunization per recommended schedules directed by individual physician practice. Seeks appropriate consultation with others of the healthcare team. Communicates effectively with physician supervisor and other healthcare providers to achieve desired outcomes and assures a continuous flow of patient care. Initiates and maintains problem list and medication lists. Assesses and facilitates consultation when indicated. Directs patients to appropriate level of care and communicates all pertinent information in a timely organized manner. Assists in identifying and utilizing resources and or social agencies for further treatment or rehabilitation. Performs procedures, assists in surgery, and provides care to the patient as per established guidelines. Positions patients and assists surgeon in the operating room. Preps and drapes the patient as per established guidelines. Assists in surgery by performing tasks defined by the surgeon. Assists and maintains sterile techniques through procedures. Per supervising physician's direction performs skin closures as directed. Monitors patients until clinically stable unless requested by the surgeon to perform other duties. Performs suture removal, and dressing changes as per supervising physician's directions. Be available for call from home to assist in emergency surgeries. Directs and provides appropriate Pre and Post-operative care. Performs history and physicals as designated by the physician. Identifies normal and abnormal findings and reports to the physician in a timely manner. Provides preoperative teaching to patients and or families. Performs patient rounds ensuring accurate assessment, review of labs and diagnostic procedures, and reports overall progress to supervising physician. Orders appropriate testing per established guidelines and as outlined by supervising physician. Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements. Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results. Prepares for and develops discharge planning in conjunction with supervising physician. Dictates discharge summaries timely and appropriate. Provides counseling and instruction to patients and or families as appropriate. Performs clinical responsibilities in a manner that maximizes patient care and outcomes. Assumes appropriate code team role during emergency situations and responds effectively. Facilitates timely treatment of abnormal labs or other relevant findings. Develops workflow patterns to facilitate patient transfers or discharges. Participates in outcome management and Press Ganey scores. In collaboration with the physician: Interviews, evaluates and assesses patients in the clinic setting. Provides recommendations for treatment. Evaluates patient's current status providing recommendations for ongoing treatment. Assesses for alternate levels of care as necessary Adjusts medication as indicated Provides patient/family education regarding medication, rationale for use and possible side effects Collaborates with the supervising physician and or substitute supervising physician and members of the treatment team to achieve desired outcomes and to assure continuous flow of patient care. Alerts the treatment team to any significant changes in the patient's status Within prescribed time frames reviews treatment goals and objectives with patients making modifications as appropriate Communicates pertinent information timely and efficiently to the supervising or substitute supervising physician Documents in the medical record. Records patient's current mental status Documents all screenings and assessments performed Records medication changes, prescriptions written and samples provided Documents patient's complaints, concerns and questions as appropriate Documents any/all telephone contact with patients, families, pharmacists or physicians Records beginning and end times of each session Signs and dates all documentation Demonstrates leadership by utilizing the concepts inherent to the practice of a professional physician assistant. Demonstrates an ability to problem solve independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate Maintains accountability for actions taken Effectively functions as a resource person Acts as a patient advocate Performs effectively in the role of preceptor/mentor to new hire/students Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies. Identifies initiatives to improve patient outcomes and satisfaction Assists in chart review/audits as needed for performance improvement data collection Supports initiatives implemented to improve patient outcomes and or efficiencies Provides for patient safety in compliance with hospital and or physician practice policies. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections Utilizes two forms of patient identification before implementing any form of patient care Practices the National Patient Safety Goals Performs any and all other duties as assigned and appropriate. Required: Graduate of an accredited Physician Assistant Program OR Nurse Practitioner Program Current licensure to practice in the State of Pennsylvania Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program. Current Certification as a Physician’s Assistant from the National Certification of Physician Assistants (NCCPA). Current DEA license. Completion of required CME's PA Act 153 Clearances (Act 34-PA Criminal record Check from the PA State Police system, Act 33-PA Child Abuse History obtained through the Department of Public Welfare, Act 73-FBI Fingerprinting screening within 2 weeks of hire in order to meet 30 days of hire or transfer position requirements). Related training/experience (preferably within the past five years) One-year medical/surgical experience Excellent communication, interpersonal and organizational skills Strong leadership ability, independent thinking and decision-making ability; analytical problem solving skills, sound judgment; excellent oral and written communication skills, must be able to function in a team environment. Strong time management and organizational skills; ability to work independently and in a team setting; creativity in treatment in various settings including inpatient, skilled nursing and outpatient clinics; ability to transition smoothly between various treatment settings; flexibility in scheduling. Sound judgment, problem solving skills, strong oral and written communication skills, ability to follow directions from other team members; works independently assigned duties. Ability to communicate with all members of the health care team Independent thinking and decision-making ability Proficient oral and written communication skills Ability to multi-task and prioritize assignments Basic working knowledge of computers and office equipment Ability to plan, organize and prioritize multiple projects simultaneously. Interpersonal skills that facilitate positive, constructive interaction with personnel both intra and interdepartmentally. Ability to support an interdisciplinary team approach to patient care that crosses a comprehensive care continuum. Experience with JCAHO requirements. Required: Call Preferred: Previous Pulmonology experience
CNA Full-time
Independence Health System

NURSING ASSISTANT - 6 TOWER

apartment Independence Health System location_onButler, PA
36 hours per week. Straight Night Shift. Hours: 6p-6:30a Job Summary : Assists in the safe care of the patient on the 6 Tower unit as directed. Assists in maintaining safe and efficient unit operations and utilizes excellent customer service skills. Permitted to change patient from portable O2 to wall O2. Education Minimum: High School Diploma or equivalent Preferred: Current enrollment or completion of a Nursing Assistant training program Registration/Certification/Licensure : Healthcare Provider CPR and Act 33/73 Clearances Experience Minimum: None Preferred: Previous experience working as a nursing assistant in an acute care facility. Other Requirements : Comprehensive Crisis Management per policy. Responsible to safely access, transport, and handle single dose medications to includeprescription and non-prescription medications. Responsible to safely access, transport, and handle sharps, such as needles, suture kits,lancets, syringes, etc. Status : Non-Exempt 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 - CONSTANT Sitting * - Body remains in a seated position - OCCASIONAL First Name xxxxx Middle Name xxxxx Last Name xxxxx Position Code 10.3010000.0000.605 Position Name NURSING ASSISTANT Department Name BMH 6T Ortho Facility Name Butler Memorial Hospital Employee Number xxxxx Stooping * - To bend the body downward and forward by bending the spine at the waist - FREQUENT Bending* - To flex the upper body forward - FREQUENT Twisting * - To rotate the upper body forward - FREQUENT 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 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 - OCCASIONAL 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 - FREQUENT Grasping * - Using functional gripping of the hand to handle an object - FREQUENT Finger Manipulation * - To manipulate objects with the use of fingers - CONSTANT 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 theperson OCCASIONAL 20# - 50# 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 20# - 50# Lift * - Floor to Waist OCCASIONAL 20# - 50# Lift * - Waist to shoulder FREQUENT 20# - 50# Lift * - Shoulder to overhead OCCASIONAL Up to 20# Carrying * - To transport an object or article using the arms or hands (> 10 feet) FREQUENT Up to 20# Environmental Factors Working alone * - N/A Working in cramped quarters * - FREQUENT Constant interruptions * - FREQUENT Working with hands in water * - FREQUENT Use of power tools - N/A Working on ladders/scaffolding - N/A Exposure to vibration - N/A Exposure to dust - N/A Exposure to noise (constant) - OCCASIONAL Exposure to electrical energy (outlets, etc) - N/A Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A Exposure to slippery walking surfaces - OCCASIONAL Exposure to solvents, grease, oils - N/A Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - OCCASIONAL Working with bloodborne pathogens * - FREQUENT Cardiovascular Energy Requirements - Physical Demand PhysicalDemand MetLevel Examples of similar activity intensity Sedentary toLight 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-playwith children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf(carrying clubs). Heavy to VeryHeavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailinghay, fire fighting, sawing by hand, splitting wood. As relates to this position: Sedentary to Light* - FREQUENT Medium - OCCASIONAL Heavy to Very Heavy - N/A
RN OB/GYN Full-time
Independence Health System

CLINICAL NURSE COORDINATOR, RN - OB

apartment Independence Health System location_onGreensburg, PA
Job Summary CNC is a front-line care provider as well as a coordinator and leader for the healthcare team. Within the nursing paradigm, the CNC applies the nursing process at the point of care through the strategic assessment, diagnosis, intervention, and evaluation of the unit as a whole to guide efforts for systematic, quality, and safety improvements. A critical component of the CNC role centers on improving effective interdisciplinary communication and coordination at the point of care. As a care-delivery-systems expert, the CNC helps patients and families navigate the complex healthcare system; advocates for both patients and families, as well healthcare providers, working within the unit, the hospital, and the system. The CNC is accountable for improving care delivery within a unique healthcare delivery setting. The core focus for CNC practice centers on maximizing safe, quality, evidence-based care within the complex systems. Essential Job Functions Leads, motivates, initiates change and assumes responsibility for professional growth and development. Models and exemplify the Leadership Pledge in a consistent and proactive manner. Leads change in a complex care environment. Assumes role of the Manager (Nurse Manager if applicable) in his/her absence. Aligns department with strategy map and continually works to implement drivers in support of Independence Health System mission and vision and values. Makes a recommendation for at least one process improvement initiative for department on an annual basis. Participates in root cause analysis of reoccurring problems and takes appropriate action. Assists manager in departmental activities, represents department on committees. Standards and Accountability, Service Orientation and Customer Service. Assists manager to ensure staff completes PPDs on a timely basis. Maintains a safe working environment; assures staff comply with safety, environmental and infection control guidelines. Assist manager to assure completion of mandatory annual education and competencies relative to job-specific criteria within department (staff licenses/registration). Supports standards of attendance policy consistently (unscheduled absences, breaks or meal periods) to all department staff. Participates in decision making with Manager (Nurse Manager where applicable) to consistently apply corrective action standards. Supports staff to comply with infection control and safety measures set forth by Independence Health System. Practice and encourages survey readiness in compliance with agency regulations and guidelines. Demonstrates expectations of confidentiality by continually encouraging staff to keep private information confidential. Performs in accordance with Independence Health System's behavioral standards in support of the mission, vision, true north and values. Hold staff accountable for modeling the behavioral standards. May and can conduct client service recovery issues within required time frame and to the satisfaction of the customer. Planning, Decision Making, Financial Management, Process Management, Prioritizing and Delegating Involves staff in decision making and problem solving. Considers global implementations of decisions made; involves all appropriate departments and individuals for optimal outcome. Is knowledgeable of and works within the department budgets; looks for opportunities to reduce operating costs while balancing quality resources. Identifies and recommend revenues enhancement opportunities. Provides input in performance appraisals and hiring decisions. May conduct interviews with Manager and/or Leadership and utilize the peer interview process. Assists manager(s) to promptly investigate and resolve SORs and incident reports as necessary. Acts on most urgent tasks; available resources and provides clear direction. Recommends and may draft department policies and procedures. Communication In collaboration with the manager (where applicable) provides input for performance goals of staff; coaches toward compliance and addresses variance. Provides opportunities for staff to actively provide input into decision-making process. Seeks input before decision is made. Assists Manager with communication and maintaining a department communication board for the purpose of displaying current information. Developing People and Managing Relationships Participates in decision making with Managers (Nurse Manager if applicable) to hire, transfer and promote employees. Trains and develops other employees. Updates stakeholders on project process; uses sound judgment. Facilitates teamwork through coaching and mentoring of staff. Serves as a resource for other employees. Build trust through fostering empowerment and shared decision making within the appropriate level and scope of authority. Clinical Practice Oversees the daily clinical practice activities to ensure that patient care is delivered in accordance with the PA Nurse Practice Act, hospital policies, procedures, and protocols, and other professional standards of care. Regularly reviews a sampling of patient charts to evaluate staff compliance with the nursing process and for completeness, accuracy and timeliness of documentation. Conducts daily patient rounds to assess the status of the patients and the quality of care delivered (not applicable in Bariatric). Monitors patient care to ensure that it is planned and provided through an interdisciplinary effort. Regularly accompanies and/or communicates with physicians on rounds to answer questions and resolve problems/issues related to medical treatment. Assigns patient care according to staff competency. Provides direct patient care as assigned. Coordination of Patient Care Activities Develops an educational process for the provision and coordination of patient care activities that promote and maintain health, fosters self-care, and improves outcomes. Assists in the coordination of the educational process to ensure that patients/families and staff receive education specific to their clinical areas and the patients/families served. Ensures the process includes education about safety and the effective use of medication, pain and managing pain, available resources, how to obtain further care, and information about their responsibilities in their care. Plans and implements patient/family teaching and monitors staff compliance with the interdisciplinary record of patient education. Provides and reviews written discharge instructions that demonstrate an inter-relationship between education, discharge planning and continuity of care. Collaborative Relationships Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care (conferences, shift reports and internal and external transfers are respective to the nursing areas) not applicable for Bariatric Surgery). Acts to proactively identify and resolve patient needs. Patient Safety Provides for patient safety in compliance with hospital and/or nursing department policies. Utilizes two forms of patient identification before implementing any form of patient care. Involves the patient and/or family in patient safety standards and processes. Assumes appropriate code team role during code situations or mock codes, or RRT's (not applicable for Bariatric Surgery). Responds effectively during emergency situations, including internal and external disasters. Oversee all areas of the unit, delivery room, postpartum, and special care nursery. 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. CNC functions in compliance with the specialty standards, practice guidelines and protocols to the assigned unit. Other related duties as assigned Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications Graduate of an accredited Nursing Program required. Minimum one (1) year relevant nursing experience. 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 or Master’s degree in nursing preferred. Previous charge nurse 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. NRP (Neonatal Resuscitation Program); National certification in area of specialty 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 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 : 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.
RN Part-time
Independence Health System

REGISTERED NURSE RN - CASUAL -OBSTETRICAL SERVICES

apartment Independence Health System location_onButler, PA
Reports to : Clinical Supervisor Position Supervises : N/A Job Summary : Responsible for providing direct nursing care to assigned obstetrical, neonatal and gynecological patients. The Registered Nurse’s responsibilities include, but are not limited to utilization of the nursing process in the provision of care, communicating with all members of the health care team to assure patient goals are being met and coordinated, providing excellent customer service while supporting the patients and families physical and emotional health. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing Registration/Certification/Licensure : Current PA RN license, Act 33/73 clearance, Healthcare Provider CPR and Neonatal Resuscitation Experience ⚬ Minimum: One year OB or two years acute care nursing experience. ⚬ Preferred: One year labor and delivery experience; high- risk neonatal experience. Other Requirements : N/A Status: Non-Exempt 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 - CONSTANT ● Walking * - Remaining upright on one's feet, and moving about - CONSTANT ● Sitting* - Body remains in a seated position - OCCASIONAL ● Stooping* - To bend the body downward and forward by bending the spine at the waist - FREQUENT ● Bending * - To flex the upper body forward - FREQUENT ● Twisting * - To rotate the upper body forward - FREQUENT ● 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 - N/A ● 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 - OCCASIONAL ● Reaching Horizontal * - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● 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 - CONSTANT ● 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 - CONSTANT ● 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 ● 20# - 50# ● 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 ● 20# - 50# ● 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) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - N/A ● Constant interruptions * - FREQUENT ● Working with hands in water * - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - N/A ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - N/A ● Working with bloodborne pathogens * - FREQUENT 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 - OCCASIONAL ● Heavy to Very Heavy - N/A
RN ICU Full-time
Independence Health System

REGISTERED NURSE RN - SICU

apartment Independence Health System location_onButler, PA
D/N Rotation, Shifts: 7a-730p, 7p-730a Reports to : Clinical Supervisor, ICU Position Supervises : N/A Job Summary : Responsible for providing direct nursing care to assigned patients in the Intensive Care Unit. Provides intensive nursing care to acutely ill medical and/or surgical inpatients. The Registered Nurse’s responsibilities include, but are not limited to, performance improvement initiatives, utilization of the nursing process in the provision of care, communication skills, flexibility, quality improvement activities, and professional growth. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing, CCRN Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, ACLS within one year of hire/transfer, and Act 33/73 clearances Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Prior med-surg experience and arrhythmia interpretation. Critical Care experience, including but not limited to: IABP, IV insertion, care of the ventilator patient, ABG’s, Swan Ganz, Arterial Lines, care of the post open heart patient, and care of the patient requiring CRRT, ACLS, and PALS. Other Requirements : Comprehensive Crisis Management per policy, participation in the Rapid Response Team and the Cardiac Arrest Team as assigned. Status : Non-Exempt 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 - FREQUENT ● Twisting* - To rotate the upper body forward - FREQUENT ● 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 - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT ● 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 - CONSTANT ● 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 ● FREQUENT ● Up to 20# ● 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 ● 20# - 50# ● Lift* - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift* - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift* - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions - FREQUENT ● Working with hands in water* - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift)* - FREQUENT ● Working with bloodborne pathogens* - FREQUENT 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 - OCCASIONAL ● Heavy to Very Heavy - N/A
RN ICU Full-time
Independence Health System

REGISTERED NURSE RN - MICU

apartment Independence Health System location_onButler, PA
Steady Night Rotation, Shifts: 7p-730a Reports to : Clinical Supervisor, ICU Position Supervises : N/A Job Summary : Responsible for providing direct nursing care to assigned patients in the Intensive Care Unit. Provides intensive nursing care to acutely ill medical and/or surgical inpatients. The Registered Nurse’s responsibilities include, but are not limited to, performance improvement initiatives, utilization of the nursing process in the provision of care, communication skills, flexibility, quality improvement activities, and professional growth. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing, CCRN Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, ACLS within one year of hire/transfer, and Act 33/73 clearances Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Prior med-surg experience and arrhythmia interpretation. Critical Care experience, including but not limited to: IABP, IV insertion, care of the ventilator patient, ABG’s, Swan Ganz, Arterial Lines, care of the post open heart patient, and care of the patient requiring CRRT, ACLS, and PALS. Other Requirements : Comprehensive Crisis Management per policy, participation in the Rapid Response Team and the Cardiac Arrest Team as assigned. Status : Non-Exempt 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 - FREQUENT ● Twisting* - To rotate the upper body forward - FREQUENT ● 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 - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT ● 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 - CONSTANT ● 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 ● FREQUENT ● Up to 20# ● 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 ● 20# - 50# ● Lift* - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift* - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift* - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions - FREQUENT ● Working with hands in water* - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift)* - FREQUENT ● Working with bloodborne pathogens* - FREQUENT 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 - OCCASIONAL ● Heavy to Very Heavy - N/A
CNA Med-Surg Full-time
Independence Health System

NURSING ASSISTANT/TECH PARTNER - MED SURG 4AB

apartment Independence Health System location_onGreensburg, PA
Job Summary The Technical Partner provides direct and indirect patient care under the direction of the RN or LPN. 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.
RN PCU Part-time
Independence Health System

REGISTERED NURSE, RN - CARDIOVASCULAR SERVICES PCU 2AB

apartment Independence Health System location_onGreensburg, PA
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. 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 has not worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications One (1) year medical-surgical experience. Pediatric experience preferred. 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. PA Act 153 Clearance with renewal (Act 33, Act 34, Act 73 FBI Clearance). Current ACLS or completion within one (1) year of hire/transfer date into department. Current NIH Stroke Scale or completion 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.
RN Labor and Delivery Part-time
Independence Health System

RN CASUAL - LABOR AND DELIVERY

apartment Independence Health System location_onGreensburg, PA
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 duties as assigned. Specialty Job Functions Delivery Room nurses are required to scrub for c/sections. 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. Previous experience in inpatient OB preferred. 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. PA Act 153 Clearance (Act 33 with renewal, Act 34 with renewal, Act 73 FBI Clearance with renewal) Current Neonatal Resuscitation Program or completion within six 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 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.
CNA Part-time
Independence Health System

NURSING ASSISTANT/TECH PARTNER - STAFFING SUPPORT TEAM

apartment Independence Health System location_onLatrobe, PA
Job Summary The Technical Partner provides direct and indirect patient care under the direction of the RN or LPN. 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 r