NP Urgent Care Full-time
Independence Health System

NURSE PRACTITIONER URGENT CARE

apartment Independence Health System location_onGreensburg, PA
Evaluates, examines, diagnose, and treats patients in collaboration with their supervising and or substitute supervising physician according to established guidelines and protocols. Maintains and promotes the well-being of the patient through preventative healthcare and guidance. Provides care in the outpatient setting only ? predominately Monday through Friday 1. Regular, consistent, on-site, and timely attendance. 2. Ensures that the assessment of the patient and the direct and indirect patient care delivered is in accordance with appropriate licensing board, hospital policies, procedures, and protocols, and all other professional standards of care. a. Collects patient assessment data in a systematic manner, focusing on the physical, psychosocial, age, cultural, and spiritual needs of the patient. b. Performs systematic physical exam and history of present illness. c. Documents assessment data, history of present illness, and physical findings on the appropriate medical record within established time frame. d. Involves the patient/family and other healthcare providers when appropriate. 3. Manages the physical and psychological problems of the patient. a. Identifies normal and abnormal findings. b. Implements an individualized plan of treatment, reassess and revises plan as needed. c. Evaluates the physical and emotional responses to medications and treatments. d. Prescribes immunizations per recommended schedules. e. Seeks appropriate consultation. 4. Develops an educational process for the provision and coordination of patient care activities that promote and maintain health, foster self-care and improves outcomes. a. Participates in the assessment of the patient’s readiness to learn, identifying the educational barriers and tailor the educational process to meet the needs of the patient/family. b. Ensures the process include education about safe and effective use of medications, pain and managing pain, available resources, obtaining further care and their responsibility for their care. c. Acquires and distributes educational resources tailored to the patient's needs. d. Provides appropriate instruction and guidance regarding immunizations. 5. Communicates effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care a. Initiates and maintains the Problem/Medication list at each encounter. b. Complies with completeness, accuracy, and timeliness of documentation at each encounter. c. Assesses the patient and facilitates consultation when indicated. d. Directs patient to appropriate level of care and communicates all pertinent information. e. Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation. 6. Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies. a. Identifies initiatives to improve patient outcomes, satisfaction, or efficiencies. b. Assists in chart reviews/audits as needed for performance improvement data collection. c. Supports initiatives implemented to improve patient outcomes and/or office efficiencies. 7. Demonstrates Leadership by utilizing the concepts inherent to the practice of the professional nurse. a. Demonstrates an ability to solve problems independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate b. Delegates patient care appropriately. c. Maintains accountability for actions taken. d. Effectively functions as a resource person. e. Acts as a patient advocate. f. Performs effectively in the role of preceptor/mentor to new hires and/or students. g. Assists in maintaining/decreasing organizational/departmental costs. h. Completes all competency requirements annually. 8. Provides for patient safety in compliance with hospital and physician practices policies. a. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections. b. Utilizes two forms of patient identification before implementing any form of patient care. c. Practices all National Patient Safety Goals. 9. Assists in the department's compliance with all regulatory agencies. a. Participates in continuous survey readiness for inspections and surveys. b. Participates in the non-punitive medication reporting system. c. Ensures accountability for narcotics per regulatory/organizational policies. d. Participates in office fire, safety, utility, hazard, and disaster drills as required. “Ability to perform the Essential Functions on the Physical Conditions chart; and the ability to perform the Essential Functions on the Working Conditions chart (see attached charts)” 1. Performs procedures, assists in surgery, and provides care to the patient as per established guidelines. a. Positions patients and assists surgeon in the operating room. b. Preps and drapes the patient as per established guidelines. c. Assists in surgery by performing tasks defined by the surgeon. d. Assists and maintains sterile techniques through procedures. e. Per supervising physician's direction performs skin closures as directed. f. Monitors patients until clinically stable unless requested by the surgeon to perform other duties. g. Performs suture removal, and dressing changes as per supervising physician's directions. h. Be available for call from home to assist in emergency surgeries. 2. Directs and provides appropriate Pre and Post-operative care. a. Performs history and physicals as designated by the physician. Identifies normal and abnormal findings and reports to the physician in a timely manner. b. Provides preoperative teaching to patients and or families. c. Performs patient rounds ensuring accurate assessment, review of labs and diagnostic procedures, and reports overall progress to supervising physician. d. Orders appropriate testing per established guidelines and as outlined by supervising physician. e. Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements. f. Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results. g. Prepares for and develops discharge planning in conjunction with supervising physician. h. Dictates discharge summaries timely and appropriate. i. Provides counseling and instruction to patients and or families as appropriate. 3. Performs clinical responsibilities in a manner that maximizes patient care and outcomes. a. Assumes appropriate code team role during emergency situations and responds effectively. b. Facilitates timely treatment of abnormal labs or other relevant findings. c. Develops workflow patterns to facilitate patient transfers or discharges. d. Participates in outcome management and Press Ganey scores. 4. In collaboration with the physician: Interviews, evaluates and assesses patients in the clinic setting. Provides recommendations for treatment. a. Evaluates patient's current status providing recommendations for ongoing treatment. Assesses for alternate levels of care as necessary b. Adjusts medication as indicated c. Provides patient/family education regarding medication, rationale for use and possible side effects 5. 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. a. Alerts the treatment team to any significant changes in the patient's status b. Within prescribed time frames reviews treatment goals and objectives with patients making modifications as appropriate c. Communicates pertinent information timely and efficiently to the supervising or substitute supervising physician 6. Documents in the medical record. a. Records patient's current mental status b. Documents all screenings and assessments performed c. Records medication changes, prescriptions written and samples provided d. Documents patient's complaints, concerns and questions as appropriate e. Documents any/all telephone contact with patients, families, pharmacists or physicians f. Records beginning and end times of each session g. Signs and dates all documentation 7. Demonstrates leadership by utilizing the concepts inherent to the practice of a professional physician assistant. a. Demonstrates an ability to problem solve independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate b. Maintains accountability for actions taken c. Effectively functions as a resource person d. Acts as a patient advocate e. Performs effectively in the role of preceptor/mentor to new hire/students 8. Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies. a. Identifies initiatives to improve patient outcomes and satisfaction b. Assists in chart review/audits as needed for performance improvement data collection c. Supports initiatives implemented to improve patient outcomes and or efficiencies 9. Provides for patient safety in compliance with hospital and or physician practice policies. a. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections b. Utilizes two forms of patient identification before implementing any form of patient care c. Practices the National Patient Safety Goals • Related training/experience (preferably within the past five years
RN Part-time
Independence Health System

REGISTERED NURSE, RN - GI LAB

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 Provides complete patient care by identifying age specific needs during the assessment, monitoring and education of patient’s pre/post GI procedures. Adheres to guidelines specified in the Excela Health conscious sedation policy when administering conscious sedation. Accurately completes documentation required per established guidelines, including the Time-out Verification form. Provides the patient/family with information related to the procedure (pre-, intra-, post). Initiates the discharge process following physician approval/order for discharge. Reviews the discharge instructions with patient and family member of significant other, distributes appropriate educational materials. Discharges the patient with a responsible party or to the appropriate destination. Performs indirect patient care duties essential to maintaining the safe operation of the unit. As assigned, opens the unit each AM and locks it at the completion of the daily schedule. Checks the crash cart, AED and eye wash station daily when the unit is open and completes the appropriate checklist when applicable. Verifies the narcotic count with another RN weekly when applicable. Adheres to personal radiation protection and safety measures by wearing appropriate protective equipment and film badge when assisting with ERCP procedures. At Latrobe Hospital, prepares, assesses and discharges patients presenting to Medical SPU for blood transfusions, IV therapy and nursing service visits. Prepares patients for physician exam by assisting with undressing and positioning as needed. Administers blood transfusions per established policies. 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 GI Lab experience. One (1) year med/surg experience. Membership in professional specialty organization. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Current ACLS or completion within one (1) year of hire/transfer into department. 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 Excela 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

REGISTERED NURSE, RN - GI LAB

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 Provides complete patient care by identifying age specific needs during the assessment, monitoring and education of patient’s pre/post GI procedures. Adheres to guidelines specified in the Independence Health System Health conscious sedation policy when administering conscious sedation. Accurately completes documentation required per established guidelines, including the Time-out Verification form. Provides the patient/family with information related to the procedure (pre-, intra-, post). Initiates the discharge process following physician approval/order for discharge. Reviews the discharge instructions with patient and family member of significant other, distributes appropriate educational materials. Discharges the patient with a responsible party or to the appropriate destination. Performs indirect patient care duties essential to maintaining the safe operation of the unit. As assigned, opens the unit each AM and locks it at the completion of the daily schedule. Checks the crash cart, AED and eye wash station daily when the unit is open and completes the appropriate checklist when applicable. Verifies the narcotic count with another RN weekly when applicable. Adheres to personal radiation protection and safety measures by wearing appropriate protective equipment and film badge when assisting with ERCP procedures. At Latrobe Hospital, prepares, assesses and discharges patients presenting to Medical SPU for blood transfusions, IV therapy and nursing service visits. Prepares patients for physician exam by assisting with undressing and positioning as needed. Administers blood transfusions per established policies. 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 GI Lab experience. One (1) year med/surg experience. Membership in professional specialty organization. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Current ACLS or completion within one (1) year of hire/transfer into department. 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 Independence Health 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 ER Full-time
Independence Health System

REGISTERED NURSE, RN - EMERGENCY DEPARTMENT

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 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-year medical-surgical experience One year Critical Care or ER experience. BSN 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. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearances Current PALS or completion within one year of hire/transfer date into department Current ACLS or completion within one year of hire/transfer date into department NIH Stroke Scale – current or within 6 months of hire/transfer date 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 Full-time
Independence Health System

CRNP - NEUROLOGY

apartment Independence Health System location_onButler, PA
Provides patient care services, including assessing and managing patients in the outpatient and/or inpatient environment, by following established standards and practices within the practice specific specialty. Education Minimum: Master Degree in Nursing Preferred: Doctor of Nursing Practice Registration/Certification/Licensure : Current PA RN and CRNP licenses, ACLS, and Act 33/73 clearances. Individual must meet the credentialing requirements of the Medical Staff Office. Experience Minimum: None 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.
Student Nurse Part-time
Independence Health System

NURSE EXTERN - SPRING 2026

apartment Independence Health System location_onGreensburg, PA
Essential Job Functions Under the direction of the RN preceptor, provides patient care through an interdisciplinary approach by assessing, planning, providing care and evaluating outcomes. Assures necessary communication with the healthcare team to assist the patient in meeting their goals. Under the direction of the RN preceptor, performs nursing interventions and documents according to policy and procedure assuring patient safety. Ie: medication administration, medication reconciliation, fall prevention, VTE prevention, and all prescribed interventions as appropriate. Assists the RN preceptor in the practice of professional nursing by providing direct patient care to promote patient comfort and facilitate the performance of diagnostic and treatment procedures as outlined in the nursing care plan. Performs assigned tasks that make include activities of daily living such as dietary and hygiene needs. Assists in ambulating, turning, and positioning patients as well as transporting patients, answering call lights, and reporting observations to the patient’s nurse. Demonstrates professional behavior, strong customer service and communication skill, when interacting with all individuals and groups, both internally and externally. Assists the RN with indirect care by maintaining a clean, sanitary, and safe environment to prevent and / or control infections and to provide for safety of patients, visitors, and employees. Required Qualifications Currently enrolled in an accredited Registered Nurse Program approved by the State Board of Nursing When enrolled in a BSN program: the student must be entering their senior year and have completed at least the medical/surgical clinical component of his/her educational experience. When enrolled in a Diploma/Associate program: the student must be entering their final year of nursing school. Must present proof of continued enrollment and passing grade(s) in nursing classes each semester until graduation and is in good academic standing Preferred Qualifications N/A License, Certification & Clearances 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 Position Type/Expected Hours of Work Incumbent will be scheduled based on the Registered Nurse preceptor schedule with priority to accommodate school schedule Travel may be expected locally between Excela Health locations. LEAN Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Excela’s missions, vision and values. AAP/EEO Excela Health is an Equal Opportunity Employer. It is the policy of Excela Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Excela Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. 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 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.
CMA Outpatient Full-time
Independence Health System

MEDICAL ASSISTANT - PRIMARY CARE ZELIENOPLE

apartment Independence Health System location_onZelienople, PA
***FULL-TIME: $2,500 SIGN ON BONUS *** The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration. These are performed under the direction of the Nurse and/or the physician in preparation for the patient's examination and treatment. The incumbent carries out clerical activities, quality control activities, performance improvement initiatives, etc. in support of the physician practice as assigned. This position also serves as a resource for the clerical/clinical staff in the practice. Essential Job Functions Deliver direct and indirect patient care in accordance with hospital/physician practices policies, procedures, and protocols. Assist to collects patient healthcare data, including VS, weight, chief complaint and pain assessment as directed. Complete patient care treatments and testing as ordered. Comply with completeness, accuracy and timeliness of documentation. Prepare patients for examinations, treatments, and procedures. Communicate pertinent information of actual or potential problems to the physician or nurse. Perform clerical functions in support of patient care and office functions. Answer telephone calls, taking accurate messages and relaying them to the appropriate staff. Obtain and verify accurate patient demographic and insurance information entering it into the billing system. Accurately enter codes, based on diagnosis given, and enters codes and charges into billing system. Complete forms and letters necessary for continued patient care. Provide for patient safety in compliance with hospital and physician practice policies. Label all patient specimens with identifiers per policy. Adhere to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Assist in continuous survey readiness or inspections and surveys. Perform all quality control, monitoring functions and reports out of range information immediately to supervisor. Consistently practice National Patient Safety Goals. Knowledge of and/or ability to schedule surgery, procedures, and testing for patients. Exit counseling which includes education, scheduling of testing and providing patients with necessary information. Prepare charts for clinic sessions and obtain vital signs and weight. Perform control studies and completes log books according to policy. Perform phlebotomy procedures, reads the test results, and documents accordingly. Prepare the exam rooms and stocks supplies daily. Provide pre and post-examination education and counseling. Other duties as assigned. Required Qualifications High School Diploma, GED or next level of higher education. 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. Knowledge of Microsoft Office Applications, including Outlook and Excel. Preferred Qualifications Previous outpatient office experience. License, Certification & Clearances Medical Assistant Certification preferred. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Friends & Family CPR 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 locations. LEAN Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Independence Health System missions, vision and values. AAP/EEO Independence Health is an Equal Opportunity Employer. It is the policy of Independence Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Independence Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. 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 x Operates Vehicle x Operates Heavy Equipment x Use of Lifting/Transfer Devices x Rotates All Shifts 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 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 Latex Exposure x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x 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 x Carry x x 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 20# Lifting Seat Pan to Knuckle x 20# Lifting Knuckle to Shoulder X 5# Lifting Shoulder to Overhead x
NP Full-time
Independence Health System

NURSE PRACTITIONER CRNP IV- GREENSBURG-HOSPITALIST

apartment Independence Health System location_onGreensburg, PA
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. Evaluates patient's current status providing recommendations for ongoing treatment. 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, review treatment goals and objectives with patients. Communicates pertinent information efficiently to the supervising or substitute supervising physician. Documents all screenings and assessments performed, including patients mental status. Records medication changes, prescriptions written and samples provided. Documents patient's complaints, concerns and questions as appropriate. Demonstrates leadership by utilizing the concepts inherent to the practice of a professional APP. 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. ANCC Acute Care Certification required
CNA ICU Part-time
Independence Health System

NURSING ASSISTANT - ICU

apartment Independence Health System location_onButler, PA
Day/Evening Rotation: 6a-2p, 2p-10p Job Summary Assists in the safe care of the patient as directed. Assists in maintaining safe and efficient unit operations. Utilizes excellent customerservice skills. Permitted to change patients 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. Completion of EKG training within 6 months of hire/transfer. Responsible to safely access,transport, and handle single dose medications to include prescription 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:
RN PACU Full-time
Independence Health System

REGISTERED NURSE PACU/ SURGICARE

apartment Independence Health System location_onClarion, PA
PACU Nurse skills and qualifications Excellent communication and interpersonal skills. Comfortable working in a high-pressure environment. Good eye for detail while monitoring patients. Ability to quickly notify medical personnel regarding abnormal side effects or changes in a patient’s condition. Proficiency with hospital management systems, such as Meditech Expanse. Must be able to be in an on-call rotation. PACU Nurse duties and responsibilities Observing patients for side effects of anesthesia. Monitoring and recording patient vital signs. Monitoring patient’s level of consciousness throughout sedation recovery. Performing post-operative tasks, such as administering medication or changing dressings. Checking and updating patient files, charts and medical records. Collaborating with surgeons, anesthesiologists, physicians and other members of the patient’s care team. Providing comfort and answering questions when patients wake from sedation. Educating patients and their families regarding post-surgery care at home. Qualifications Graduate of a State Board approved program of professional nursing. Holds a current Pennsylvania State License as a registered nurse. Critical Care experience preferred. Certified in basic CPR. Certified in ACLS, and PALS. An integral function of the staff nurse is patient teaching to promote positive health outcomes. Acts as a preceptor to all staff and students and is responsible for orientation of assigned staff. Maintains position specific skills and competencies as required on annual basis. Maintains CEU’s appropriate to discipline in order to maintain clinical competency. Functions as a patient advocate through education to the patient and family including health promotion. Responds to patient care needs on a timely fashion, including, but not limited to call bell response, verbal requests, and bed exit alarms. Maintains adherence to patient rights. Administers prescribed treatments, medications, therapies within the scope of practice. Participates in nursing and hospital committees as appropriate. Attends at least 70% of department staff meetings. Demonstrates strong customer service skills, and professional behavior when dealing with all individuals and groups, both internally and externally. Demonstrates respect and communication skills when interacting with all individuals and groups, both internally and externally Assesses the patient’s physical and psychosocial condition on an ongoing basis throughout the continuum of care. Develops a plan of patient care reflecting significant nursing diagnoses and interventions to achieve desired patient outcomes, involving the patient/family and healthcare team in this process. Plans, coordinates and implements patient’s plan of care in collaboration with the multidisciplinary team. Evaluates patient outcomes, effectiveness of plans of care, and readiness for discharge. Revises as needed, and makes referrals when indicated. Utilizes manual and automated information systems to improve patient safety Act as a liaison in coordinating patient care activities with nurses, physicians and allied health professionals. Communicates patient’s plan of care to all multidisciplinary team members and to the patient, family and significant others. Provides education as indicated after assessing the learning needs of the patient and family. Demonstrates cost effectiveness by using supplies judiciously, anticipating needs for special supplies and equipment, and making recommendations for change. Complies with established personal protective equipment requirements necessary for protection against exposure to blood and other potentially infectious body fluids, chemical disinfectants, radiation, antineoplastic/cytotoxic agents and other hazardous substances. In some specialized areas the RN, maintains total care of the patient including but not limited to, connecting, monitoring and interpreting electronic displays, responding to emergencies by initiating life saving actions including advanced cardiac life support (ACLS) protocols. Performs other duties as assigned. 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: Nurse Manager, Charge Nurse Supervises: GN, LPN, Nursing Assistant, Unit Secretary, Nurse Externs and Technicians.
LPN Outpatient Full-time
Independence Health System

LPN - PHYSICIAN OFFICE, GI

apartment Independence Health System location_onGreensburg, PA
$3,000 SIGN ON BONUS ELIGIBLE ** 4 10 hour shifts available TUITION AND LOAN FORGIVENESS OPPORTUNITIES Job Summary Performs direct patient care activities, such as lab tests, treatments, and medication administration. These are performed under the direction of the Nurse Manager, RN Supervisor, RN and/or physician in preparation for the patient’s examination and treatment. Carries out clinical activities, quality control activities, performance improvement initiatives, etc. in support of the Physician Practice as assigned. Essential Job Functions Delivers direct and indirect patient care in accordance with the LPN Practice Act, hospital and/or physician practice policies, procedures, protocols, and other professional standards of care. Collects patient health care data, including VS, weight, chief complaint and pain assessment focusing on the physical, psychosocial, age, cultural, and spiritual needs of the patient. Involves the patient/family and other health care providers when appropriate. Completes patient care treatments/testing as ordered by the physician. Administers medications/immunizations using appropriate routes and techniques specific to age of the patient. Complies with completeness, accuracy, and timeliness of documentation. Provides education and instruction, within their scope of practice, to patients and families. Assists in assessing the patient’s educational needs and identifying educational barriers. Provides educational material and/or instructions based on assessed needs. Documents all education/instruction provided including topic, individual provided to and understanding. Maintains collaborative relationship with physicians to achieve desired patient outcomes. Prepares patient for examination, treatments, and procedures. Assists the physician with treatments and procedures as requested. Provides for patient safety in compliance with hospital and physician practice policies. Utilize two forms of patient identification before implementing any form of patient care. Labels all patient specimens with identifiers per policy. Uses patient identifiers on all written documentation, including notes and point of care testing results. Assists in compliance with all regulatory agency requirements. Performs quality control testing for all point of care testing per policy. Participates in non-punitive medication reporting. Adheres to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Demonstrates leadership by utilizing the concepts inherent to the practice of the professional nursing. Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate. Maintains accountability for actions taken. Delegates patient care appropriately. 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/departmental costs. Assists in the department’s compliance with JCAHO and other regulatory agencies. Participates in continuous survey readiness for inspections and surveys. Coordinates communications between patient/families and physician practice, pharmacies, specialists, and insurance carriers. Provides advice based on protocols and physician instructions and directs patients to the appropriate level of care. Facilitates patients access to prescription refills based on physician’s order. Obtains prior authorization and/or assists with indigent programs per physician order based on the patient’s financial status or insurance coverage. Supports performance improvement initiatives with the physician practice Assists in data collection as directed by the manager/physician. Incorporates into practice performance improvement initiatives that have been implemented. Maintains the environment of care. Ensures that supplies in patient care areas are replenished daily. Consistently maintains a clean safe environment. Performs POC testing as ordered by the physician. Completes all quality control testing per policy. Identifies results that are out of acceptable range and follows up prior to performing patient testing. Uses two patient identifiers, name and DOB, prior to testing. Accurately records patient test results on appropriate result form and testing log. Prepares forms, copies records, and responds to request per policies and procedures. Assists in maintaining the patients’ medical record to facilitate filing and retrieval of information. Participates in all other office functions as necessary. Performs other duties as required. 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. 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 required locally between Excela Health locations. LEAN Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Excela’s missions, vision and values. AAP/EEO Excela Health is an Equal Opportunity Employer. It is the policy of Excela Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Excela Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. 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 X Mechanical Hazards X Use of Vibrating Tools X Operates Vehicle (company) X Operates Heavy Equipment X Use of Lifting/Transfer Devices X Rotates All Shifts X 20# 8 Hours Shifts X X 10-12 Hours Shifts X X On-Call X Overtime(+8/hrs/shift; 40/hr/wk) X X Travel Between Sites X X Direct Patient Care X X Respirator Protective Equipment X X Eye Protection X X Head Protection (hard hat) X Hearing Protection X X Hand Protection X X Feet, Toe Protection X X Body Protection X X Latex Exposure X X Solvent Exposure X 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 Mist Exposure X 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 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 20# Carry 20# 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 20# Lifting Seat Pan to Knuckle X 20# 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 Part-time
Independence Health System

REGISTERED NURSE, RN - CARDIOVASCULAR SERVICES PCU 2DE

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. 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 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, 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 Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program. Current ACLS or completion within one (1) year of hire/transfer into department. Current NIH Stroke Scale or completion within six (6) months of hire/transfer into department. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearances 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.
CNA Full-time
Independence Health System

NURSING ASSISTANT/TECH PARTNER - SST

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

RN CASUAL - CARDIOVASCULAR SERVICES PCU 2DE

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. 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 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, 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 Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program. Current ACLS or completion within one (1) year of hire/transfer into department. Current NIH Stroke Scale or completion within six (6) months of hire/transfer into department. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearances 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.
LPN Psych Full-time
Independence Health System

LPN- INPATIENT BEHAVIORAL HEALTH

apartment Independence Health System location_onGreensburg, PA
Job Summary/Overall Objectives 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, ( where applicable by location and department need) such as: Administration of medications, immunizations, and therapeutic treatments prescribed by the physician; Preparation and care of patients receiving specialized treatments administered by the physician or the professional nurse. 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. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited School of Practical Nursing Zero (0) to two (2) years of experience in behavioral health 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 Previous LPN experience Experience in Healthcare setting. 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 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.
Home Health Aide Home Health Full-time
Independence Health System

HOME HEALTH AIDE

apartment Independence Health System location_onGreensburg, PA
Essential Job Functions Deliver direct and indirect patient care in accordance with regulation, agency policies, procedures, protocols, and other professional standards of care. Demonstrate sound knowledge of all personal care skills and work within policy limitations. Perform or assist patient with activities of daily living. Complete patient care related activities within scheduled timeframe. Assist in the promotion of education coordination of patient care to improve patient outcomes by reinforcement and follow through of instructions provided by professional staff. Maintain a collaborative relationship with other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicate pertinent information to the supervising professional/supervisor and record in an accurate and timely manner any changes in patient status or behavior, or any unusual incidents observed. Report change in patient’s condition to the primary professional discipline, including the need to reassess the patient or change the plan of care; confer with the clinical staff when there is a need to contact the physician and when contact has been made. Participate in agency performance improvement activities designed to enhance the quality of patient care and customer service. Demonstrate leadership by utilizing the behaviors inherent to the role of the home health aide. Demonstrate an ability to solve problems independently and seek assistance from immediate supervisor when appropriate. Maintain accountability for actions taken. Effectively functions 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 agency expenses. Assist in agency compliance with State, JCAHO, OSHA, and other regulatory agencies. Participate in preparations for inspections and surveys. Adhere to the infection control process, including universal precautions, to reduce the risk of acquiring or transmitting infections. Provide for patient safety in compliance with health system and agency policies. Utilize two forms of patient identification as appropriate. Involve the patient and or family in patient safety standards, processes, and education. Adjust to a variety of responsibilities, characterized by frequent changes nada dap to changes in workload or patient assignments, and meet agency productivity standards. Demonstrate understanding and acceptance of the Hospice [philosophy. Maintain a minimum of 12 hours of educational credits annually. Deliver direct and indirect patient care in accordance with regulation, agency policies, procedures, protocols, and other professional standards of care. Demonstrate sound knowledge of all personal care skills and work within policy limitations. Assist in the promotion of education coordination of patient care to improve patient outcomes by reinforcement/follow through of instructions provided by the professional staff. Maintain a collaborative relationship with other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicate pertinent information to the supervising professional/supervisor and records in an accurate and timely manner any changes in patient status or behavior, or any unusual incidents observed. Report changes in patient’s condition to the primary professional discipline, including the need to reassess patient or change the plan of care; confer with the clinical staff wen there is a need to contact the physician and when contact has been made. Participate in agency performance improvement activities designed to enhance the quality of patient care and customer service. Demonstrate leadership by utilizing the behaviors inherent to the role of the home health aide. Demonstrate an ability to solve problems independently and seek assistance from immediate supervisor when appropriate. Maintain a minimum of 12 hours educational credits annually. Provide for patient safety in compliance with health system and agency policies. Involve the patient and or family in patient safety standards, processes and education. Adjust to a variety of responsibilities, characterized by frequent changes and adapt to changes in workload or patient assignments, and meet agency productivity standards. Demonstrate understanding and acceptance of the Hospice philosophy. Perform according to the established plan of care to enhance the quality of life of the terminally ill patient. Participate in interdisciplinary team meetings when able. Perform homemaking tasks as defined in the plan of care. Develop effective, supportive interaction with the dying patients and their significant others. Practice careful, efficient, and resourceful use of supplies. Assume responsibility for keeping informed by reviewing agency communications. Cognitive ability to function and concentrate on the essential and specialty functions of the job at a high level. Achieves thoroughness and accuracy when accomplishing an essential or specialty function of the job. Ability to think and concentrate for an entire shift. Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience High School Diploma or GED. Completion of a Nurse Aide Program. Effective May 18, 2017 – must have attended at a minimum outside training program consisting of classroom and supervised practicum of a minimum of 75 hours (A minimum of 16 hours of classroom training must precede a minimum of 16 hours of supervised practical training as part of the 75 hours). One-year experience as a nurse aide/assistant in a healthcare facility or as a home health aide in a home care/hospice agency. 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 Nurse Aide Certification. Certification as Hospice/Palliative Care Nurse Aide; Working knowledge of Microsoft Word and Outlook. Experience in Healthcare setting. License, Certification & Clearances 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 Valid Driver’s License (if out of state hire, the record report from applicable state driver’s license department is required) 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.
NP Full-time
Independence Health System

NURSE PRACTITIONER III -NEUROLOGY

apartment Independence Health System location_onGreensburg, PA
Evaluates, examines, diagnose, and treats patients in collaboration with their supervising and or substitute supervising physician according to established guidelines and protocols. Maintains and promotes the well-being of the patient through preventative healthcare and guidance. Provide care in the hospital setting. May include weekends and shift work. Core Essential Functions: Regular, consistent, on-site, and timely attendance. Manages the physical and psychological problems of the patient. Identifies normal and abnormal findings. Implements an individualized plan of treatment, reassess and revises plan as needed. Evaluates the physical and emotional responses to medications and treatments. Prescribes immunizations per recommended schedules. Seeks appropriate consultation. Communicates effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care. Initiates and maintains the Problem/Medication list at each encounter. Complies with completeness, accuracy, and timeliness of documentation at each encounter. Assesses the patient and facilitates consultation when indicated. Directs patients to appropriate level of care and communicates all pertinent information. Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation. Demonstrates Leadership by utilizing the concepts inherent to the practice of the professional nurse. Demonstrates an ability to solve problems independently utilizing critical thinking skills 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. Completes all competency requirements annually. Provides for patient safety in compliance with hospital and physician practices 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 all National Patient Safety Goals. Uses LEAN principles. Assists in the department's compliance with all regulatory agencies. Participates in continuous survey readiness for inspections and survey's. Participates in the non-punitive medication reporting system. Ensures accountability for narcotics per regulatory/organizational policies. Participates in office fire, safety, utility, hazard, and disaster drills as required. “Ability to perform the Essential Functions on the Physical Conditions chart; and the ability to perform the Essential Functions on the Working Conditions chart (see attached charts)” Specialty Essential Functions: Performs procedures, assists in surgery, and provides care to the surgical patient as per established guidelines (when applicable). 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 (when applicable). 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 procedures, assists in surgery, and provides care to the patient as per established guidelines(when applicable) 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 (when applicable). 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. Marginal Functions: Defined as duties that are not essential in nature and do not take a considerable amount of time to complete (less than 10%). Performs any and all other duties as assigned and appropriate. Required Skills and Knowledge: Minimum level of education, skills and abilities necessary in performing the job. Education: Graduate of accredited Nursing & Nurse Practitioner Program. Master's Degree in Nursing. Certification / Licensure / Regulation: Current licensure to practice as a Registered Nurse in the State of Pennsylvania Current Certification as CRNP. Current Certification for Prescriptive Authority with DEA license. 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 Fingerprint screening within 2 weeks of hire in order to meet 30 days of hire or transfer position requirement). BLS Certification Prior Experience: Related training/experience (preferably within the past five years) One-year medical/surgical experience Other Skills and Abilities: none Preferred Factor: These are job related enhancements that are preferred or would benefit the performance outcome of the job but are not essential or required for the job to exist. DNP; prior CRNP experience The above job descriptive information is intended to describe the general nature and level of work being performed by individuals assigned to this job. This is not intended to be an exhaustive list of all duties and responsibilities, as an employee may be assigned other duties other than described in this document. Essential Working Conditions: Constantly = (5 1/2 to 8 hours or more) or 200 reps/shift Occasionally = (1/4 to 2 1/2 hours) or 2 - 32 reps/shift Frequently = (2 1/2 to 5 1/2 hours or more) or 32 - 200 reps/shift Rarely = (Less than 1/4 hours) or < 2 reps/shift Sedentary Work - Exerting up to 10 pounds of force occasionally. Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force occasionally. Heavy Work - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly. Very Heavy Work - Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds or force frequently, and/or in excess of 20 pounds of force constantly to move objects. Working Conditions: Never Extreme Cold Extreme Heat Heights Confined Spaces-Cramped Quarters (Labeled) Extreme Noise (> 85 dB) Mechanical Hazards Use of Vibrating Tools Operates Vehicle Operates Heavy Equipment Use of Lifting/Transfer Devices Occasionally Rotates all shifts On Call Overtime (more than 8 hrs. /shift, 40 hours/week) Frequently 8 hour shifts 10 - 12 hour shifts Protective Equipment: Never Head (hard hat) Hearing Rarely Respirator-Breathing Equipment Frequently Eye Hands Feet, Toes Body Occupational Exposures: Never Solvents Paints (direct use of) Dust (Sanding) Ethylene Oxide Cytotoxic Drugs (Chemo) Mists Wax Stripper (direct use of) Radiation Ionizing Radiation Lasers Rarely Chemicals (direct use of) Frequently Blood and Body Fluids Constantly Latex (Rubber, erasers, balloons, gloves, rubber bands, etc.) Essential Physical Conditions: Marginal Frequently = (2 1/2 to 5 1/2 hours or more) or 32 - 200 reps/shift Essential Occasionally = (1/4 to 2 1/2 hours) or 2 - 32 reps/shift Constantly = (5 1/2 to 8 hours or more) or 200 reps/shift Rarely = (Less than 1/4 hours) or < 2 reps/shift Physical Demands: Never Climbing Ladders Rarely Kneeling Squatting (Crouching) Pushing / Pulling Occasionally Climbing Stairs Use of Forceful Hand Grasp Keyboard/Computer Operation Bending (Stooping) Frequently Sitting Standing Walking Fine Finger Manipulation Hand / Arm Coordination Sensory Requirements: Frequently Feeling (Sensation) Color Vision Constantly Seeing Near-with Acuity Over Shoulder Work: Occasionally Pulling or Pushing Objects Overhead Reaching Above Shoulder Level Lifting: floor to standing position: Never 20 - 29 pounds 30 - 49 pounds 50 pounds > 50 pounds Rarely 10 - 19 pounds Lifting: waist to shoulder level: Never 20 - 29 pounds 30 - 49 pounds 50 pounds > 50 pounds Rarely 10 - 19 pounds Lifting: shoulder to overhead: Never 20 - 29 pounds 30 - 49 pounds 50 pounds > 50 pounds Rarely 10 - 19 pounds
CNA Part-time
Independence Health System

NURSING ASSISTANT/TECH PARTNER - 2AB

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.
NP Full-time
Independence Health System

CRNP - CARDIOLOGY CLARION

apartment Independence Health System location_onClarion, PA
Provides patient care services, including assessing and managing patients in the outpatient and/or inpatient environment, by following established standards and practices within the practice specific specialty. Education Minimum: Master Degree in Nursing Preferred: Doctor of Nursing Practice Registration/Certification/Licensure : Current PA RN and CRNP licenses, ACLS, and Act 33/73 clearances. Individual must meet the credentialing requirements of the Medical Staff Office. Experience Minimum: None 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. “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.
CNA Full-time
Independence Health System

NURSING ASSISTANT/TECHNICAL PARTNER - FLOAT POOL

apartment Independence Health System location_onButler, PA
Reports to : Director of Patient Care Administration Position Supervises : N/A Job Summary : Assists in the safe care of the patient as directed. Assists in maintaining safe and efficient unit operations, while utilizing 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 Nursing Assistant Training Program Registration/Certification/Licensure : Healthcare Provider CPR and Act 33/73 clearances Experience ⚬ Minimum: N/A ⚬ Preferred: Clinical experience obtained through a Nursing Assistant Training Program or previous experience working as a nursing assistant in an acute care facility. Other Requirements : Comprehensive Crisis Management per policy. Completion of EKG training within 1 year of hire/transfer. Responsible to safely access, transport, and handle single dose medications to include prescription 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. - OCCASIONAL ● 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. - 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. - FREQUENT ● 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. - FREQUENT ● Grasping * - Using functional gripping of the hand to handle an object. - FREQUENT ● Finger Manipulation - To manipulate objects with the use of fingers. - OCCASIONAL ● 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 ● 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 ● 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 * - 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 termperature 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 , i.e. computer terminal (more than 4 hours per shift) - OCCASIONAL ● 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 - N/A ● Medium * - CONSTANT ● Heavy to Very Heavy- N/A
RN PCU Full-time
Independence Health System

REGISTERED NURSE, RN - PCU 1D

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. Reviews rhythm strips. Demonstrates appropriate treatment of arrhythmia. Utilizes appropriate protocols for administration of drugs for treatment of arrhythmias 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 year medical/surgical, PCU or Critical Care 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. 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.
NP Part-time
Independence Health System

CRNP - MIDWIFE CASUAL

apartment Independence Health System location_onButler, PA
The Nurse Practitioner - Midwife evaluates, examines, diagnoses, and treats patients, in collaboration with an attending physician, according to established protocols, while maintaining and promoting the wellbeing of the individual through preventative health care and guidance. Essential Job Functions Manages the physical and psychological problems of the patient. Identifies normal and abnormal findings. Implements an individualized plan of treatment, reassess and revises plan as needed. Evaluates the physical and emotional responses to medications and treatments. Prescribes immunizations per recommended schedules. Seeks appropriate consultation. Communicates effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care. Initiates and maintains the Problem/Medication list at each encounter. Complies with completeness, accuracy, and timeliness of documentation at each encounter. Assesses the patient and facilitates consultation when indicated. Directs patients to appropriate level of care and communicates all pertinent information. Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation. Demonstrates Leadership by utilizing the concepts inherent to the practice of the professional nurse. Demonstrates an ability to solve problems independently utilizing critical thinking skills 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. Completes all competency requirements annually. Provides for patient safety in compliance with hospital and physician practices 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 all National Patient Safety Goals. Assists in the department's compliance with all regulatory agencies. Participates in continuous survey readiness for inspections and survey's. Participates in the non-punitive medication reporting system. Ensures accountability for narcotics per regulatory/organizational policies. Participates in office fire, safety, utility, hazard, and disaster drills as required. Participates in on-call, weekend coverage, and first assist responsibilities as required. Other duties as assigned. Specialty Job Functions Rounds on inpatient with appropriate consults. Triage patient calls after hours. Assist with C-Sections and gynecologic surgeries. Management and delivery of routine obstetrical patients. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Certified Midwife The successful completion of an approved nurse practitioner program. Bachelor’s Degree in Nursing. Strong leadership ability, good organizational skills, 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, and knowledge of legal aspects and liability of nursing practice. Demonstrate the skills necessary to provide care and appropriately treat patients. Provide the care needs as described in the department policy and procedures. Preferred Qualifications/Experience (please add any additional requirements) Master’s Degree in Nursing preferred. Professional nursing experience and/or nurse practitioner experience preferred. Experience in Healthcare setting. License, Certification & Clearances (please add any additional requirements) Current licensure to practice as a Registered Nurse in the State of Pennsylvania. Licensed as a Certified Registered Nurse Practitioner (CRNP) with prescriptive authority certified by a national certifying board accepted by Excela Health. Current DEA registration. Current Basic Life Support (BLS) required. PA Act 153 Clearance. 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 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 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 Psych Full-time
Independence Health System

CLINICAL NURSING COORDINATOR, RN WEEKEND - ADULT INPATIENT BEHAVIORAL HEALTH

apartment Independence Health System location_onGreensburg, PA
SPECIAL WEEKEND RATE APPLIES Job Summary/Overall Objectives 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. Responsible for all aspects of planning, implementing and coordination of patient care which may include case management functions. These duties promote the safety and wellbeing of the patients served. 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 Manager (Nurse Manager if applicable) 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. Assists manager to assure staff completes PPDs on a timely basis. 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 (Nurse Manager where applicable) 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. Interventional Radiology Department (where applicable) will participate and lead daily meetings. 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. 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 (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. Where applicable for Bariatric, facilitates and maintains Task Force initiatives. 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. 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)). 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 (not applicable for Bariatric Surgery). 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. 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/Experience 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. Knowledge of Payor/Insurance Benefits Functional Skills on PC and Related Software (Microsoft Office) Preferred Qualifications/Experience National Certification in area of specialty. Bachelors Degree in Nursing. Certification in Mental Health Nursing preferred. 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. 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 Part-time
Independence Health System

RN CASUAL - NURSE POOL

apartment Independence Health System location_onLatrobe, PA
Job Summary/Overall Objectives The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. 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. Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited Nursing Program required. 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 Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience Bachelor’s Degree in Nursing preferred. One (1) year medical-surgical experience. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Current NIH Stroke Scale or within six (6) months of hire or transfer into department. Act 33 with renewal. Act 34 with renewal. Act 73 FBI Clearance with renewal. ACLS preferred. 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 Hospice Full-time
Independence Health System

REGISTERED NURSE RN - Hospice

apartment Independence Health System location_onGreensburg, PA
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 Home Health and Hospice 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 controlled substance regulations. 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 and caregivers Promote patient's independence by establishing patient care goals, teaching patient/caregivers to understand condition, medications, and self-care skills, and answering questions. Document patient care services by charting in patient and department records Maintain continuity among nursing teams by documenting and communicating action, irregularities, and continuing needs using Nurse Knowledge Exchange techniques Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Maintain nursing supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies; using equipment and supplies as needed to accomplish job results Provide direct and indirect supervision of personal care provided by Home Health Aides in the patients’ homes, in accordance with federal regulation and accrediting bodies 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; participating in team continuous quality improvement and problem-solving methods Contribute to team effort by accomplishing related results as needed Hospice Role to understand the Hospice philosophy and perform care accordingly to enhance the quality of life of the terminally ill patient Maintain and demonstrate an understanding of the Hospice benefit and comply with regulatory conditions of participation Assess eligibility for Hospice care and obtain the informed consent prior to the initiation of services Function as a primary nurse and core member of the Interdisciplinary Group to develop a plan of care that addresses the physical, psychosocial, emotional and spiritual needs of the terminally ill patient and family Follow established guidelines for pain and symptom management to enhance quality of life Educate patient and caregivers regarding the care needs at the end-of-life including palliative care measures Mental health role- in conjunction with the physician, implement mental health concepts and psychiatric using principles in the plan of care Provide supportive psychotherapy Demonstrate knowledge of commitment laws, mental health clinical programming, and community resources Make appropriate referrals based on the nursing assessment and in collaboration with the physician Function as a resource for Agency staff with patients demonstrating mental health problems as a secondary diagnosis Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited Nursing Program required. Six (6) months medical/surgical 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 (please add any additional requirements) Bachelor’s Degree in Nursing preferred. RN’s with one (1) year experience in medical/surgical nursing or other healthcare related field; IV and phlebotomy training; certification in an applicable area; Bachelor of Science degree in nursing. For Hospice- prior Hospice and/or oncology experience; Hospice and Palliative Care Certification Experience in Healthcare setting. License, Certification & Clearances (please add any additional requirements) 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 Valid Driver’s License (if out of state hire, the record report from applicable state driver’s license department is required) 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 ***$10,000 SIGN ON BONUS*** 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 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/hr/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 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.