Independence Health System

REGISTERED NURSE RN - SICU

Day/Night Rotation, Shifts: 7a-730p, 7p-730a Reports to : Clinical Supervisor, ICU Position Supervises : N/A Job Summary : Responsible for providing direct nursing care to assigned patients in the Intensive Care Unit. Provides intensive nursing care to acutely ill medical and/or surgical inpatients. The Registered Nurse’s responsibilities include, but are not limited to, performance improvement initiatives, utilization of the nursing process in the provision of care, communication skills, flexibility, quality improvement activities, and professional growth. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing, CCRN Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, ACLS within one year of hire/transfer, and Act 33/73 clearances Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Prior med-surg experience and arrhythmia interpretation. Critical Care experience, including but not limited to: IABP, IV insertion, care of the ventilator patient, ABG’s, Swan Ganz, Arterial Lines, care of the post open heart patient, and care of the patient requiring CRRT, ACLS, and PALS. Other Requirements : Comprehensive Crisis Management per policy, participation in the Rapid Response Team and the Cardiac Arrest Team as assigned. Status : Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling ● Standing* - Remaining on one's feet in an upright position remaining stationary - FREQUENT ● Walking* - Remaining upright on one's feet, and moving about - FREQUENT ● Sitting* - Body remains in a seated position - OCCASIONAL ● Stooping* - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL ● Bending* - To flex the upper body forward - FREQUENT ● Twisting* - To rotate the upper body forward - FREQUENT ● Climbing* - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL ● Ladders* - To ascend and descend ladders - N/A ● Stairs* - To ascend and descend stairs - OCCASIONAL ● Kneeling* - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL ● Squatting* - To move the body downwards by bending both knees - OCCASIONAL ● Crouching* - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL ● Crawling* - To move the body forward or backwards on hands and knees - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT ● Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT ● Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT ● Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time - CONSTANT ● Repetitive Lower Extremity Use* - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling ● Pushing* - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person ● FREQUENT ● Up to 20# ● Pulling* - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person ● OCCASIONAL ● 20# - 50# ● Lift* - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift* - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift* - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions - FREQUENT ● Working with hands in water* - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift)* - FREQUENT ● Working with bloodborne pathogens* - FREQUENT Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: ● Sedentary to Light - CONSTANT ● Medium - OCCASIONAL ● Heavy to Very Heavy - N/A
Independence Health System

NURSE PRACTITIONER IV-HOSPITALIST -GREENSBURG

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 CRNP experience preferred
Independence Health System

NURSING ASSISTANT/TECH PARTNER - NORWIN SURGERY CENTER

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. Completion of a Nurse Aide or comparable program (such as EMT, Medical Assistant, nursing student with at least one semester of clinical, or (IH Technical Partner Training Program) or prior experience in related field. 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 Nurse Aide certification. Patient care experience. Computer skills, Phlebotomy, EKG experience. Current Nursing Student (with clinical 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). A Technical Partner refresher training class may be required if an employee has not worked in an acute care setting and/or long-term care facility for past three (3) – five (5) years. 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.
Independence Health System

REGISTERED NURSE, RN - ADULT INPATIENT BEHAVIORAL HEALTH

Job Summary/Overall Objectives The RN assesses, plans, implements and evaluates the area of all assigned psychiatric patients. The RN coordinates, directs and participates as an effective interdisciplinary team member. 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. Ensures that assessment of the patient and the direct and indirect patient care delivered is in accordance with the PA Nurse Practice Act, hospital policies, procedures and protocols and other professional standards of care. Process psychiatric emergencies as assigned, through assessment of patients' condition and collaboration with psychiatrist to effect a crisis resolution, process commitments and refer patients to appropriate treatment facilities. Provides for patient safety in compliance with hospital and nursing department policies. Facilitates and coordinates the delivery of care in crisis situations. Demonstrates ability to assess change in patient behavior and acts accordingly. Updates crisis intervention skills on a yearly basis. Assures that patient belongings have been searched for potentially harmful items. Demonstrates a working knowledge of psychotropic medications. Maintains department protocols for identified psychiatric medications. Administers, monitors and documents efficacy, side effects and patient compliance. Provides patient/family education for prescribed medications. Conducts group therapy including medication groups, support groups and educational groups for patients, as well as serves as an information/referral source for families in these areas. Acts as a facilitator of group sessions. Provides patients with individualized educational materials. Other related duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited Nursing Program required. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience Bachelor’s Degree in Nursing preferred. One(1) – two (2) years of psychiatric nursing 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 3/2020 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.
Independence Health System

LPN - NURSE POOL

Job Summary The Licensed Practical Nurse functions as a member of the health-care team by exercising sound nursing judgment. The LPN provides direct and indirect patient care for an assigned group of patients under the direction and supervision of the RN and according to the plan of care derived from physician's orders and Registered Nurse assessment. Nursing Care includes physical care, emotional support, and patient and family education. Essential Job Functions Delivers direct and indirect patient care in accordance with the Pennsylvania Practical Nurse Law, hospital policies, procedures, protocols and other professional standards of care. Assists the RN in collecting patient health care data on admission by completing a focused assessment in an ongoing systematic manner, focusing on the physical, psychosocial, age, cultural and spiritual needs of the patient and which contributes to the comprehensive assessment by the RN. Works directly with the RN to implement an individualized, age-specific plan of care and evaluate its effectiveness. Assists the RN in reassessment of the patient's condition and takes appropriate action as indicated or by unit specific policy. Involves the patient/family and other health care providers when appropriate. Completes patient care related activities within scheduled time periods. Complies with completeness, accuracy and timeliness of documentation, utilizing the electronic medical record. Observes, records and reports to the appropriate professional the symptoms, reaction and changes including: General physical and mental condition of patients, and signs and symptoms which may be indicative of untoward changes; and stresses in human relationships between patients, between patients and personnel, and between patients and their families and visitors. Performs nursing functions as defined in Pennsylvania regulations, such as: Initiates (peripheral short catheter) and maintains IV therapy; Assists with the rehabilitation of patients according to the medical care plan, being aware of and encouraging the interests and special aptitudes of patients. Encouraging patients to help themselves within their own capabilities in performing activities of daily living. Knowledge and application of the principles of prevention of deformities, the normal range of motion, body mechanics, and body alignment. Assists in providing education for the provision and coordination of patient care activities that promote and maintain health, foster self-care and improve outcomes. Assists the RN in assessing the patient's readiness to learn, identifying educational barriers and adapting the process to meet the needs of the patient. Ensures education about safely and effectively using medication, pain and managing pain, available resources, how to obtain further care, and information about responsibilities in their care. Acquires and distributes educational resources tailored to patient needs. Provides and reviews, upon request of the RN, written discharge instructions that demonstrate an inter-relationship between education, discharge planning and continuity of care. Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care conferences, shift reports and internal and external transfers. Reports changes in patient's condition to the RN, including the need to reassess patient or change the plan of care; confers with the RN when there is a need to contact the physician. Participates in the unit performance improvement activities designed to enhance the quality of patient care and customer service. Assists in data collection process as requested. Recommends modifications for performance improvement. Demonstrates leadership by utilizing the concepts inherent to the practice of the professional nurse. Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate. Delegates patient care appropriately. Maintains accountability for actions taken. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and/or students. Assists in maintaining/decreasing organizational/department costs. Assists in the department's compliance with State, TJC, OSHA and other regulatory agencies. Participates in continuous survey readiness for inspections and surveys. Participates in the non-punitive medication reporting system. Ensures accountability for narcotics per regulatory/organizational policies. Adheres to the infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Provides for patient safety in compliance with hospital and nursing department policies. Utilizes two forms of patient identification before implementing any form of patient care. Involves the patient and/or family in patient safety standards and processes. Minimizes the use of patient restraints and, if patient's condition warrants, monitors per individual assessed need and documents per policy. Assumes appropriate code team role during code situations, including internal and external disasters. Other duties as assigned. Required Qualifications Graduate of an accredited School of Practical Nursing. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications Previous LPN experience. Pursuing a BSN degree or desire to pursue BSN with completion in 4 (four) years from start date. License, Certification & Clearances Current licensure to practice as a Licensed Practical Nurse in the State of Pennsylvania Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Current NIH Stroke Scale or completion within six (6) months of hire/transfer into department. Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Work Environment : 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.
Independence Health System

TRAVEL RN, FLOAT - $52/HR

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. Regular travel between Independence Health campuses required. 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. Resolve patient problems and needs by utilizing multidisciplinary team strategies. Maintain safe and clean working environment by complying with procedures, rules and regulations, calling for assistance from health care support personnel. 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 related duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited Nursing Program required. Minimum three (3) years of acute care experience. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience Bachelor’s Degree in Nursing preferred. Current ACLS or completion within one year of hire/transfer date into department. 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. NIH Stroke Scale – current or within six (6) months of hire/transfer into department. Supervisory Responsibilities This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work 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 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 ### 10# Lifting Seat Pan to Knuckle ### 50# Lifting Knuckle to Shoulder ### 20# Lifting Shoulder to Overhead ### 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
Independence Health System

REGISTERED NURSE RN FLOAT POOL (CRITICAL CARE)

Reports to : Director, Patient Care Admin Position Supervises : N/A Job Summary : Responsible for providing, coordinating and directing nursing care to assigned patients in the assigned nursing unit. The Registered Nurse’s responsibilities include, but are not limited to, utilization of the Nursing process in the provision of patient care, communicating with all members of the health care team to assure patient goals are established and met in a timely manner, and participation in quality improvement activities. The Registered Nurse is responsible for professional growth and providing excellent customer service, while supporting the physical and emotional needs of the patients and their family members. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, and Act 33/73 clearances. ACLS required within two years of hire/transfer if taking assignments in critical care or telemetry patient care units. Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Previous experience working in an acute care facility, Basic arrhythmia, telemetry experience. Other Requirements : Comprehensive Crisis Management per policy. Status: Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling ● Standing * - Remaining on one's feet in an upright position remaining stationary. - FREQUENT ● Walking * - Remaining upright on one's feet, and moving about. - CONSTANT ● Sitting - Body remains in a seated position. - OCCASIONAL ● Stooping * - To bend the body downward and forward by bending the spine at the waist. - OCCASIONAL ● Bending * - To flex the upper body forward. - FREQUENT ● Twisting * - To rotate the upper body forward. - FREQUENT ● Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders. - OCCASIONAL ● Ladders - To ascend and descend ladders. - N/A ● Stairs * - To ascend and descend stairs. - OCCASIONAL ● Kneeling - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL ● Squatting * - To move the body downwards by bending both knees. - OCCASIONAL ● Crouching - To bend the body forward and downward by bending the spine and the legs. - OCCASIONAL ● Crawling - To move the body forward or backwards on hands and knees. - N/A ● Reaching Horizontal * - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead * - To extend the arms and hands up and out over shoulder height. - FREQUENT ● Grasping * - Using functional gripping of the hand to handle an object. - FREQUENT ● Finger Manipulation * - To manipulate objects with the use of fingers. - CONSTANT ● Seeing * - Using visual feedback to accomplish a task or activity. - CONSTANT ● Hearing * - Using sound feedback to accomplish a task or activity - CONSTANT ● Repetitive Upper Extremity Use * - Using the arms and/or hands continuously or more than 2/3 of the total time. - CONSTANT ● Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time. - N/A Material Handling ● Pushing * - To exert a force upon an object in order to move it in a certain direction. Pushing refers to moving an object away from the person. ● FREQUENT ● 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 ● FREQUENT ● 20# - 50# ● Lift * - Waist to shoulder ● FREQUENT ● 20# - 50# ● Lift * - Shoulder to overhead ● FREQUENT ● 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 - N/A ● Working in cramped quarters - OCCASSIONAL ● 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) - OCCASSIONAL ● 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 - OCCASSIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy , i.e. computer terminal (more than 4 hours per shift) * - FREQUENT ● Working with bloodborne pathogens * - FREQUENT Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: ● Sedentary to Light - N/A ● Medium * - FREQUENT ● Heavy to Very Heavy - N/A
Independence Health System

RN SUBSIDIARY SPINE

*****$5,000 sign-on bonus***** Job Summary The RN Subsidiary will perform direct patient care activities such as lab tests, treatments, and medication administration. These are performed under the direction of the physician in preparation for the patient’s examination and treatment. RN will utilize nursing process to assess patient’s condition and direct to the appropriate level of care using internal and external resources. Carry out clerical activities. Quality control activities, performance improvement initiatives, etc. in order to support the physician and practice as assigned. Essential Job Functions Deliver direct and indirect patient care in accordance with the RN Practice Act, hospital, and/or physician practice policies, procedures, protocols and other professional standards of care. Collect patient health care data, including VS, weight, chief complaint and pain assessment focusing on the physical, psychosocial, age, cultural and spiritual needs for the patient. Complete initial assessment of the patient’s health history, learning needs and barriers, physical, psychosocial, cultural and spiritual needs and reassess annually. Involve the patient/family and other healthcare professionals when appropriate. Complete patient care treatments/testing as ordered by the physician. Administer medications/immunizations using appropriate routes and techniques specific to age of the patient. Comply with completeness, accuracy and timeliness of documentation. Provide education and instruction, within their scope of practice, to patients and families. Assess the patient’s readiness to learn, educational needs and educational barriers. Provide educational material and/or instruction based on assessed needs. Document all education/instruction provided including topic, individual provided to and understanding. Maintain collaborative relationship with physicians to achieve desired patient outcomes. Prepare patients for examinations, treatments, and procedures. Assist the physician with treatments and procedures as requested. Provide for patient safety in compliance with hospital and physician practice policies. Utilize two forms of patient identification before implementing any form of patient care. Label all patient specimens with identifiers per policy. Use patient identifiers on all written documentation, including notes and point of care testing results. Assist in compliance with all regulatory agency requirements. Adhere to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Participate in non-punitive medication reporting. Demonstrate leadership by utilizing the concepts inherent to the practice of professional nursing. Demonstrate an ability to solve problems independently and seek assistance from immediate supervisor when appropriate. Maintain accountability for actions taken. Delegate patient care appropriately. 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. Coordinate communication between patients/families and physician practice, pharmacies, specialists and insurance carriers. Provide advise based on protocols and physician instructions and direct patients to the appropriate level of care. Facilitate patient’s access to prescription refills based on physician order. Obtain prior authorizations and/or assist with indigent programs per physician order based on the patient’s financial status or insurance coverage. Support performance improvement initiatives within the physician practice. Assist in data collection as directed by the manager/physician. Incorporate into practice performance improvement initiatives that have been implemented. Maintain the environment of care. Ensure that supplies in patient care areas are replenished daily. Consistently maintains a clean safe environment. Follow policies pertaining to daily/weekly/monthly quality control for refrigerator temperature, and equipment controls. Perform POC testing as ordered by the physician. Complete all quality control testing per policy and manufacturing guidelines. Use two patient identifiers, name and DOB, prior to testing. Follow appropriate procedures when collecting patient specimens. Accurately record patient test results on appropriate result form and testing log. Identify results that are out of acceptable range and follow up prior to performing patient testing. Prepare forms, copy records and respond to requests per policies and procedures. Assist in maintaining the patient’s record to facilitate filing and retrieval of information. Participate in staff education. Perform other duties as assigned. Required Qualifications Graduate of an accredited Nursing Program required. Strong leadership ability, independent thinking and decision-making ability; analytical problem-solving skills, sound judgment; excellent oral and written communication skills, must be able to function in a team environment. Preferred Qualifications Bachelor’s Degree in Nursing preferred. Previous experience in an outpatient office setting. 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 Clearances Supervisory Responsibilities This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between 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 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 x Extreme Cold x x Heights x x Confined Spaces x x Extreme Noise(>85dB) x x Mechanical Hazards x x Use of Vibrating Tools x Operates Vehicle x 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 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 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 x Blood/Body Fluid Exposure x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. 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 Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle =
Independence Health System

NURSE PRACTITIONER I - URGENT CARE

Essential Job Functions Evaluates and administers appropriate treatment plan for the urgent care patient in conjunction with the supervising physician. Provides patient and/or family information regarding treatment or procedures, condition and expectation during illness or recovery. Provides patient education/counseling and instruction regarding common patient problems. Formulates differential diagnoses by priority considering multiple potential mechanisms causing complex acute, critical, and chronic illness states. Demonstrates effective verbal, nonverbal, and written communication skills, including documentation according to established standards while maintaining patient confidentiality. Displays commitment to expanding his/her knowledge base and views this as a continuous process to maintain professional and personal growth . Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Master’s degree in nursing Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience Doctor of Nursing Practice One year experience working as CRNP. Experience in Healthcare setting. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations.
Independence Health System

REGISTERED NURSE, RN - 3NS PCU

Job Summary The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. Essential Job Functions Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting in patient and department records. Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain patient confidence and protects operations by keeping information confidential. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promote patient's independence by establishing patient care goals, teaching patient/family to understand condition, medications, and self-care skills, and answering questions. Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Resolve patient problems and needs by utilizing multidisciplinary team strategies. Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team continuous quality improvement and problem-solving methods. Contribute to team effort by accomplishing related results as needed. Ensure operation of equipment by completing preventive maintenance requirements by following manufacturer's instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques. Maintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results. The Registered Nurse provides direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised. Other related duties as assigned. Specialty Job Functions Demonstrates the ability to interpret and treat arrhythmias. Reviews rhythm strips. Demonstrates appropriate treatment of arrhythmia. Utilizes appropriate protocols for administration of drugs for treatment of arrhythmias. Required Qualifications Graduate of an accredited Nursing Program required. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications One (1) year medical-surgical, PCU or critical care experience. Bachelor’s Degree in Nursing (BSN). License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance with renewal Current ACLS or completion within one (1) year of hire/transfer date into department. Current NIH Stroke Scale or completion within six (6) months of hire/transfer into department. Supervisory Responsibilities This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System Health locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Work Environment : Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x Operates Vehicle (Company) x Operates Heavy Equipment x Use of Lifting/Transfer Devices x x Rotates All Shifts x x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x x Overtime(+8/hrs/shift; 40/hrs/wk) x x Travel Between Sites x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x Hand Protection x x Feet, Toe Protection x Body Protection x x Latex Exposure x x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure Chemo Units Chemo Units X all other Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling x x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x 10# 50# Carry x 25# Transfer/Push/Pull Patients x x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle x 10# Lifting Seat Pan to Knuckle x 50# Lifting Knuckle to Shoulder x 20# Lifting Shoulder to Overhead x 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
Independence Health System

RN, WEEKEND-HOSPICE

The RN assesses, plans, implements and evaluates the care for a designated group of patients in their home. The RN coordinates, directs and promotes positive patient outcomes, and contributes to efficient agency operation. In addition, the Hospice RN provides palliative care and support to terminally ill patients and their families. 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. Cognitive ability to function and concentrate on the essential and specialty functions of the job at a high level. Achieve thoroughness and accuracy when accomplishing an essential or specialty function of the job. Ability to think and concentrate for an entire shift. Specialty Job Functions Assure quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following Home Health & 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. Document patient care and services by charting in patient and department records. Maintain continuity among nursing teams b documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain nursing supplies inventory by checking stock to determine inventory level; placing, and expediting orders for supplies; verifying receipt of supplies using equipment and supplies as needed to accomplish results. Work collaboratively with the case manager, and on call RN, and other agency staff in the provision of patient care. Ensure communication of patient care needs to the primary care staff in order to facilitate continuity of care. Provide direct and indirect supervision of personal care provided by the Home Health Aides in the patients’ homes, in accordance with federal regulation and accrediting bodies. Maternal/Child Nurse Role: Provide prenatal nursing services, which include instruction, assessment and monitoring of the physical and emotional status of the patient with a high-risk pregnancy for early detection and intervention of complications. Maternal/Child Nurse Role: Instruct and assess the postpartum patient and newborn for early detection and intervention of complications. Maternal/Child Nurse Role: Instruct and assess the newborn and child’s physical and emotional development, adjustment, and/or abnormalities and reports to the physician. Other related duties as assigned. Required Qualifications Graduate of an accredited Nursing Program required. 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. Preferred Qualifications One (1) year experience in medical/surgical nursing or other healthcare related field; IV and phlebotomy training’ certification in an applicable area. 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 Valid Pennsylvania Driver’s License (if out of state hire current Department of Motor Vehicle record report required and obtain PA Current Driver License within 30 days of hire). 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 Regular, consistent, on-site and timely attendance. Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). 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 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/hr./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
Independence Health System

GRADUATE NURSE, RN - SPRING 2026 GRADUATES - BUTLER MEMORIAL HOSPITAL - MED SURG AND TELEMETRY UNITS

** THIS POSITION IS FOR RN GRADUATE NURSES WHO ARE GRADUATING IN SPRING 2026** Full Time Benefits, and Tuition and Loan Assistance Job Summary A Graduate an approved program by the State Board of Nursing, who has not completed examination for licensure is responsible for the complete nursing care of a group of patients under the direct supervision of a Registered Nurse. The graduate nurse is responsible to the Nurse Manager and accountable to the patient. The Graduate Nurse will be enrolled into the Nurse Residency Program, a twelve-month program that progresses through three phases: orientation; interactive classroom education; and independent self-directed leaning. Gradate Nurses are given the opportunity to be paired with a nurse mentor for continued one-on-one support. This program is designed as a series of learning and clinical practice experiences to assist newly licensed nurses as they transition from the student role to clinical practitioner. Essential Job Functions Ensures that assessment of the patient and the direct and indirect patient care delivered is in accordance with the PA Nurse Practice Act, hospital policies, procedures and protocols and other professional standards of care. Collects pertinent health assessment data on admission and in an ongoing systematic manner, focusing on the physical, psychosocial, age, cultural and spiritual needs of the patient. Documents the initial nursing assessment on appropriate medical records within the established time frames. Implements the individualized plan of treatment, evaluates and revises the established plan of care for each patient on an as-needed basis. Reassesses the patient's condition and takes appropriate action as indicated or by unit-specific policy including, but not limited to, pain management. Involves the patient/family and other healthcare providers when appropriate. Complies with completeness, accuracy and timeliness of documentation. Develops an educational process for the provision and coordination of patient care activities that promote and maintain health, fosters self-care and improves outcomes. Participates in the interdisciplinary education to assess the patient's readiness to learn, identify the patient's educational barriers and tailor the educational processes to meet the needs of the patient/family. Ensures the process includes education about safely and effectively using medication, pain and managing pain, available resources, how to obtain further care, and information about their responsibilities in their care. Acquires and distributes educational resources tailored to patient needs. Provides and reviews 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 (when eligible). Takes action to proactively identify and resolve patient needs. Participates in 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 utilizing critical thinking skills and seeking assistance from immediate supervisor when appropriate. Delegates patient care appropriately. Maintains accountability for actions taken. Acts as a patient advocate. Assists in maintaining organizational/departmental goals. Assists in the department's compliance with state, The Joint Commission (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 processes, 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 team role during code situations or mock codes. Responds effectively during emergency situations, including internal and external disasters. Assists in maintaining a safe and clean environment for patients, visitors and staff. Limitations of Practice Always under the direct supervision of an RN. May not accept verbal or phone orders from a physician. All physician orders must be checked by an RN. Must have approval by Nurse Manager/Preceptor before giving shift report. After successful completion of the IV skills lab and competency validation, the Graduate Nurse may administer IV push medications, IV fluids and blood. Specialty Job Functions 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. Preferred Qualifications Bachelor’s Degree in Nursing preferred. License, Certification & Clearances Current licensure to practice under a Temporary Practice Permit as a Graduate 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. Must take the NCLEX within 90 days of hire. 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.
Independence Health System

REGISTERED NURSE, RN- NURSE POOL

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.
Independence Health System

RN SUBSIDIARY - PRIMARY CARE Zelienople

The RN Subsidiary will perform direct patient care activities such as lab tests, treatments, and medication administration. These are performed under the direction of the physician in preparation for the patient’s examination and treatment. RN will utilize nursing process to assess patient’s condition and direct to the appropriate level of care using internal and external resources. Carry out clerical activities. Quality control activities, performance improvement initiatives, etc. in order to support the physician and practice as assigned. Essential Job Functions Deliver direct and indirect patient care in accordance with the RN Practice Act, hospital, and/or physician practice policies, procedures, protocols and other professional standards of care. Collect patient health care data, including VS, weight, chief complaint and pain assessment focusing on the physical, psychosocial, age, cultural and spiritual needs for the patient. Complete initial assessment of the patient’s health history, learning needs and barriers, physical, psychosocial, cultural and spiritual needs and reassess annually. Involve the patient/family and other healthcare professionals when appropriate. Complete patient care treatments/testing as ordered by the physician. Administer medications/immunizations using appropriate routes and techniques specific to age of the patient. Comply with completeness, accuracy and timeliness of documentation. Provide education and instruction, within their scope of practice, to patients and families. Assess the patient’s readiness to learn, educational needs and educational barriers. Provide educational material and/or instruction based on assessed needs. Document all education/instruction provided including topic, individual provided to and understanding. Maintain collaborative relationship with physicians to achieve desired patient outcomes. Prepare patients for examinations, treatments, and procedures. Assist the physician with treatments and procedures as requested. Provide for patient safety in compliance with hospital and physician practice policies. Utilize two forms of patient identification before implementing any form of patient care. Label all patient specimens with identifiers per policy. Use patient identifiers on all written documentation, including notes and point of care testing results. Assist in compliance with all regulatory agency requirements. Adhere to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Participate in non-punitive medication reporting. Demonstrate leadership by utilizing the concepts inherent to the practice of professional nursing. Demonstrate an ability to solve problems independently and seek assistance from immediate supervisor when appropriate. Maintain accountability for actions taken. Delegate patient care appropriately. 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. Coordinate communication between patients/families and physician practice, pharmacies, specialists and insurance carriers. Provide advise based on protocols and physician instructions and direct patients to the appropriate level of care. Facilitate patient’s access to prescription refills based on physician order. Obtain prior authorizations and/or assist with indigent programs per physician order based on the patient’s financial status or insurance coverage. Support performance improvement initiatives within the physician practice. Assist in data collection as directed by the manager/physician. Incorporate into practice performance improvement initiatives that have been implemented. Maintain the environment of care. Ensure that supplies in patient care areas are replenished daily. Consistently maintains a clean safe environment. Follow policies pertaining to daily/weekly/monthly quality control for refrigerator temperature, and equipment controls. Perform POC testing as ordered by the physician. Complete all quality control testing per policy and manufacturing guidelines. Use two patient identifiers, name and DOB, prior to testing. Follow appropriate procedures when collecting patient specimens. Accurately record patient test results on appropriate result form and testing log. Identify results that are out of acceptable range and follow up prior to performing patient testing. Prepare forms, copy records and respond to requests per policies and procedures. Assist in maintaining the patient’s record to facilitate filing and retrieval of information. Participate in staff education. Perform other duties as assigned. Required Qualifications Graduate of an accredited Nursing Program required. Strong leadership ability, independent thinking and decision-making ability; analytical problem-solving skills, sound judgment; excellent oral and written communication skills, must be able to function in a team environment. Preferred Qualifications Bachelor’s Degree in Nursing preferred. Previous experience in an outpatient office setting. 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 Clearances Supervisory Responsibilities This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between 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's 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 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 x Extreme Cold x x Heights x x Confined Spaces x x Extreme Noise(>85dB) x x Mechanical Hazards x x Use of Vibrating Tools x Operates Vehicle x 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 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 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 x Blood/Body Fluid Exposure x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. 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 Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle =
Independence Health System

RN SUBSIDIARY - ANTICOAGULATION CLINIC

*****$5,000 sign-on bonus***** Job Summary The RN Subsidiary will perform direct patient care activities such as lab tests, treatments, and medication administration. These are performed under the direction of the physician in preparation for the patient’s examination and treatment. RN will utilize nursing process to assess patient’s condition and direct to the appropriate level of care using internal and external resources. Carry out clerical activities. Quality control activities, performance improvement initiatives, etc. in order to support the physician and practice as assigned. Essential Job Functions Deliver direct and indirect patient care in accordance with the RN Practice Act, hospital, and/or physician practice policies, procedures, protocols and other professional standards of care. Collect patient health care data, including VS, weight, chief complaint and pain assessment focusing on the physical, psychosocial, age, cultural and spiritual needs for the patient. Complete initial assessment of the patient’s health history, learning needs and barriers, physical, psychosocial, cultural and spiritual needs and reassess annually. Involve the patient/family and other healthcare professionals when appropriate. Complete patient care treatments/testing as ordered by the physician. Administer medications/immunizations using appropriate routes and techniques specific to age of the patient. Comply with completeness, accuracy and timeliness of documentation. Provide education and instruction, within their scope of practice, to patients and families. Assess the patient’s readiness to learn, educational needs and educational barriers. Provide educational material and/or instruction based on assessed needs. Document all education/instruction provided including topic, individual provided to and understanding. Maintain collaborative relationship with physicians to achieve desired patient outcomes. Prepare patients for examinations, treatments, and procedures. Assist the physician with treatments and procedures as requested. Provide for patient safety in compliance with hospital and physician practice policies. Utilize two forms of patient identification before implementing any form of patient care. Label all patient specimens with identifiers per policy. Use patient identifiers on all written documentation, including notes and point of care testing results. Assist in compliance with all regulatory agency requirements. Adhere to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Participate in non-punitive medication reporting. Demonstrate leadership by utilizing the concepts inherent to the practice of professional nursing. Demonstrate an ability to solve problems independently and seek assistance from immediate supervisor when appropriate. Maintain accountability for actions taken. Delegate patient care appropriately. 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. Coordinate communication between patients/families and physician practice, pharmacies, specialists and insurance carriers. Provide advise based on protocols and physician instructions and direct patients to the appropriate level of care. Facilitate patient’s access to prescription refills based on physician order. Obtain prior authorizations and/or assist with indigent programs per physician order based on the patient’s financial status or insurance coverage. Support performance improvement initiatives within the physician practice. Assist in data collection as directed by the manager/physician. Incorporate into practice performance improvement initiatives that have been implemented. Maintain the environment of care. Ensure that supplies in patient care areas are replenished daily. Consistently maintains a clean safe environment. Follow policies pertaining to daily/weekly/monthly quality control for refrigerator temperature, and equipment controls. Perform POC testing as ordered by the physician. Complete all quality control testing per policy and manufacturing guidelines. Use two patient identifiers, name and DOB, prior to testing. Follow appropriate procedures when collecting patient specimens. Accurately record patient test results on appropriate result form and testing log. Identify results that are out of acceptable range and follow up prior to performing patient testing. Prepare forms, copy records and respond to requests per policies and procedures. Assist in maintaining the patient’s record to facilitate filing and retrieval of information. Participate in staff education. Perform other duties as assigned. Required Qualifications Graduate of an accredited Nursing Program required. Strong leadership ability, independent thinking and decision-making ability; analytical problem-solving skills, sound judgment; excellent oral and written communication skills, must be able to function in a team environment. Preferred Qualifications Bachelor’s Degree in Nursing preferred. Previous experience in an outpatient office setting. 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 Clearances Supervisory Responsibilities This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between 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 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 x Extreme Cold x x Heights x x Confined Spaces x x Extreme Noise(>85dB) x x Mechanical Hazards x x Use of Vibrating Tools x Operates Vehicle x 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 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 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 x Blood/Body Fluid Exposure x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. 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 Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle =
Independence Health System

HOME HEALTH AIDE

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.
Independence Health System

CRNA - CLARION HOSPITAL

***** $50,000 Sign- on Bonus - 2 Year Commitment ***** A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice registered nurse (APRN) who practices both autonomously and in collaboration with a variety of health providers on the interprofessional team to deliver high-quality, holistic, evidence-based anesthesia and pain care services. The CRNA cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management. Education Minimum: Graduate of a Nurse Anesthesia Educational Program accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs or its predecessor Preferred: N/A Registration/Certification/Licensure : Current PA RN license, Certified by the National Board of Certification and Recertification for Nurse Anesthetists. Individual must meet the credentialing requirements of the Medical Staff Office. Healthcare Provider CPR, ACLS, Act 33/73 Clearances Experience Minimum: None Preferred: None Other Requirements : N/A Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling Standing - Remaining on one's feet in an upright position remaining stationary - FREQUENT Walking - Remaining upright on one's feet, and moving about - FREQUENT Sitting - Body remains in a seated position - OCCASIONAL Stooping - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL Bending - To flex the upper body forward - OCCASIONAL Twisting - To rotate the upper body forward - OCCASIONAL Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL Ladders - To ascend and descend ladders - N/A Stairs - To ascend and descend stairs - OCCASIONAL Kneeling - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL Squatting - To move the body downwards by bending both knees - OCCASIONAL Crouching - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL Crawling - To move the body forward or backwards on hands and knees - N/A Reaching Horizontal - To extend the arms and hands outward, remaining under shoulder height - FREQUENT Reaching Overhead - To extend the arms and hands up and out over shoulder height - OCCASIONAL Grasping - Using functional gripping of the hand to handle an object - FREQUENT Finger Manipulation - To manipulate objects with the use of fingers - FREQUENT Seeing - Using visual feedback to accomplish a task or activity - CONSTANT Hearing - Using sound feedback to accomplish a task or activity - CONSTANT Repetitive Upper Extremity Use - Using the arms and/or hands continuously or more than 2/3 of the total time - N/A Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling Pushing - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person OCCASIONAL 50# - > 100# Pulling - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person OCCASIONAL 50# - > 100# Lift - Floor to Waist OCCASIONAL 20# - 50# Lift - Waist to shoulder OCCASIONAL Up to 20# Lift - Shoulder to overhead OCCASIONAL Up to 20# Carrying - To transport an object or article using the arms or hands (> 10 feet) OCCASIONAL Up to 20# Environmental Factors Working alone - OCCASIONAL Working in cramped quarters - N/A Constant interruptions - FREQUENT Working with hands in water - OCCASIONAL Use of power tools - OCCASIONAL Working on ladders/scaffolding - N/A Exposure to vibration - N/A Exposure to dust - OCCASIONAL Exposure to noise (constant) - N/A Exposure to electrical energy (outlets, etc) - OCCASIONAL Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A Exposure to slippery walking surfaces - OCCASIONAL Exposure to solvents, grease, oils - OCCASIONAL Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - OCCASIONAL Working with bloodborne pathogens - CONSTANT Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: Sedentary to Light - CONSTANT Medium - FREQUENT Heavy to Very Heavy - OCCASIONAL
Independence Health System

LPN - SUMMER 2026 GRADUATES - ALL LOCATIONS

Job Summary A Graduate an approved program by the State Board of Nursing, who has not completed examination for licensure is responsible for the complete nursing care of a group of patients under the direct supervision of a Registered Nurse. The graduate nurse is responsible to the Clinical Director and accountable to the patient. Gradate Practical Nurses are given the opportunity to be paired with a nurse mentor for continued one-on-one support. This program is designed as a series of learning and clinical practice experiences to assist newly licensed nurses as they transition from the student role to clinical practitioner. Essential Job Functions Delivers direct and indirect patient care in accordance with the Pennsylvania Practical Nurse Law, hospital policies, procedures, protocols and other professional standards of care. Assists the RN in collecting patient health care data on admission by completing a focused assessment in an ongoing systematic manner, focusing on the physical, psychosocial, age, cultural and spiritual needs of the patient and which contributes to the comprehensive assessment by the RN. Works directly with the RN to implement an individualized, age-specific plan of care and evaluate its effectiveness. Assists the RN in reassessment of the patient's condition and takes appropriate action as indicated or by unit specific policy. Involves the patient/family and other health care providers when appropriate. Completes patient care related activities within scheduled time periods. Complies with completeness, accuracy and timeliness of documentation, utilizing the electronic medical record. Observes, records and reports to the appropriate professional the symptoms, reaction and changes including: General physical and mental condition of patients, and signs and symptoms which may be indicative of untoward changes; and stresses in human relationships between patients, between patients and personnel, and between patients and their families and visitors. Performs nursing functions as defined in Pennsylvania regulations, such as: Initiates (peripheral short catheter) and maintains IV therapy; Assists with the rehabilitation of patients according to the medical care plan, being aware of and encouraging the interests and special aptitudes of patients. Encouraging patients to help themselves within their own capabilities in performing activities of daily living. Knowledge and application of the principles of prevention of deformities, the normal range of motion, body mechanics, and body alignment. Assists in providing education for the provision and coordination of patient care activities that promote and maintain health, foster self-care and improve outcomes. Assists the RN in assessing the patient's readiness to learn, identifying educational barriers and adapting the process to meet the needs of the patient. Ensures education about safely and effectively using medication, pain and managing pain, available resources, how to obtain further care, and information about responsibilities in their care. Acquires and distributes educational resources tailored to patient needs. Provides and reviews, upon request of the RN, written discharge instructions that demonstrate an inter-relationship between education, discharge planning and continuity of care. Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care conferences, shift reports and internal and external transfers. Reports changes in patient's condition to the RN, including the need to reassess patient or change the plan of care; confers with the RN when there is a need to contact the physician. Participates in the unit performance improvement activities designed to enhance the quality of patient care and customer service. Assists in data collection process as requested. Recommends modifications for performance improvement. Demonstrates leadership by utilizing the concepts inherent to the practice of the professional nurse. Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate. Delegates patient care appropriately. Maintains accountability for actions taken. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and/or students. Assists in maintaining/decreasing organizational/department costs. Assists in the department's compliance with State, TJC, OSHA and other regulatory agencies. Participates in continuous survey readiness for inspections and surveys. Participates in the non-punitive medication reporting system. Ensures accountability for narcotics per regulatory/organizational policies. Adheres to the infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Provides for patient safety in compliance with hospital and nursing department policies. Utilizes two forms of patient identification before implementing any form of patient care. Involves the patient and/or family in patient safety standards and processes. Minimizes the use of patient restraints and, if patient's condition warrants, monitors per individual assessed need and documents per policy. Assumes appropriate code team role during code situations, including internal and external disasters. Other duties as assigned. Required Qualifications Graduate of an accredited School of Practical Nursing. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications Pursuing a Bachelor’s Degree in Nursing. Previous Healthcare Experience. License, Certification & Clearances Current licensure to practice under a Temporary Practical Nurse Permit as a Graduate Practical 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. Graduate nurse must successfully complete licensure exam within six months of graduation. 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.
Independence Health System

GRADUATE NURSE, RN - SUMMER 2026 - ALL LOCATIONS

** THIS POSITION IS FOR RN GRADUATE NURSES WHO ARE GRADUATING IN SUMMER 2026** Sign On Bonuses for Select Units, Full Time Benefits, and Tuition and Loan Assistance Job Summary A Graduate an approved program by the State Board of Nursing, who has not completed examination for licensure is responsible for the complete nursing care of a group of patients under the direct supervision of a Registered Nurse. The graduate nurse is responsible to the Nurse Manager and accountable to the patient. The Graduate Nurse will be enrolled into the Nurse Residency Program, a twelve-month program that progresses through three phases: orientation; interactive classroom education; and independent self-directed leaning. Gradate Nurses are given the opportunity to be paired with a nurse mentor for continued one-on-one support. This program is designed as a series of learning and clinical practice experiences to assist newly licensed nurses as they transition from the student role to clinical practitioner. Essential Job Functions Ensures that assessment of the patient and the direct and indirect patient care delivered is in accordance with the PA Nurse Practice Act, hospital policies, procedures and protocols and other professional standards of care. Collects pertinent health assessment data on admission and in an ongoing systematic manner, focusing on the physical, psychosocial, age, cultural and spiritual needs of the patient. Documents the initial nursing assessment on appropriate medical records within the established time frames. Implements the individualized plan of treatment, evaluates and revises the established plan of care for each patient on an as-needed basis. Reassesses the patient's condition and takes appropriate action as indicated or by unit-specific policy including, but not limited to, pain management. Involves the patient/family and other healthcare providers when appropriate. Complies with completeness, accuracy and timeliness of documentation. Develops an educational process for the provision and coordination of patient care activities that promote and maintain health, fosters self-care and improves outcomes. Participates in the interdisciplinary education to assess the patient's readiness to learn, identify the patient's educational barriers and tailor the educational processes to meet the needs of the patient/family. Ensures the process includes education about safely and effectively using medication, pain and managing pain, available resources, how to obtain further care, and information about their responsibilities in their care. Acquires and distributes educational resources tailored to patient needs. Provides and reviews 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 (when eligible). Takes action to proactively identify and resolve patient needs. Participates in 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 utilizing critical thinking skills and seeking assistance from immediate supervisor when appropriate. Delegates patient care appropriately. Maintains accountability for actions taken. Acts as a patient advocate. Assists in maintaining organizational/departmental goals. Assists in the department's compliance with state, The Joint Commission (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 processes, 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 team role during code situations or mock codes. Responds effectively during emergency situations, including internal and external disasters. Assists in maintaining a safe and clean environment for patients, visitors and staff. Limitations of Practice Always under the direct supervision of an RN. May not accept verbal or phone orders from a physician. All physician orders must be checked by an RN. Must have approval by Nurse Manager/Preceptor before giving shift report. After successful completion of the IV skills lab and competency validation, the Graduate Nurse may administer IV push medications, IV fluids and blood. Specialty Job Functions 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. Preferred Qualifications Bachelor’s Degree in Nursing preferred. License, Certification & Clearances Current licensure to practice under a Temporary Practice Permit as a Graduate 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. Graduate nurse must successfully complete licensure exam within six months of graduation. 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.