Registered Nurse Rn Observation Unit

2 weeks ago


Lancaster, United States Lancaster General Health Full time

**Summary**

0.9 FTE. 72 hours biweekly. Nightshift. weekend and holiday rotation required.

***:Assume responsibility and accountability as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is a newly licensed new to practice RN or RN with less than 15 months of experience that demonstrates basic safe practice within the organizational professional practice model. The Clinical Nurse 1 New to Practice/Apprentice seeks guidance to integrate concepts, knowledge, skills and attitudes to meet standards for competent professional nursing practice. The Clinical Nurse 1 New to Practice/Apprentice exhibits Penn Medicine’s experience standards which reflect its mission and are embedded in the professional practice competency domains.

The Clinical Nurse 1 New to Practice/Apprentice is accountable for the provision of direct care to patients who may range in age from infancy to the elderly and demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Teamwork and Technology/Informatics.

The Clinical Nurse 1 New to Practice/Apprentice works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on developing the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age-appropriate considerations of assigned patients.

The Clinical Nurse 1 New to Practice/Apprentice requires consultation with more experienced clinicians and benefits from feedback while demonstrating growth in the ability to care for increasingly complex patients. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies.

The Clinical Nurse 1 New to Practice/Apprentice must complete all Clinical Nurse 1 competencies and is expected to advance to the Clinical Nurse 2 Colleague level by 18 months of professional practice.

**ESSENTIAL FUNCTIONS**: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

- Incorporates the Lancaster General Health mission, vision and values into planning patient care.
- Functions as an independent and interdependent member of the health care team as defined in unit based Plan for Provision of

Care.
- Performs patient assessments, focusing on physiologic, psychological, and cognitive functions. Evaluates progress toward

attainment of outcomes and adapts the plan of care based on recognized trends and changes. Collects and manages

comprehensive data pertinent to the patient’s health or the situation.
- Analyzes the assessment data to determine the diagnosis or issues. Formulates age-appropriate and culturally and ethically

sensitive plan of care
- Implements care in a knowledgeable manner and coordinates patient care across several disciplines and among caregivers.
- Provides leadership to other members of the team by effectively communicating expected standards of care and encouraging

and supporting team members and their contributions.
- Demonstrates an understanding of and a commitment to our values of privacy, quality, respect, service and teamwork.
- Assigns, delegates, and supervises other employees and intervenes as appropriate to assure that the plan of care is carried

out, continuity of care is provided and that established outcomes are achieved through availability and appropriated utilization

of human, material and financial resources.
- Educates patients about healthy practices and treatment modalities.
- Systematically enhances the quality and effectiveness of nursing practices. Utilizes technology where appropriate.
- Considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services.

**SECONDARY FUNCTIONS**: The following duties are considered secondary to the primary duties listed above**:

- Manages rapidly changing situations following established protocols, coordinating and accessing appropriate health team

members and resources, and documenting events.
- Participates in process improvement activities with an emphasis on increasing continuity in the nurse to patient relationship,

minimizing rework and redundancies; constantly seeks ways to improve processes, increase efficiency, finds solutions to

current situations or develops new methods and procedures.
- Completes mandatory education and training that includes review of age-specific needs, caring behaviors, and interpersonal

skills as defined by unit based Plan for Provision of Care.
- Maintains a safe working environment through compliance with established evidence-based practice policies and procedures

and


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