Registered Nurse RN Emergency Department

Job Title: Registered Nurse RN Emergency Department

Lancaster General Hospital, a Level I-accredited Trauma Center, is undergoing a major expansion and remodel of the ED this summer, which will nearly double the size of the department, from 63 beds to 95 beds.

This includes 10 beds in our updated and expanded behavioral health rooms, and 13 dedicated pediatric beds.

Each day, our Emergency Department treats 300 to 400 patients with chronic and acute issues, ruling out life-threatening conditions and intervening when necessary to stop the progression of acute processes.

The team sees everything from sore throats, ear infections, lacerations, and broken bones, to more serious conditions like stroke, heart attack, cardiac arrest, and traumatic injuries from motor vehicle and farming accidents, gunshot wounds, and stabbings.

Job Summary:

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:

• 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.
• 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 appropriate 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:

• 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 timely reporting of safety variances.
• Projects pride in their work as exhibited in day-to-day interactions with staff, coworkers, patients, and all those they come in contact with.
• Seeks experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledge.
• Provides supervision, including guidance, counseling, and mentoring, to targeted peers and subordinates to enhance the learning experiences and improve the professional practice environment within the designated work setting.
• Participates in the employee performance process related to peers and subordinate team members; address employee problems, complaints, disputes, or requests as the first level of supervision; evaluates their performance post-hire.
• Participates in the on-call responsibilities for this position as required.

Minimum Required Qualifications:

• RN licensure is required, issued by the PA Board of Nursing.
• Bachelor of Science in Nursing (BSN) preferred. If ASN, must agree to complete BSN or higher nursing degree within 2 years of RN hire date.
• New hires who start their employment with a temporary practice permit must sit for their NCLEX within 60 days of starting in their RN role.
• A graduate registered nurse may only practice professional nursing under supervision and if the graduate registered nurse holds a current temporary practice permit.
• Supervision means that a licensed registered nurse is physically present in the area or unit where the graduate registered nurse is practicing.
• For Magnet designated RN positions, BSN or higher level nursing degree is required for incumbents based upon previously established parameters; or within two (2) years of placement.
• All Clinical Nurse 1 RN's will be required to successfully complete the Nurse Residency Program.
• CPR Certification - American Heart Association (AHA) Basic Life Support, formerly Healthcare Provider (AHA Heart Saver courses for CPR are not accepted) required within 30 days of hire.
• A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e., not excluded from participation in Medicare, Medicaid, or any other federal or state health insurance program.

Preferred Qualifications:

As outlined in unit-based Plan for Provision of Care.

This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job.

It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards.

The percentages of time spent performing job duties are estimates, and should not be considered absolute.

The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole.

Incumbent must be able to perform all job functions safely.

PENN MEDICINE LANCASTER GENERAL HEALTH offers the following benefits to employees:

• 100% Tuition Assistance at The Pennsylvania College of Health Sciences
• Paid Time Off and Paid Holidays
• Shift, Weekend, and On-Call Differentials
• Health, Dental, and Vision Coverage
• Short-Term and Long-Term Disability
• Retirement Savings Account with Company Matching
• Child Care Subsidies
• Onsite Gym and Fitness Classes

PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce.

All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion, or any other classification protected by law.

Search Firm Representatives please read carefully:

PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity.

Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet, or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means.

PENN MEDICINE LANCASTER GENERAL HEALTH, a member of the University of Pennsylvania Health System (Penn Medicine), is a not-for-profit health system with a comprehensive network of care encompassing Lancaster General Hospital (LGH), Women & Babies Hospital, and the Lancaster Rehabilitation Hospital (a partnership with Kindred Healthcare).

We are an Accredited Trauma Center-Level I through the Pennsylvania Trauma Systems Foundation with 805 Licensed beds.

Our membership in Penn Medicine brings together the strengths of a world-renowned, not-for-profit academic medical center and a nationally recognized, not-for-profit community healthcare system.

Outpatient services are provided at the Downtown Outpatient and Suburban Outpatient Pavilions, along with additional outpatient centers and Express and Urgent Care locations throughout the region.

Lancaster General Health Physicians is a network of more than 300 primary-care and specialty physicians, at more than 40 offices throughout the region.

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