RN Medical Care Unit Nights
4 weeks ago
This is a fast-paced 52-bed unit for both medical and surgical patients requiring short-term care. As an extension of the ED, patients here have an anticipated discharge of about 24-48 hours, allowing them to receive treatments and procedures before being discharged. Top diagnoses on Observation include Chest pain, Afib, Hypertension, PE/DVT, Abdominal pain, Trauma, TIA/CVA, CHF, Asthma/COPD, Vertigo, AFR/electrolyte abnormalities, Syncope, Hypoglycemia/hyperglycemia, and Pre/post procedure (cardiac cath, OR, pacer, ablation, etc.). This unit requires strong assessment skills and critical thinking, as patients' conditions can change rapidly.
Job DescriptionLOCATION: Lancaster, PA
HOURS: Full Time (36 hours per week). Nights (7pm-7am). Every third weekend, rotating holidays.
SIGN ON BONUS: Up to $15,000, prorated based on FTE, with commitment.
POSITION 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.
- 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 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.
- 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.
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