Registered Nurse - Advanced Medical

3 West Advanced Medical Registered Nurse - PRN

3 West 30-bed unit; primary focus advanced Medical/Surgical and stroke

Individualized orientation program with knowledgeable preceptors focuses on clinical skill development and enhancement of professional role within the Med-Surg environment.

PRN - will need to work a min of 24 hours off shift per 6-week schedule

12-hour day/evening/night

Weekend and Holiday as needed

Shift and Weekend Differential Eligibility

The Registered Nurse is responsible and accountable for implementing, directing and coordinating the care of patients through the use of the nursing process: assessment, planning implementation and evaluation. Included is recognition and treatment of the physical and psychosocial changes unique to the age/population group served on the specific unit.

Responsibilities

1. Demonstrates safe medication practice.

2. Maintains a professional image that reflects the employee's role in health care, with confidence and a positive impression.

3. Completes chart check to ensure no missed orders.

4. Accurately transcribes physician's orders.

5. Demonstrates therapeutic communication skills.

6. Demonstrates ability to assess patient education needs and use of patient education resources.

7. Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.

8. Demonstrates leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.

9. Acts as a resource person regarding patient care, specialty area, orientation and teaching of staff.

10. Responds to delays in a calm manner. Apologizes for inconveniences and gives alternatives.

11. Analyzes assessment data, identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.

12. Uses effective problem-solving skills to plan patient care.

13. Identifies critical factors evidencing changes in patient condition and responds appropriately.

14. Completes and documents discharge assessment against plan of care goals.

15. Initiates and maintains Intravenous Therapy according to IV standards.

16. Responds appropriately to emergency situations.

17. Utilizes proper body mechanics to prevent injury to self and others. Safely positions, transfers and transports patients.

18. Functions as a virtual nurse as assigned which includes, but is not limited to, admissions, discharges, education, documentation through a virtual platform and working collaboratively with the bedside nursing staff.

Department: Medical/Surgical

1. Completes accurate problem focus patient assessments and treatments.

2. Identifies abnormal clinical findings and responds appropriately.

3. Evaluates patient response to medications and treatments.

4. Performs peritoneal dialysis (only RNs assigned to renal, pediatrics, and oncology 3 East unit).

5. Accesses and deacceses med ports.

6. Administers chemotherapy agents.

7. Demonstrates appropriate procedure for the discard of chemotherapy agents and clean-up of spills.

8. Demonstrate the appropriate technique for bladder scanner.

9. Cares for the Bariatric patient.

10. Performs continuous bladder irrigation.

11. Performs intermittent hand bladder irrigation.

12. Cares for the postoperative orthopedic patient.

13. Cares for the neurological patient.

14. Cares for the patient receiving lidocaine infusion.

15. Cares for the postoperative neurological patient.

16. Cares for the neurovascular patient.

17. Cares for the acute renal failure patient.

18. Demonstrates appropriate care of the patient with a PCA or epidural pump.

19. Rounds with physicians.

20. Demonstrates appropriate pre/post operative patient management.

21. Utilizes appropriate fall prevention protocols.

22. Demonstrates understanding and application of pain management techniques.

23. Provides care to the pediatric/adolescent in accordance with age specific development (Videos and hands on demonstration are required to be viewed on orientation and reviewed yearly at skills day), including a medication exam.

24. POC demonstration in PCS (Attention to age specific documentation). This is audited with PE tools.

25. Completion of 8 hour Pediatric Emergency Assessment Recognition and Stabilization (PEARS) class.

Qualifications

Qualifications and Standards

Education: Graduate of an accredited School of Nursing required; Bachelor of Science in Nursing is preferred. Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.

Experience: Experience applying customer service behaviors and communication skills required. Previous nursing experience in specialty area preferred.

Certifications/Licensure: Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania. Certification in specialty preferred. CPR certification required. ACLS required for Cardiovascular Services, CCU, Device Clinic, Emergency, IMCU, FBS, Tele Observation, PACU/SDS, or achieved within one year of start date.

ACLS required for Cardiac Rehab or achieved within 3 months of hire/transfer.

Proficiency in cardiac monitor interpretation, conscious sedation, and ACLS required for Cath Lab or achieved within 6 months of hire/transfer.

ACLS required for Float Pool.

PALS required for Emergency, PACU, and Pediatric trained staff within one year from start date.

PALS and Conscious Sedation is required for SDS, or must be achieved within four months of hire/transfer.

CNOR preferred for OR.

CPAN/CAPA preferred for PACU/SDS.

CRRN preferred for Rehabilitation Medicine.

NRP required for Level II NICU.

NRP and Fetal Monitoring education required for Family Birthing Services within one year from start date.

PMH-BC preferred for BHS (IP and OP).

Proficiency in cardiac monitor interpretation required for PACU/SDS, IMCU, Tele Observation, CCU, Cardiac Rehab, Cardiovascular Services, Cath Lab, and Emergency.

Temporarily reassigned personnel will work in a limited scope of practice consistent with credentials and be supervised by appropriately credentialed staff.

WOCNCB or CWCN preferred for Wound Care Center.