Registered Nurse - Neuroscience ICU - Nights

Full time - 72 hours per pay period

Nights 7pm-7am

Every 3rd weekend & holiday rotation

Neurosurgical Intensive Care Unit (NSICU) is a 10-bed intensive care unit (ICU) that provides care to critically ill stroke patients (both ischemic and hemorrhagic) and non-traumatic neurosurgery and neurology patients 18 years and older and serves as an overflow unit for medical patients. Post-operative neurosurgery and neuro-endovascular surgery procedures and care provided include, but are not limited to: ICP monitoring, care post IV and/or IA tPA administration, mechanical thrombectomy, AVM repair, aneurysm repair, carotid stenting procedures, craniotomy, CRRT, ventilator management, and hemodynamic monitoring.

General Summary

Provides professional nursing care at the beginner practitioner level in accordance with the principles of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Acts as a primary nurse for patients on the unit. Coordinates care planning with other disciplines. May require specialized skills depending on unit assignment.

Duties and Responsibilities

Essential Functions:

• Provides and coordinates direct care in accordance with the principles of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Acts as a primary nurse for patients on the unit. Synthesizes patient data to develop outcome-driven plans.

• Safely and independently administers prescribed treatments, medications, and nursing interventions based on assessment and plan of care.

• Appropriately organizes and prioritizes time based on patient condition and expected workload. Identifies changes in patients' status and acts accordingly. Knows and can activate resources to achieve outcomes for patients.

• Identifies and communicates individualized patient needs for safe handoffs during transitions of care. Collaborates with patient/family in care planning with all disciplines.

• Appropriately and correctly documents the patient response to interventions and progress toward outcomes. Identifies and documents variances. Appropriately utilizes flow sheets, progress notes, and/or electronic medical record for documentation. Is able to identify system and unit-based nursing sensitive indicators; i.e. falls, pressure ulcers.

• Identifies own areas of professional growth and development in performance improvement efforts. Recognizes the value of evidence-based research as it applies to best practice.

• Promotes a professional practice environment that supports patient safety and quality through interdisciplinary collaboration, Shared Decision Making activities including peer review. Integrate shared decision making by unit committee membership or by supporting and helping fellow co-workers attend committee meetings and/or work on SDM projects. Serves as positive role model.

• Begins to provide leadership for problem solving and goal formation. Negotiates for a win-win solution.

• Delegates aspects of care to other nursing personnel in order to meet patient needs. Helps assistive personnel organize and set priorities for work. Monitors completion of tasks that are assigned or delegated to the patient care team.

• Promotes collaboration and cooperation among physicians, nursing staff, and other members of the interdisciplinary team. Contributes to effective communications among all team members. Begins to display conflict resolution and negotiation skills to maximize team performance.

• Virtual Nursing.

• Variation of duties may result based on the assigned customer care unit(s). This may include differences in the specific clinical skills required of the RN. Unit based skill lists outline expectations beyond the house wide RN requirements. SYS-NURS-L Nursing Education Requirements Policy outlines current certification(s) required for specific areas of nursing practice and is considered to be part of the job description.

• In addition to requirements specified in the license and certification section below, current BLS certification for all areas of nursing practice is required. - Current certification may be required for the following areas of nursing practice: - Emergency Care Center - ACLS, PALS - Intensive Care Center & MSCC Lead - ACLS, PALS - L&D - ACLS, NRP, - Experienced L&D nurses will obtain within 6 months and new L&D nurses will obtain at 1 year of experience - NICU - NRP - PEDS - PALS - PCC/PACU/ENDO - ACLS, PALS - Procedural - ACLS

Common Expectations:

• Demonstrates knowledge of the principles of growth and development over the life span of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care to assigned patient age group(s).

• Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.

• Maintains Adheres to established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.

• Enhances professional growth and development through advanced/continuing education to maintain up-to-date knowledge, skills, and competencies.

• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Required for All Jobs:

• Performs other related duties as identified.

• WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.

• WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Physical Demands:

• Standing - Frequently

• Walking - Frequently

• Sitting - Occasionally

• Carrying/Lifting - Occasionally (50lbs)

• Pushing/Pulling - Occasionally (50lbs)

• Kneeling/Crouching - Occasionally

• Reaching - Occasionally

• Talking - Frequently

• Hearing - Frequently

• Repetitive Motions - Occasionally

• Eye/Hand/Foot Coordination - Occasionally

Working Environment:

• Occupational Hazards - Occasionally

• Bloodborne Pathogen - Exposure

Qualifications

Minimum Education:

• Diploma Program Required or

• Associates Degree Required

• Bachelors Degree Nursing (BSN) Preferred

Work Experience:

• 1 year of RN experience required

Licenses:

• Licensed Registered Nurse Upon Hire Required or

• Registered Nurse Multi State License Upon Hire Required and

• Basic Life Support Upon Hire Required

Quality of Life

Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more - within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.