Registered Nurse - Step Down IMCU - Nights

4 Southwest is a 56-bed (12 IMCU beds and 44 high acuity med/surg beds) medical pulmonary and telemetry intermediate care unit. 4SW specializes in the care of patients 18 years and older with a variety of acute medical diagnoses, some requiring mechanical ventilation, CPAP/Bipap, and high flow oxygen, and patients requiring intermediate level of care.

Hours: 0.9 FTE/ 72 Hours/Biweekly

Shift: 1900-0700/0700-1900

Every 3rd Weekend and Holiday Rotation Required

Sign-On Bonus Eligible; Shift and Weekend Differential Pay Eligible

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

• 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.

Qualifications

Minimum Education:

• Diploma Program Required or

• Associates Degree Required

• Bachelors Degree Nursing (BSN) Preferred

Work Experience:

• No 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

Benefits Offered:

• Comprehensive health benefits

• Retirement savings plan

• Paid time off (PTO)

• Education assistance

• Financial education and support, including DailyPay

• Expanded Paid Parental Leave

For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org) (

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Built on a solid 140-year legacy of providing high-quality, high-volume, community-based care, WellSpan York Hospital, the largest of WellSpan's eight hospitals, is a 596-bed acute care community teaching hospital that employs nearly 5,000 people, making WellSpan the largest employer in York County. Driven by a mission to provide exceptional care to all, WellSpan York Hospital serves a diverse population of more than 520,000 residents from the greater York County area. WellSpan York Hospital was one of several WellSpan Health hospitals honored by U.S. News & World Report with the High Performing recognition for 2022-23.

The hospital offers services and programs that feature highly skilled clinical staff, life-saving technology and state-of-the-art facilities to address some of the most complex medical, surgical and behavioral health conditions.

WellSpan York Hospital's Regional Resource/Level 1 Trauma Center has been accredited by the Pennsylvania Trauma Systems Foundation and is the only accredited trauma center in York, Adams and Franklin counties. It is a nationally recognized teaching hospital with nine residency programs, six allied health schools and other training programs. More than 700 physicians and other professionals are members of WellSpan York Hospital's medical and dental staff.

WellSpan York Hospital in embarking on a significant five-year project. The centerpiece will be a new, eight-story surgical and critical care tower, which will dramatically expand the hospital's intensive care unit as well as develop new state of-the-art surgical suites, making it one of the top 10 largest hospitals in Pennsylvania with approximately 600 beds.

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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.

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