RN- 4 Acute West Full Time Nights

Registered Nurse

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Entity: Penn Medicine Doylestown Health

Department: 4 Acute West

Location: 595 West State Street, Doylestown Pa 18901

Hours: Full Time Nights

Job Summary:

To provide professional nursing care in accordance with the Nurse Practice Act, to collaborate with the physician's medical plan, and to execute the objectives and the policies of the hospital.

Accountabilities:

Assesses, plans, implements, documents, coordinates, and manages patient care according to department and hospital standards and giving consideration to age-specific accommodations.

Utilizes the nursing process for all patients assigned to his/her care.

Performs and documents a comprehensive, organized admission assessment by interview and examination of patient.

Performs and documents a shift assessment of patients in a timely manner.

Initiates a computerized plan of care and shift goal based on nursing assessment, the medical plan of care and patient needs.

Initiates, maintains and revises patient plan of care based on scientific principles, evidence-based practice and patient needs and response to interventions.

Provides patient care, which demonstrates a comprehensive knowledge of normal physiology and disease pathophysiology, appropriate nursing and medical interventions and knowledge of the principles of growth and development over the lifespan.

Documents patients response to treatment, plan of care and shift goal.

Provides patient education based on individual healthcare needs on an ongoing basis.

Completes documentation, including transcription of physician orders and computer entry without the use of unapproved abbreviations.

Demonstrates the ability to use the computer for automated order entry, data retrieval, nursing documentation, intradepartmental communication and interdepartmental communication.

Evaluates, revises, and improves patient care using creative strategies, evidence-based nursing, and consideration of age and population specific accommodations.

Appropriately assigns all Associates under his/her supervision according to their skill level.

Implements nursing/physician orders that result in achievement of patient, nursing, and physician goals.

Demonstrates initiative and self-direction in completion of assigned responsibilities in accordance with department needs.

Analyzes data and responds to changes in patient status by consulting appropriate healthcare team members and taking appropriate action in a timely manner.

Performs selected therapeutic interventions and diagnostic procedures according to department standards as ordered to include but not limited to:

Point of care testing

Initiation and maintenance of oxygen therapy

12-lead ECG

Insertion and maintenance of Nasogastric Tubes (NGT)

Flushing and maintenance of central lines:

PICC lines

Groshong PICC

Single, double and triple central lines

Sub Q ports when accessed

Shift and 24 hour chart check

2 patient identifiers will be utilized before performing interventions and/or procedures

Rhythm strip interpretations

Maintenance of vasoactive medications appropriate to telemetry

Cares for patients physically and psychologically with consideration of age, cultural, and spiritual issues that may affect patient care.

Performs with clinical proficiency in crises and medical emergencies.

Communicates and collaborates with patients, physicians, family members and other health care disciplines in order to achieve excellence in patient care during hospitalization.

Utilizes effective interpersonal skills in all interactions with Associates, physicians, patients, visitors and volunteers.

Involves patient/significant other in the plan of care, serving as a patient advocate.

Consistently and continuously communicates pertinent information regarding changes in patient status and patient care with appropriate members of the healthcare team.

Uses interpersonal communication techniques to receive and give constructive feedback for the purpose of promoting professional excellence and excellence in patient care.

Effectively communicates pertinent patient/significant other information during patient handoffs according to department standards.

Demonstrates leadership skills in team building and interpersonal relationships to create a cohesive and productive environment.

Recognizes interdepartmental relationships and interacts effectively.

Follows staffing guidelines. In the interest of patient care, responds to changes or needs within the Patient Services Team by cooperating with staff rotation, reassignment to other departments and weekend/holiday scheduling.

Promotes patient safety through adherence to protocols, policies, procedures, evidence-based guidelines and Joint Commission National Patient Safety Goals.

Maintains safety precautions while providing patient care including infection control isolation, patient/bed positioning, side rails, restraint utilization, skin care, patient/specimen transport, physical environment, fall prevention, seizure precautions, and work injury prevention.

Consistently wears hand hygiene badge and maintains hand hygiene compliance at 70 % or above

Maintains equipment in good working order, reports equipment failure, and initiates corrective action. Where appropriate, adheres to quality monitoring or procedures for validation of equipment functionality.

Safely administers medications and treatments as ordered according to hospital policy and formulary using the appropriate principles of safe medication administration, 2 patient identifiers, and giving consideration to age-specific effects related to medication.

Safely handles various types of drugs and body fluids using knowledge of standard precautions.

Actively participates in and supports departmental and organizational quality initiatives and goals.

Identifies professional goals which reflect own strengths and weaknesses and seeks assistance for improvement of performance.

Attends and participates in meetings according to department standards.

Attends a minimum of 4 intershifts per year

Supports and participates in department, hospital, and ISLT (Improving Systems Leadership Team) evidence-based care quality initiatives (ex. Heart Failure, Acute MI, Glycemic Control, VTE prophylaxis, pressure ulcer prevention, Rapid Response team, and infection control initiatives).

Maintains clinical competency according to unit-specific standards.

Recognizes legal responsibilities and functions within the scope of the PA Nurse Practice Act.

Demonstrates competency in maintaining specific technological skills required by job category and/or specialty area. Demonstrates recognition of equipment or technological adaptations dependent on age and population specific patient needs

Maintains technological competence through practice and ongoing participation in in-services and professional conferences.

Orthopedic competency and clinical training (4 West)

Acquires and maintains proficiency in the maintenance of IV lines and sites.

Completion of annual mandatory requirements:

CPR certification for Healthcare Providers

RAHE (required annual hospital education).

Specific departmental competencies

Point of Care Testing

Fit Testing

ACLS certification within one year of hire or transfer to 4 Acute Care

NIHSS Certification

Completion of Unit-based Skills Session yearly

Performs duties in accordance with Penn Medicine and entity values, policies, and procedures

Other duties as assigned to support the unit, department, entity, and health system organization

Qualifications:

• BSN Required
• Proof of completion of critical care course or completion of course within one year of hire.

Licenses, Registrations, and Certifications:

• Certified in BLS for healthcare providers and ACLS Required
• Current licensure in Commonwealth of Pennsylvania, Department of State Bureau of Occupational and Professional Affairs

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances