Experienced Registered Nurse RN Emergency Department (Full Time/Evenings)

Summary

Lancaster General Hospital, a Level I-accredited Trauma Center, completed a major expansion and remodel of the ED this summer that nearly doubled the size of the department, from 63 beds to 95 beds.

This includes 10 beds in our updated and expanded behavioral health unit, and 13 dedicated pediatric beds.

Each day our Emergency Department treats 300 to 400 patients with chronic and acute issues, ruling out life threatening conditions and intervening when necessary to stop the progression of acute processes.

The team sees everything from sore throats, ear infections, lacerations and broken bones, to more serious conditions like stroke, heart attack, cardiac arrest, and traumatic injuries from motor vehicle and farming accidents, gunshot wounds and stabbings.

Job Description

LOCATION : Lancaster, PA

HOURS : Fulltime (36 hours a week). Evening shift (12-hour shifts between 11am-3am). Rotating weekends and holiday. On call requirements.

SIGN ON BONUS : Up to 15,000 (prorated based on FTE), with 2 year commitment. Eligibility rules apply, including 15+ months of RN experience. External applicants only.

POSITION SUMMARY : Assume responsibility and accountability as defined by the American Nurses Association standards of nursing practice.

The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates

safe practice within the organizational professional practice model.

The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice.

The Clinical Nurse 2 Colleague exhibits Penn Medicine's experience standards which reflect its mission and are embedded in the professional practice competency domains.

The Clinical Nurse 2 Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients.

Assigned patients may range in age from infancy to the elderly.

The Clinical Nurse 2 Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology / Informatics, and Teamwork.

The Clinical Nurse 2 Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum.

The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age-appropriate considerations of assigned patients.

The Clinical Nurse 2 Colleague seeks feedback in assuming leadership roles and provides feedback for improved clinical practice.

The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system.

The nurse complies with all regulations and standards of regulatory and accrediting bodies.

ESSENTIAL FUNCTIONS : Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties :

• 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 appropriated 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.

SECONDARY FUNCTIONS : The following duties are considered secondary to the primary duties listed above :

• 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.
• Other duties as assigned.

JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS :

• RN licensure is required, issued by the PA Board of Nursing.
• Bachelor of Science in Nursing (BSN) or higher level nursing degree is required.
• Completion of the Nurse Residency Program or more than 15 months of practice.
• CPR Certification - American Heart Association (AHA) Basic Life Support, formerly Healthcare Provider (AHA Heart Saver courses for CPR are not accepted) required within 30 days of hire.
• ACLS Certification
• A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.

e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.

PREFERRED QUALIFICATIONS