$5,000 SIGN ON BONUS (for external candidates only) REGISTERED NURSE SUMMARY Coordinate total nursing care for patients using nursing standards and the nursing process; participate in patient and family teaching; provide leadership working cooperatively with other health care providers. MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED Professional knowledge of nursing theory and practice at a level normally acquired through completion of an accredited School of Nursing. Specialty units may have additional requirements according to their policy. Current State Nursing License. Current BLS Healthcare Provider card. Must obtain NIH stroke certification prior to the completion of orientation in the position. Thereafter, must maintain NIH stroke certification, annually. Refer to Administrative Policy A-148 for specific stroke education requirements.
SUMMARY To give direct nursing care for patients under the supervision of the Professional Nurse. JOB DUTIES Reports pertinent observations, changes, and reactions regarding patients to the appropriate person. Notifies team leader, charge person and/or physician of observations regarding patients. Documentation on patient record of observations, changes and reactions and the reporting of them to the appropriate person. Communicates patient’s condition to team leader at change of shift. Conducts “hourly rounds” on assigned patients consistently. Focus is on safety of patients through fall reduction, restraint reduction and the safe administration of medications. Cognizant of and addresses the patient’s level of comfort and pain management. Expresses concern and understanding regarding patient and family satisfaction. Performs direct patient care using the nursing process and technical skills according to hospital policy and procedure and is evident by both observation and documentation. Answers call lights and assists patients with personal hygiene and activities of daily living (ADL). Assists in admitting, transferring and discharging of patients. Provides for patient’s comfort and safety. Reports on records all observed symptoms, reactions, treatments and changes in a patient’s condition and is evident by verbal reports and proper utilization of charting procedure. Recognizes the learning needs of the patient and/or significant other and collaborates with the Professional Nurse in education and rehabilitation and documentation of the learning needs. Uses appropriate abbreviations. Response of the patient and/or significant other documentation. Participates in the development of the patient’s individual nursing care plan under the supervision of the Professional Nurse and continually contributes to the updating of the care plan and is evident by documentation on care plan and patient record. Demonstrates knowledge of and implements policies and procedures of the hospital and nursing department. Assists physicians with patient rounds, procedures, and exams and documents on patien's record. Administers medications, including IV’s according to hospital policy and procedure to assigned patients and documents appropriately on patient record. Demonstrates competency in IV insertion and tubing change. Correct use of Pyxis and documentation of wasted narcotics. Adheres to patient safety goals of medication administration. Participates in the orientation of new staff and in the clinical experience of students. Attendance at in-service programs that is required. Attends continuing education programs outside of the hospital. Attends unit meetings, other meetings, reads notices and memos. Participates in nursing service committees. Special computer skills utilized i.e. proper care plan updating and proper utilization of order entry. SPECIFIC JOB DEMANDS Strength: Medium Work - Lifting, Carrying, Pushing, Pulling 20 - 50 Lbs. occasionally, 10 - 25 Lbs. frequently or up to 10 Lbs. constantly. Stooping: Occasionally - Bending body downward and forward by bending spine at the waist, requiring full use of the lower extremities and back muscles. Reaching: Frequently - Extending hand(s) or arm(s) in any direction. Handling: Frequently - Seizing, holding, grasping, turning, or otherwise working with hand or hands. Fingers are involved only to the extent that they are an extension of the hand, such as to turn a switch or shift automobile gears. Fingering: Frequently - Picking, pinching, or otherwise working primarily with fingers rather than with the whole hand or arm as in handling. Feeling: Frequently - Noting attributes of objects, such as size, shape, temperature, or texture, by touching with skin, particularly that of fingertips. Talking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. Hearing: Frequently - Perceiving the nature of sounds by ear. Near Acuity: Frequently - Clarity of vision at 20 inches or less. Accommodation: Occasionally - Adjustment of lens of eye to bring an object into sharp focus. This factor is required when doing near point work at varying distances from the eye. Color Vision: Frequently - Ability to identify and distinguish colors. MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED Professional knowledge of nursing theory and practice at a level normally acquired through completion of an accredited School of Nursing. Specialty units may have additional requirements according to their policy. Current State Nursing License. Communication skills necessary to effectively: Provide instruction to the patient and/or significant other Provide explanations to the patient and/or significant other Explain nursing intervention. Communicate with other members of the health team. Current BLS Healthcare Provider card. May be required to have current ACLS certification or obtain within six months of assignment, dependent upon departmental requirements. *The Emergency Department nurse will develop and maintain a level of educational background in the following areas, but not limited to car of the neurologic patient, cardiac patient, pulmonary patient, burn patients, multiple system failure, trauma care obstetrical emergencies, psychiatric emergencies, EENT emergencies. The Emergency Department nurse must demonstrate competency in triaging of emergency patients, as well as age-specific concerns. The Emergency Department nurse requires knowledge of psychosocial, physiological, and therapeutic components specific to the care of the critically ill and/or injured, through on-going educational activities. WORKING CONDITIONS Normal patient care environment with little exposure to excessive noise, dust, and temperature changes. A large part of work time is standing or walking. Subject to certain distasteful patient care activities and exposure to communicable diseases. May be scheduled overtime, weekend and/or holiday hours. May be exposed to potential hazards such as chemical wastes, body wastes, fluids and other possible infectious material. DISCLOSURE MMC commits to review, under the intent of this standard, and in coordination with medical professional opinions and physical demands job analysis performed by certified professionals, an individual’s ability to be reasonably accommodated within the role they are responsible and qualified to perform. MMC is committed to complying with the Americans with Disabilities Act (“ADA”) and providing equal opportunity employment for qualified persons with disabilities. All employment practices and activities are conducted on a nondiscriminatory basis. Meadville Medical Center will follow any state or local law that provides individuals with disabilities greater protection that the ADA. Every effort has been made to make your job description as complete as possible. However, this in no way states or implies that these are the only duties you will be required to perform. The omission of specific tasks does not exclude them from the position if the task is similar, related, or is a logical assignment to the position, or is imperative for patient care and to meet emergency situations. Per Diem (PD) Employee Guidelines Work Hour Limitation Leadership acknowledges that Per Diem (PD) employees are not permitted to work in excess of 1,820 hours per calendar year . Scheduling Requirements for Applicants Seeking Extended Hours PD applicants requesting to work more than 24 hours per week shall be required to fulfill one weekend per month or two weekend shifts per month , as determined by the operational needs of the unit. Additionally, such employees will be scheduled for two holidays per year , rotating between winter and summer assignments. Traditional Per Diem Commitment Applicants seeking a traditional PD schedule (approximately 16 hours per month ) must commit to a minimum of 4 hours per week , or an equivalent of 16 hours per month . Final approval of this arrangement will be at the discretion of the hiring manager . Experience Preference A minimum of two years of nursing experience is preferred but not required. The hiring manager will determine eligibility based on the applicant’s interview performance and relevant professional experience.
$5,000 SIGN ON BONUS (EXTERNAL CANDIDATES) JOB DUTIES Prepares patients for provider visits according to approved policies and procedures i.e. reason for visit, history (past medical, family and social), symptoms, problems, weight, height, vital signs, medications, allergies. Administers medications/vaccinations to patients as regulated by the Nurse Practice Acts and as ordered by the provider. Reviews and updates medication lists identifying any possible ineffective drug therapies, adverse reactions, side effects, drug allergies and contraindicated medications. Assists physicians with procedures as requested. Notifies patients of lab and test results. Collects specimens as directed and performs limited lab tests on site as ordered by the provider. Maintains equipment and controls including refrigerator temperatures if applicable. Responsible for patient and equipment safety. Communicates and interacts effectively with patients and families, physicians, peers and other health team members to maximize successful patient outcomes. Patient education. Assists in the facilitation of smooth patient flow. Greets patients and families courteously. Maintains good communication with providers and coworkers. Assures adequate amounts of medical supplies and medications are available and stocked appropriately. Sterilizes instruments and instrument packs if applicable. Maintains inventory of drug samples and inventory and rotates stock to make sure oldest is used first. Also, checks expiration dates monthly. Receives prescription refills calls and are appropriately sent to the pharmacy under a provider’s direct supervision and are thoroughly documented in the patient record by the end of the business day the prescriptions were taken care of. Assures nursing documentation in the medical records is complete including lot numbers for vaccines and samples. Performs administrative duties as requested. To include but not limited to: Appointment scheduling and follow up appointment scheduling as needed, telephone etiquette including message taking and recalling patients, Picking up, opening and distributing mail, obtain authorizations as needed, obtaining co-payments and self payment amounts from patients. Maintains exam rooms and workstation and ensures cleanliness. Maintains the organized flow of nursing information and documentation. Documents are organized and available for use when needed. Triage patient clinical calls. Schedule tests or procedures for patients as appropriate. Pacemaker and Defibrillator checks if applicable for the practice. Uses appropriate measures of Infection Control to include PPE and hand washing. Maintains medical information and filing and or scanning. Use of Meditech, Medisoft and Medisoft Clinical EMR. Follows appropriate chain of command for reporting issues such as grievances, patient complaints and staff issues. Demonstrates knowledge of emergency procedures. Other duties as assigned. SPECIFIC JOB DEMANDS Strength: Medium Work - Lifting, Carrying, Pushing, Pulling 20 - 50 Lbs. occasionally, 10 - 25 Lbs. frequently or up to 10 Lbs. constantly. Stooping: Occasionally - Bending body downward and forward by bending spine at the waist, requiring full use of the lower extremities and back muscles. Reaching: Frequently - Extending hand(s) or arm(s) in any direction. Handling: Frequently - Seizing, holding, grasping, turning, or otherwise working with hand or hands. Fingers are involved only to the extent that they are an extension of the hand, such as to turn a switch or shift automobile gears. Fingering: Frequently - Picking, pinching, or otherwise working primarily with fingers rather than with the whole hand or arm as in handling. Feeling: Frequently - Noting attributes of objects, such as size, shape, temperature, or texture, by touching with skin, particularly that of fingertips. Talking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. Hearing: Frequently - Perceiving the nature of sounds by ear. Near Acuity: Frequently - Clarity of vision at 20 inches or less. Accommodation: Occasionally - Adjustment of lens of eye to bring an object into sharp focus. This factor is required when doing near point work at varying distances from the eye. Color Vision: Frequently - Ability to identify and distinguish colors. MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED Graduate of a diploma school of nursing approved by State Board of Nurse Examiners. Licensed to practice as a licensed practical nurse in Pennsylvania. Must possess great attention to detail. Must be able to type and be efficient with computers. Must have the ability to apply appropriate rules of grammar, spelling and punctuation. Must possess the ability to prioritize activities, organize work and problem solve. Communications skills both verbal and written must be above average to excellent. Must be able to communicate with public sector by telephone use and in person. Must be able to deal with anxious and angry people. Must be able to communication with Administrative Staff, Managers, Attorneys, Physicians and all hospital staff with due respect and tact. Current BLS Healthcare Provider card. WORKING CONDITIONS Work setting will be in an office involving the ability to bend, stoop, lift, twist and maneuver as necessary to conduct patient evaluations. Possible exposure to various chemicals relating to job performance will be in use of equipment and in all clinical/medical procedures, which may be performed. Use of computers, printers, fax machines, copiers, telephone and paper shredders. Must have ability to exhibit independent judgment skills and show initiative. Ability to use tact and poise in representing MMC. Work with minimal direction and assistance and frequent interruptions. Must be able to multitask. Must be able to work first shift but there maybe times that there will be additional hours that will be needed on short notice. Ability to manage multiple priorities under stress. Flexibility to adapt to changing situations in a positive, professional manner. DISCLOSURE MMC commits to review, under the intent of this standard, and in coordination with medical professional opinion’s and physical demands job analysis performed by certified professionals, an individual’s ability to be reasonably accommodated within the role they are responsible and qualified to perform. MMC is committed to complying with the Americans with Disabilities Act (“ADA”) and providing equal opportunity employment for qualified persons with disabilities. All employment practices and activities are conducted on a nondiscriminatory basis. Meadville Medical Center will follow any state or local law that provides individuals with disabilities greater protection that the ADA. Every effort has been made to make your job description as complete as possible. However, this in no way states or implies that these are the only duties you will be required to perform. The omission of specific tasks does not exclude them from the position if the task is similar, related, or is a logical assignment to the position, or is imperative for patient care and to meet emergency situations.
$5,000 SIGN ON BONUS (for external candidates only) REGISTERED NURSE – INTENSIVE CARE UNIT SUMMARY Coordinate total nursing care for patients using American Nurses Association standards for practice and the nursing process; participate in patient and family teaching; provide leadership working cooperatively with other health care providers MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED Professional knowledge of nursing theory and practice at a level normally acquired through completion of an accredited School of Nursing. Current State Nursing License. Six months previous Med-Surg or ICU experience required.
RNPACU - REGISTERED NURSE, PACU - 3133 SUMMARY Coordinate total Phase I Post-Anesthesia nursing care for patients utilizing ASPAN and ASA Standards, and the nursing process; participate in patient and family teaching; provide leadership while working cooperatively with other health care providers. JOB DUTIES Identifies patient upon arrival to PACU by name band and verbal report from Anesthesia provider. Reports pertinent observations, changes, and reactions regarding patients to the appropriate person (physician, manager, charge nurse, supervisor, etc.) Records these observations, changes and reactions accurately, concisely and legibly. Reports relative perioperative information to licensed nurse using SBAR method upon discharge from PACU. Documents on patient record observations, changes and reactions and reports them to the appropriate person (physician, supervisor/manager, charge nurse etc.) Communicates with patient’s family and physician changes in patient’s condition while in PACU. Assesses the patient’s condition and nursing needs. Develops and implements individual plan of care. Makes revisions as patient’s condition and needs change. Completes nursing assessment upon admission to the unit. Develops and implements a nursing plan of care according to patient’s assessed needs. Revises care plan as condition needs change. Utilizes services of ancillary departments, as ordered, to meet the needs of the patients. Maintains the standards of nursing care within the guidelines of the nursing department, PNA, ASA, and ASPAN Standards. Demonstrates knowledge of standards of nursing care when implementing the plan of care including PNA, ASA, and ASPAN Standards. Demonstrates knowledge of, implements and adheres to PACU specific, Administrative and Nursing policies and procedures. Administers, directs, supervises and evaluates nursing care provided to post-anesthesia patients. Directs and supervises other team members. Confers with other team members about patient’s condition. Documents patient’s condition as needed on patient record. Provides direct professional nursing care. Participates in Unit Q.A. Implements appropriate PACU physician orders pertaining to PACU care. Administers medications, including IV’s according to hospital policy and procedure. Documents medications according to hospital procedure. Obtains ordered medication from Pyxis and documents on PACU record. Documents controlled substance waste according to MMC policy. Demonstrates cost-conscious use of supplies; maintains equipment in a clean and safe manner. Participates in the orientation of new staff and in the clinical experience of students, interns and/or residents. Maintains skills in the assessment, treatment, and care appropriate to the unique needs of the post-operative patient (i.e. age groups, disease process of the patient). AGE/DEPARTMENT SPECIFIC COMPETENCIES Communicates with patient based on growth and developmental needs of individual. Demonstrates gentle speech and handling of infant/toddler. Permits child to have security object. Modifies speech tone; permits hearing devices. Speak clearly to facilitate hearing in aging adult. Includes interpreter, family member, significant other to translate/sign for hearing impaired patient. Includes information for parent / guardian about what to expect in perioperative process. Safety: Identifies patient’s correct parent or guardian by matching patient name band to that worn by responsible adult. Observed matching patient name band to that of responsible parent/guardian. Identifies patient at risk for falls. Follows hospital protocol to avoid restraint use whenever possible. Assessment: Assesses pain intensity utilizing scale appropriate for age. Utilize FLACC or CRIES scale for infant pain assessment. Utilize FACES pain scale for the pediatric patient. Utilize numeric pain score for non-verbal pain scale for adolescent, adult, geriatric. Recognize presence of pain and document findings in the non-communicated patient. Identifies appropriate equipment for age/size of patient. Applies appropriate size NIBP cuff. Applies appropriate size pulse oximeter probe to promote adequate oxygenation. Utilizes appropriate oxygen therapy for age. Places pediatric patient in side-lying position. Inserts correct sized nasal/oral airway. Effectively applies correct sized BVM. Recognize signs of decreased endurance. Applies supplemental oxygen as needed. Recognize normal physiological differences based on age. Recognize and report findings that are outside the normal range. SPECIFIC JOB DEMANDS Strength: Medium Work - Lifting, Carrying, Pushing, Pulling 20 - 50 Lbs. occasionally, 10 - 25 Lbs. frequently or up to 10 Lbs. constantly. Stooping: Occasionally - Bending body downward and forward by bending spine at the waist, requiring full use of the lower extremities and back muscles. Reaching: Frequently - Extending hand(s) or arm(s) in any direction. Handling: Frequently - Seizing, holding, grasping, turning, or otherwise working with hand or hands. Fingers are involved only to the extent that they are an extension of the hand, such as to turn a switch or shift automobile gears. Fingering: Frequently - Picking, pinching, or otherwise working primarily with fingers rather than with the whole hand or arm as in handling. Feeling: Frequently - Noting attributes of objects, such as size, shape, temperature, or texture, by touching with skin, particularly that of fingertips. Talking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. Hearing: Frequently - Perceiving the nature of sounds by ear. Near Acuity: Frequently - Clarity of vision at 20 inches or less. Accommodation: Occasionally - Adjustment of lens of eye to bring an object into sharp focus. This factor is required when doing near point work at varying distances from the eye. Color Vision: Frequently - Ability to identify and distinguish colors. MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED Professional knowledge of nursing theory and practice at a level normally acquired through completion of an accredited School of Nursing. Current State Nursing License. Working knowledge of ASPAN and ASA Standards at completion of orientation. ACLS and PALS Certification within 6 months of employment. Recredentialing of Unit Specific skills annually. Recommend - previous experience in Med/Surg nursing, ICU experience, Coronary Care Class, CPAN Certification. Completes/maintains biannual ACLS certification. Completes/maintains biannual PALS certification. Completes annual housewide and PACU specific recredentialing. Analytical skills necessary to develop and implement a plan for nursing care appropriate to the patient, and to solve problems concerning patient’s mental or physical well-being. Ability to concentrate and prioritize, plan and perform professional nursing care, resolve patient care problems, and interact with patients, families, and other team members - often during stressful situations. Ability to initiate and interpret physiological monitoring and perform emergency treatment to include: a.Noninvasive BP monitoring b.Pulse oximetry c.Cardiac monitoring d.Hemodynamic monitoring Respiratory ventilation -- Ambu bag and ventilator Defibrillation Malignant Hyperthermia Protocol Within one year of being in the position, must complete the Trauma Nursing Core Certification (TNCC). Thereafter, must complete 8 hours of trauma continuing education annually. WORKING CONDITIONS Normal patient care environment with little exposure to excessive noise, dust, and temperature changes. A large part of work time is standing or walking. Subject to certain distasteful patient care activities and exposure to communicable diseases. May work overtime and take after hours, weekend, and holiday call. May be exposed to potential hazards such as chemical wastes, body wastes, fluids and other possible infectious material. DISCLOSURE MMC commits to review, under the intent of this standard, and in coordination with medical professional opinion’s and physical demands job analysis performed by certified professionals, an individual’s ability to be reasonably accommodated within the role they are responsible and qualified to perform. MMC is committed to complying with the Americans with Disabilities Act (“ADA”) and providing equal opportunity employment for qualified persons with disabilities. All employment practices and activities are conducted on a nondiscriminatory basis. Meadville Medical Center will follow any state or local law that provides individuals with disabilities greater protection that the ADA. Every effort has been made to make your job description as complete as possible. However, this in no way states or implies that these are the only duties you will be required to perform. The omission of specific tasks does not exclude them from the position if the task is similar, related, or is a logical assignment to the position, or is imperative for patient care and to meet emergency situations.
