RN Labor and Delivery

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Entity: Penn Medicine Doylestown Health

Department: LDRP

Location: 595 West State Street, Doylestown Pa 18901

Hours: Pool Day/Nights

Must work/ be available for both Day and Night shifts

36 hours minimum in a 6 week period, 2 shifts on weekend time 

One summer and one winter holiday

On call time required – 12 hours in a 6 week period

 

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. To provide standard of care services to childbearing women and their well babies.

 

Accountabilities:

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

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

◦ Completes admission assessment according to unit standards

◦ Performs and documents ongoing assessment of patients according to department standards

◦ Recognizes and obeys EMTALA laws in the delivery of care to the pregnant women

◦ Continually reassesses patients for changes in their condition that may signal the onset of a pregnancy related problem

 

• b. Maintains a computerized, evolving plan of care based on nursing assessment, the medical plan of care and patient need. The plan is initiated according to department standards.

• c. Provides patient care, which demonstrates a comprehensive knowledge of normal physiology and disease pathophysiology of the pregnant and postpartum woman and the newborn. Appropriate nursing and medical interventions and knowledge of the principles of growth and development over the lifespan.

• d. Implements patient plan of care based on evidence-based practice.

• e. Documents patient response to treatment and effectiveness of care.

• f. Provides teaching and discharge planning based on assessment of self-care knowledge/ability on an ongoing basis.

• g. Ensures appropriate completion of chart and other documentation including transcription of physician orders and computer entry.

• h. Ensures that unapproved abbreviations are not used when documenting on patient’s medical record.

• i. Demonstrates appropriate skill in utilization of the computer for automated order entry, data retrieval, and medication administration, nursing care planning and intervention and interdepartmental communication as determined by defined access levels.

• j. Implements nursing/physician orders that result in achievement of patient, nursing, and physician goals. Evaluates, revises, and improves patient care using creative strategies, current research findings, and consideration of age-specific accommodations.

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

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

• m. All nurses to be crossed trained to two areas within the department.

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

• • Delivery Nurse

◦ · Electronic Fetal Monitoring application, use, and interpretation

◦ · Cervical exams

◦ · Medication administration

◦ · Point of care testing (Accu-check, nitrazine)

◦ · Initiation and maintenance of oxygen therapy

◦ · Specimen collection utilizing mobile lab when appropriate

◦ · Phlebotomy (venipuncture, capillary)

◦ · Peripheral IV insertion and therapy

 

• • Mother Baby Nurse

◦ · Care for mother and newborn dyads

◦ · Medication Administration

◦ · Point of care testing (Accu-check, heal sticks, PKU)

◦ · Initiation and maintenance of oxygen therapy

◦ · Specimen collection utilizing mobile lab when appropriate

◦ · Phlebotomy (venipuncture, capillary)

◦ · Peripheral IV insertion and therapy

◦ · Assist and support patients with Breastfeeding

◦ · Completes all mandated newborn screenings

 

• • Newborn Admission Nurse (NAN)

◦ · Completes admission assessment and orders for newborns

◦ · Helps to provide Skin to Skin for the mother and newborn

◦ · Point of care testing (Accu-check, hearing screening, heal sticks, PKU)

◦ · Specimen collection utilizing mobile lab when appropriate

◦ · Phlebotomy (capillary)

◦ · Assists with newborn testing and procedures

 

• o. Assists patients physically by providing physical support through pushing, pulling, lifting, reaching, turning, kneeling, standing, sitting and balancing, and psychologically by providing emotional intervention.

• p. Demonstrates ability to perform with clinical proficiency in crises and medical emergencies.

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

• a. Utilizes effective interpersonal skills including interaction with staff through understanding, talking, and hearing, seeing and listening.

• b. Involves patient/significant other in all aspects of the plan of care, serving as advocate when necessary.

• c. Consistently and continuously communicates, consults and shares pertinent information regarding changes in patient status and patient care.

• d. Uses interpersonal communication techniques that show a willingness to accept and give constructive feedback for promoting professional excellence.

• e. Effectively communicates pertinent patient/significant other information during shift-to-shift report according to department standards.

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

• g. Follows staffing guidelines. In the interest of patient care, responds to changes or needs by cooperating with staff rotation, reassignments and weekend/holiday scheduling.

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

• a. 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.

• b. Analyzes data and responds to unusual/undesirable clinical status by consulting appropriate healthcare team members, including Rapid Response Team, and taking appropriate action in a timely manner.

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

• d. Safely administers medications and treatments as ordered according to hospital policy and formulary using the appropriate principles of safe medication administration, 2 patient identifiers.

• e. Completes medication reconciliation on admission, transfer, and discharge as defined by hospital policy.

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

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

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

• b. Attends and participates in meetings according to department standards.

• c. Supports and participates in department, hospital, and evidence-based care quality initiatives, including core measures.

• d. Participates as a team member or in workgroups on department, hospital and/or ISLT evidence-based care quality initiatives.

• 5. Maintains clinical competency according to unit-specific standards.

• a. Demonstrates competency in maintaining specific technological skills required by job category and/or specialty area. See individual department competencies for unit specific requirements. Demonstrates recognition of equipment or technological adaptations dependent on age-specific patient needs (See Scope of Practice as delineated in departmental standards and/or related Policy and Procedure in the Policy and Procedure Manual).

• b. Completion of annual mandatory requirements:

◦ B.L.S. certifications

◦ · RAHE

◦ · Fit testing N95 mask

◦ · Unit Skillathon

◦ · Attendance at 6 intershifts

◦ · NRP (after 1 year)

◦ · Accudata

◦ · Point of Care testing

 

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

• d. Recognizes legal responsibilities and functions within limitations as specified by the Pennsylvania Nurse Practice Act.

• 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
  • RN, Graduate of an accredited School of Nursing.

 

Licenses, Registrations, and Certifications:

  • BLS required
  • Current licensure in Commonwealth of Pennsylvania, Department of State Bureau of Occupational and Professional Affairs
  • NRP (after 1 year)
  • ACLS
  • RNC strongly encouraged

    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 that help people live longer, healthier lives.

    Live Your Life's Work

    We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

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Identifies potential safety concerns and communicates with unit leadership as appropriate. Enters safety nets when applicable, including good catch/near miss situations. Effective verbal and nonverbal communication techniques and good listening skills are used to empathically communicate with patients/ families, and colleagues. Encourages patient/family self-advocacy. Collaboration Demonstrates effective teamwork as a member of the interdisciplinary care team, fostering and exemplifying a culture of respect. Recognizes/addresses situations where disrespectful collaboration may impact patient care and/or create non-collaborative relationships. Seeks resources as needed to resolve situations involving incivility and/or disrespect. Actively participates in interdisciplinary patient care rounds and/or meetings and makes recommendations to the plan of care that reflect nursing goals, interventions, and expected outcomes. Revises the plan of care according to the patient care decisions made on rounds. Incorporates evidence based practice into direct clinical care in collaboration with other members of the multidisciplinary team. Develops and implements effective partnerships with members of the ancillary staff; delegates tasks effectively to assure comprehensive nursing care is provided. Develops and sustains professional, well- boundary, therapeutic relationships with patients and families in which all actions are in the best interest of the patient and family and there is no personal gain at the patient/families expense. Professional Development Models appearance and behaviors that promote a positive image of professional nursing. Expands clinical judgment and critical thinking skills with increased experience o Demonstrates mastery of the principles of Family Centered Care, including dignity and respect, information sharing, participation, and collaboration. Demonstrates understanding of optimal patient/family experiences and incorporates into care delivery. Has a working knowledge of patient/family experience results (NRC Picker) at the unit and organizational level. Participates and/or leads in initiatives to improve satisfaction scores. Practices within a shared decision making environment. Familiar with and participates in Shared Governance council activities at the unit and/or department level. Progresses to leading council activities at the unit and/or department levels. Familiar with Magnet designation and the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion. Demonstrates fiscal stewardship: o Manages own time to accomplish direct/indirect care in a cost-effective manner o Conserves unit and organizational resources; assures supplies are not wasted or misused. o Does not incur incidental overtime. o Understands the implications of the cost of staffing decisions. o Identifies observed opportunities for cost savings. Well informed about the Professional Advancement Program (PEAK) and considers the opportunity to participate. Demonstrates healthcare informatics competency to manage patient care, outcome data, and current and emerging healthcare technology. Understands nursing sensitive outcomes and knows how to navigate the nursing scorecard. Participates and/or leads improvement initiatives to improve outcomes. Identifies own learning needs and actively assures learning needs are met. o Seeks out opportunities to meet needs and attends all required programs. o Maintains CEU’s for nursing licensure. o Maintains compliance with mandatory education and annual nursing competencies. Recognizes individual preferences regarding an environment of constant change and understands change management. Develops effective methods to cope with and incorporate learning from a fast-paced, ever changing environment. Understands the principles and methodology of quality improvement; progresses to participating in and/or leading QI initiatives at the unit or organizational level. Understands and contributes to the science of nursing: o Develops a sense of inquiry. o Reads articles pertinent to the patient population. o Performs literature reviews. o Develops clinical questions and advances understanding and application of evidence based practice. o Understands the nursing research process and utilizes resources to participate in research projects. Participates in activities that contribute to improving the health of the community. Education Qualifications Technical Diploma Nursing Required Bachelor's Degree Nursing Preferred Experience Qualifications At least one (1) year Labor and Delivery RN experience. Required At least two (2) years Prior experience in Labor and Delivery Nursing Preferred Skills and Abilities Computer Competency Basic use of a computer (mouse, keyboard, printer, USB ports). Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype). Web browsing, intranet search, document access. Use of shared network file space. Basic use of patient facing technology (e.g. IV pumps, point of care devices, CR monitors). Navigation and use of clinical communication systems. Information Literacy Determines the nature and extent of clinical information needed and uses the appropriate technology to access it. Accesses needed information effectively and efficiently. Evaluates information and its sources critically and appropriately incorporates it into clinical practice. Evaluates outcomes of the use of information. Information Management Literacy Navigation of the electronic health record system. Ability to locate and review specific patient data in various clinical information systems. Effectively uses clinical decision support tools. Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems. Ability to collect clinical data using quality improvement tools. Licenses and Certifications Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (New Jersey) - New Jersey State Licensing Board - upon hire - Required and Cardiopulmonary Resuscitation (CPR) - issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross). - upon hire - Required To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more. EEO / VEVRAA Federal Contractor | Tobacco Statement SALARY RANGE: $48.30 - $58.15 Hourly Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly. ------------------- At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.
    Penn Medicine

    Clinical Nurse 2- Inpatient Medical Oncology at HUP, FT Rotating Shifts

    Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? 12 City is a 36 bed medical oncology unit. Our nurses provide care to patients with complex oncologic diagnoses. Nurses within our unit are trained in delivery of chemotherapy and biotherapy, autologous stem cell transplant and clinical research trials. Through the relationships formed, the staff provides compassionate care to patients and families throughout their cancer experience. Summary: 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 as specified in the Clinical Nurse 2 position description addendum. The Clinical Nurse 2 Colleague exhibits UPHS organizational behavioral competencies 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 (Definitions listed below). 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. Responsibilities: Professional Practice Competency Domains DefinitionsContinuous Quality Improvement (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. Leadership: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Penn Medicine. Person and Family Centered Care: The nurse recognizes the patient (or the patient’s designee) as the source of control and a full partner in providing compassionate and coordinated care based on respect for the patient’s preferences, values, and needs. Professionalism: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA’s Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. Safety: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Technology/Informatics: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Teamwork: The nurse effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. Credentials: Basic Cardiac Life Support (Required) BLS/CPR, as a healthcare provider as per the American Heart Association. Registered Nurse - PA (Required) Pennsylvania RN licensure Education or Equivalent Experience: Bachelor of Arts or Science (Required) Education Specialization: BSN from an accredited school of nursing Equivalent Experience: •And More than 15 months relevant professional nursing experience and completion of the Nurse Residency Program, if applicable 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 that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.