RN
Penn Medicine

PRN MOB Pool Nursing RN - Penn Presbyterian Heart Failure and Thoracic Surgery – Cupp 3 South

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?

Summary:

3 South is a 30-bed unit specializing in cardiovascular disorders and thoracic surgery. 3 South cares primarily for patients frequently requiring ambulatory telemetry monitoring, in a Progressive Care Unit environment. Cardiovascular disorders cared for on 3 South include: MI-following the acute stay in the HVICU, Heart Failure; Pulmonary Edema; Arrhythmias; Post-interventional Radiology patients; Post-procedure Angioplasty; Valvular Heart Disease. The staff cares for Thoracic Surgery patients undergoing various thoracic surgical procedures such as lobectomy, esophagectomy, sleeve resection/chest wall resection, VATS, lung volume reduction surgery and endobronchial valves. In addition, the staff cares for Pulmonary Hypertension (PH) and Heart Failure (HF) patients, utilizing hemodynamic monitoring tools to diagnose and treat the most severe forms of both diseases including patients with Left Ventricular Assist Devices. 

  • 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:

  1. Professional Practice Competency Domains Definitions Continuous 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. Safety: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance.
  7. Technology/Informatics: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum.
  8. 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 (Required)
  • 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: 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.

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Continuously monitors patient’s condition and prioritizes emergency care where/when needed in Cardiac Services and Cardiac Rehab. • ¨ 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 patient’s response to treatment, plan of care. • ¨ 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 in all areas ◦ · Ventilator care in ICU ◦ · 12-lead ECG ◦ · Insertion and maintenance of Nasogastric Tubes (NGT) ◦ · Insertion of feeding tubes (ICU only) ◦ · Flushing and maintenance of central lines: ▪ - PICC lines ▪ - Single, double and triple central lines ◦ · Shift and 24-hour chart check · 2 patient identifiers will be utilized before performing interventions and/or procedures · Rhythm strip interpretations · Hemodynamic monitoring · Maintenance and titration of vasoactive medications · Targeted Temperature Management · Temporary Pacing Wires · Alteplase Therapy · Post IAT: Intra-arterial Thrombectomy (ICU only) · Demonstrates appropriate skill in utilization of the computer for automated order entry, data retrieval, cardiac/patient care planning, intervention and interdepartmental communications. · Monitoring of patients in Cardiac Services undergoing cardiac diagnostic testing. • ¨ 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. • 2. 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, as per unit guidelines. • 3. Promotes patient safety through adherence to protocols, policies, procedures, evidence-based guidelines and Joint Commission National Patient Safety Goals. • ¨ 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. • 4. 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 4 inter shifts in person or via Zoom each year and reads all inter shift minutes. • ¨ Keeps informed of unit and hospital initiatives, updates, documentation changes, and policy/procedure changes by reading emails on a regular basis, and by attending inter shifts as stated above. • ¨ Supports and participates in departmental and hospital evidence-based care quality initiatives (ex. Heart Failure, Acute MI, Glycemic Control, VTE prophylaxis, pressure ulcer prevention, Rapid Response Team (ICU), Sepsis (ICU), VAP, and infection prevention initiatives). • 5. 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 (See Scope of Practice as delineated in departmental standards and/or related Policy and Procedure in the Policy and Procedure Manual). • ¨ Maintains technological competence through practice and ongoing participation in in-services and professional conferences. • ¨ Strive to attain professional certification in area of specialty. • ¨ Acquires and maintains proficiency in the initiation and maintenance of IV lines and sites. • ¨ Completion of annual mandatory requirements: ◦ CPR certification ◦ · RAHE (required annual hospital education) ◦ · Specific departmental and hospital competencies ◦ · Point of Care Testing ◦ · Fit Testing ◦ · ACLS certification within one year of hire or transfer to critical care unit ◦ · NIHSS certification ◦ · Completion of unit-based Skills Days yearly ◦ · CCRN preferred • 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 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 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.