Nursing Jobs in Towanda, PA

RN OR Full-time
Guthrie

Perioperative Resource Nurse

Guthrie Sayre, PA
Job Description Position Summary: The Perioperative Resource Nurse at The Guthrie Clinic Health System is designed to fill workforce gaps in high vacancy areas in the ORs. A Perioperative Resource Nurse may serve at either our Level 1 Trauma Center (Guthrie Robert Packer Hospital) or Guthrie Lourdes Hospital (197 bed multi specialty community hospital.) The incumbent will work in the services lines for which they have competencies. The Perioperative Resource Nurses provides a high-level of clinical nursing care to assigned patients, performing related assessments, procedures and treatments, evaluations, patient care plan development/revisions, and education to patient and/or family. The Perioperative Resource Nurse puts the patient first and ensures that high quality care is given to assigned patients by following policies, clinical guidelines, safety systems such as medication scanning and bed alarm use, timely and accurate documentation, core measure compliance and serving as a patient advocate. The RN – System Resource makes providing an exceptional patient/family experience high priority. Education, License & Cert: To be employed as an RN – Perioperative Resource Nurse, an individual must have at minimum, a Bachelor’s degree in Nursing, two years of recent experience in an acute care operating suite, and pass the NCLEX. The incumbent will preferably be proficient in two or more services. (General, Orthopedic, ENT, Urology, Ophthalmology, Plastics, DaVinci Robotics, Cardiology, GI, Vascular, Trauma). Ability to both scrub and circulate cases is preferential but not required. Duties: The caregiver will be employed as a Perioperative Resource Nurse (RN) for the following duties: Must be able to demonstrate knowledge and skills necessary to provide a high level of nursing care in units to which assigned. (Operating Room at Robert Packer Hospital or Guthrie Lourdes Hospital) Assesses patient's condition based upon observation, examination, and/or interview, physician's diagnosis, laboratory findings, age-related issues, and other pertinent information Completes assessment in specified time frame. Identifies and consistently recognizes changes in normal and abnormal parameters in the patient's physiological, psychological, cultural, developmental, and spiritual needs Implements nursing interventions to achieve progress toward expected patient outcomes or to stabilize a patient's condition and/or prevent complications Evaluates and documents patients' response to nursing care and modifies or revises treatment plans, and/or contacts physicians as circumstances require Participates in interdisciplinary patient care planning and evaluates patient progression in preparation for safe discharge Identifies and completes assessments of patient (family) educational needs. Provides education consistent with patient's level of understanding using existing resources based on diagnosis, treatment plan or prescribed medical regimen Uses professional judgment and critical thinking to prepare, prioritize and execute the patient's plan of care consistent with patient assessment data and physician's treatment plans and professional standards of evidence-based practice/care Incorporates the patient's physiological, psychological, cultural, developmental, and spiritual needs into the plan of care Follows patient care and facility guidelines and procedures in performance of one's duties consistently Directs and delegates support personnel in implementing patient's plan of care, provides guidance, and immediately intervenes with deviation standards of care Follows polices and protocol when administering medications, starting intravenous fluids and blood products. Performs both complex and routine treatments as prescribed by physicians, approved nursing protocols that aligns with clinical assessment of patient's condition Works closely with the Nurse Manager to ensure that all budgetary, Process Improvement, Core Measures and Patient Satisfaction initiatives are achieved Recognizes the importance of being a professional role model for others
RN Part-time
Guthrie

Registered Nurse - Acute Care - Part Time

Guthrie Towanda, PA
$7,500 - $12,000 / month
Job Description Achieve Better Work-Life Balance: Join Us as a Part-Time Registered Nurse at Guthrie Robert Packer Hospital - Towanda Campus! We are searching for a compassionate and dedicated time RN to provide exceptional care for our Acute Care unit. Position Details : Schedule: Two days a week with an every-other-weekend and holiday rotation Shift: 6:00 AM to 2:30 PM Department Details: Acute Care Towanda is a 10-bed acute care unit that primarily focuses on an interdisciplinary care approach for medical patients with the Medical Hospitalist Service. All bedside acute care nurses at Guthrie benefit from the added support of our Virtual RNs located in our Pulse Center. They provide assistance with a variety of tasks, enabling bedside nurses to spend more time on direct patient care. Perks of Being a part time RN @ Guthrie: 🩺 Comprehensive Medical and Dental Insurance – effective the 1st of the month following your hire date 🏖️ Generous PTO Accrual: Start earning experiential paid time off from Day 1 🚚 Relocation Assistance: Up to $12,000 based on distance, making your move easier 🎓 Tuition Reimbursement Program: Up to $7,500 annually, starting after just 90 days 💼 Large Shift Differentials for Evening, Night & even Weekend Shifts – earn more for your dedication during these days/times 🔒 403B Retirement Plan with Company Matching – secure your future with our robust retirement plan ⚖️ Consistent Work & Holiday Rotations: Enjoy a great work/life balance 🤝 Friendly, Supportive, and Diverse Work Family: Be part of a team that feels like home 🚗 Convenient Free On-Site Parking: Hassle-free parking every day Recognitions & Awards: 🏅 Becker’s 150 Top Places to Work 2024 & 🏅 Forbes Best Employers For Women 2024 Position Summary: The Registered Nurse (RN) provides professional, comprehensive nursing care for patients in an acute care environment. Accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidence‐based quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty. Education, License & Cert: Registered Nurse in the State of Practice. BSN in Nursing preferred. Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect, including those who transition to their position from the NLRN Program. Any contract with specific time frames for obtaining a bachelor’s degree in nursing will supersede the above point and will remain in effect. Specialty Certification is preferred BLS certification ACLS is unit dependent PALS is unit dependent Experience: The Registered Nurse must be a registered nurse currently licensed in the state of employment with at least one year of experience. Alternately, the Registered Nurse may have less than one year of experience if they have been transitioned to their position from the Newly Licensed Registered Nurse Residency (NLRN) Program. The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment. Must maintain BLS certification. ACLS is unit dependent. Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit Essential Functions: Employs Nursing Professional Practice: Assesses, diagnoses, plans, implements, and evaluates patients' care. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. Performs and maintains the currency of essential competencies as required by a specific area of hire and population served. Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve. Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including student; Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community. Aligns Practice with Safety and Quality: Accountable for safety, identifies and corrects problems, and integrates evidence and best practice into nursing care; uses data and evidence to improve patient outcomes. Aligns patient safety, self‐safety, and environmental safety as equally important for best outcomes. Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidence‐based practice. Leader in Practice Setting & Community: demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence and innovation. In partnering with colleagues appropriately delegates, coordinates care, and collaborates with others as equal members of the inter‐professional care team to integrate nursing knowledge. Models professional behaviors as a representative of the nursing profession. Participates in the planning and presentation of educational programs. It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of the position Other Duties: Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position. Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff. Ability to use independent, critical judgment in all aspects of patient care delivery. Demonstrated interpersonal skills that convey a positive and supportive attitude. Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations About Us Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you’ll find staff members who have committed themselves to serving the community. The Guthrie Clinic is an Equal Opportunity Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.
Home Health Aide Home Health Full-time
Post Acute Partners

Resident Care Aide - Home Health Aide (HHA)

Post Acute Partners Waverly, NY
Salary $17.60 - $19.82/hour Overview At Elderwood, our Mission is People Caring for People. Our values of Integrity, Collaboration, Accountability, Respect & Excellence are at the core of everything we do. We strive to not only be the partner of choice for our residents, their families and community players – but also for our valued employees. Elderwood is currently seeking supportive and nurturing Resident Care Aide/Home Health Aide (HHA) to join our clinical team. Resident Care Aide/Home Health Aide (HHA) Position Overview: RCA/HHA team members will assist with ensuring the health and well-being of our residents by providing personal care support. This position is responsible for meeting the physical and emotional needs of residents under the direct supervision of a licensed nurse ensuring that the highest degree of quality resident care is maintained at all times. At Elderwood, our assisted living and adult home communities promote independence while providing just the right amount of assistance with daily needs. We take care of chores like cooking, cleaning and laundry, as well as medication management and personal care. You can depend on a caring staff dedicated to ensuring your comfort and safety. We’re always mindful of personal needs, while seamlessly coordinating important health services. Responsibilities Resident Care Aide - Home Health Aide (HHA): Ability to assist residents with Daily Living Activities as needed that may include meal assistance, grooming, medication management, showering, dressing/undressing, toileting, skin care. Ability to use hands, arms and fingers in repeated motions that include ability to feel or operate objects, tools, or controls including grasping and turning motions. Ability to move and walk quickly and steadily in an emergency situation. Ability to assist with wheelchair transport of resident(s). Ability to apply/utilize Personal Protective Equipment (PPE) as required. Responsible for responding immediately to residents’ requests. Assists residents with Activities of Daily Living (ADL’s), according to their plan of care, individual needs and care preferences. Notifies Supervisor of changes in residents conditions or needs Maintains facility standards for resident care Assists with service in the dining room for all meals as needed. Maintain facility standards for service and customer focus techniques. Informs nurse responsible for the care of resident and document duties performed as necessary before leaving for break or end of shift. Observes and practices confidentiality of resident information and privacy when performing job duties. Performs assigned duties according to the service excellence standards and goals established for this position and for all staff members of this facility. Attends facility meetings, staff meetings and required or preferred in-services. Generates and develops ideas which improve the quality of care for residents or increase position productivity and satisfaction. Performs all position duties according to safety rules and practices required for this position and as required to ensure the general safety of staff, residents and visitors. Demonstrates knowledge and understanding of all policies and procedures and ability to reference them. Exhibits the highest level of customer service towards residents, staff and visitors. Consistently demonstrates the ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary. From Up to Qualifications Resident Care Aide - Home Health Aide (HHA) Educational Requirements and Qualifications: Eighteen (18) years of age required; high school diploma or equivalent preferred. Certification by an approved basic training program in home health aide services (HHA) or personal care aide services (PCA) approved by the Department of Health and possess written evidence of such certification. Must maintain current annual skills testing approval. Ability to assist residents with all aspects of Daily Living Activities including bathing, toileting, and transferring. Ability to frequently lift and/or move up to 30 pounds and occasionally lift and/or move up to 55 pounds; Occasional 2 person lift up to 120 pounds This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level. EOE Statement WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
RN Per Diem
IntelyCare

Registered Nurse (RN)

IntelyCare Sayre, PA
$40 - $73 / hour
Get flexible schedules while earning up to $73 per hour as a Registered Nurse (RN) in Sayre, PA (and areas nearby). At our nurse-founded company, flexible means that you get to decide when, where, and how frequently you work with your choice of shifts at any of our partnering facilities. But there's more — as a W2 employer we can also offer you employee benefits, career development opportunities, and a supportive team that's dedicated to your success. At IntelyCare, we don't just believe in work-life balance we built an entire company around it. That means a job that lets you make time for weekday softball games with friends at Riverfront Park and your daughter's track meets at Sayre High School. Need a job that can work around your class schedule at Ithaca College? With our approach to scheduling you can do all of that — and so much more. Still not sure if our team is right for you? Learn more about the benefits and perks we offer below and consider taking the next step with us today. Benefits RN pay: $40 to $73 per hour Rates that are up to 25% higher on average Opportunities for overtime and boosted rates on holidays Multiple pay options — weekly and daily pay available Employer tax withholding each pay period Quickly see shifts in any state where you're authorized to practice Work whenever you choose by selecting your preferred shifts at any facility in our partner network Your choice of day/evening/overnight shifts, weekday/weekend shifts, and more Eligibility for 401k retirement plan Coverage for workers' comp and malpractice insurance (employer paid) Tuition discounts at Excelsior University (up to 34%) for undergraduate and graduate programs Ongoing opportunities to upskill with a dedicated team of QA nursing professionals Eligibility for health, dental, and vision insurance (includes qualifying family members) An all-in-one app where you can manage your shifts and access workplace perks like free CE courses Want to know what it's like to work for IntelyCare — straight from the source? Here are some reviews from a few of our "IntelyPros" to give you a sense of what it's like to be a part of our team: "IntelyCare is 10/10! I have worked with them for a little over two years and I have never been disappointed. The customer service staff takes care of everything you need in a very timely manner." "IntelyCare works with us, not against us! I have been feeling the support from the moment I started. Everyone here is willing to help you achieve your goals, and for that to happen you don’t necessarily have to be a full-time employee." "Since I joined IntelyCare, I have been stress-free! I make my own schedule, I get to spend more time with my family, and make enough to cover my expenses." "I love IntelyCare because it is extremely convenient and reliable. This job alone has saved me from being in debt and is keeping a roof over my head…There are so many benefits from being an IntelyPro: a good retirement plan, health insurance, shift variety, and a team that actually cares about you. I love being an IntelyPro!" Job Responsibilities Providing resident-focused, high-quality care while working as a RN in post-acute facilities Developing individualized care plans for residents in coordination with the wider medical team Reviewing care options with clinicians, nursing staff, residents, and their family members Setting up and using medical equipment and devices as needed for effective care Administering medications and providing treatments to residents consistent with their care plan Measuring and monitoring resident vital signs and drawing fluids as needed for labs and testing Ensuring accurate documentation of relevant information such as interventions and responses, vital signs, and resident medical histories Training and supervising nursing professionals and support staff as needed, consistent with scope of practice limitations Supporting staff with incident investigations and reporting Being accountable to follow and adhere to resident care plans Delivering care consistent with all applicable laws, policies, and standards of care Qualifications and Skills Current Pennsylvania state license to practice as a Registered Nurse (RN) 6 months of experience (in an RN or related role) Completion of an approved nursing program High level of organizational skills Demonstrated ability to effectively communicate across medical and nursing teams Ability to lift at least 50 lbs Get the Flexibility You Need and the Support You Deserve As you compare Registered Nurse (RN) jobs in your area, consider joining a company that was created with professionals like you in mind. Get the work-life balance and peace of mind you deserve by joining the team ranked #1 in quality today. COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Sayre, Pennsylvania 18840
LPN Per Diem
IntelyCare

Licensed Practical Nurse (LPN)

IntelyCare Sayre, PA
$33 - $76 / hour
Get flexible schedules while earning up to $76 per hour as a Licensed Practical Nurse (LPN) in Sayre, PA (and areas nearby). At our nurse-founded company, flexible means that you get to decide when, where, and how frequently you work with your choice of shifts at any of our partnering facilities. But there's more — as a W2 employer we can also offer you employee benefits, career development opportunities, and a supportive team that's dedicated to your success. At IntelyCare, we don't just believe in work-life balance we built an entire company around it. That means a job that lets you make time for weekday softball games with friends at Riverfront Park and your daughter's track meets at Sayre High School. Need a job that can work around your class schedule at Ithaca College? With our approach to scheduling you can do all of that — and so much more. Still not sure if our team is right for you? Learn more about the benefits and perks we offer below and consider taking the next step with us today. Benefits Licensed Practical Nurse (LPN) hourly pay range: $33-$76 (25% higher than average) Flexible schedule with a wide variety of shifts and facilities from which to choose Eligibility for health benefits, including vision and dental, for you and your family Several payment options, such as weekly or even daily Bonus pay available for holidays, overtime, travel, and hazard-based shifts Malpractice insurance, workers' compensation, and taxes paid by employer Track pay, shift schedules, and perform other job-related tasks with our easy-to-use app Easily find shifts in multiple states based on where you hold a license Plan your retirement with eligibility for IntelyCare's 401k plan Up to 34% in tuition discounts on undergraduate and graduate programs through Excelsior University Training and continuing education through our app at no cost Want to know what it's like to work at IntelyCare — from the perspective of nursing professionals like you? Here's what some of our IntelyPros think about their experience with us: "This job has so much more to offer than a decent pay. The flexibility and large choice of facilities to work for is amazing. I am a single mom and I hated missing out on sports events, holidays, and special moments due to regular schedules. IntelyCare has made it possible for me to enjoy my life, kids, and career." "I love the fact that this is a W2 company! Everyone here is very understanding - they will try to help you in every way they can!" "This job feels unreal sometimes! Being able to make your own schedule is great, but working at different facilities and learning new things every day makes it even better. It helps you increase your skill set in a way that being a FT employee somewhere could never do. I truly feel blessed to be part of this team!" "I love IntelyCare because they listen to your concerns and respond in a timely manner. The staff is very pleasant and understanding. The pay here is unmatched, and the list of facilities is very diverse. I also love the flexibility!" Job Responsibilities Working in post-acute facilities as an LPN Tracking the wellbeing of patients, both physical and mental, and monitoring their vital signs Conducting intakes, documenting health concerns and medical history of residents Administering and properly verifying medications and monitoring their effects Reviewing residents' charts and medical records Assisting with the cultivation of a safe, comfortable facility Maintaining appropriate stocks of medical supplies Participating in IV set up, immunizations, and phlebotomy procedures Helping with the orientation and training of medical staff Qualifications and Skills Current Pennsylvania state license to practice as a Licensed Practical Nurse (LPN) Completion of approved Licensed Practical Nurse (LPN) educational program High school diploma (or GED/equivalent) Completion of approved LPN educational program At least 1 year of experience ( LPN or related role) Ready to Advance Your Career — and Live a Balanced Life? Are you passionate about your nursing career, but want an LPN job that fully supports you? At IntelyCare, we know that a healthy work-life balance is a key reason our team of nurses is ranked #1 in quality. See how you can get access to competitive benefits, true flexibility, and a professionally supportive environment by reaching out to us today. COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Sayre, Pennsylvania 18840
CNA Per Diem
IntelyCare

Certified Nursing Assistant (CNA)

IntelyCare Sayre, PA
$21 - $40 / hour
Get flexible schedules while earning up to $40 per hour as a Certified Nursing Assistant (CNA) in Sayre, PA (and areas nearby). At our nurse-founded company, flexible means that you get to decide when, where, and how frequently you work with your choice of shifts at any of our partnering facilities. But there's more — as a W2 employer we can also offer you employee benefits, career development opportunities, and a supportive team that's dedicated to your success. At IntelyCare, we don't just believe in work-life balance we built an entire company around it. That means a job that lets you make time for weekday softball games with friends at Riverfront Park and your daughter's track meets at Sayre High School. Need a job that can work around your class schedule at Ithaca College? With our approach to scheduling you can do all of that — and so much more. Still not sure if our team is right for you? Learn more about the benefits and perks we offer below and consider taking the next step with us today. Benefits CNA hourly pay: $21 to $40 Enjoy rates that are up to 25% higher on average, with weekly and daily pay options Opportunities for overtime and boosted holiday rates Employer tax withholding each pay period Quickly find shifts in all states where you're authorized to practice Choose the time and place you work, by selecting from a wide range of shifts at any of our partner facilities — including weekday/weekend, day/evening/overnight shifts, and more 401k retirement plan Health, dental, and vision insurance eligibility for you and qualifying family members Upskilling opportunities with a truly dedicated team of quality assurance nursing professionals Undergraduate and graduate tuition discounts — up to 34% — at Excelsior University Malpractice insurance and workers' comp coverage (employer paid) Easily manage your job and access free continuing education courses with our easy-to-use app When you join our team, you'll see firsthand what it's like to have a job that caters to your life. Here are just a few examples of what this has meant for some of our hard-working IntelyPros: "I love working with IntelyCare because the app is so easy to use, and I can do everything from there conveniently. I also get a lot of support from the team — they’re the best!" "IntelyCare is easy to work with, and it allows me to maintain a flexible schedule. Having the freedom to pick up shifts based on my needs feels amazing." "This job has so much more to offer than a decent pay. The flexibility and large choice of facilities to work for is amazing. I am a single mom and I hated missing out on sports events, holidays, and special moments due to regular schedules. IntelyCare has made it possible for me to enjoy my life, kids, and career." "I love IntelyCare! It’s a great company to work for due to all the amazing opportunities it offers. The support team is also great - I always get help when it’s needed. I love seeing how this company is growing and get extremely excited when I meet other IntelyPros at a facility." Job Responsibilities Delivering high quality nursing care in post-acute care facilities Observing the conditions of residents and notifying the nursing team of updates Monitoring and reporting on residents' vital signs Ensuring a clean and safe environment by performing tasks such as sanitizing surfaces and changing linens Assisting residents with personal hygiene, feeding, grooming, and other activities of daily living (ADLs) Repositioning residents and transporting them around the facility as needed Liaising between staff, residents, and family members to support ongoing communication and transparency Engaging with residents on a regular basis and responding to their needs Being accountable to follow and adhere to care plans for residents, and all applicable laws, regulations, and policies Qualifications and Skills Current Pennsylvania Certified Nursing Assistant (CNA) certification Demonstrated knowledge of nursing care procedures and clinical terminology Detail-oriented and able to effectively communicate with medical professionals, residents, and family members Ability to lift a minimum of 50 lbs Enjoy the Work-Life Balance You Deserve As you search for Certified Nursing Assistant (CNA) jobs, this is your chance to join a company that trusts you to manage your own schedule. Gone are the days of missing important life events due to inflexible shifts. Experience true work-life balance by joining the team ranked #1 in quality today. COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Sayre, Pennsylvania 18840