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Registered Nurse (RN) Jobs

Registered Nurse- Vascular Access Team

Children’s Hospital of Philadelphia Philadelphia, PA

$47.15 - $56.72 / hour

SHIFT: Rotating (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview This RN position requires 12 months of previous RN work experience. It is 36 hours a week, FT, rotating Days/Eves/Nights. Mostly 12 hour shifts, 1 week in the graph is 3 eight hour and 1 12 hour shift ,every third weekend. This team prefers RN's with previous ED, VAS or ICU experience. The Clinical Nurse practices at the level of an advanced beginner to expert practitioner of professional nursing in accordance with, and guided by the CHOP Nursing Professional Practice Model. The nurse at this level demonstrates competence in caring for patients and families and progresses to caring for those with the most complex problems/highest acuity in the designated clinical area. Provides age/developmentally appropriate care. Care is delivered through RN leadership for patient care within the framework of family-centered care. The Clinical Nurse adheres to the organizational and nursing department mission, vision, and values. Clinical Nurses practice in accordance with the ANA Code of Ethics; the ANA Standards of Clinical Nursing Practice; practice standards of applicable specialty nursing organizations; and CHOP developed standards of nursing practice. The professional nurse practices within the defined scope of practice designated by the Nurse Practice Acts of Pennsylvania and/or New Jersey, depending on the assigned work site. What you will do Clinical Practice Follows the nursing process to deliver safe, compassionate, and culturally effective care. Gathers and recognizes/synthesizes assessment data to determine the patient/family plan of care, pertinent data to be shared with care team, and tasks to be delegated. Recognizes and/or seeks resources to recognize clinical changes that are indicative of patient deterioration; utilizes the CAT team when appropriate. Collaborates with the patient, family and multidisciplinary team to coordinate all facets of patient care. Develops, implements and/or revises the patient’s plan of care on admission and during the course of the hospitalization. Plans of care are outcomes focused and include goals as well as required interventions. Plans are developed in partnership with the patient, family, and the interdisciplinary care team. Care is coordinated across the continuum – understands and utilizes case management resources. Consistently follows evidence based practice bundles and nursing standards/procedures to provide nursing care that eliminates preventable events of patient harm and promotes excellent patient outcomes. Recognizes and addresses situations which present ethical dilemmas and/or moral distress. Takes steps to actively address the situation. Seeks resources as needed to resolve the situation. Demonstrates competence in teaching patients/families and progresses to an expert educator of patients/families. Evaluates and documents the care provided on each assigned shift. Accountable for the rapid adoption and implementation of clinical practice changes into own practice. Communication Documents the evaluation of nursing interventions and outcomes of nursing care utilizing hospital standards, policies and procedures. Consistently follows safe hand-off practices as defined in patient care standards and procedures. Utilizes and exemplifies safety behaviors for error prevention. 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 RN experience. Required Prior experience in pediatrics or area of specialty 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: $47.15 - $56.72 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.

Telemetry

Per Diem

6 days ago

Registered Nurse - Telemetry - Per Diem

Guthrie Cortland, NY

$39 - $54.12 / hour

Guthrie Cortland Medical Center (GCMC) is searching for a compassionate & skilled Registered Nurse (RN) to provide exceptional care in our Telemetry Unit at our beautiful hospital in Cortland, NY. The position is per diem. Our Telemetry department has been described by our staff as having a safe environment with a dedicated and professional team. Our Telemetry has a low patient ratio, so our staff enjoy having extra the time to spend with their patients while still honing their skills. Department Description: 2S is a telemetry unit that specializes in cardiac, respiratory, wounds and other acute care needs. It is also staffed with RNs and LPNs. Perks of Being an RN @ Guthrie: - $6.00 per hour Shift Differential for Night Shift! - Newly Increased RN Rates for 2024! - Medical and Dental Insurance (effective the 1st of month following date of hire) - Generous Experiential PTO accrual stars Day 1 - 403B Retirement Plan with Company Matching - Friendly, Supportive and Diverse Work Family - Free On-Site Parking - Fantastic Onsite Coffee Shop The Guthrie Clinic has been named one of Becker’s 150 Top Places to Work in Healthcare for 2023. 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: 1. 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. 2. 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. 3. 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. 4. 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. 5. 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. 6. 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. 7. Participates in the planning and presentation of educational programs. 8. 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: 1. Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position. 2. Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff. 3. Ability to use independent, critical judgment in all aspects of patient care delivery. 4. Demonstrated interpersonal skills that convey a positive and supportive attitude. 5. Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations. The pay range for this position is $39.00 - $54.12 per hour plus per diem diff.