NP Full-time
Independence Health System

NURSE PRACTITIONER IV FULL TIME-CARDIOLOGY PRACTICE-LATROBE

Independence Health System Latrobe, PA
Essential Job Functions Manages the physical and psychological problems of the patient. Identifies normal and abnormal findings. Implements an individualized plan of treatment, reassess and revises plan as needed. Evaluates the physical and emotional responses to medications and treatments. Prescribes immunizations per recommended schedules. Seeks appropriate consultation. Communicates effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care. Initiates and maintains the Problem/Medication list at each encounter. Complies with completeness, accuracy, and timeliness of documentation at each encounter. Assesses the patient and facilitates consultation when indicated. Directs patients to appropriate level of care and communicates all pertinent information. Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation. Demonstrates Leadership by utilizing the concepts inherent to the practice of the professional nurse. Demonstrates an ability to solve problems independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate. Delegates patient care appropriately. Maintains accountability for actions taken. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and /or students. Assists in maintaining / decreasing organizational/department costs. Completes all competency requirements annually. Provides for patient safety in compliance with hospital and physician practices policies. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections. Utilizes two forms of patient identification before implementing any form of patient care. Practices all National Patient Safety Goals. Assists in the department's compliance with all regulatory agencies. Participates in continuous survey readiness for inspections and survey's. Participates in the non-punitive medication reporting system. Ensures accountability for narcotics per regulatory/organizational policies. Participates in office fire, safety, utility, hazard, and disaster drills as required. Participates in on-call, weekend coverage, and first assist responsibilities as required. Preferred Qualifications: One (1) year of cardiology experience. Experience with interpreting cardiac imaging and diagnostic testing. Understanding and interpreting ECGs. Experience managing acute and chronic cardiac issues. Including but not limited to acute coronary syndromes, arrhythmias, heart failure, pacemaker/defibrillators. Willingness to train and interest in the Cardiology setting.
NP Full-time
Independence Health System

NURSE PRACTITIONER IV FULL TIME-CARDIOLOGY PRACTICE-WESTMORELAND AREA

Independence Health System Latrobe, PA
Essential Job Functions Manages the physical and psychological problems of the patient. Identifies normal and abnormal findings. Implements an individualized plan of treatment, reassess and revises plan as needed. Evaluates the physical and emotional responses to medications and treatments. Prescribes immunizations per recommended schedules. Seeks appropriate consultation. Communicates effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care. Initiates and maintains the Problem/Medication list at each encounter. Complies with completeness, accuracy, and timeliness of documentation at each encounter. Assesses the patient and facilitates consultation when indicated. Directs patients to appropriate level of care and communicates all pertinent information. Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation. Demonstrates Leadership by utilizing the concepts inherent to the practice of the professional nurse. Demonstrates an ability to solve problems independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate. Delegates patient care appropriately. Maintains accountability for actions taken. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and /or students. Assists in maintaining / decreasing organizational/department costs. Completes all competency requirements annually. Provides for patient safety in compliance with hospital and physician practices policies. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections. Utilizes two forms of patient identification before implementing any form of patient care. Practices all National Patient Safety Goals. Assists in the department's compliance with all regulatory agencies. Participates in continuous survey readiness for inspections and survey's. Participates in the non-punitive medication reporting system. Ensures accountability for narcotics per regulatory/organizational policies. Participates in office fire, safety, utility, hazard, and disaster drills as required. Participates in on-call, weekend coverage, and first assist responsibilities as required. Preferred Qualifications: One (1) year of cardiology experience. Experience with interpreting cardiac imaging and diagnostic testing. Understanding and interpreting ECGs. Experience managing acute and chronic cardiac issues. Including but not limited to acute coronary syndromes, arrhythmias, heart failure, pacemaker/defibrillators. Willingness to train and interest in the Cardiology setting.
LPN Full-time
Independence Health System

LPN SUBSIDIARY - VASCULARY SURGERY BUTLER

Independence Health System Butler, PA
Performs direct patient care activities, such as lab tests, treatments, and medication administration. These are performed under the direction of the Nurse Manager, RN Supervisor, RN and/or physician in preparation for the patient’s examination and treatment. Carries out clinical activities, quality control activities, performance improvement initiatives, etc. in support of the Physician Practice as assigned. Essential Job Functions Delivers direct and indirect patient care in accordance with the LPN Practice Act, hospital and/or physician practice policies, procedures, protocols, and other professional standards of care. Collects patient health care data, including VS, weight, chief complaint and pain assessment focusing on the physical, psychosocial, age, cultural, and spiritual needs of the patient. Involves the patient/family and other health care providers when appropriate. Completes patient care treatments/testing as ordered by the physician. Administers medications/immunizations using appropriate routes and techniques specific to age of the patient. Complies with completeness, accuracy, and timeliness of documentation. Provides education and instruction, within their scope of practice, to patients and families. Assists in assessing the patient’s educational needs and identifying educational barriers. Provides educational material and/or instructions based on assessed needs. Documents all education/instruction provided including topic, individual provided to and understanding. Maintains collaborative relationship with physicians to achieve desired patient outcomes. Prepares patient for examination, treatments, and procedures. Assists the physician with treatments and procedures as requested. Provides for patient safety in compliance with hospital and physician practice policies. Utilize two forms of patient identification before implementing any form of patient care. Labels all patient specimens with identifiers per policy. Uses patient identifiers on all written documentation, including notes and point of care testing results. Assists in compliance with all regulatory agency requirements. Performs quality control testing for all point of care testing per policy. Participates in non-punitive medication reporting. Adheres to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Demonstrates leadership by utilizing the concepts inherent to the practice of the professional nursing. Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate. Maintains accountability for actions taken. Delegates patient care appropriately. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and/or students. Assists in maintaining/decreasing organizational/departmental costs. Assists in the department’s compliance with JCAHO and other regulatory agencies. Participates in continuous survey readiness for inspections and surveys. Coordinates communications between patient/families and physician practice, pharmacies, specialists, and insurance carriers. Provides advice based on protocols and physician instructions and directs patients to the appropriate level of care. Facilitates patients access to prescription refills based on physician’s order. Obtains prior authorization and/or assists with indigent programs per physician order based on the patient’s financial status or insurance coverage. Supports performance improvement initiatives with the physician practice Assists in data collection as directed by the manager/physician. Incorporates into practice performance improvement initiatives that have been implemented. Maintains the environment of care. Ensures that supplies in patient care areas are replenished daily. Consistently maintains a clean safe environment. Performs POC testing as ordered by the physician. Completes all quality control testing per policy. Identifies results that are out of acceptable range and follows up prior to performing patient testing. Uses two patient identifiers, name and DOB, prior to testing. Accurately records patient test results on appropriate result form and testing log. Prepares forms, copies records, and responds to request per policies and procedures. Assists in maintaining the patients’ medical record to facilitate filing and retrieval of information. Participates in all other office functions as necessary. Performs other duties as required. Required Qualifications Graduate of an accredited School of Practical Nursing Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications Previous LPN experience. License, Certification & Clearances Current licensure to practice as a Licensed Practical Nurse in the State of Pennsylvania Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). LEAN Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Independence's missions, vision and values. AAP/EEO Independence Health is an Equal Opportunity Employer. It is the policy of Independence Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Independence Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat X Extreme Cold X Heights X Confined Spaces X Extreme Noise(>85dB) X X Mechanical Hazards X Use of Vibrating Tools X Operates Vehicle (company) X Operates Heavy Equipment X Use of Lifting/Transfer Devices X Rotates All Shifts X 20# 8 Hours Shifts X X 10-12 Hours Shifts X X On-Call X Overtime(+8/hrs/shift; 40/hrs/wk) X X Travel Between Sites X X Direct Patient Care X X Respirator Protective Equipment X X Eye Protection X X Head Protection (hard hat) X Hearing Protection X X Hand Protection X X Feet, Toe Protection X X Body Protection X X Latex Exposure X X Solvent Exposure X X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure X X Chemicals (direct use) Exposure X Mist Exposure X X Wax Stripper (direct use) X Non-Ionizing Radiation Exposure X Ionizing Radiation Exposure X Laser Exposure X Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) X X Sitting X X Walking X X Climbing Stairs X Climbing Ladders X Standing X X Kneeling X X Squatting (Crouching) X X Twisting/Turning X X Keyboard/Computer Operation X X Gross Grasp X X Fine Finger Manipulation X X Hand/Arm Coordination X X Pushing/Pulling (lbs of force) X 20# Carry 20# Transfer/Push/Pull Patients X X Seeing Near w/Acuity X X Feeling (Sensation) X X Color Vision X X Hearing Clearly X X Pulling/Pushing Objects Overhead X X Reaching Above Shoulder Level X X Reaching Forward X X Lifting Floor to Knuckle X 20# Lifting Seat Pan to Knuckle X 20# Lifting Knuckle to Shoulder X 20# Lifting Shoulder to Overhead X 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required
RN Wound Care Full-time
Independence Health System

REGISTERED NURSE - CLARION WOUND CARE CTR

Independence Health System Clarion, PA
The Registered Nurse has the primary responsibility of assessing, planning, implementing, and evaluating the care of the patients for whom she/he assumes responsibility under the direction of the Nurse Manager and Charge Nurse. Demonstrates commitment to Clarion Hospital mission statement, vision statement and values. Essential Functions An integral function of the staff nurse is patient teaching to promote positive health outcomes. Acts as a preceptor to all staff and students and is responsible for orientation of assigned staff. Maintains position specific skills and competencies as required on annual basis. Maintains CEU’s appropriate to discipline in order to maintain clinical competency. Functions as a patient advocate through education to the patient and family including health promotion. Responds to patient care needs on a timely fashion, including, but not limited to call bell response, verbal requests, and bed exit alarms. Maintains adherence to patient rights. Administers prescribed treatments, medications, therapies within the scope of practice. Participates in nursing and hospital committees as appropriate. Attends at least 70% of department staff meetings. Demonstrates strong customer service skills, and professional behavior when dealing with all individuals and groups, both internally and externally. Demonstrates respect and communication skills when interacting with all individuals and groups, both internally and externally. Assesses the patient’s physical and psychosocial condition on an ongoing basis throughout the continuum of care. Develops a plan of patient care reflecting significant nursing diagnoses and interventions to achieve desired patient outcomes, involving the patient/family and healthcare team in this process. Plans, coordinates and implements patient’s plan of care in collaboration with the multidisciplinary team. Evaluates patient outcomes, effectiveness of plans of care, and readiness for discharge. Revises as needed, and makes referrals when indicated. Utilizes manual and automated information systems to improve patient safety. Act as a liaison in coordinating patient care activities with nurses, physicians and allied health professionals. Communicates patient’s plan of care to all multidisciplinary team members and to the patient, family and significant others. Provides education as indicated after assessing the learning needs of the patient and family. Demonstrates cost effectiveness by using supplies judiciously, anticipating needs for special supplies and equipment, and making recommendations for change. Complies with established personal protective equipment requirements necessary for protection against exposure to blood and other potentially infectious body fluids, chemical disinfectants, radiation, antineoplastic/cylotoxic agents and other hazardous substances. In some specialized areas the RN, maintains total care of the patient including but not limited to, connecting, monitoring and interpreting electronic displays, responding to emergencies by initiating life saving actions including advanced cardiac life support (ACLS) protocols. Performs other duties as assigned. Agrees to comply with the Corporate Compliance Policy and all laws, rules, regulations, and standards of conduct relating to the position and has a duty to report any suspected violations of the law or the standards of conduct to his or her immediate supervisor, the Compliance Officer or the Chief Executive Officer. The intent of this job description is to provide a representative summary of the major duties and responsibilities performed with or without reasonable accommodations by incumbents of responsibilities other than those specifically presented in this description. Reporting Relationships Reports to: Nurse Manager, Charge Nurse Supervises: GN, LPN, Nursing Assistant, Unit Secretary, Nurse Externs and Technicians. Qualifications: Graduate of a State Board approved program of professional nursing. Holds a current Pennsylvania State License as a registered nurse. Certified in basic CPR. Certified in ACLS, PALS, and neonatal resuscitation as appropriate.
NP Psych Full-time
Independence Health System

NURSE PRACTITIONER IV- BEHAVIORAL HEALTH

Independence Health System Greensburg, PA
Essential Job Functions Manages the physical and psychological problems of the patient. Identifies normal and abnormal findings. Implements an individualized plan of treatment, reassess and revises plan as needed. Evaluates the physical and emotional responses to medications and treatments. Prescribes immunizations per recommended schedules. Seeks appropriate consultation. Communicates effectively with the physician and other healthcare providers to achieve desired outcomes and assure a continuous flow of patient care. Initiates and maintains the Problem/Medication list at each encounter. Complies with completeness, accuracy, and timeliness of documentation at each encounter. Assesses the patient and facilitates consultation when indicated. Directs patients to appropriate level of care and communicates all pertinent information. Assists in identifying and utilizing resources and/or social agencies for further treatment or rehabilitation. Demonstrates Leadership by utilizing the concepts inherent to the practice of the professional nurse. Demonstrates an ability to solve problems independently utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate. Delegates patient care appropriately. Maintains accountability for actions taken. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and /or students. Assists in maintaining / decreasing organizational/department costs. Completes all competency requirements annually. Provides for patient safety in compliance with hospital and physician practices policies. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections. Utilizes two forms of patient identification before implementing any form of patient care. Practices all National Patient Safety Goals. Assists in the department's compliance with all regulatory agencies. Participates in continuous survey readiness for inspections and survey's. Participates in the non-punitive medication reporting system. Ensures accountability for narcotics per regulatory/organizational policies. Participates in office fire, safety, utility, hazard, and disaster drills as required. Participates in on-call, weekend coverage, and first assist responsibilities as required. Specialty Job Functions Please see specialty specific Addendum. Required Qualifications The successful completion of an approved nurse practitioner program. Bachelor’s Degree in Nursing. Strong leadership ability, good organizational skills, independent thinking and decision-making ability, analytical problem solving skills, sound judgment, excellent oral and written communication skills, must be able to function in a team environment, and knowledge of legal aspects and liability of nursing practice. Demonstrate the skills necessary to provide care and appropriately treat patients. Provide the care needs as described in the department policy and procedures. Preferred Qualifications Master’s Degree in Nursing preferred. Professional nursing experience and/or nurse practitioner experience preferred. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania. Licensed as a Certified Registered Nurse Practitioner (CRNP) with prescriptive authority certified by a national certifying board accepted by Excela Health. Current DEA registration. Current Basic Life Support (BLS) required. PA Act 153 Clearance. Supervisory Responsibilities This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Regular, consistent, on-site and timely attendance. Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Excela Health locations. LEAN Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Excela’s missions, vision and values. AAP/EEO Excela Health is an Equal Opportunity Employer. It is the policy of Excela Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Excela Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat X Extreme Cold X Heights X Confined Spaces X Extreme Noise(>85dB) X Mechanical Hazards X Use of Vibrating Tools X Operates Vehicle X Operates Heavy Equipment X Use of Lifting/Transfer Devices X X Rotates All Shifts X X 8 Hours Shifts X X 10-12 Hours Shifts X X On-Call X X Overtime(+8/hrs/shift; 40/hrs/wk) X X Travel Between Sites X Direct Patient Care X X Respirator Protective Equipment X X Eye Protection X X Head Protection (hard hat) X Hearing Protection X Hand Protection X X Feet, Toe Protection X Body Protection X X Latex Exposure X X Solvent Exposure X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure X X Chemicals (direct use) Exposure X X Mist Exposure X Wax Stripper (direct use) X Non-Ionizing Radiation Exposure X Ionizing Radiation Exposure X Laser Exposure X Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) X X Sitting X X Walking X X Climbing Stairs X X Climbing Ladders X Standing X X Kneeling X X Squatting (Crouching) X X Twisting/Turning X X Keyboard/Computer Operation X X Gross Grasp X X Fine Finger Manipulation X X Hand/Arm Coordination X X Pushing/Pulling(lbs. of force) X 10# 50# Carry X 25# Transfer/Push/Pull Patients X X Seeing Near w/Acuity X X Feeling (Sensation) X X Color Vision X X Hearing Clearly X X Pulling/Pushing Objects Overhead X X Reaching Above Shoulder Level X X Reaching Forward X X Lifting Floor to Knuckle X 10# Lifting Seat Pan to Knuckle X 50# Lifting Knuckle to Shoulder X 20# Lifting Shoulder to Overhead X 10#
RN Full-time
Independence Health System

REGISTERED NURSE RN - MICU

Independence Health System Butler, PA
Day/Night Rotation, Shifts: 7a-730p, 7p-730a Reports to : Clinical Supervisor, ICU Position Supervises : N/A Job Summary : Responsible for providing direct nursing care to assigned patients in the Intensive Care Unit. Provides intensive nursing care to acutely ill medical and/or surgical inpatients. The Registered Nurse’s responsibilities include, but are not limited to, performance improvement initiatives, utilization of the nursing process in the provision of care, communication skills, flexibility, quality improvement activities, and professional growth. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing, CCRN Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, ACLS within one year of hire/transfer, and Act 33/73 clearances Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Prior med-surg experience and arrhythmia interpretation. Critical Care experience, including but not limited to: IABP, IV insertion, care of the ventilator patient, ABG’s, Swan Ganz, Arterial Lines, care of the post open heart patient, and care of the patient requiring CRRT, ACLS, and PALS. Other Requirements : Comprehensive Crisis Management per policy, participation in the Rapid Response Team and the Cardiac Arrest Team as assigned. Status : Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling ● Standing* - Remaining on one's feet in an upright position remaining stationary - FREQUENT ● Walking* - Remaining upright on one's feet, and moving about - FREQUENT ● Sitting* - Body remains in a seated position - OCCASIONAL ● Stooping* - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL ● Bending* - To flex the upper body forward - FREQUENT ● Twisting* - To rotate the upper body forward - FREQUENT ● Climbing* - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL ● Ladders* - To ascend and descend ladders - N/A ● Stairs* - To ascend and descend stairs - OCCASIONAL ● Kneeling* - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL ● Squatting* - To move the body downwards by bending both knees - OCCASIONAL ● Crouching* - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL ● Crawling* - To move the body forward or backwards on hands and knees - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT ● Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT ● Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT ● Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time - CONSTANT ● Repetitive Lower Extremity Use* - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling ● Pushing* - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person ● FREQUENT ● Up to 20# ● Pulling* - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person ● OCCASIONAL ● 20# - 50# ● Lift* - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift* - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift* - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions - FREQUENT ● Working with hands in water* - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift)* - FREQUENT ● Working with bloodborne pathogens* - FREQUENT Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: ● Sedentary to Light - CONSTANT ● Medium - OCCASIONAL ● Heavy to Very Heavy - N/A
CRNA Full-time
Independence Health System

CRNA - LATROBE

Independence Health System Greensburg, PA
Provides safe and quality anesthesia within the scope of practice and maintains clinical privileges as approved by the Medical Staff Office. Core Essential Functions: Regular, consistent, on-site, and timely attendance. Patient Assessments/Patient Care Will make a pre-operative and post-operative assessment of the patient scheduled for surgery and will document their findings on the anesthesia record. Will reassess the patient immediately pre-op and will assess any lab values, related testing, assure all consents are correct, and assure all consultations are present. Identification of the patient will occur in the OR suite by the circulator, surgeon, and CRNA before anesthesia is given. A TIME OUT will occur before the procedure is started. Will induce and maintain acceptable levels of anesthesia for each patient. Will provide continuous monitoring of the patient's status and will adjust the anesthetic plan as needed. Will minimize the risk of infection for their patients. Interpret data about the patient's status in order to provide individualized patient care. Equipment Knowledge/Process Knowledge Uses time and equipment efficiently and effectively. Check all equipment to be used in the administration of the anesthetic to be sure it is in safe working order. Any malfunctioning equipment will be marked, the Chief CRNA or Chief Anesthesiologist will be notified, and the equipment will be taken out of service until the problem is corrected. Professionalism Accept responsibility as a clinical instructor for students. Immediately report any observations of abnormalities or questionable conditions to the MDA and the surgeon. Support the mission and standards of the hospital and Anesthesia Department. Demonstrate knowledge of the principles of growth and development over the life span and the skills necessary to provide care appropriate to the age of the patients served. Maintain a positive attitude as well as promote an atmosphere of professionalism to maintain integrity of the department and provide a positive role model for the registered nurse anesthetist students. Participate in the continual process of self-evaluation and will strive for excellence in their anesthesia area. Respect and maintain the basic rights of their patients while demonstrating concern during the delivery of anesthesia for personal dignity and human relationships. “Ability to perform the Essential Functions on the Physical Conditions chart; and the ability to perform the Essential Functions on the Working Conditions chart (see chart below)” The above job descriptive information is intended to describe the general nature and level of work being performed by individuals assigned to this job. This is not intended to be an exhaustive list of all duties and responsibilities, as an employee may be assigned other duties other than described in this document. Specialty Essential Functions: Performs and documents pre-anesthetic assessment and evaluation of the patient, including all appropriate lab values, diagnostic studies and preanesthesia clinical history. Demonstrates ability to administer all types of anesthesia, including general, regional, local and minimal, moderate and deep sedation. Selects, applies, and inserts appropriate non-invasive and invasive monitoring modalities for continuous evaluation of the patient's physical status. Display's ability to intubate most patients with ease, manages the patient's airway and pulmonary status through the perioperative process. Performs smooth patient emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthesia side effects. Responds to emergency situations by providing airway management, administration of emergency fluids and drugs, and using basic or advanced cardiac life support techniques. Maintains compliance with all billing, documentation, and policies and procedures as required by payers, credentialing bodies, and facility. Reports any known violations to management whether such violations are intentional or not. Immediately addresses any breech or threat that may jeopardize safe patient care. Provides and maintains a safe professional work environment and immediately reports to the hospital any situation that may constitute a violations of this principle. Participates in meetings as needed. Participates on appropriate hospital committees Marginal Functions: Defined as duties that are not essential in nature and do not take a considerable amount of time to complete (less than 10%). Performs other duties as required. Required Skills and Knowledge: Minimum level of education, skills and abilities necessary in performing the job. Education: Graduate of an approved school of nursing. Graduate of an AANA approved school of anesthesia. Certification / Licensure / Regulation: Current licensure to practice in the State of Pennsylvania Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program. Current PALS or completion within 1 year of hire/transfer date into department. Current ACLS or completion within 1 year of hire/transfer date into department. Actively practicing CRNA with maintenance of continuing education credits necessary for re-certification. Compliance with state regulations regarding advanced practice of nursing in anesthesia. PA Act 153 Clearances (Act 34-PA Criminal Record Check from the PA State Police system, Act 33-PA Child Abuse History obtained through the Department of Public Welfare, Act 73-FBI Fingerprint screening) Prior Experience: None Other Skills and Abilities: Able to perform safely in emergency situations. Demonstrates ability to perform a thorough assessment of their patient. Demonstrates knowledge in anesthetic drugs and equipment. Demonstrates good sound clinical skills in daily care. Demonstrates working knowledge of: Anesthesia machines, Cardiac monitors, Capnography, ETCO2 monitors, Peripheral Nerve Stimulators, IV infusion pumps, Airway tools (Laryngoscope, Eschman, GlideScope, and LMA’s), Bair Huggers, and Fluid Warmers, and other applicable anesthesia equipment. Preferred Factor: These are job related enhancements that are preferred or would benefit the performance outcome of the job but are not essential or required for the job to exist. Masters of Science, or Masters of Health Science, or DNP, or DNaP The above job descriptive information is intended to describe the general nature and level of work being performed by individuals assigned to this job. This is not intended to be an exhaustive list of all duties and responsibilities, as an employee may be assigned other duties other than described in this document. Essential Working Conditions: Constantly = (5 1/2 to 8 hours or more) or 200 reps/shift Occasionally = (1/4 to 2 1/2 hours) or 2 - 32 reps/shift Frequently = (2 1/2 to 5 1/2 hours or more) or 32 - 200 reps/shift Rarely = (Less than 1/4 hours) or < 2 reps/shift Sedentary Work - Exerting up to 10 pounds of force occasionally. Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force occasionally. Heavy Work - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly. Very Heavy Work - Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds or force frequently, and/or in excess of 20 pounds of force constantly to move objects. Working Conditions: Never Extreme Cold Extreme Heat Heights Confined Spaces-Cramped Quarters (Labeled) Extreme Noise (> 85 dB) Mechanical Hazards Use of Vibrating Tools Operates Heavy Equipment Overtime (more than 8 hrs. /shift, 40 hours/week) Rarely Travels between operating sites Use of Lifting/Transfer Devices Occasionally Rotates all shifts Operates Vehicle Frequently 8 hour shifts 10 - 12 hour shifts On Call Direct Patient Care Work Classification Essential Direct Patient Care On Call Travels between operating sites 10 - 12 hour shifts 8 hour shifts Rotates all shifts Operates Vehicle Protective Equipment: Never Head (hard hat) Hearing Occasionally Respirator-Breathing Equipment Frequently Eye Feet, Toes Body Constantly Hands Essential Hands Eye Respirator-Breathing Equipment Body Feet, Toes Occupational Exposures: Never Solvents Paints (direct use of) Dust (Sanding) Ethylene Oxide Cytotoxic Drugs (Chemo) Chemicals (direct use of) Mists Wax Stripper (direct use of) Ionizing Radiation Rarely Lasers Occasionally Radiation Frequently Blood and Body Fluids Constantly Latex (Rubber, erasers, balloons, gloves, rubber bands, etc.) Essential Lasers Blood and Body Fluids Marginal Radiation Latex (Rubber, erasers, balloons, gloves, rubber bands, etc.) Essential Physical Conditions: Marginal Frequently = (2 1/2 to 5 1/2 hours or more) or 32 - 200 reps/shift Essential Occasionally = (1/4 to 2 1/2 hours) or 2 - 32 reps/shift Constantly = (5 1/2 to 8 hours or more) or 200 reps/shift Rarely = (Less than 1/4 hours) or < 2 reps/shift Physical Demands: Never Climbing Ladders Rarely Kneeling Squatting (Crouching) Climbing Stairs Use of Forceful Hand Grasp Occasionally Pushing / Pulling Bending (Stooping) Frequently Sitting Walking Keyboard/Computer Operation Standing Hand / Arm Coordination Fine Finger Manipulation Transfer/Push/Pull patients Essential Transfer/Push/Pull patients Fine Finger Manipulation Use of Forceful Hand Grasp Hand / Arm Coordination Pushing / Pulling Standing Keyboard/Computer Operation Walking Sitting Bending (Stooping) Marginal Climbing Stairs Squatting (Crouching) Kneeling Sensory Requirements: Occasionally Feeling (Sensation) Frequently Seeing Near-with Acuity Color Vision Hearing Clearly Essential Hearing Clearly Color Vision Seeing Near-with Acuity Feeling (Sensation) Over Shoulder Work: Rarely Pulling or Pushing Objects Overhead Occasionally Reaching Above Shoulder Level Essential Reaching Above Shoulder Level Pulling or Pushing Objects Overhead Lifting: floor to standing position: Never 20 - 29 pounds 30 - 49 pounds 50 pounds > 50 pounds Occasionally 10 - 19 pounds Essential 10 - 19 pounds Lifting: waist to shoulder level: Never 20 - 29 pounds 30 - 49 pounds 50 pounds > 50 pounds Rarely 10 - 19 pounds Essential 10 - 19 pounds Lifting: shoulder to overhead: Never 10 - 19 pounds 20 - 29 pounds 30 - 49 pounds 50 pounds > 50 pounds
CRNA Full-time
Independence Health System

CRNA - LATROBE

Independence Health System Greensburg, PA
Provides safe and quality anesthesia within the scope of practice and maintains clinical privileges as approved by the Medical Staff Office. Core Essential Functions: Regular, consistent, on-site, and timely attendance. Patient Assessments/Patient Care Will make a pre-operative and post-operative assessment of the patient scheduled for surgery and will document their findings on the anesthesia record. Will reassess the patient immediately pre-op and will assess any lab values, related testing, assure all consents are correct, and assure all consultations are present. Identification of the patient will occur in the OR suite by the circulator, surgeon, and CRNA before anesthesia is given. A TIME OUT will occur before the procedure is started. Will induce and maintain acceptable levels of anesthesia for each patient. Will provide continuous monitoring of the patient's status and will adjust the anesthetic plan as needed. Will minimize the risk of infection for their patients. Interpret data about the patient's status in order to provide individualized patient care. Equipment Knowledge/Process Knowledge Uses time and equipment efficiently and effectively. Check all equipment to be used in the administration of the anesthetic to be sure it is in safe working order. Any malfunctioning equipment will be marked, the Chief CRNA or Chief Anesthesiologist will be notified, and the equipment will be taken out of service until the problem is corrected. Professionalism Accept responsibility as a clinical instructor for students. Immediately report any observations of abnormalities or questionable conditions to the MDA and the surgeon. Support the mission and standards of the hospital and Anesthesia Department. Demonstrate knowledge of the principles of growth and development over the life span and the skills necessary to provide care appropriate to the age of the patients served. Maintain a positive attitude as well as promote an atmosphere of professionalism to maintain integrity of the department and provide a positive role model for the registered nurse anesthetist students. Participate in the continual process of self-evaluation and will strive for excellence in their anesthesia area. Respect and maintain the basic rights of their patients while demonstrating concern during the delivery of anesthesia for personal dignity and human relationships. “Ability to perform the Essential Functions on the Physical Conditions chart; and the ability to perform the Essential Functions on the Working Conditions chart (see chart below)” The above job descriptive information is intended to describe the general nature and level of work being performed by individuals assigned to this job. This is not intended to be an exhaustive list of all duties and responsibilities, as an employee may be assigned other duties other than described in this document. Specialty Essential Functions: Performs and documents pre-anesthetic assessment and evaluation of the patient, including all appropriate lab values, diagnostic studies and preanesthesia clinical history. Demonstrates ability to administer all types of anesthesia, including general, regional, local and minimal, moderate and deep sedation. Selects, applies, and inserts appropriate non-invasive and invasive monitoring modalities for continuous evaluation of the patient's physical status. Display's ability to intubate most patients with ease, manages the patient's airway and pulmonary status through the perioperative process. Performs smooth patient emergence and recovery from anesthesia by maintaining homeostasis, providing relief from pain and anesthesia side effects. Responds to emergency situations by providing airway management, administration of emergency fluids and drugs, and using basic or advanced cardiac life support techniques. Maintains compliance with all billing, documentation, and policies and procedures as required by payers, credentialing bodies, and facility. Reports any known violations to management whether such violations are intentional or not. Immediately addresses any breech or threat that may jeopardize safe patient care. Provides and maintains a safe professional work environment and immediately reports to the hospital any situation that may constitute a violations of this principle. Participates in meetings as needed. Participates on appropriate hospital committees Marginal Functions: Defined as duties that are not essential in nature and do not take a considerable amount of time to complete (less than 10%). Performs other duties as required. Required Skills and Knowledge: Minimum level of education, skills and abilities necessary in performing the job. Education: Graduate of an approved school of nursing. Graduate of an AANA approved school of anesthesia. Certification / Licensure / Regulation: Current licensure to practice in the State of Pennsylvania Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program. Current PALS or completion within 1 year of hire/transfer date into department. Current ACLS or completion within 1 year of hire/transfer date into department. Actively practicing CRNA with maintenance of continuing education credits necessary for re-certification. Compliance with state regulations regarding advanced practice of nursing in anesthesia. PA Act 153 Clearances (Act 34-PA Criminal Record Check from the PA State Police system, Act 33-PA Child Abuse History obtained through the Department of Public Welfare, Act 73-FBI Fingerprint screening) Prior Experience: None Other Skills and Abilities: Able to perform safely in emergency situations. Demonstrates ability to perform a thorough assessment of their patient. Demonstrates knowledge in anesthetic drugs and equipment. Demonstrates good sound clinical skills in daily care. Demonstrates working knowledge of: Anesthesia machines, Cardiac monitors, Capnography, ETCO2 monitors, Peripheral Nerve Stimulators, IV infusion pumps, Airway tools (Laryngoscope, Eschman, GlideScope, and LMA’s), Bair Huggers, and Fluid Warmers, and other applicable anesthesia equipment. Preferred Factor: These are job related enhancements that are preferred or would benefit the performance outcome of the job but are not essential or required for the job to exist. Masters of Science, or Masters of Health Science, or DNP, or DNaP The above job descriptive information is intended to describe the general nature and level of work being performed by individuals assigned to this job. This is not intended to be an exhaustive list of all duties and responsibilities, as an employee may be assigned other duties other than described in this document. Essential Working Conditions: Constantly = (5 1/2 to 8 hours or more) or 200 reps/shift Occasionally = (1/4 to 2 1/2 hours) or 2 - 32 reps/shift Frequently = (2 1/2 to 5 1/2 hours or more) or 32 - 200 reps/shift Rarely = (Less than 1/4 hours) or < 2 reps/shift Sedentary Work - Exerting up to 10 pounds of force occasionally. Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force occasionally. Heavy Work - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly. Very Heavy Work - Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds or force frequently, and/or in excess of 20 pounds of force constantly to move objects. Working Conditions: Never Extreme Cold Extreme Heat Heights Confined Spaces-Cramped Quarters (Labeled) Extreme Noise (> 85 dB) Mechanical Hazards Use of Vibrating Tools Operates Heavy Equipment Overtime (more than 8 hrs. /shift, 40 hours/week) Rarely Travels between operating sites Use of Lifting/Transfer Devices Occasionally Rotates all shifts Operates Vehicle Frequently 8 hour shifts 10 - 12 hour shifts On Call Direct Patient Care Work Classification Essential Direct Patient Care On Call Travels between operating sites 10 - 12 hour shifts 8 hour shifts Rotates all shifts Operates Vehicle Protective Equipment: Never Head (hard hat) Hearing Occasionally Respirator-Breathing Equipment Frequently Eye Feet, Toes Body Constantly Hands Essential Hands Eye Respirator-Breathing Equipment Body Feet, Toes Occupational Exposures: Never Solvents Paints (direct use of) Dust (Sanding) Ethylene Oxide Cytotoxic Drugs (Chemo) Chemicals (direct use of) Mists Wax Stripper (direct use of) Ionizing Radiation Rarely Lasers Occasionally Radiation Frequently Blood and Body Fluids Constantly Latex (Rubber, erasers, balloons, gloves, rubber bands, etc.) Essential Lasers Blood and Body Fluids Marginal Radiation Latex (Rubber, erasers, balloons, gloves, rubber bands, etc.) Essential Physical Conditions: Marginal Frequently = (2 1/2 to 5 1/2 hours or more) or 32 - 200 reps/shift Essential Occasionally = (1/4 to 2 1/2 hours) or 2 - 32 reps/shift Constantly = (5 1/2 to 8 hours or more) or 200 reps/shift Rarely = (Less than 1/4 hours) or < 2 reps/shift Physical Demands: Never Climbing Ladders Rarely Kneeling Squatting (Crouching) Climbing Stairs Use of Forceful Hand Grasp Occasionally Pushing / Pulling Bending (Stooping) Frequently Sitting Walking Keyboard/Computer Operation Standing Hand / Arm Coordination Fine Finger Manipulation Transfer/Push/Pull patients Essential Transfer/Push/Pull patients Fine Finger Manipulation Use of Forceful Hand Grasp Hand / Arm Coordination Pushing / Pulling Standing Keyboard/Computer Operation Walking Sitting Bending (Stooping) Marginal Climbing Stairs Squatting (Crouching) Kneeling Sensory Requirements: Occasionally Feeling (Sensation) Frequently Seeing Near-with Acuity Color Vision Hearing Clearly Essential Hearing Clearly Color Vision Seeing Near-with Acuity Feeling (Sensation) Over Shoulder Work: Rarely Pulling or Pushing Objects Overhead Occasionally Reaching Above Shoulder Level Essential Reaching Above Shoulder Level Pulling or Pushing Objects Overhead Lifting: floor to standing position: Never 20 - 29 pounds 30 - 49 pounds 50 pounds > 50 pounds Occasionally 10 - 19 pounds Essential 10 - 19 pounds Lifting: waist to shoulder level: Never 20 - 29 pounds 30 - 49 pounds 50 pounds > 50 pounds Rarely 10 - 19 pounds Essential 10 - 19 pounds Lifting: shoulder to overhead: Never 10 - 19 pounds 20 - 29 pounds 30 - 49 pounds 50 pounds > 50 pounds
RN OR Per Diem
Independence Health System

RN PERIOPERATIVE CASUAL

Independence Health System Clarion, PA
PACU Nurse Skills and Qualifications Excellent Communication and interpersonal skills Comfortable working in a high pressure environment. Good eye for detail while monitoring patients. Ability to quickly notify medical personnel regarding abnormal side effects or changes in patients condition. Proficiency with hospital management systems, such as Meditech Expanse. PACU Nurse duties, and responsibilities Observing patients, for side effects of anesthesia. Monitoring, and recording patient vital signs Monitoring patient's level of consciousness throughout sedation recovery. Performing post-operative tasks, such as administering medication or changing dressings. Checking and updating patient files, charts, and medical records. Collaborating with surgeons, anesthesiologists, physicians, and other members of patients care team. Providing comfort, and answering questions when patients wake from sedation Educating patients, and families regarding post-surgery care at home. Qualifications Graduate of a State board approved program of Professional nursing. Holds a current Pennsylvania State License as a Registered Nurse. Critical Care experience preferred. Certified in basic CPR, ACLS, and PALS. Maintains position specific skills, and competencies as required on annual basis. Maintains CEU's appropriates to discipline in order to maintain Licensure.
RN Telemetry Full-time
Independence Health System

REGISTERED NURSE RN - 5 MAIN - TELEMETRY

Independence Health System Butler, PA
DAY/NIGHT ROTATION Hours: 7a-730p, 7p-730a Job Summary : Responsible for providing direct care on 5 Main, which is a Medical/ Surgical/Cardiovascular Telemetry unit that provides acute nursing care to patients requiring telemetry monitoring. The Registered Nurse's responsibilities include but are not limited to utilization of the nursing process in the provision of care, excellent customer service skills and communication skills, flexibility, quality improvement activities and professional growth for the following patient population: 1. Post-operative cardiothoracic surgical patients that are hemodynamically stable 2. Surgical patients requiring post-operative cardiac monitoring 3. Patients with coronary artery disease awaiting open heart surgery. 4. Patients with angina pectoris with and without cardiac interventions. 5. Patients with diagnosis of heart failure requiring cardiac monitoring. 6. Neuro medical requiring cardiac monitoring. 7. Medical surgical overflow not requiring cardiac monitoring. 8. Patients with concurrent mental health needs. The Registered Nurse will support the patients and families physical and emotional health. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing. Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, ACLS completed within one year of hire/transfer. Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Clinical experience evident within the past 3 years or completion of refresher course within the last year. Other Requirements : Comprehensive Crisis Management per policy. Status: Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling ● Standing* - Remaining on one's feet in an upright position remaining stationary - FREQUENT ● Walking* - Remaining upright on one's feet, and moving about - CONSTANT ● Sitting* - Body remains in a seated position - OCCASIONAL ● Stooping* - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL ● Bending* - To flex the upper body forward - FREQUENT ● Twisting* - To rotate the upper body forward - FREQUENT ● Climbing* - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL ● Ladders - To ascend and descend ladders - N/A ● Stairs* - To ascend and descend stairs - OCCASIONAL ● Kneeling* - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL ● Squatting* - To move the body downwards by bending both knees - OCCASIONAL ● Crouching* - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL ● Crawling* - To move the body forward or backwards on hands and knees - OCCASIONAL ● Reaching Horizontal* - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead* - To extend the arms and hands up and out over shoulder height - FREQUENT ● Grasping* - Using functional gripping of the hand to handle an object - FREQUENT ● Finger Manipulation* - To manipulate objects with the use of fingers - CONSTANT ● Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT ● Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT ● Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time - CONSTANT ● Repetitive Lower Extremity Use * - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling ● Pushing * - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person ● OCCASIONAL ● 20# - 50# ● Pulling * - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person ● OCCASIONAL ● 20# - 50# ● Lift * - Floor to Waist ● OCCASIONAL ● 20# - 50# ● Lift * - Waist to shoulder ● FREQUENT ● Up to 20# ● Lift * - Shoulder to overhead ● FREQUENT ● Up to 20# ● Carrying * - To transport an object or article using the arms or hands (> 10 feet) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASIONAL ● Constant interruptions * - FREQUENT ● Working with hands in water * - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) * - OCCASIONAL ● Working with bloodborne pathogens * - OCCASIONAL Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: ● Sedentary to Light * - CONSTANT ● Medium - N/A ● Heavy to Very Heavy - N/A
RN ER Per Diem
Independence Health System

REGISTERED NURSE RN - EMERGENCY DEPARTMENT - CASUAL

Independence Health System Butler, PA
Job Summary : Responsible for providing, coordinating and directing nursing care to assigned patients in the assigned nursing unit. The Registered Nurse’s responsibilities include, but are not limited to, utilization of the Nursing process in the provision of patient care, communicating with all members of the health care team to assure patient goals are established and met in a timely manner, and participation in quality improvement activities. The Registered Nurse is responsible for professional growth and providing excellent customer service, while supporting the physical and emotional needs of the patients and their family members. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, and Act 33/73 clearances. ACLS required within two years of hire/transfer if taking assignments in critical care or telemetry patient care units. Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Previous experience working in an acute care facility, Basic arrhythmia, telemetry experience. Other Requirements : Comprehensive Crisis Management per policy. Status : Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling ● Standing * - Remaining on one's feet in an upright position remaining stationary. - FREQUENT ● Walking * - Remaining upright on one's feet, and moving about. - CONSTANT ● Sitting - Body remains in a seated position. - OCCASIONAL ● Stooping * - To bend the body downward and forward by bending the spine at the waist. - OCCASIONAL ● Bending * - To flex the upper body forward. - FREQUENT ● Twisting * - To rotate the upper body forward. - FREQUENT ● Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders. - OCCASIONAL ● Ladders - To ascend and descend ladders. - N/A ● Stairs * - To ascend and descend stairs. - OCCASIONAL ● Kneeling - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL ● Squatting * - To move the body downwards by bending both knees. - OCCASIONAL ● Crouching - To bend the body forward and downward by bending the spine and the legs. - OCCASIONAL ● Crawling - To move the body forward or backwards on hands and knees. - N/A ● Reaching Horizontal * - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead * - To extend the arms and hands up and out over shoulder height. - FREQUENT ● Grasping * - Using functional gripping of the hand to handle an object. - FREQUENT ● Finger Manipulation * - To manipulate objects with the use of fingers. - CONSTANT ● Seeing * - Using visual feedback to accomplish a task or activity. - CONSTANT ● Hearing * - Using sound feedback to accomplish a task or activity - CONSTANT ● Repetitive Upper Extremity Use * - Using the arms and/or hands continuously or more than 2/3 of the total time. - CONSTANT ● Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time. - N/A Material Handling ● Pushing * - To exert a force upon an object in order to move it in a certain direction. Pushing refers to moving an object away from the person. ● FREQUENT ● 20# - 50# ● Pulling * - To exert a force upon an object in order to move it in a certain direction. Pulling refers to moving an object towards the person. ● OCCASIONAL ● 20# - 50# ● Lift * - Floor to waist ● FREQUENT ● 20# - 50# ● Lift * - Waist to shoulder ● FREQUENT ● 20# - 50# ● Lift * - Shoulder to overhead ● FREQUENT ● UP TO 20# ● Carrying * - To transport an object or article using the arms or hands (> 10 feet) ● OCCASIONAL ● UP TO 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASSIONAL ● Constant interruptions * - FREQUENT ● Working with hands in water * - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASSIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to termperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASSIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy , i.e. computer terminal (more than 4 hours per shift) * - FREQUENT ● Working with bloodborne pathogens * - FREQUENT
CNA Per Diem
Independence Health System

NURSING ASSISTANT/TECHNICAL PARTNER - FLOAT POOL

Independence Health System Butler, PA
Reports to : Director of Patient Care Administration Position Supervises : N/A Job Summary : Assists in the safe care of the patient as directed. Assists in maintaining safe and efficient unit operations, while utilizing excellent customer service skills. Permitted to change patient from portable O2 to wall O2. Education ⚬ Minimum: High School Diploma or equivalent. ⚬ Preferred: Current enrollment or completion of Nursing Assistant Training Program Registration/Certification/Licensure : Healthcare Provider CPR and Act 33/73 clearances Experience ⚬ Minimum: N/A ⚬ Preferred: Clinical experience obtained through a Nursing Assistant Training Program or previous experience working as a nursing assistant in an acute care facility. Other Requirements : Comprehensive Crisis Management per policy. Completion of EKG training within 1 year of hire/transfer. Responsible to safely access, transport, and handle single dose medications to include prescription and non-prescription medications. Responsible to safely access, transport, and handle sharps, such as needles, suture kits, lancets, syringes, etc. Status: Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling ● Standing * - Remaining on one's feet in an upright position remaining stationary. - OCCASIONAL ● Walking * - Remaining upright on one's feet, and moving about. - FREQUENT ● Sitting - Body remains in a seated position. - OCCASIONAL ● Stooping * - To bend the body downward and forward by bending the spine at the waist. - FREQUENT ● Bending * - To flex the upper body forward. - FREQUENT ● Twisting * - To rotate the upper body forward. - FREQUENT ● Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders. - OCCASIONAL ● Ladders - To ascend and descend ladders. - N/A ● Stairs - To ascend and descend stairs. - OCCASIONAL ● Kneeling - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL ● Squatting * - To move the body downwards by bending both knees. - FREQUENT ● Crouching * - To bend the body forward and downward by bending the spine and the legs. - OCCASIONAL ● Crawling - To move the body forward or backwards on hands and knees. - N/A ● Reaching Horizontal * - To extend the arms and hands outward, remaining under shoulder height - FREQUENT ● Reaching Overhead * - To extend the arms and hands up and out over shoulder height. - FREQUENT ● Grasping * - Using functional gripping of the hand to handle an object. - FREQUENT ● Finger Manipulation - To manipulate objects with the use of fingers. - OCCASIONAL ● Seeing * - Using visual feedback to accomplish a task or activity. - CONSTANT ● Hearing - Using sound feedback to accomplish a task or activity - CONSTANT ● Repetitive Upper Extremity Use - Using the arms and/or hands continuously or more than 2/3 of the total time. - N/A ● Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time. - N/A Material Handling ● Pushing * - To exert a force upon an object in order to move it in a certain direction. Pushing refers to moving an object away from the person. ● OCCASIONAL ● 20# - 50# ● Pulling * - To exert a force upon an object in order to move it in a certain direction. Pulling refers to moving an object towards the person. ● OCCASIONAL ● 20# - 50# ● Lift * - Floor to waist ● OCCASIONAL ● 20# - 50# ● Lift * - Waist to shoulder ● FREQUENT ● UP TO 20# ● Lift * - Shoulder to overhead ● OCCASIONAL ● UP TO 20# ● Carrying * - To transport an object or article using the arms or hands (> 10 feet) ● OCCASIONAL ● Up to 20# Environmental Factors ● Working alone - OCCASIONAL ● Working in cramped quarters * - FREQUENT ● Constant interruptions * - FREQUENT ● Working with hands in water * - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to termperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces * - OCCASIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy , i.e. computer terminal (more than 4 hours per shift) - OCCASIONAL ● Working with bloodborne pathogens - FREQUENT Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: ● Sedentary to Light - N/A ● Medium * - CONSTANT ● Heavy to Very Heavy- N/A
RN ICU Per Diem
Independence Health System

REGISTERED NURSE RN FLOAT POOL (CRITICAL CARE)

Independence Health System Butler, PA
Reports to : Director, Patient Care Admin Position Supervises : N/A Job Summary : Responsible for providing, coordinating and directing nursing care to assigned patients in the assigned nursing unit. The Registered Nurse’s responsibilities include, but are not limited to, utilization of the Nursing process in the provision of patient care, communicating with all members of the health care team to assure patient goals are established and met in a timely manner, and participation in quality improvement activities. The Registered Nurse is responsible for professional growth and providing excellent customer service, while supporting the physical and emotional needs of the patients and their family members. Education ⚬ Minimum: Graduate of a Registered Nurse Program ⚬ Preferred: Bachelor Degree in Nursing Registration/Certification/Licensure : Current PA RN license, Healthcare Provider CPR, and Act 33/73 clearances. ACLS required within two years of hire/transfer if taking assignments in critical care or telemetry patient care units. Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Previous experience working in an acute care facility, Basic arrhythmia, telemetry experience. Other Requirements : Comprehensive Crisis Management per policy. Status: Non-Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling ● Standing * - Remaining on one's feet in an upright position remaining stationary. - FREQUENT ● Walking * - Remaining upright on one's feet, and moving about. - CONSTANT ● Sitting - Body remains in a seated position. - OCCASIONAL ● Stooping * - To bend the body downward and forward by bending the spine at the waist. - OCCASIONAL ● Bending * - To flex the upper body forward. - FREQUENT ● Twisting * - To rotate the upper body forward. - FREQUENT ● Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders. - OCCASIONAL ● Ladders - To ascend and descend ladders. - N/A ● Stairs * - To ascend and descend stairs. - OCCASIONAL ● Kneeling - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL ● Squatting * - To move the body downwards by bending both knees. - OCCASIONAL ● Crouching - To bend the body forward and downward by bending the spine and the legs. - OCCASIONAL ● Crawling - To move the body forward or backwards on hands and knees. - N/A ● Reaching Horizontal * - To extend the arms and hands outward, remaining under shoulder height - CONSTANT ● Reaching Overhead * - To extend the arms and hands up and out over shoulder height. - FREQUENT ● Grasping * - Using functional gripping of the hand to handle an object. - FREQUENT ● Finger Manipulation * - To manipulate objects with the use of fingers. - CONSTANT ● Seeing * - Using visual feedback to accomplish a task or activity. - CONSTANT ● Hearing * - Using sound feedback to accomplish a task or activity - CONSTANT ● Repetitive Upper Extremity Use * - Using the arms and/or hands continuously or more than 2/3 of the total time. - CONSTANT ● Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time. - N/A Material Handling ● Pushing * - To exert a force upon an object in order to move it in a certain direction. Pushing refers to moving an object away from the person. ● FREQUENT ● 20# - 50# ● Pulling * - To exert a force upon an object in order to move it in a certain direction. Pulling refers to moving an object towards the person. ● OCCASIONAL ● 20# - 50# ● Lift * - Floor to waist ● FREQUENT ● 20# - 50# ● Lift * - Waist to shoulder ● FREQUENT ● 20# - 50# ● Lift * - Shoulder to overhead ● FREQUENT ● UP TO 20# ● Carrying * - To transport an object or article using the arms or hands (> 10 feet) ● OCCASIONAL ● UP TO 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - OCCASSIONAL ● Constant interruptions * - FREQUENT ● Working with hands in water * - FREQUENT ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - N/A ● Exposure to noise (constant) - OCCASSIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to termperature changes (heat, cold, humidity), that require special clothing - N/A ● Exposure to slippery walking surfaces - OCCASSIONAL ● Exposure to solvents, grease, oils - N/A ● Exposure to radiant energy , i.e. computer terminal (more than 4 hours per shift) * - FREQUENT ● Working with bloodborne pathogens * - FREQUENT Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: ● Sedentary to Light - N/A ● Medium * - FREQUENT ● Heavy to Very Heavy - N/A
RN Full-time
Independence Health System

REGISTERED NURSE RN - HH

Independence Health System Greensburg, PA
Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following Home Health and Hospice and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and controlled substance regulations. Maintain patient confidence and protects operations by keeping information confidential. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients and caregivers Promote patient's independence by establishing patient care goals, teaching patient/caregivers to understand condition, medications, and self-care skills, and answering questions. Document patient care services by charting in patient and department records Maintain continuity among nursing teams by documenting and communicating action, irregularities, and continuing needs using Nurse Knowledge Exchange techniques Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Maintain nursing supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies; using equipment and supplies as needed to accomplish job results Provide direct and indirect supervision of personal care provided by Home Health Aides in the patients’ homes, in accordance with federal regulation and accrediting bodies Resolve patient problems and needs by utilizing multidisciplinary team strategies Maintain a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team continuous quality improvement and problem-solving methods Contribute to team effort by accomplishing related results as needed Hospice Role to understand the Hospice philosophy and perform care accordingly to enhance the quality of life of the terminally ill patient Maintain and demonstrate an understanding of the Hospice benefit and comply with regulatory conditions of participation Assess eligibility for Hospice care and obtain the informed consent prior to the initiation of services Function as a primary nurse and core member of the Interdisciplinary Group to develop a plan of care that addresses the physical, psychosocial, emotional and spiritual needs of the terminally ill patient and family Follow established guidelines for pain and symptom management to enhance quality of life Educate patient and caregivers regarding the care needs at the end-of-life including palliative care measures Mental health role- in conjunction with the physician, implement mental health concepts and psychiatric using principles in the plan of care Provide supportive psychotherapy Demonstrate knowledge of commitment laws, mental health clinical programming, and community resources Make appropriate referrals based on the nursing assessment and in collaboration with the physician Function as a resource for Agency staff with patients demonstrating mental health problems as a secondary diagnosis Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited Nursing Program required. Six (6) months medical/surgical experience Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience (please add any additional requirements) Bachelor’s Degree in Nursing preferred. RN’s with one (1) year experience in medical/surgical nursing or other healthcare related field; IV and phlebotomy training; certification in an applicable area; Bachelor of Science degree in nursing. For Hospice- prior Hospice and/or oncology experience; Hospice and Palliative Care Certification Experience in Healthcare setting. License, Certification & Clearances (please add any additional requirements) Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Valid Driver’s License (if out of state hire, the record report from applicable state driver’s license department is required) Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
RN Hospice Full-time
Independence Health System

RN WEEKEND - HOSPICE

Independence Health System Greensburg, PA
Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting in patient and department records. Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain patient confidence and protects operations by keeping information confidential. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promote patient's independence by establishing patient care goals, teaching patient/family to understand condition, medications, and self-care skills, and answering questions. Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Resolve patient problems and needs by utilizing multidisciplinary team strategies. Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team continuous quality improvement and problem-solving methods. Contribute to team effort by accomplishing related results as needed. Ensure operation of equipment by completing preventive maintenance requirements by following manufacturer's instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques. Maintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results. Cognitive ability to function and concentrate on the essential and specialty functions of the job at a high level. Achieve thoroughness and accuracy when accomplishing an essential or specialty function of the job. Ability to think and concentrate for an entire shift. Assure quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following Home Health & Hospice and nursing division’s philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and controlled substance regulations. Document patient care and services by charting in patient and department records. Maintain continuity among nursing teams b documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain nursing supplies inventory by checking stock to determine inventory level; placing, and expediting orders for supplies; verifying receipt of supplies using equipment and supplies as needed to accomplish results. Work collaboratively with the case manager, and on call RN, and other agency staff in the provision of patient care. Ensure communication of patient care needs to the primary care staff in order to facilitate continuity of care. Provide direct and indirect supervision of personal care provided by the Home Health Aides in the patients’ homes, in accordance with federal regulation and accrediting bodies. Maternal/Child Nurse Role: Provide prenatal nursing services, which include instruction, assessment and monitoring of the physical and emotional status of the patient with a high-risk pregnancy for early detection and intervention of complications. Maternal/Child Nurse Role: Instruct and assess the postpartum patient and newborn for early detection and intervention of complications. Maternal/Child Nurse Role: Instruct and assess the newborn and child’s physical and emotional development, adjustment, and/or abnormalities and reports to the physician. Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited Nursing Program required. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience One (1) year experience in medical/surgical nursing or other healthcare related field; IV and phlebotomy training’ certification in an applicable area. Experience in Healthcare setting. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Valid Driver’s License (if out of state hire, the record report from applicable state driver’s license department is required) Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
RN Educator Full-time
Independence Health System

NURSE NAVIGATOR - EDUCATION

Independence Health System Butler, PA
Job Summary : The Clinical Advancement Educator is an educator, consultant, role model, staff/patient advocate, change agent, and leader. In collaboration with leadership, the Clinical Advancement Educator designs, develops, implements, and evaluates a variety of educational offerings in order to improve clinical care and organizational outcomes. This position is instrumental in supporting professional nursing practice by developing, coaching, and mentoring staff to become expert clinicians, critical thinkers, and leaders. Education Minimum: Graduate of a Registered Nurse Program Preferred: Bachelor Degree in Nursing Registration/Certification/Licensure : Current PA RN license. Current Healthcare Provider BLS. ACLS preferred or certification within 2 years if working with critical care units. PALS preferred or certification within 2 years if working with units which serve pediatric patients. Neonatal Resuscitation preferred or certification within 2 years if working with units which serve neonates. BLS Instructor Certification if teaching CPR and/or overseeing Heart code BLS. ACLS Instructor Certification if teaching ACLS and/or overseeing Heart code ACLS, NRP Instructor Certification if teaching NRP and or/ overseeing NRP training, FHM Instructor (Fetal Heart Monitoring) if teaching FHM and/or overseeing FHM training, and Act33/73 clearances Experience Minimum: Three years of recent clinical practice. Preferred: Previous experience in a role as an educator, knowledge and previous application of adult learning principles, previous experienceworking with multidisciplinary teams or leadership committees. Experience with computer based learning and technologies. Other Requirements : Comprehensive Crisis Management per policy. Status : Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant : (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) Standing * - Remaining on one's feet in an upright position remaining stationary. - OCCASIONAL Walking * - Remaining upright on one's feet, and moving about. - FREQUENT Sitting* - Body remains in a seated position. - OCCASIONAL Stooping * - To bend the body downward and forward by bending the spine at the waist. - OCCASIONAL Bending * - To flex the upper body forward. - OCCASIONAL Twisting * - To rotate the upper body forward. - OCCASIONAL Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders. - OCCASIONAL Ladders - To ascend and descend ladders. - N/A Stairs - To ascend and descend stairs. - OCCASIONAL Kneeling* - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL Squatting * - To move the body downwards by bending both knees. - OCCASIONAL Crouching * - To bend the body forward and downward by bending the spine and the legs. - OCCASIONAL Crawling - To move the body forward or backwards on hands and knees. - N/A Reaching Horizontal * - To extend the arms and hands outward, remaining under shoulder height - FREQUENT Reaching Overhead * - To extend the arms and hands up and out over shoulder height. - OCCASIONAL Grasping * - Using functional gripping of the hand to handle an object. - FREQUENT Finger Manipulation * - To manipulate objects with the use of fingers. - FREQUENT Seeing * - Using visual feedback to accomplish a task or activity. - CONSTANT Hearing * - Using sound feedback to accomplish a task or activity - CONSTANT Repetitive Upper Extremity Use - Using the arms and/or hands continuously or more than 2/3 of the total time. - N/A Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time. - N/A Material Handling Pushing * - To exert a force upon an object in order to move it in a certain direction. Pushing refers to moving an object away from theperson. OCCASIONAL 20# - 50# Pulling * - To exert a force upon an object in order to move it in a certain direction. Pulling refers to moving an object towards theperson. OCCASIONAL 20# - 50# Lift * - Floor to waist OCCASIONAL 20# - 50# Lift * - Waist to shoulder CONSTANT Up to 20# Lift * - Shoulder to overhead CONSTANT Up to 20# Carrying * - To transport an object or article using the arms or hands (> 10 feet) CONSTANT Up to 20# Environmental Factors Working alone - OCCASIONAL Working in cramped quarters - N/A Working with hands in water - OCCASIONAL Constant interruptions * - CONSTANT Use of power tools * - N/A Working on ladders/scaffolding - N/A Exposure to vibration - N/A Exposure to dust - OCCASIONAL Exposure to noise (constant) - CONSTANT Exposure to electrical energy (outlets, etc) * - FREQUENT Exposure to termperature changes (heat, cold, humidity), that require special clothing - N/A Exposure to slippery walking surfaces * - OCCASIONAL Exposure to solvents, grease, oils - OCCASIONAL Exposure to radiant energy , i.e. computer terminal (more than 4 hours per shift) * - FREQUENT Working with bloodborne pathogens * - FREQUENT Cardiovascular Energy Requirements - Physical Demand PhysicalDemand MetLevel Examples of similar activity intensity Sedentary toLight 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-playwith children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf(carrying clubs). Heavy to VeryHeavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailinghay, fire fighting, sawing by hand, splitting wood. As relates to this position: Sedentary to Light * - FREQUENT Medium - OCCASIONAL Heavy to Very Heavy - OCCASIONAL
RN ER Full-time
Independence Health System

REGISTERED NURSE RN - EMERGENCY DEPARTMENT

Independence Health System Clarion, PA
THIS POSITION AT CLARION HOSPITAL IS SIGN ON BONUS ELIGIBLE UP TO - $15,000 BONUS Staff Nurse, RN - Emergency Department-Full Time Clarion, PA - Full Time CLARION HOSPTIAL JOB DESCRIPTION Job Title: Registered Nurse FLSA Status: Non-Exempt Department: Patient Care Services Job Code: 1202C Date: 11-27-2006 Position Summary The Registered Nurse has the primary responsibility of assessing, planning, implementing, and evaluating the care of the patients for whom she/he assumes responsibility under the direction of the Nurse Manager and Charge Nurse. Demonstrates commitment to Clarion Hospital mission statement, vision statement and values. Essential Functions An integral function of the staff nurse is patient teaching to promote positive health outcomes. Acts as a preceptor to all staff and students and is responsible for orientation of assigned staff. Maintains position specific skills and competencies as required on annual basis. Maintains CEU’s appropriate to discipline in order to maintain clinical competency. Functions as a patient advocate through education to the patient and family including health promotion. Responds to patient care needs on a timely fashion, including, but not limited to call bell response, verbal requests, and bed exit alarms. Maintains adherence to patient rights. Administers prescribed treatments, medications, therapies within the scope of practice. Participates in nursing and hospital committees as appropriate. Attends at least 70% of department staff meetings. Demonstrates strong customer service skills, and professional behavior when dealing with all individuals and groups, both internally and externally. Demonstrates respect and communication skills when interacting with all individuals and groups, both internally and externally .Assesses the patient’s physical and psychosocial condition on an ongoing basis throughout the continuum of care. Develops a plan of patient care reflecting significant nursing diagnoses and interventions to achieve desired patient outcomes, involving the patient/family and healthcare team in this process. Plans, coordinates and implements patient’s plan of care in collaboration with the multidisciplinary team. Evaluates patient outcomes, effectiveness of plans of care, and readiness for discharge. Revises as needed, and makes referrals when indicated. Utilizes manual and automated information systems to improve patient safety Act as a liaison in coordinating patient care activities with nurses, physicians and allied health professionals. Communicates patient’s plan of care to all multidisciplinary team members and to the patient, family and significant others. Provides education as indicated after assessing the learning needs of the patient and family. Demonstrates cost effectiveness by using supplies judiciously, anticipating needs for special supplies and equipment, and making recommendations for change. Complies with established personal protective equipment requirements necessary for protection against exposure to blood and other potentially infectious body fluids, chemical disinfectants, radiation, antineoplastic/cylotoxic agents and other hazardous substances. In some specialized areas the RN, maintains total care of the patient including but not limited to, connecting, monitoring and interpreting electronic displays, responding to emergencies by initiating life saving actions including advanced cardiac life support (ACLS) protocols. Performs other duties as assigned. Agrees to comply with the Corporate Compliance Policy and all laws, rules, regulations, and standards of conduct relating to the position and has a duty to report any suspected violations of the law or the standards of conduct to his or her immediate supervisor, the Compliance Officer or the Chief Executive Officer. The intent of this job description is to provide a representative summary of the major duties and responsibilities performed with or without reasonable accommodations by incumbents of responsibilities other than those specifically presented in this description. Reporting Relationships Reports to: Nurse Manager, Charge Nurse Supervises: GN, LPN, Nursing Assistant, Unit Secretary, Nurse Externs and Technicians. Qualifications Graduate of a State Board approved program of professional nursing. Holds a current Pennsylvania State License as a registered nurse. Certified in basic CPR. Certified in ACLS, PALS, and neonatal resuscitation as appropriate. Previous critical care of emergency room experience preferred. Excellent customer service skills. Physical Requirements See Spread Sheet
LPN Full-time
Independence Health System

LPN - SLIPPERY ROCK FAMILY MED

Independence Health System Slippery Rock, PA
Performs direct patient care activities, such as lab tests, treatments, and medication administration. These are performed under the direction of the provider in preparation for the patient’s examination and treatment. Carries out clinical activities, quality control activities, performance improvement initiatives, etc. in support of the Physician Practice as assigned. The incumbent carries out clerical activities, quality control activities, performance improvement initiatives, etc. in support of the physician practice as assigned. This position also serves as a resource for the clerical/clinical staff in the practice. Essential Job Functions Delivers direct and indirect patient care in accordance with the LPN Practice Act, hospital and/or physician practice policies, procedures, protocols, and other professional standards of care. Collects patient health care data, including VS, weight, chief complaint and pain assessment focusing on the physical, psychosocial, age, cultural, and spiritual needs of the patient. Involves the patient/family and other health care providers when appropriate. Completes patient care treatments/testing as ordered by the physician. Administers medications/immunizations using appropriate routes and techniques specific to age of the patient. Complies with completeness, accuracy, and timeliness of documentation. Provides education and instruction, within their scope of practice, to patients and families. Assists in assessing the patient’s educational needs and identifying educational barriers. Provides educational material and/or instructions based on assessed needs. Documents all education/instruction provided including topic, individual provided to and understanding. Maintains collaborative relationship with physicians to achieve desired patient outcomes. Prepares patient for examination, treatments, and procedures. Assists the physician with treatments and procedures as requested. Provides for patient safety in compliance with hospital and physician practice policies. Utilize two forms of patient identification before implementing any form of patient care. Labels all patient specimens with identifiers per policy. Uses patient identifiers on all written documentation, including notes and point of care testing results. Assists in compliance with all regulatory agency requirements. Performs quality control testing for all point of care testing per policy. Participates in non-punitive medication reporting. Adheres to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Demonstrates leadership by utilizing the concepts inherent to the practice of the professional nursing. Demonstrates an ability to solve problems independently and seeks assistance from immediate supervisor when appropriate. Maintains accountability for actions taken. Delegates patient care appropriately. Effectively functions as a resource person. Acts as a patient advocate. Performs effectively in the role of preceptor/mentor to new hires and/or students. Assists in maintaining/decreasing organizational/departmental costs. Assists in the department’s compliance with JCAHO and other regulatory agencies. Participates in continuous survey readiness for inspections and surveys. Coordinates communications between patient/families and physician practice, pharmacies, specialists, and insurance carriers. Provides advice based on protocols and physician instructions and directs patients to the appropriate level of care. Facilitates patients access to prescription refills based on physician’s order. Obtains prior authorization and/or assists with indigent programs per physician order based on the patient’s financial status or insurance coverage. Supports performance improvement initiatives with the physician practice Assists in data collection as directed by the manager/physician. Incorporates into practice performance improvement initiatives that have been implemented. Maintains the environment of care. Ensures that supplies in patient care areas are replenished daily. Consistently maintains a clean safe environment. Performs POC testing as ordered by the physician. Completes all quality control testing per policy. Identifies results that are out of acceptable range and follows up prior to performing patient testing. Uses two patient identifiers, name and DOB, prior to testing. Accurately records patient test results on appropriate result form and testing log. Prepares forms, copies records, and responds to request per policies and procedures. Assists in maintaining the patients’ medical record to facilitate filing and retrieval of information. Participates in all other office functions as necessary. Performs other duties as required. Required Qualifications Graduate of an accredited School of Practical Nursing Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications Previous LPN experience. License, Certification & Clearances Current licensure to practice as a Licensed Practical Nurse in the State of Pennsylvania Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). LEAN Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one’s own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Independence's missions, vision and values. AAP/EEO Independence Health is an Equal Opportunity Employer. It is the policy of Independence Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Independence Health will conform to the spirit as well as the letter of all applicable laws and regulations. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat X Extreme Cold X Heights X Confined Spaces X Extreme Noise(>85dB) X X Mechanical Hazards X Use of Vibrating Tools X Operates Vehicle (company) X Operates Heavy Equipment X Use of Lifting/Transfer Devices X Rotates All Shifts X 20# 8 Hours Shifts X X 10-12 Hours Shifts X X On-Call X Overtime(+8/hrs/shift; 40/hrs/wk) X X Travel Between Sites X X Direct Patient Care X X Respirator Protective Equipment X X Eye Protection X X Head Protection (hard hat) X Hearing Protection X X Hand Protection X X Feet, Toe Protection X X Body Protection X X Latex Exposure X X Solvent Exposure X X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure X X Chemicals (direct use) Exposure X Mist Exposure X X Wax Stripper (direct use) X Non-Ionizing Radiation Exposure X Ionizing Radiation Exposure X Laser Exposure X Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) X X Sitting X X Walking X X Climbing Stairs X Climbing Ladders X Standing X X Kneeling X X Squatting (Crouching) X X Twisting/Turning X X Keyboard/Computer Operation X X Gross Grasp X X Fine Finger Manipulation X X Hand/Arm Coordination X X Pushing/Pulling (lbs of force) X 20# Carry 20# Transfer/Push/Pull Patients X X Seeing Near w/Acuity X X Feeling (Sensation) X X Color Vision X X Hearing Clearly X X Pulling/Pushing Objects Overhead X X Reaching Above Shoulder Level X X Reaching Forward X X Lifting Floor to Knuckle X 20# Lifting Seat Pan to Knuckle X 20# Lifting Knuckle to Shoulder X 20# Lifting Shoulder to Overhead X 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
RN ICU Full-time
Independence Health System

REGISTERED NURSE RN - ICU

Independence Health System Clarion, PA
Clarion, PA - Full Time CLARION HOSPTIAL JOB DESCRIPTION Job Title: Registered Nurse FLSA Status: Non-Exempt Department: Patient Care Services Job Code: 1026 Date: 11-27-2006 Position Summary The Registered Nurse has the primary responsibility of assessing, planning, implementing, and evaluating the care of the patients for whom she/he assumes responsibility under the direction of the Nurse Manager and Charge Nurse. Demonstrates commitment to Clarion Hospital mission statement, vision statement and values. Essential Functions An integral function of the staff nurse is patient teaching to promote positive health outcomes. Acts as a preceptor to all staff and students and is responsible for orientation of assigned staff. Maintains position specific skills and competencies as required on annual basis. Maintains CEU’s appropriate to discipline in order to maintain clinical competency. Functions as a patient advocate through education to the patient and family including health promotion. Responds to patient care needs on a timely fashion, including, but not limited to call bell response, verbal requests, and bed exit alarms. Maintains adherence to patient rights. Administers prescribed treatments, medications, therapies within the scope of practice. Participates in nursing and hospital committees as appropriate. Attends at least 70% of department staff meetings. Demonstrates strong customer service skills, and professional behavior when dealing with all individuals and groups, both internally and externally. Demonstrates respect and communication skills when interacting with all individuals and groups, both internally and externally . Assesses the patient’s physical and psychosocial condition on an ongoing basis throughout the continuum of care. Develops a plan of patient care reflecting significant nursing diagnoses and interventions to achieve desired patient outcomes, involving the patient/family and healthcare team in this process. Plans, coordinates and implements patient’s plan of care in collaboration with the multidisciplinary team. Evaluates patient outcomes, effectiveness of plans of care, and readiness for discharge. Revises as needed, and makes referrals when indicated. Utilizes manual and automated information systems to improve patient safety Act as a liaison in coordinating patient care activities with nurses, physicians and allied health professionals. Communicates patient’s plan of care to all multidisciplinary team members and to the patient, family and significant others. Provides education as indicated after assessing the learning needs of the patient and family. Demonstrates cost effectiveness by using supplies judiciously, anticipating needs for special supplies and equipment, and making recommendations for change. Complies with established personal protective equipment requirements necessary for protection against exposure to blood and other potentially infectious body fluids, chemical disinfectants, radiation, antineoplastic/cylotoxic agents and other hazardous substances. In some specialized areas the RN, maintains total care of the patient including but not limited to, connecting, monitoring and interpreting electronic displays, responding to emergencies by initiating life saving actions including advanced cardiac life support (ACLS) protocols. Performs other duties as assigned. Agrees to comply with the Corporate Compliance Policy and all laws, rules, regulations, and standards of conduct relating to the position and has a duty to report any suspected violations of the law or the standards of conduct to his or her immediate supervisor, the Compliance Officer or the Chief Executive Officer. The intent of this job description is to provide a representative summary of the major duties and responsibilities performed with or without reasonable accommodations by incumbents of responsibilities other than those specifically presented in this description. Reporting Relationships Reports to: Nurse Manager, Charge Nurse Supervises: GN, LPN, Nursing Assistant, Unit Secretary, Nurse Externs and Technicians. Qualifications Graduate of a State Board approved program of professional nursing. Holds a current Pennsylvania State License as a registered nurse. Certified in basic CPR. Certified in ACLS, PALS, and neonatal resuscitation as appropriate.
RN ER Per Diem
Independence Health System

REGISTERED NURSE RN - EMERGENCY DEPARTMENT - CASUAL

Independence Health System Clarion, PA
Clarion Hospital Staff Nurse, RN - Emergency Department-Per Diem Clarion, PA CLARION HOSPTIAL JOB DESCRIPTION Job Title: Registered Nurse FLSA Status: Non-Exempt Department: Patient Care Services Job Code: 1202C Date: 11-27-2006 Position Summary The Registered Nurse has the primary responsibility of assessing, planning, implementing, and evaluating the care of the patients for whom she/he assumes responsibility under the direction of the Nurse Manager and Charge Nurse. Demonstrates commitment to Clarion Hospital mission statement, vision statement and values. Essential Functions An integral function of the staff nurse is patient teaching to promote positive health outcomes. Acts as a preceptor to all staff and students and is responsible for orientation of assigned staff. Maintains position specific skills and competencies as required on annual basis. Maintains CEU’s appropriate to discipline in order to maintain clinical competency. Functions as a patient advocate through education to the patient and family including health promotion. Responds to patient care needs on a timely fashion, including, but not limited to call bell response, verbal requests, and bed exit alarms. Maintains adherence to patient rights. Administers prescribed treatments, medications, therapies within the scope of practice. Participates in nursing and hospital committees as appropriate. Attends at least 70% of department staff meetings. Demonstrates strong customer service skills, and professional behavior when dealing with all individuals and groups, both internally and externally. Demonstrates respect and communication skills when interacting with all individuals and groups, both internally and externally .Assesses the patient’s physical and psychosocial condition on an ongoing basis throughout the continuum of care. Develops a plan of patient care reflecting significant nursing diagnoses and interventions to achieve desired patient outcomes, involving the patient/family and healthcare team in this process. Plans, coordinates and implements patient’s plan of care in collaboration with the multidisciplinary team. Evaluates patient outcomes, effectiveness of plans of care, and readiness for discharge. Revises as needed, and makes referrals when indicated. Utilizes manual and automated information systems to improve patient safety Act as a liaison in coordinating patient care activities with nurses, physicians and allied health professionals. Communicates patient’s plan of care to all multidisciplinary team members and to the patient, family and significant others. Provides education as indicated after assessing the learning needs of the patient and family. Demonstrates cost effectiveness by using supplies judiciously, anticipating needs for special supplies and equipment, and making recommendations for change. Complies with established personal protective equipment requirements necessary for protection against exposure to blood and other potentially infectious body fluids, chemical disinfectants, radiation, antineoplastic/cylotoxic agents and other hazardous substances. In some specialized areas the RN, maintains total care of the patient including but not limited to, connecting, monitoring and interpreting electronic displays, responding to emergencies by initiating life saving actions including advanced cardiac life support (ACLS) protocols. Performs other duties as assigned. Agrees to comply with the Corporate Compliance Policy and all laws, rules, regulations, and standards of conduct relating to the position and has a duty to report any suspected violations of the law or the standards of conduct to his or her immediate supervisor, the Compliance Officer or the Chief Executive Officer. The intent of this job description is to provide a representative summary of the major duties and responsibilities performed with or without reasonable accommodations by incumbents of responsibilities other than those specifically presented in this description. Reporting Relationships Reports to: Nurse Manager, Charge Nurse Supervises: GN, LPN, Nursing Assistant, Unit Secretary, Nurse Externs and Technicians. Qualifications Graduate of a State Board approved program of professional nursing. Holds a current Pennsylvania State License as a registered nurse. Certified in basic CPR. Certified in ACLS, PALS, and neonatal resuscitation as appropriate. Previous critical care of emergency room experience preferred. Excellent customer service skills. Physical Requirements See Spread Sheet
CNA ICU Full-time
Independence Health System

NURSING ASSISTANT - ICU

Independence Health System Butler, PA
Steady Night Rotation: 6p-630a, 10p-630a Job Summary Assists in the safe care of the patient as directed. Assists in maintaining safe and efficient unit operations. Utilizes excellent customerservice skills. Permitted to change patients from portable O2 to wall O2. Education Minimum: High School Diploma or equivalent Preferred: Current enrollment or completion of a Nursing Assistant Training Program. Registration/Certification/Licensure : Healthcare Provider CPR and Act 33/73 clearances Experience Minimum: None. Preferred: Previous experience working as a nursing assistant in an acute care facility. Other Requirements : Comprehensive Crisis Management per policy. Completion of EKG training within 6 months of hire/transfer. Responsible to safely access,transport, and handle single dose medications to include prescription and non-prescription medications. Responsible to safely access,transport, and handle sharps, such as needles, suture kits, lancets, syringes, etc. Status : Non-Exempt Physical Requirements:
NP Full-time
Independence Health System

NURSE PRACTITIONER IV-HOSPITALIST-MT PLEASANT

Independence Health System Mount Pleasant, PA
Performs history and physicals as designated by the physician. Identifies normal and abnormal findings and reports to the physician in a timely manner. Provides preoperative teaching to patients and or families. Performs patient rounds ensuring accurate assessment, review of labs and diagnostic procedures, and reports overall progress to supervising physician. Orders appropriate testing per established guidelines and as outlined by supervising physician. Documentation supports a review of lab/diagnostic results, is reflective of all required history and physical assessment elements. Communicates with supervising physician in a timely manner regarding changes in the patient's progress, status, or critical test results. Prepares for and develops discharge planning in conjunction with supervising physician. Dictates discharge summaries timely and appropriate. Provides counseling and instruction to patients and or families as appropriate. Performs clinical responsibilities in a manner that maximizes patient care and outcomes. Assumes appropriate code team role during emergency situations and responds effectively. Facilitates timely treatment of abnormal labs or other relevant findings. Develops workflow patterns to facilitate patient transfers or discharges. Participates in outcome management and Press Ganey scores. Evaluates patient's current status providing recommendations for ongoing treatment. Provides patient/family education regarding medication, rationale for use and possible side effects Collaborates with the supervising physician and/or substitute supervising physician and members of the treatment team to achieve desired outcomes and to assure continuous flow of patient care. Alerts the treatment team to any significant changes in the patient's status. Within prescribed time frames, review treatment goals and objectives with patients. Communicates pertinent information efficiently to the supervising or substitute supervising physician. Documents all screenings and assessments performed, including patients mental status. Records medication changes, prescriptions written and samples provided. Documents patient's complaints, concerns and questions as appropriate. Demonstrates leadership by utilizing the concepts inherent to the practice of a professional APP. Participates in Performance Improvement activities designed to enhance the quality of patient care, customer service, or practice efficiencies. Identifies initiatives to improve patient outcomes and satisfaction. Assists in chart review/audits as needed for performance improvement data collection. Supports initiatives implemented to improve patient outcomes and or efficiencies. Provides for patient safety in compliance with hospital and or physician practice policies. Adheres to infection control processes, including standard precautions, to reduce the risk of acquiring or transmitting infections. ANCC Acute Care Certification required CRNP experience preferred
NP Full-time
Independence Health System

PHYSICIAN ASSISTANT - DERMATOLOGY BUTLER

Independence Health System Butler, PA
Provide patient care services, including assessing and managing patients in the outpatient environment, by following established standards and practices within the practice specific specialty. Education: Minimum: Graduate of a Physician Assistant Program accredited by the Accreditation Review Commission on Preferred: N/A Registration/Certification/Licensure: Current PA Physician Assistant license, certified by the National Commission on Certification of Physician Assistants (NCCPA), and Act 33/73 clearances. Individual must meet the credentialing requirements of the Medical Staff Office. Experience: Minimum: None Preferred: One year experience working as a Physician Assistant. Other Requirements: N/A Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling Standing - Remaining on one's feet in an upright position remaining stationary - FREQUENT Walking - Remaining upright on one's feet, and moving about - FREQUENT Sitting* - Body remains in a seated position - FREQUENT Stooping - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL Bending - To flex the upper body forward - OCCASIONAL Twisting - To rotate the upper body forward - OCCASIONAL Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders - N/A Ladders - To ascend and descend ladders - N/A Stairs - To ascend and descend stairs - OCCASIONAL Kneeling - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL Squatting - To move the body downwards by bending both knees - OCCASIONAL Crouching - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL Crawling - To move the body forward or backwards on hands and knees - N/A Reaching Horizontal - To extend the arms and hands outward, remaining under shoulder height -FREQUENT Reaching Overhead - To extend the arms and hands up and out over shoulder height - OCCASSIONAL Grasping - Using functional gripping of the hand to handle an object - FREQUENT Finger Manipulation - To manipulate objects with the use of fingers - FREQUENT Seeing* - Using visual feedback to accomplish a task or activity - CONSTANT Hearing* - Using sound feedback to accomplish a task or activity - CONSTANT Repetitive Upper Extremity Use* - Using the arms and/or hands continuously or more than 2/3 of the total time - CONSTANT Repetitive Lower Extremity Use* - Using the legs and/or feet continuously or more than 2/3 of the total time - FREQUENT Material Handling Pushing* - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person OCCASIONAL 10# - 20# Pulling* - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person OCCASIONAL 10# - 20# Lift - Floor to Waist OCCASIONAL 20# - 50# Lift - Waist to shoulder OCCASIONAL Up to 20# Lift - Shoulder to overhead OCCASIONAL Up to 20# Carrying - To transport an object or article using the arms or hands (> 10 feet) OCCASIONAL Up to 20# Environmental Factors Working alone - OCCASSIONAL Working in cramped quarters - N/A Constant interruptions - FREQUENT Working with hands in water - OCCASIONAL Use of power tools - OCCASIONAL Working on ladders/scaffolding - N/A Exposure to vibration - N/A Exposure to dust - OCCASIONAL Exposure to noise (constant) - N/A Exposure to electrical energy (outlets, etc) - OCCASIONAL Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A Exposure to slippery walking surfaces - OCCASIONAL Exposure to solvents, grease, oils - OCCASIONAL Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - OCCASIONAL Working with bloodborne pathogens - CONSTANT Cardiovascular Energy Requirements - Physical Demand Specific Job Responsibilities (Essential Functions): 1. Manages day-to-day out patient care in conjunction with supervising physicians. 2. Provides patient and or family with information regarding treatment or procedures, condition and expectation during illness or recovery. Provides patient education/counseling and instruction regarding common patient problems. 3. Formulates differential diagnoses by priority considering multiple potential mechanisms causing complex acute, critical, and chronic illness states. 4. Demonstrates effective verbal, nonverbal, and written communication skills, including documentation according to established standards while maintaining patient confidentiality. 5. Displays commitment to expanding his/her knowledge base and views this as a continuous process to maintain professional and personal growth. II. Organizational Responsibilities: 1. Completed mandatory education, annual competencies and department specific education within established timeframes. 2. Completed annual employee health requirements within established timeframes. 3. Maintained license/certification, registration in good standing throughout fiscal year. 4. Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self. Identifies and works to reduce potentially unsafe patient care or other safety practices. 5. Adheres to regulatory agency requirements, survey process and compliance. III. Job Behaviors: 1. “Sets the Stage” by using greetings/introductions when interacting with any customer or entering a patient room. Looks and acts like a professional. Uses consistent phone etiquette. Helps people who look lost or confused. Keeps a clean and professional environment and work space. Clarifies expectations and creates positive handoffs and positive lasting impressions. 2. Fosters a teamwork approach by respecting other members of the hospital team. Stays involved and informed of happenings within the organizations. Creates win-win situations by helping others. Works to resolve conflicts and concerns in a constructive way and asks for assistance in helpful ways. 3. Is the Owner: Takes responsibility for problems, issues or opportunities for improvement by initiating constructive review of concern rather than negatively attacking an issue. Understands systems and processes and uses appropriate channels to address concerns when out of own span of control. Demonstrates compassion and works beyond “own assignment” by seeing “big picture”. 4. Creates a Caring Environment by communicating in helpful ways. Always protects the confidentiality and dignity of patients and others. Listens with empathy and understanding and provides options and choices. 5. Provides Great Explanations through user-friendly information and explanations (uses language others can understand). Makes sure people know what they can and cannot expect and checks for understanding and agreement.
RN Hospice Full-time
Independence Health System

REGISTERED NURSE RN - HOSPICE

Independence Health System Greensburg, PA
Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following Home Health and Hospice and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and controlled substance regulations. Maintain patient confidence and protects operations by keeping information confidential. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients and caregivers Promote patient's independence by establishing patient care goals, teaching patient/caregivers to understand condition, medications, and self-care skills, and answering questions. Document patient care services by charting in patient and department records Maintain continuity among nursing teams by documenting and communicating action, irregularities, and continuing needs using Nurse Knowledge Exchange techniques Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Maintain nursing supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies; using equipment and supplies as needed to accomplish job results Provide direct and indirect supervision of personal care provided by Home Health Aides in the patients’ homes, in accordance with federal regulation and accrediting bodies Resolve patient problems and needs by utilizing multidisciplinary team strategies Maintain a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team continuous quality improvement and problem-solving methods Contribute to team effort by accomplishing related results as needed Hospice Role to understand the Hospice philosophy and perform care accordingly to enhance the quality of life of the terminally ill patient Maintain and demonstrate an understanding of the Hospice benefit and comply with regulatory conditions of participation Assess eligibility for Hospice care and obtain the informed consent prior to the initiation of services Function as a primary nurse and core member of the Interdisciplinary Group to develop a plan of care that addresses the physical, psychosocial, emotional and spiritual needs of the terminally ill patient and family Follow established guidelines for pain and symptom management to enhance quality of life Educate patient and caregivers regarding the care needs at the end-of-life including palliative care measures Mental health role- in conjunction with the physician, implement mental health concepts and psychiatric using principles in the plan of care Provide supportive psychotherapy Demonstrate knowledge of commitment laws, mental health clinical programming, and community resources Make appropriate referrals based on the nursing assessment and in collaboration with the physician Function as a resource for Agency staff with patients demonstrating mental health problems as a secondary diagnosis Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited Nursing Program required. Six (6) months medical/surgical experience Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience (please add any additional requirements) Bachelor’s Degree in Nursing preferred. RN’s with one (1) year experience in medical/surgical nursing or other healthcare related field; IV and phlebotomy training; certification in an applicable area; Bachelor of Science degree in nursing. For Hospice- prior Hospice and/or oncology experience; Hospice and Palliative Care Certification Experience in Healthcare setting. License, Certification & Clearances (please add any additional requirements) Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Valid Driver’s License (if out of state hire, the record report from applicable state driver’s license department is required) Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer ***$10,000 SIGN ON BONUS*** This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat X Extreme Cold X Heights X Confined Spaces X Extreme Noise(>85dB) X Mechanical Hazards X Use of Vibrating Tools X Operates Vehicle (company) X Operates Heavy Equipment X Use of Lifting/Transfer Devices X X X Rotates All Shifts X X 8 Hours Shifts X X 10-12 Hours Shifts X X On-Call X X Overtime(+8/hrs/shift; 40/hr/wk) X X Travel Between Sites X Direct Patient Care X X Respirator Protective Equipment X X Eye Protection X X Head Protection (hard hat) X Hearing Protection X Hand Protection X X Feet, Toe Protection X Body Protection X X Latex Exposure X X Solvent Exposure X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure X X Chemicals (direct use) Exposure X X Mist Exposure X Wax Stripper (direct use) X Non-Ionizing Radiation Exposure X Ionizing Radiation Exposure X Laser Exposure X Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) X X Sitting X X Walking X X Climbing Stairs X X Climbing Ladders X Standing X X Kneeling X X Squatting (Crouching) X X Twisting/Turning X X Keyboard/Computer Operation X X Gross Grasp X X Fine Finger Manipulation X X Hand/Arm Coordination X X Pushing/Pulling(lbs. of force) X 10# 50# Carry X 25# Transfer/Push/Pull Patients X X Seeing Near w/Acuity X X Feeling (Sensation) X X Color Vision X X Hearing Clearly X X Pulling/Pushing Objects Overhead X X Reaching Above Shoulder Level X X Reaching Forward X X Lifting Floor to Knuckle X 10# Lifting Seat Pan to Knuckle X 50# Lifting Knuckle to Shoulder X 20# Lifting Shoulder to Overhead X 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.
NP Full-time
Independence Health System

CRNP - BMP CLARION HOSPITALIST

Independence Health System Clarion, PA
NIGHT SHIFT 7 On - 7 Off Provides patient care services, including assessing and managing patients in the inpatient environment, by following established standards and practices within the practice specific specialty. Education Minimum: Master Degree in Nursing Preferred: Doctor of Nursing Practice Registration/Certification/Licensure : Current PA RN and CRNP licenses, ACLS, and Act 33/73 clearances. Individual must meet the credentialing requirements of the Medical Staff Office. Experience Minimum: 1 yr inpatient hospital experience as a CRNP Preferred: Five years experience working as a CRNP in a hospital. Other Requirements : N/A Status : Exempt Physical Requirements: The following frequency definitions apply to all Physical Requirements unless otherwise noted: Occasional: (0-1/3 of day , 0 - 2.5 hrs/day, 1 - 4 reps/hr) Frequent: (1/3 -2/3 of day , 2.5 - 5.5 hrs/day, 5 -24 reps/hr) Constant: (> 2/3rd of day , > 5.5 hrs/day, > 24 reps/hr) NOTE: An asterisk (*) indicates that the item is an essential function. Non-Material Handling Standing - Remaining on one's feet in an upright position remaining stationary - FREQUENT Walking - Remaining upright on one's feet, and moving about - FREQUENT Sitting - Body remains in a seated position - OCCASIONAL Stooping - To bend the body downward and forward by bending the spine at the waist - OCCASIONAL Bending - To flex the upper body forward - OCCASIONAL Twisting - To rotate the upper body forward - OCCASIONAL Climbing - To move the body in any direction on equipment or structures that do not include stairs or ladders - OCCASIONAL Ladders - To ascend and descend ladders - N/A Stairs - To ascend and descend stairs - OCCASIONAL Kneeling - To move the body downwards and come to rest on both hands and both knees - OCCASIONAL Squatting - To move the body downwards by bending both knees - OCCASIONAL Crouching - To bend the body forward and downward by bending the spine and the legs - OCCASIONAL Crawling - To move the body forward or backwards on hands and knees - N/A Reaching Horizontal - To extend the arms and hands outward, remaining under shoulder height - FREQUENT Reaching Overhead - To extend the arms and hands up and out over shoulder height - OCCASIONAL Grasping - Using functional gripping of the hand to handle an object - FREQUENT Finger Manipulation - To manipulate objects with the use of fingers - FREQUENT Seeing - Using visual feedback to accomplish a task or activity - CONSTANT Hearing - Using sound feedback to accomplish a task or activity - CONSTANT Repetitive Upper Extremity Use - Using the arms and/or hands continuously or more than 2/3 of the total time - N/A Repetitive Lower Extremity Use - Using the legs and/or feet continuously or more than 2/3 of the total time - N/A Material Handling Pushing - To exert a force upon an object in order to move it in a certain direction Pushing refers to moving an object away from the person OCCASIONAL 50# - > 100# Pulling - To exert a force upon an object in order to move it in a certain direction Pulling refers to moving an object towards the person OCCASIONAL 50# - > 100# Lift - Floor to Waist OCCASIONAL 20# - 50# Lift - Waist to shoulder OCCASIONAL Up to 20# Lift - Shoulder to overhead OCCASIONAL Up to 20# Carrying - To transport an object or article using the arms or hands (> 10 feet) OCCASIONAL Up to 20# Environmental Factors Working alone - OCCASIONAL Working in cramped quarters - N/A Constant interruptions - FREQUENT Working with hands in water - OCCASIONAL Use of power tools - OCCASIONAL Working on ladders/scaffolding - N/A Exposure to vibration - N/A Exposure to dust - OCCASIONAL Exposure to noise (constant) - N/A Exposure to electrical energy (outlets, etc) - OCCASIONAL Exposure to temperature changes (heat, cold, humidity), that require special clothing - N/A Exposure to slippery walking surfaces - OCCASIONAL Exposure to solvents, grease, oils - OCCASIONAL Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - OCCASIONAL Working with bloodborne pathogens - CONSTANT Cardiovascular Energy Requirements - Physical Demand Physical Demand Met Level Examples of similar activity intensity Sedentary to Light 0 - 3.5 Light house cleaning, washing dishes, serving food, food shopping, sitting, standing, computer work. Medium 3.6 - 6.3 House work (mopping, scrubbing), health club exercising, treadmill work, stretching, yoga, walk/run-play with children, aerobic class, dancing, carrying bucket/wood, auto body repair, shoveling snow, golf (carrying clubs). Heavy to Very Heavy > 6.4 Calisthenics (push up, pull up, sit up, vigorous effort), carrying groceries upstairs, shoveling coal, bailing hay, fire fighting, sawing by hand, splitting wood. As relates to this position: Sedentary to Light - CONSTANT Medium - FREQUENT Heavy to Very Heavy - OCCASIONAL I. Specific Job Responsibilities (Essential Functions): Manages day-to-day in and out patient care in conjunction with supervising physicians. Provides patient and or family with information regarding treatment or procedures, condition and expectation during illness or recovery. Provides patient education/counseling and instruction regarding common patient problems. Formulates differential diagnoses by priority considering multiple potential mechanisms causing complex acute, critical, and chronic illness states. Demonstrates effective verbal, nonverbal, and written communication skills, including documentation according to established standards while maintaining patient confidentiality. Displays commitment to expanding his/her knowledge base and views this as a continuous process to maintain professional and personal growth. II. Organizational Responsibilities: Completed mandatory education, annual competencies and department specific education within established timeframes. Completed annual employee health requirements within established timeframes. Maintained license/certification, registration in good standing throughout fiscal year. Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self. Identifies and works to reduce potentially unsafe patient care or other safety practices. Adheres to regulatory agency requirements, survey process and compliance.