CNA Telemetry Part-time
Independence Health System

NURSING ASSISTANT - 5 TELEMETRY

Independence Health System Butler, PA
Part time 32 hours a week, benefit eligible Day/Evening Rotation. Hours: 6a-630p, 6a-2:30p, 2p-1030p Job Summary : Provides assistance to the nursing staff of 5 Main, which is a Medical/ Surgical/Cardiovascular Telemetry Unit that provides acute nursing care duties assigned by the Director/Clinical Supervisor or designee. Duties assigned are related primarily to specific nursing care functions, which do not require professional education or licensure, assisting in maintaining safe and efficient unit operations, providing support for patient care programs, utilizing excellent customer service skills and communication 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 Experience ⚬ Minimum: None ⚬ Preferred: Clinical experience obtained through a nurse aide educational program, OR recent experience in a related area, OR related educational background. Other Requirements : Comprehensive Crisis Management per policy. 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 - 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 - 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 - 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 - OCCASIONAL ● 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. ● FREQUENT ● 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) * - 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 - N/A ● Exposure to radiant energy, ie computer terminal (more than 4 hours per shift) - N/A ● 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* - FREQUENT ● Medium - N/A ● Heavy to Very Heavy - N/A
LPN Outpatient Full-time
Independence Health System

LPN SUBSIDIARY

Independence Health System Greensburg, PA
***$3,000 sign-on bonus*** Job Summary 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.). Travel required 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 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/hr/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 PCU Per Diem
Independence Health System

RN CASUAL - 3NS PCU

Independence Health System Latrobe, PA
Job Summary The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. Essential Job Functions 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. The Registered Nurse provides direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised. Other related duties as assigned. Specialty Job Functions Demonstrates the ability to interpret and treat arrhythmias. Reviews rhythm strips. Demonstrates appropriate treatment of arrhythmia. Utilizes appropriate protocols for administration of drugs for treatment of arrhythmias. Required Qualifications 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. A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications One (1) year medical-surgical, PCU or critical care experience. Bachelor’s Degree in Nursing (BSN). 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 with renewal Current ACLS or completion within one (1) year of hire/transfer date into department. Current NIH Stroke Scale or completion within six (6) months of hire/transfer into department. 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 Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System Health 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. 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 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 Chemo Units Chemo Units X all other 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.
RN Home Health Full-time
Independence Health System

REGISTERED NURSE RN - HOME HEALTH

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. 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#
LPN Psych Per Diem
Independence Health System

LPN CASUAL - ADULT INPATIENT BEHAVIORAL HEALTH

Independence Health System Greensburg, PA
Job Summary/Overall Objectives The Licensed Practical Nurse functions as a member of the health-care team by exercising sound nursing judgment. The LPN provides direct and indirect patient care for an assigned group of patients under the direction and supervision of the RN and according to the plan of care derived from physician's orders and Registered Nurse assessment. Nursing Care includes physical care, emotional support, and patient and family education. Essential Job Functions Delivers direct and indirect patient care in accordance with the Pennsylvania Practical Nurse Law, hospital policies, procedures, protocols and other professional standards of care. Assists the RN in collecting patient health care data on admission by completing a focused assessment in an ongoing systematic manner, focusing on the physical, psychosocial, age, cultural and spiritual needs of the patient and which contributes to the comprehensive assessment by the RN. Works directly with the RN to implement an individualized, age-specific plan of care and evaluate its effectiveness. Assists the RN in reassessment of the patient's condition and takes appropriate action as indicated or by unit specific policy. Involves the patient/family and other health care providers when appropriate. Completes patient care related activities within scheduled time periods. Complies with completeness, accuracy and timeliness of documentation, utilizing the electronic medical record. Observes, records and reports to the appropriate professional the symptoms, reaction and changes including: General physical and mental condition of patients, and signs and symptoms which may be indicative of untoward changes; and stresses in human relationships between patients, between patients and personnel, and between patients and their families and visitors. Performs nursing functions as defined in Pennsylvania regulations, ( where applicable by location and department need) such as: Administration of medications, immunizations, and therapeutic treatments prescribed by the physician; Preparation and care of patients receiving specialized treatments administered by the physician or the professional nurse. Assists with the rehabilitation of patients according to the medical care plan, being aware of and encouraging the interests and special aptitudes of patients. Encouraging patients to help themselves within their own capabilities in performing activities of daily living. Knowledge and application of the principles of prevention of deformities, the normal range of motion, body mechanics, and body alignment. Assists in providing education for the provision and coordination of patient care activities that promote and maintain health, foster self-care and improve outcomes. Assists the RN in assessing the patient's readiness to learn, identifying educational barriers and adapting the process to meet the needs of the patient. Ensures education about safely and effectively using medication, pain and managing pain, available resources, how to obtain further care, and information about responsibilities in their care. Acquires and distributes educational resources tailored to patient needs. Provides and reviews, upon request of the RN, written discharge instructions that demonstrate an inter-relationship between education, discharge planning and continuity of care. Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care conferences, shift reports and internal and external transfers. Reports changes in patient's condition to the RN, including the need to reassess patient or change the plan of care; confers with the RN when there is a need to contact the physician. Participates in the unit performance improvement activities designed to enhance the quality of patient care and customer service. Assists in data collection process as requested. Recommends modifications for performance improvement. Demonstrates leadership by utilizing the concepts inherent to the practice of the professional nurse. Demonstrates an ability to solve problems independently 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. Assists in the department's compliance with State, TJC, OSHA and other regulatory agencies. Participates in continuous survey readiness for inspections and surveys. Participates in the non-punitive medication reporting system. Ensures accountability for narcotics per regulatory/organizational policies. Adheres to the infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Provides for patient safety in compliance with hospital and nursing department policies. Utilizes two forms of patient identification before implementing any form of patient care. Involves the patient and/or family in patient safety standards and processes. Minimizes the use of patient restraints and, if patient's condition warrants, monitors per individual assessed need and documents per policy. Assumes appropriate code team role during code situations, including internal and external disasters. Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited School of Practical Nursing Zero (0) to two (2) years of experience in behavioral health 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 Previous LPN experience Experience in Healthcare setting. 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 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. 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 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 Chemo Units Chemo Units X all other 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.
RN PCU Full-time
Independence Health System

RN WEEKEND - PCU

Independence Health System Mount Pleasant, PA
SPECIAL WEEKEND RATE APPLIES Job Summary The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. Essential Job Functions 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. The Registered Nurse provides direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised. Other related duties as assigned. Specialty Job Functions Demonstrates the ability to interpret and treat arrhythmias. Reviews rhythm strips. Demonstrates appropriate treatment of arrhythmia. Utilizes appropriate protocols for administration of drugs for treatment of arrhythmias. Required Qualifications 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. A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications One (1) year medical-surgical, PCU or critical care experience. Bachelor’s Degree in Nursing (BSN). 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 with renewal Current ACLS or completion within one (1) year of hire/transfer date into department. Current NIH Stroke Scale or completion within six (6) months of hire/transfer into department. 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 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. 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 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 Chemo Units Chemo Units X all other 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 Outpatient Full-time
Independence Health System

CRNP - PRIMARY CARE SLIPPERY ROCK

Independence Health System Slippery Rock, PA
Provides 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: 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: None Preferred: One year experience working as a CRNP. 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. III. Job Behaviors: “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. 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. 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”. 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. 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 Per Diem
Independence Health System

RN CASUAL - IV TEAM

Independence Health System Latrobe, PA
Job Summary The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. Essential Job Functions 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. The Registered Nurse provides direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised. Other related duties as assigned. Specialty Job Functions Demonstrates the ability to interpret and treat arrhythmias in ICU. Reviews rhythm strips. Demonstrates appropriate treatment of arrhythmia. Utilizes appropriate protocols for administration of drugs for treatment of arrhythmias. Demonstrates the ability to care for a patient requiring ventilator support. Demonstrates ability to care for patient receiving invasive monitoring, not limited to Swan Ganz catheters, but including A-lines and CVP monitoring. Other related duties as assigned. Required Qualifications 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. A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications Bachelor’s Degree in Nursing preferred. Critical Care Experience One (1) year Med/Surg or PCU experience. 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 Current ACLS or completion within one (1) year of hire/transfer date into department NIH Stroke Scale – current or within six (6) months of hire/transfer into department. 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 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. 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 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 Chemo Units Chemo Units X all other 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.
RN Telemetry Full-time
Independence Health System

REGISTERED NURSE RN - 5TH FLOOR

Independence Health System Latrobe, PA
Job Summary The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. Essential Job Functions 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. The Registered Nurse provides direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised. Other related duties as assigned. Required Qualifications 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. A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications Bachelor’s Degree in Nursing preferred. One (1) year medical-surgical experience. 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 with renewal. 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 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. 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 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 Chemo Units Chemo Units X all other 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.
RN ER Full-time
Independence Health System

REGISTERED NURSE, RN - EMERGENCY DEPARTMENT

Independence Health System Greensburg, PA
Job Summary The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. May be required to lift/transfer 30# or greater utilizing assistance and or applicable patient lift equipment. Essential Job Functions 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. The Registered Nurse provides direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised. All other duties as assigned. Required Qualifications 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. A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications Minimum of one-year critical care or emergency room experience; CEN/CCRN; BTLS PHRN; EMS experience BSN License, Certification & Clearances Current licensure to practice as a Registered 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 Clearances Current PALS or completion within one year of hire/transfer date into department Current ACLS or completion within one year of hire/transfer date into department NIH Stroke Scale – current or within 6 months of Hire/Transfer into Department. 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 Incumbents 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. 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 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 Chemo Units Chemo Units X all other 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 Urgent Care Full-time
Independence Health System

NURSE PRACTITIONER URGENT CARE

Independence Health System Greensburg, PA
Essential Job Functions Evaluates and administers appropriate treatment plan for the urgent care patient in conjunction with the supervising physician. Provides patient and/or family 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 . Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Master’s degree in 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/Experience Doctor of Nursing Practice One year experience working as CRNP. Experience in Healthcare setting. License, Certification & Clearances Current PA RN and CRNP licenses. ACLS Act 33 & 73 Clearances Act 34-PA Criminal Record Check from the PA State Police system Individual must meet the credentialing requirements of the Medical Staff Office. 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.
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#
CNA Full-time
Independence Health System

NURSING ASSISTANT/TECH PARTNER - LAUREL SURGICAL CENTER

Independence Health System Latrobe, PA
Job Summar The Technical Partner provides direct and indirect patient care under the direction of the RN or LPN. Essential Job Functions Deliver direct and indirect patient care in accordance with hospital policies, procedures, protocols and standards of care. Perform and/or assist with patient care needs as directed and assists patient with activities of daily living. Respond to call lights, inquiries and requests from patients and families in a timely manner. Collect, document and report ongoing patient care data as directed. Measure and/or document intake and output, including drainage and obtains daily weights when indicated. Obtain individual patient care equipment as directed. Transport patients as directed. May perform the following skills: obtain vital signs, apply heating pads, set up suction equipment, utilize E cylinders, apply antiembolic hose, aseptic techniques, distribute and maintain sufficient supply of linens, apply Sequential Compression Devices, perform blood glucose testing, perform ostomy care, simple dressing changes, apply telemetry leads, bladder scanning, preventative skin care. Apply pulse oximetry, urinary catheter care, transport blood and blood products from blood bank, perform EKGs, oral pharyngeal suctioning, place patient in CPM machine, prepare and maintain isolation boxes and supplies, declutter patient rooms and storage areas, deliver specimens to lab, crutch measurement and teaching, maintenance of specialty carts, supply inventory and special order supplies, stock warmers with blankets, saline, and water. Make regular rounds to address patient needs and physical environment - purposeful hourly rounding, Assist in the educational process to promote and maintain health, foster self-care, and improve outcomes. Obtain resources as needed. Report to the RN/LPN information regarding the patient's readiness to learn. Maintain a collaborative relationship with other health care providers to achieve desired outcomes and assure continuous flow of patient care. Communicate pertinent information of actual/potential problems to the professional/practical nurse. Communicate pertinent information at shift reports and during internal and external transfers. Participate in the unit performance improvement activities designed to enhance the quality of patient care and customer services. Assist in data collection process as requested. Recommend modifications for performance improvement. Demonstrate leadership by utilizing the behaviors inherent to the role of the technical partner. Demonstrate an ability to solve problems utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate. Maintain accountability for actions taken. Effectively function as a resource person. Act as a patient advocate. Perform effectively in the role of preceptor/mentor to new hires and/or students. Assist in maintaining/decreasing organizational/departmental costs. Assist in the department's compliance with state, Joint Commission, OSHA and other regulatory agencies. Assist in continuous survey readiness for inspections and surveys. Adhere to the infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Assist with maintaining sufficient and proper supplies on an assigned unit. Assist with monitoring sterile supplies for expiration date and replaces as needed. Provide for patient safety in compliance with hospital and nursing department policies. Utilize two forms of patient identification before implementing any form of patient care. Assume appropriate code team role during code situations or mock codes. Respond effectively during emergency situations, including internal and external disasters. Assist in maintaining a safe and clean environment for patients, visitors and staff. Complete proper collection, identification, labeling and delivery of specimens (including diagnostic studies) to the appropriate department. Support limited use of restraints in accordance with established standards and documents according to policies. Other duties as assigned. Required Qualifications High School Diploma, GED or higher level of education. Sound judgment, problem solving skills, strong oral and written communication skills, ability to follow directions from other team members; works independently assigned duties. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications Completion of a Nurse Aide or comparable program (such as EMT, Medical Assistant, nursing student with at least one semester of clinical or prior experience in related field. Computer skills, Phlebotomy, EKG experience. License, Certification & Clearances Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required or obtain within orientation period (five (5) days from hire). Act 33 with renewal Act 34 with renewal. Act 73 FBI Clearance with renewal. 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 Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health 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. 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 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 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# 20# 50# 50# Carry X 10# 10# 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# 50# Lifting Knuckle to Shoulder X 10# 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 Psych Full-time
Independence Health System

RN, WEEKEND - ADULT INPATIENT BEHAVIORAL HEALTH

Independence Health System Greensburg, PA
SPECIAL WEEKEND RATE APPLIES Job Summary/Overall Objectives The RN assesses, plans, implements and evaluates the area of all assigned psychiatric patients. The RN coordinates, directs and participates as an effective interdisciplinary team member. Essential Job Functions 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. Ensures that assessment of the patient and the direct and indirect patient care delivered is in accordance with the PA Nurse Practice Act, hospital policies, procedures and protocols and other professional standards of care. Process psychiatric emergencies as assigned, through assessment of patients' condition and collaboration with psychiatrist to effect a crisis resolution, process commitments and refer patients to appropriate treatment facilities. Provides for patient safety in compliance with hospital and nursing department policies. Facilitates and coordinates the delivery of care in crisis situations. Demonstrates ability to assess change in patient behavior and acts accordingly. Updates crisis intervention skills on a yearly basis. Assures that patient belongings have been searched for potentially harmful items. Demonstrates a working knowledge of psychotropic medications. Maintains department protocols for identified psychiatric medications. Administers, monitors and documents efficacy, side effects and patient compliance. Provides patient/family education for prescribed medications. Conducts group therapy including medication groups, support groups and educational groups for patients, as well as serves as an information/referral source for families in these areas. Acts as a facilitator of group sessions. Provides patients with individualized educational materials. Other related 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 Bachelor’s Degree in Nursing preferred. One(1) – two (2) years of psychiatric nursing experience. 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 with renewal. 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 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. Work Environment : Effective 3/2020 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 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 Chemo Units Chemo Units X all other 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 HOSPITAL CARE - NIGHTS

Independence Health System Butler, PA
7 on 7 off work schedule-Nights (7p-7a). Inpatient Only. One(1) year hospital rounding experience required. Provide patient care services, including assessing and managing patients in the inpatient environment, by following established standards and practices. 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: None Preferred: One year experience working as a CRNP. 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 - 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 - 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 - 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 - 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
RN Telemetry Full-time
Independence Health System

CLINICAL NURSE COORDINATOR, RN - 5TH FLOOR

Independence Health System Latrobe, PA
Job Summary/Overall Objectives CNC is a front-line care provider as well as a coordinator and leader for the healthcare team. Within the nursing paradigm, the CNC applies the nursing process at the point of care through the strategic assessment, diagnosis, intervention, and evaluation of the unit as a whole to guide efforts for systematic, quality, and safety improvements. A critical component of the CNC role centers on improving effective interdisciplinary communication and coordination at the point of care. As a care-delivery-systems expert, the CNC helps patients and families navigate the complex healthcare system; advocates for both patients and families, as well healthcare providers, working within the unit, the hospital, and the system. The CNC is accountable for improving care delivery within a unique healthcare delivery setting. The core focus for CNC practice centers on maximizing safe, quality, evidence-based care within the complex systems. Essential Job Functions 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. CNC functions in compliance with the specialty standards, practice guidelines and protocols to the assigned unit. The Registered Nurse may provide direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised. Other related duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited Nursing Program required. One (1) year experience in relevant nursing field. 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 National certification in area of specialty Previous charge nurse experience helpful. 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 with renewal. 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 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. 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 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 Chemo Units Chemo Units X all other 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.
RN ICU Full-time
Independence Health System

RN WEEKEND - ICU

Independence Health System Latrobe, PA
SPECIAL WEEKEND RATE APPLIES Job Summary The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. Essential Job Functions 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. The Registered Nurse provides direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised. Other related duties as assigned. Specialty Job Functions Demonstrates the ability to interpret and treat arrhythmias in ICU. Reviews rhythm strips. Demonstrates appropriate treatment of arrhythmia. Utilizes appropriate protocols for administration of drugs for treatment of arrhythmias. Demonstrates the ability to care for a patient requiring ventilator support. Demonstrates ability to care for patient receiving invasive monitoring, not limited to Swan Ganz catheters, but including A-lines and CVP monitoring Required Qualifications 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. A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications Bachelor of Science in Nursing (BSN) Critical Care Experience; CCRN Open Heart Experience One (1) year recent acute care experience. One (1) year Med/Surg, PCU experience. 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 Current ACLS or completion within one (1) year of hire/transfer date into department NIH Stroke Scale – current or within six (6) months of hire/transfer into department. 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 Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health 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. 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 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 Chemo Units Chemo Units X all other 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.
LPN Per Diem
Independence Health System

LPN CASUAL - NURSE POOL

Independence Health System Latrobe, PA
Job Summary The Licensed Practical Nurse functions as a member of the health-care team by exercising sound nursing judgment. The LPN provides direct and indirect patient care for an assigned group of patients under the direction and supervision of the RN and according to the plan of care derived from physician's orders and Registered Nurse assessment. Nursing Care includes physical care, emotional support, and patient and family education. Essential Job Functions Delivers direct and indirect patient care in accordance with the Pennsylvania Practical Nurse Law, hospital policies, procedures, protocols and other professional standards of care. Assists the RN in collecting patient health care data on admission by completing a focused assessment in an ongoing systematic manner, focusing on the physical, psychosocial, age, cultural and spiritual needs of the patient and which contributes to the comprehensive assessment by the RN. Works directly with the RN to implement an individualized, age-specific plan of care and evaluate its effectiveness. Assists the RN in reassessment of the patient's condition and takes appropriate action as indicated or by unit specific policy. Involves the patient/family and other health care providers when appropriate. Completes patient care related activities within scheduled time periods. Complies with completeness, accuracy and timeliness of documentation, utilizing the electronic medical record. Observes, records and reports to the appropriate professional the symptoms, reaction and changes including: General physical and mental condition of patients, and signs and symptoms which may be indicative of untoward changes; and stresses in human relationships between patients, between patients and personnel, and between patients and their families and visitors. Performs nursing functions as defined in Pennsylvania regulations, such as: Initiates (peripheral short catheter) and maintains IV therapy; Assists with the rehabilitation of patients according to the medical care plan, being aware of and encouraging the interests and special aptitudes of patients. Encouraging patients to help themselves within their own capabilities in performing activities of daily living. Knowledge and application of the principles of prevention of deformities, the normal range of motion, body mechanics, and body alignment. Assists in providing education for the provision and coordination of patient care activities that promote and maintain health, foster self-care and improve outcomes. Assists the RN in assessing the patient's readiness to learn, identifying educational barriers and adapting the process to meet the needs of the patient. Ensures education about safely and effectively using medication, pain and managing pain, available resources, how to obtain further care, and information about responsibilities in their care. Acquires and distributes educational resources tailored to patient needs. Provides and reviews, upon request of the RN, written discharge instructions that demonstrate an inter-relationship between education, discharge planning and continuity of care. Maintains a collaborative relationship with physicians and other health care providers to achieve desired patient outcomes and assure a continuous flow of patient care. Communicates pertinent information for interdisciplinary patient care conferences, shift reports and internal and external transfers. Reports changes in patient's condition to the RN, including the need to reassess patient or change the plan of care; confers with the RN when there is a need to contact the physician. Participates in the unit performance improvement activities designed to enhance the quality of patient care and customer service. Assists in data collection process as requested. Recommends modifications for performance improvement. Demonstrates leadership by utilizing the concepts inherent to the practice of the professional nurse. Demonstrates an ability to solve problems independently 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. Assists in the department's compliance with State, TJC, OSHA and other regulatory agencies. Participates in continuous survey readiness for inspections and surveys. Participates in the non-punitive medication reporting system. Ensures accountability for narcotics per regulatory/organizational policies. Adheres to the infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Provides for patient safety in compliance with hospital and nursing department policies. Utilizes two forms of patient identification before implementing any form of patient care. Involves the patient and/or family in patient safety standards and processes. Minimizes the use of patient restraints and, if patient's condition warrants, monitors per individual assessed need and documents per policy. Assumes appropriate code team role during code situations, including internal and external disasters. Other duties as assigned. 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. Pursuing a BSN degree or desire to pursue BSN with completion in 4 (four) years from start date. 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 Current NIH Stroke Scale or completion within six (6) months of hire/transfer into department. 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 Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health 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. 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 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 Chemo Units Chemo Units X all other 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 - ORTHOPEDICS BUTLER

Independence Health System Butler, PA
Provides patient care services, including assessing and managing patients in the outpatient and/or 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: None Preferred: One year experience working as a CRNP. 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.
RN PACU Full-time
Independence Health System

REGISTERED NURSE RN PACU

Independence Health System Butler, PA
Reports to : Clinical Supervisor, Operating Room Position Supervises : N/A Job Summary : Responsible for providing direct care to assigned patients in the Recovery Room and IV Team. 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, charge nurse duties, quality improvement activities and professional growth. 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, and Act 33/73 clearances. PALS required within one year of hire/transfer. Experience ⚬ Minimum: Clinical rotation through educational program. ⚬ Preferred: Prior PACU experience, PALS, and strong IV, Midline, and PIC experience. Other Requirements : N/A 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 - CONSTANT ● 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 - CONSTANT ● 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 - N/A ● 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 - FREQUENT ● Grasping * - Using functional gripping of the hand to handle an object - CONSTANT ● 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 ● Up to 20# ● 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) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - OCCASIONAL ● Working in cramped quarters - OCCASIONAL ● Constant interruptions - FREQUENT ● Working with hands in water - N/A ● Use of power tools - N/A ● Working on ladders/scaffolding - N/A ● Exposure to vibration - N/A ● Exposure to dust - FREQUENT ● Exposure to noise (constant) - OCCASIONAL ● Exposure to electrical energy (outlets, etc) - N/A ● Exposure to temperature changes (heat, cold, humidity), that require special clothing - OCCASIONAL ● 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 - 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 - FREQUENT ● Medium - OCCASIONAL ● Heavy to Very Heavy - N/A
RN Full-time
Independence Health System

RN - INTERVENTIONAL CARDIOLOGY

Independence Health System Greensburg, PA
*****$5,000 sign-on bonus***** Job Summary The RN Subsidiary will perform direct patient care activities such as lab tests, treatments, and medication administration. These are performed under the direction of the physician in preparation for the patient’s examination and treatment. RN will utilize nursing process to assess patient’s condition and direct to the appropriate level of care using internal and external resources. Carry out clerical activities. Quality control activities, performance improvement initiatives, etc. in order to support the physician and practice as assigned. Essential Job Functions Deliver direct and indirect patient care in accordance with the RN Practice Act, hospital, and/or physician practice policies, procedures, protocols and other professional standards of care. Collect patient health care data, including VS, weight, chief complaint and pain assessment focusing on the physical, psychosocial, age, cultural and spiritual needs for the patient. Complete initial assessment of the patient’s health history, learning needs and barriers, physical, psychosocial, cultural and spiritual needs and reassess annually. Involve the patient/family and other healthcare professionals when appropriate. Complete patient care treatments/testing as ordered by the physician. Administer medications/immunizations using appropriate routes and techniques specific to age of the patient. Comply with completeness, accuracy and timeliness of documentation. Provide education and instruction, within their scope of practice, to patients and families. Assess the patient’s readiness to learn, educational needs and educational barriers. Provide educational material and/or instruction based on assessed needs. Document all education/instruction provided including topic, individual provided to and understanding. Maintain collaborative relationship with physicians to achieve desired patient outcomes. Prepare patients for examinations, treatments, and procedures. Assist the physician with treatments and procedures as requested. Provide for patient safety in compliance with hospital and physician practice policies. Utilize two forms of patient identification before implementing any form of patient care. Label all patient specimens with identifiers per policy. Use patient identifiers on all written documentation, including notes and point of care testing results. Assist in compliance with all regulatory agency requirements. Adhere to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Participate in non-punitive medication reporting. Demonstrate leadership by utilizing the concepts inherent to the practice of professional nursing. Demonstrate an ability to solve problems independently and seek assistance from immediate supervisor when appropriate. Maintain accountability for actions taken. Delegate patient care appropriately. Effectively function as a resource person. Act as a patient advocate. Perform effectively in the role of preceptor/mentor to new hires and/or students. Assist in maintaining/decreasing organizational/departmental costs. Coordinate communication between patients/families and physician practice, pharmacies, specialists and insurance carriers. Provide advise based on protocols and physician instructions and direct patients to the appropriate level of care. Facilitate patient’s access to prescription refills based on physician order. Obtain prior authorizations and/or assist with indigent programs per physician order based on the patient’s financial status or insurance coverage. Support performance improvement initiatives within the physician practice. Assist in data collection as directed by the manager/physician. Incorporate into practice performance improvement initiatives that have been implemented. Maintain the environment of care. Ensure that supplies in patient care areas are replenished daily. Consistently maintains a clean safe environment. Follow policies pertaining to daily/weekly/monthly quality control for refrigerator temperature, and equipment controls. Perform POC testing as ordered by the physician. Complete all quality control testing per policy and manufacturing guidelines. Use two patient identifiers, name and DOB, prior to testing. Follow appropriate procedures when collecting patient specimens. Accurately record patient test results on appropriate result form and testing log. Identify results that are out of acceptable range and follow up prior to performing patient testing. Prepare forms, copy records and respond to requests per policies and procedures. Assist in maintaining the patient’s record to facilitate filing and retrieval of information. Participate in staff education. Perform other duties as assigned. Required Qualifications Graduate of an accredited Nursing Program required. Strong leadership ability, 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. Preferred Qualifications Bachelor’s Degree in Nursing preferred. Previous experience in an outpatient office 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 Clearances 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 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 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 x Extreme Cold x x Heights x x Confined Spaces x x Extreme Noise(>85dB) x x Mechanical Hazards x x Use of Vibrating Tools x Operates Vehicle x 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 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 x Blood/Body Fluid Exposure x Chemicals (direct use) Exposure 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 x Carry x x 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 Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle =
NP Full-time
Independence Health System

CRNP - ELECTROPHYSIOLOGY BUTLER

Independence Health System Butler, PA
Provides patient care services, including assessing and managing patients in the outpatient and/or 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: None Preferred: One year experience working as a CRNP. 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. *Please use the following to determine the rating for Section I and Section II: If employee is rated " Meets " at least 7 of 10 in Sections I and II, their rating is " Meets ". If employee is rated " Does Not Meet " for 4 or more in Sections I and II, their rating is " Does Not Meet ". Based on the above, the rating for Section I and Section II is: III. Job Behaviors: “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. 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. 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”. 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. 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. *Please use the following to determine the rating for Section III: If employee is rated " Exceeds " for at least 3 of 5 AND is rated " Meets " for the remaining, their rating is " Exceeds" . If employee is rated " Exceeds " for less than 3 of 5 and " Meets " for the remaining, their rating is " Meets ". If employee is rated " Does Not Meet " for 2 or more, their rating is " Does Not Meet". Based on the above, the rating for Section III is: IV. Overall Performance Summary: Based on the rating for combined Section I and II, and rating for Section III, please select the overall rating for this evaluation period using the outline below. Exceeds Expectations : Demonstrates exceptional behaviors and exceeds position requirements. Willingly accepts additional responsibilities. Demonstrates expertise in relevant skills and utilizes knowledge to support overall department/organizational goals Defined as: Employee rates " Meets Expectations " for 10 out of 10 in Sections I and II Employee rates " Exceeds Expectations " in Section III Meets Expectations : Achieves and may occasionally exceed performance expectations while demonstrating expected behaviors. Defined as: Employee rates " Meets Expectations " in Sections I and II Employee rates " Meets Expectations " in Section III Does Not Meet Expectations : Performance improvement is needed in one or more areas of expected behaviors or job results. Defined as: Employee rates " Does Not Meet " for their overall rating for Section I and Section II OR for Section III *Please select the appropriate Overall Performance Summary rating for the review:
RN Full-time
Independence Health System

REGISTERED NURSE RN - Obstetrical Services

Independence Health System Butler, PA
Reports to : Clinical Supervisor Position Supervises : N/A Job Summary : Responsible for providing direct nursing care to assigned obstetrical, neonatal and gynecological patients. The Registered Nurse’s responsibilities include, but are not limited to utilization of the nursing process in the provision of care, communicating with all members of the health care team to assure patient goals are being met and coordinated, providing excellent customer service while supporting 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, Act 33/73 clearance, Healthcare Provider CPR and Neonatal Resuscitation Experience ⚬ Minimum: One year OB or two years acute care nursing experience. ⚬ Preferred: One year labor and delivery experience; high- risk neonatal experience. Other Requirements : N/A 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 - CONSTANT ● 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 - 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 - N/A ● 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 - OCCASIONAL ● Grasping* - Using functional gripping of the hand to handle an object - CONSTANT ● 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 - 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 ● 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) ● FREQUENT ● Up to 20# Environmental Factors ● Working alone - N/A ● Working in cramped quarters - N/A ● 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) - N/A ● 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) - N/A ● 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
RN ICU Full-time
Independence Health System

REGISTERED NURSE RN - SICU

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
RN Psych Full-time
Independence Health System

REGISTERED NURSE, RN - ADULT INPATIENT BEHAVIORAL HEALTH

Independence Health System Greensburg, PA
Job Summary/Overall Objectives The RN assesses, plans, implements and evaluates the area of all assigned psychiatric patients. The RN coordinates, directs and participates as an effective interdisciplinary team member. Essential Job Functions 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. Ensures that assessment of the patient and the direct and indirect patient care delivered is in accordance with the PA Nurse Practice Act, hospital policies, procedures and protocols and other professional standards of care. Process psychiatric emergencies as assigned, through assessment of patients' condition and collaboration with psychiatrist to effect a crisis resolution, process commitments and refer patients to appropriate treatment facilities. Provides for patient safety in compliance with hospital and nursing department policies. Facilitates and coordinates the delivery of care in crisis situations. Demonstrates ability to assess change in patient behavior and acts accordingly. Updates crisis intervention skills on a yearly basis. Assures that patient belongings have been searched for potentially harmful items. Demonstrates a working knowledge of psychotropic medications. Maintains department protocols for identified psychiatric medications. Administers, monitors and documents efficacy, side effects and patient compliance. Provides patient/family education for prescribed medications. Conducts group therapy including medication groups, support groups and educational groups for patients, as well as serves as an information/referral source for families in these areas. Acts as a facilitator of group sessions. Provides patients with individualized educational materials. Other related 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 Bachelor’s Degree in Nursing preferred. One(1) – two (2) years of psychiatric nursing experience. 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 with renewal. 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 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. Work Environment : Effective 3/2020 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 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 Chemo Units Chemo Units X all other 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.