Clarion Hospital Staff Nurse, RN - Med/Surg Clarion, PA - Full Time CLARION HOSPTIAL JOB DESCRIPTION Job Title: Registered Nurse FLSA Status: Non-Exempt Department: Patient Care Services Job Code: 1202C Date: 11-27-2006 Position Summary The Registered Nurse has the primary responsibility of assessing, planning, implementing, and evaluating the care of the patients for whom she/he assumes responsibility under the direction of the Nurse Manager and Charge Nurse. Demonstrates commitment to Clarion Hospital mission statement, vision statement and values. Essential Functions An integral function of the staff nurse is patient teaching to promote positive health outcomes. Acts as a preceptor to all staff and students and is responsible for orientation of assigned staff. Maintains position specific skills and competencies as required on annual basis. Maintains CEU’s appropriate to discipline in order to maintain clinical competency. Functions as a patient advocate through education to the patient and family including health promotion. Responds to patient care needs on a timely fashion, including, but not limited to call bell response, verbal requests, and bed exit alarms. Maintains adherence to patient rights. Administers prescribed treatments, medications, therapies within the scope of practice. Participates in nursing and hospital committees as appropriate. Attends at least 70% of department staff meetings. Demonstrates strong customer service skills, and professional behavior when dealing with all individuals and groups, both internally and externally. Demonstrates respect and communication skills when interacting with all individuals and groups, both internally and externally . Assesses the patient’s physical and psychosocial condition on an ongoing basis throughout the continuum of care. Develops a plan of patient care reflecting significant nursing diagnoses and interventions to achieve desired patient outcomes, involving the patient/family and healthcare team in this process. Plans, coordinates and implements patient’s plan of care in collaboration with the multidisciplinary team. Evaluates patient outcomes, effectiveness of plans of care, and readiness for discharge. Revises as needed, and makes referrals when indicated. Utilizes manual and automated information systems to improve patient safety Act as a liaison in coordinating patient care activities with nurses, physicians and allied health professionals. Communicates patient’s plan of care to all multidisciplinary team members and to the patient, family and significant others. Provides education as indicated after assessing the learning needs of the patient and family. Demonstrates cost effectiveness by using supplies judiciously, anticipating needs for special supplies and equipment, and making recommendations for change. Complies with established personal protective equipment requirements necessary for protection against exposure to blood and other potentially infectious body fluids, chemical disinfectants, radiation, antineoplastic/cylotoxic agents and other hazardous substances. In some specialized areas the RN, maintains total care of the patient including but not limited to, connecting, monitoring and interpreting electronic displays, responding to emergencies by initiating life saving actions including advanced cardiac life support (ACLS) protocols. Performs other duties as assigned. Agrees to comply with the Corporate Compliance Policy and all laws, rules, regulations, and standards of conduct relating to the position and has a duty to report any suspected violations of the law or the standards of conduct to his or her immediate supervisor, the Compliance Officer or the Chief Executive Officer. The intent of this job description is to provide a representative summary of the major duties and responsibilities performed with or without reasonable accommodations by incumbents of responsibilities other than those specifically presented in this description. Reporting Relationships Reports to: Nurse Manager, Charge Nurse Supervises: GN, LPN, Nursing Assistant, Unit Secretary, Nurse Externs and Technicians. Qualifications Graduate of a State Board approved program of professional nursing. Holds a current Pennsylvania State License as a registered nurse. Certified in basic CPR. Certified in ACLS, PALS, and neonatal resuscitation as appropriate.
Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting in patient and department records. Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain patient confidence and protects operations by keeping information confidential. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promote patient's independence by establishing patient care goals, teaching patient/family to understand condition, medications, and self-care skills, and answering questions. Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Resolve patient problems and needs by utilizing multidisciplinary team strategies. Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team continuous quality improvement and problem-solving methods. Contribute to team effort by accomplishing related results as needed. Ensure operation of equipment by completing preventive maintenance requirements by following manufacturer's instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques. Maintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results. Cognitive ability to function and concentrate on the essential and specialty functions of the job at a high level. Achieve thoroughness and accuracy when accomplishing an essential or specialty function of the job. Ability to think and concentrate for an entire shift. Assure quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following Home Health & Hospice and nursing division’s philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and controlled substance regulations. Document patient care and services by charting in patient and department records. Maintain continuity among nursing teams b documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain nursing supplies inventory by checking stock to determine inventory level; placing, and expediting orders for supplies; verifying receipt of supplies using equipment and supplies as needed to accomplish results. Work collaboratively with the case manager, and on call RN, and other agency staff in the provision of patient care. Ensure communication of patient care needs to the primary care staff in order to facilitate continuity of care. Provide direct and indirect supervision of personal care provided by the Home Health Aides in the patients’ homes, in accordance with federal regulation and accrediting bodies. Maternal/Child Nurse Role: Provide prenatal nursing services, which include instruction, assessment and monitoring of the physical and emotional status of the patient with a high-risk pregnancy for early detection and intervention of complications. Maternal/Child Nurse Role: Instruct and assess the postpartum patient and newborn for early detection and intervention of complications. Maternal/Child Nurse Role: Instruct and assess the newborn and child’s physical and emotional development, adjustment, and/or abnormalities and reports to the physician. Other duties as assigned. Competency and Experience [Knowledge, Skills and Abilities] Required Qualifications/Experience Graduate of an accredited Nursing Program required. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications/Experience One (1) year experience in medical/surgical nursing or other healthcare related field; IV and phlebotomy training’ certification in an applicable area. Experience in Healthcare setting. License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance Valid Driver’s License (if out of state hire, the record report from applicable state driver’s license department is required) Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
The CRNP, Neonatal delivers care through independent judgment, communication, and collaboration with all team members and the attending neonatologist, following Independence Health System protocols and policies. Job duties include but not limited to the following: .Attend and provide coverage for high-risk deliveries and neonatal stabilization in accordance within NRP guidelines. · Evaluate and identify patients meeting Special Care Nursery (SCN) admission criteria. · Provide evidence-based care to infants admitted to the SCN: · Obtain, record, and interpret complete health history. · Perform comprehensive physical assessments, order and interpret diagnostic data, and plan management in consultation with the attending neonatologist. · Perform diagnostic and therapeutic procedures per established protocols. · Coordinate discharge/transfer to tertiary care facilities. · Communicate and provide support to families. · Collaborate with Case Management and ancillary staff for optimal care and discharge planning. · Assist with the education of the RN staff in the SCN as needed. · Support the ED and Newborn Service in neonatal patient care management. · Participate in monthly OB/SCN /Newborn meetings to align care and improve outcomes · Other duties as assigned. Other duties as assigned.
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
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#
