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$27 - $39.27 / hour

This position is eligible for up to $15,000.00 Sign on Bonus for those that qualify. ($7,500.00 for those with less than one year of experience) Position Summary: Provides high quality nursing care for assigned patients in accordance with nursing standards of care and practice under the supervision of a Registered Nurse. Maintains collaborative relationships with other nursing staff members, physicians and ancillary staff to provide this care. Maintains an appropriate level of knowledge and clinical skill through continuing education/in-services and self‐study activities. Education, License & Cert: LPN ‐ Must be licensed in the state of practice. Experience: For those that will be working in PA, the individual must have completed the IV therapy curriculum requirements as noted in the Pennsylvania Code, Section 21.203. If not completed at the time of hire, the individual must complete a Board‐ approved, LPN IV Therapy Education Program prior to independently practicing IV therapy. In addition, the staff LPN must meet individual nursing unit specifications regarding educational requirements during employment. Must maintain CPR certification. Essential Functions: 1. Works collaboratively with and under the direction of a Registered Nurse. A. Demonstrates the ability to communicate observations of patient to members of the healthcare team. B. Supports the philosophy and objectives of the nursing department. 2. Assists the Registered Nurse with nursing process. A. Participates in patient data collection, including the admission process. B. Contributes in determining outcomes (goals) that will involve the patient and family. C. Implements plan of care in collaboration with the nursing team. D. Assists RN to evaluate patient’s response to interventions. E. Recommends changes in plan of care to RN and participates in patient care conferences. 3. Demonstrates competence in performance of nursing skills and procedures relative to clinical area and scope of practice. A. Practices within the scope of nursing care consistent with policies and procedures and Pennsylvania licensure for LPNs. B. Partners with the RN to implement evidence‐based interventions and treatments unique to the patient need. C. Assists with health education of patients and family, utilizing patient education resources. D. Prioritizes work assignments and sets goals in order to manage daily patient assignments. 4. Documents in a thorough, concise, timely manner according to the nursing department standards. A. Accurately documents and reports changes in patient's conditions to the RN. 5. Fulfills professional role expectations and requirements. A. Demonstrates behaviors aligned with the organization’s mission and vision. B. Demonstrates positive interpersonal relations in dealing with nursing and inter-professional team to promote efficiency and to provide quality patient care. C. Shares knowledge and skills with peers and colleagues by recognizing and utilizing opportunities to teach other staff members, participating in orientation of new employees and collaborating with faculty in clinical experiences for healthcare students. D. Demonstrates a commitment to lifelong learning by assessing and identifying personal learning needs, developing a plan to maintain skills and competence in clinical practice or role performance, and then completing the plan. Maintains professional records that provide evidence of competency. E. Evaluates personal strengths and weakness. F. Participates in performance improvement activities to enable changes in nursing practice and in the healthcare delivery system. G. Participates in efforts to minimize costs and unnecessary duplication in patient care. Other Duties: 1. Utilizes time between patient care procedures to maintain clean and orderly work environment and help other nurses with patient care. 2. It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position Pay Range is $27.00-$39.27/hr Dependent on years of applicable experience. update: 1-31-24

LPN Licensed Practical Nurse- Acute Care (Med/Surg 1) - Full Time

$27 - $30.27 / hour

This position is eligible for up to $15,000.00 Sign on Bonus for those that are eligible. ($7,500.00 for those with less than one year of experience) Position Summary: Provides high quality nursing care for assigned patients in accordance with nursing standards of care and practice under the supervision of a Registered Nurse. Maintains collaborative relationships with other nursing staff members, physicians and ancillary staff to provide this care. Maintains an appropriate level of knowledge and clinical skill through continuing education/in-services and self‐study activities. Education, License & Cert: LPN ‐ Must be licensed in the state of practice. Experience: For those that will be working in PA, the individual must have completed the IV therapy curriculum requirements as noted in the Pennsylvania Code, Section 21.203. If not completed at the time of hire, the individual must complete a Board‐ approved, LPN IV Therapy Education Program prior to independently practicing IV therapy. In addition, the staff LPN must meet individual nursing unit specifications regarding educational requirements during employment. Must maintain CPR certification. Essential Functions: 1. Works collaboratively with and under the direction of a Registered Nurse. A. Demonstrates the ability to communicate observations of patient to members of the healthcare team. B. Supports the philosophy and objectives of the nursing department. 2. Assists the Registered Nurse with nursing process. A. Participates in patient data collection, including the admission process. B. Contributes in determining outcomes (goals) that will involve the patient and family. C. Implements plan of care in collaboration with the nursing team. D. Assists RN to evaluate patient’s response to interventions. E. Recommends changes in plan of care to RN and participates in patient care conferences. 3. Demonstrates competence in performance of nursing skills and procedures relative to clinical area and scope of practice. A. Practices within the scope of nursing care consistent with policies and procedures and Pennsylvania licensure for LPNs. B. Partners with the RN to implement evidence‐based interventions and treatments unique to the patient need. C. Assists with health education of patients and family, utilizing patient education resources. D. Prioritizes work assignments and sets goals in order to manage daily patient assignments. 4. Documents in a thorough, concise, timely manner according to the nursing department standards. A. Accurately documents and reports changes in patient's conditions to the RN. 5. Fulfills professional role expectations and requirements. A. Demonstrates behaviors aligned with the organization’s mission and vision. B. Demonstrates positive interpersonal relations in dealing with nursing and inter-professional team to promote efficiency and to provide quality patient care. C. Shares knowledge and skills with peers and colleagues by recognizing and utilizing opportunities to teach other staff members, participating in orientation of new employees and collaborating with faculty in clinical experiences for healthcare students. D. Demonstrates a commitment to lifelong learning by assessing and identifying personal learning needs, developing a plan to maintain skills and competence in clinical practice or role performance, and then completing the plan. Maintains professional records that provide evidence of competency. E. Evaluates personal strengths and weakness. F. Participates in performance improvement activities to enable changes in nursing practice and in the healthcare delivery system. G. Participates in efforts to minimize costs and unnecessary duplication in patient care. Other Duties: 1. Utilizes time between patient care procedures to maintain clean and orderly work environment and help other nurses with patient care. 2. It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position Pay Range is $27.00-$30.27/hr Dependent on years of applicable experience. update: 1-31-24

Virtual Critical Care Registered Nurse - Pulse Center - Full Time - days

Guthrie Big Flats, NY

$39 - $54.12 / hour

Critical Care Virtual Registered Nurse - located in Big Flats, NY! This position is Full Time 12 hour day shifts. This position is eligible for a $25,000 sign on bonus! Position Details: The Virtual Critical Care Registered Nurse works from the Pulse Center, located in Big Flats NY, to enable the care of critically ill patients in ICU beds across the Guthrie system. This position provides virtual support to bedside nurses and is an excellent opportunity for experienced nurses to use their critical care skills without the physical demand of a traditional ICU setting. This department utilizes self-scheduling, allowing our caregivers to select the shifts that work best for them and the team. Position Summary The Virtual Registered Nurse (RN) provides professional nursing care for patients in a critical care environment utilizing telecommunication technology. Collaborates with the bedside nurse to provide coordinated, safe, compassionate, therapeutic, evidence-based quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty. Education, License & Cert: - Registered Nurse licensed in both Pennsylvania and New York . - BSN in Nursing preferred. - Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect. - Any contract with specific time frames for obtaining a bachelor’s degree in nursing will supersede the above point and will remain in effect. - CCRN or CCRN-E certification within two years of hire preferred with education and training provided. - BLS and ACLS certification required. Experience: - The Registered Nurse must be a registered nurse currently licensed in Pennsylvania and New York with five years of experience in critical care. The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment. Must maintain BLS and ACLS certification. Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit. Essential Functions 1. Employs Nursing Professional Practice: Utilizes clinical assessment skills and knowledge of EPIC and Sickbay functionality or designated software application, to monitor patients effectively and efficiently in collaboration with the patient’s primary nurse. Utilize critical thinking skills and the specialized software to assess patients, and preemptively address subtle signs and symptoms of clinical deterioration or status changes. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. 2. Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve. Communicates effectively to inform, coach, and support onsite nurses/clinicians, cultivating a therapeutic team approach. 3. Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including students. Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community. Serves as a clinical resource, coaches and mentors clinical nurses in areas of clinical and professional practice. Models’ professional behaviors as a representative of the nursing profession. 4. Aligns Practice with Safety and Quality: Manages assignment of complex patients and other unit demands. Proactively recognizes, determines a plan of action, and responds to routine, urgent, and emergent patient situations utilizing direct observation via videoconferencing, proactive surveillance of adverse physiological trends, medical chart review, and clinical alarms. Provides follow-up to ensure problem resolution. 5. Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidence-based practice. 6. Leader in Practice Setting & Community demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence, and innovation. Provides high level contributions to the onsite nurses’ knowledge of pathophysiology, pharmacology, hemodynamics, bedside technology, and nursing care. 7. Monitor assigned critical care patients (ICU/Step-down) utilizing real-time, two-way, audio and video communication, as well as other platforms. 8. Prevent clinical problems from occurring by:9. Direct observation via videoconferencing 10. Proactive surveillance of physiological trends 11. Medical chart review 12. Competencies, nursing practices and processes are based on the populations served, which could include the infant, preschool, school age, adolescent, adult and geriatric patients. 13. It is understood that this description is not intended to be all-inclusive and that other duties may be assigned as necessary in the performance of the position. Other Duties 1. Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position. 2. Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff. 3. Ability to use independent, critical judgment in all aspects of patient care delivery. 4. Demonstrated interpersonal skills that convey a positive and supportive attitude. 5. Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations. 6. Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of the job, especially regarding activities impacting patient or employee safety or security. 7. Hearing / Visual requirement The pay range for this position is $39.00 - $54.12 per hour.

LPN

1 month ago

Licensed Practical Nurse - Orthopedics - Full Time

$22.24 - $34.70 / hour

Up to a $15,000.00 Sign on Bonus!! Position Summary: Assist physician with duties necessary to support the needs of the practice working within and to the maximum scope of license Education, License & Cert: LPN ‐ Must be licensed in the state of practice. Experience: One‐year experience in healthcare field preferred but not required Essential Functions: 1. Directs patient to exam room and prepares patient for exam or treatment by identifying height, weight, respirations, blood pressure, temperature, additional testing, and records same on chart. Will also interview patient to obtain history allergies, reconciles medication list and records on chart as requested. 2. Write or call Rx after obtaining surgeon/provider authorization for all department surgeons/providers as needed. Chart as written in patient’s chart 3. Email, fax or call in any insurance referrals. Follow up phone call with referral number to specialist if requested. 4. Assists in smooth departmental operation by filling in for other LPNs, clinical assistant and MOA’s as requested. Answers telephone and performs other clerical functions as necessary (screen calls according to urgency and need). Must train and maintain proficiency in the use of computer equipment and other computer program training as requested. Must train and maintain proficiency in the use of computer equipment and other computer program training as requested 5. Attends to exam and procedure rooms, including assurance that proper supplies are on hand, maintain order and cleanliness. Order medications or clinical supplies for the department as requested. 6. Administers prescribed injections/medications and records them on patient’s chart 7. Routes patient after exam to proper area for ancillary testing or follow‐up appointments, i.e. Blood work, x‐rays, and enter lab testing as requested. 8. Basic knowledge of medications (side effects/contraindications, etc.) 9. Be able to read and review pathology results with patients 10. Setup and tear down sterile fields 11. Basic knowledge of surgical instruments 12. Prepare surgical trays as needed for procedures for the day. 13. Assist surgeon with operative procedures both in the office and Operating Room if necessary 14. Maintain infection control measures including but not limited to proper cleaning of surgical equipment and use of autoclave 15. Proficient with autoclave sterilization process 16. Knowledge and proficiency of dressing changes and suture removal 17. Assess signs and symptoms of infection and reporting to surgeon and/or provider 18. Hepatitis checks and protocol to protect surgeon, patient, and nurse 19. May perform high level disinfection, based on departmental equipment. Other Duties: 1. As assigned as appropriate for LPN licensure 2. Attend new employee orientation and all mandatory events such as in‐services, classes, training as required by the organization 3. Complies with the dress code policy as set forth by Guthrie 4. Attends and participates in Department meetings, along with contributing to department/office goals Updated 8.20.25 The pay for this position ranges from $22.24 - $34.70/hour

RN

1 month ago

RN Acute Case Manager - System Care Management - Full Time Day

$37.50 - $53.06 / hour

Up To $25,000 Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, clinical, and operational outcomes timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and authority for coordinating the medical management of hospital patients, using outcomes-based approaches. The Acute Case Manager supports the healthcare team in assessing, planning, and facilitating individualized continuum of care plan for patients, based on assessed needs and available resources. The Acute Case Manager monitors clinical approaches and make recommendations for alternate levels of care. The Acute Case Manager also performs Utilization Management throughout the continuum of care in collaboration with other internal and external offices, payors, and providers. The Acute Case Manager collaborates cooperatively with the patient and members of the interdisciplinary health care team. The Acute Case Manager takes a proactive approach to ensuring the integration of both clinical and operational outcomes through analysis of clinical and financial data, including length of stay and DRG profiling. Education, License & Cert: RN Bachelor of Science degree in Nursing (BSN) or, a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or BA degree will be considered. Must obtain BSN within two (2) years of hire. Individual consideration may be given to a registered nurse, with significant clinical experience, who holds a bachelor’s degree in a related field. Experience: BSN or BA with a minimum of five (5) years relevant experience who demonstrates leadership and autonomy in nursing practice. a) Utilize critical thinking skills to create and or develop a clinical program or position and b) Demonstrated leadership skills for a licensed degree exception, there must be a significant depth of clinical experience: five (5) years of experience in an acute care setting with strong care management, utilization review, and payer knowledge. A Case Management certification or obtaining a Case Management certification within one (1) year of eligibility is encouraged. Essential Functions: 1) The Acute Case Manager collaborates to support that the right care is provided to patients in the right setting with a broad spectrum of health and community providers. a) Works closely with the Medical Director and other members of the healthcare team to provide appropriate medical management and resource utilization utilizing established/approved criteria. b) Educates the physician and other healthcare team members regarding the coordination of care processes of the patient across the continuum of care. c) Entity specific acute case manager may need to participate in an on‐ call system to ensure 24‐ hour accessibility and accountability to meet patient needs. d) Serves as patient advocate in representing the patient’s best interests to the providers. e) Procures insurance authorizations where indicated to ensure appropriate, cost effective care. f) Acts as an institutional advocate by managing care in a cost-effective manner and communicating with third party payers. 2) Coordinates medical management through ongoing interaction with the patient and family/caregivers, physician and other health care providers to achieve designated clinical, operational and financial outcomes. a) Facilitates clinically appropriate treatment and coordinates flow of services by acting as a focal point for communication for healthcare team members, patient, provider, and payer. b) Supports development, integration, and monitoring. c) Maintains accountability for coordination of care processes for the patient during the acute care phase, and during the transition phase to outpatient services. d) Initiates and participates in patient care conferences as appropriate. e) Completes nursing assessment forms in the system. f) Addresses PRI and other referral procedures as needed for continuing care needs. g) Provides leadership for clinical staff regarding complex patient care concerns and/or care of patients who do not achieve expected outcomes. 3) Identifies individual patient discharge needs in collaboration with other clinical team members beginning upon initial admission assessment and continued reassessment throughout an episode of care. Takes the initiative in working with the interdisciplinary health care team and patient/family to identify a treatment regime which streamlines care, reduces or controls costs and enhances patient outcomes. a) Assists in the implementation of discharge planning as necessary, through concurrent monitoring and reevaluation, to accommodate changes in treatment or progress. Anticipates changes in treatment and develops contingency plans. b) Ensures patient understanding of rights, choices, and consequences. c) Completes referral procedures to the appropriate institutional, community, or specialized resources. 4) Integrates patient information, clinical/financial/operational data and evaluates the impact upon patient, clinical, and financial outcomes. Identifies opportunities to continue or reduce costs and optimize case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b) Maintains compliance with documentation requirements and guidelines of third-party payers, regulatory and government agencies. c) Participates in long‐ range planning to meet the needs high risk patients and/or population. 5) Demonstrates leadership skills including effective written and verbal communication, conflict resolution, problem solving and critical thinking, organizational and time management skills and appropriate delegation. a) Develops and promotes collaborative relationships with other members of the Guthrie Healthcare System Enterprise and community resources, including home health agencies, DME companies, nursing homes, etc., to explore alternate care options to meet identified patient care needs. b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of Care Coordination processes to all members of the health care/leadership team and others as necessary. 6) Participates in performance improvement and educational activities. a) Incorporates available current evidence-based data for clinical care management. b) Demonstrates knowledge of federal, state and system regulations and aligns practice to comply with such. c) Serves as an educational resource for other members of the healthcare team in regards to changes in reimbursement and /or utilization requirements. d) Maintains 8 hours of continuing education per year. e) Contributes to Performance Improvement (PI) activities through both individual and aggregate data monitoring. Initiates and provides leadership for performance improvement activities as appropriate based upon outcome data and or problematic issues. 7. Validates authorization/certification process for elective short procedures and urgent inpatient care services in collaboration with physician offices and other hospital departments as appropriate. a. Screen the appropriate level of care or service for hospital inpatient admissions and short procedures by translating clinical information to Utilization Management requirements using pre‐ determined criteria. b. Documents UR findings in appropriate computer system and screen. c. Utilizes reports and other mechanisms to identify cases for UR screening and follows procedures for follow up as necessary. Other Duties: 1. It is understood that this description is not intended to be all‐ inclusive and that other duties may be assigned as necessary in the performance of this position. 2. Travel for this position is sometimes required. 3. Participation in community and employee engagement activities is required. The pay range for this position is $37.50 - $53.06 per hour.

Registered Nurse -PACU/ASU/PAT - Per Diem

Position Summary: The Registered Nurse (RN) provides professional, comprehensive nursing care for patients in an acute care environment. Accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidence‐ based quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty. Education, License & Cert: - Registered Nurse in the State of Practice. - BSN in Nursing preferred. - Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect, including those who transition to their position from the NLRN Program. - Any contract with specific time frames for obtaining a bachelor’s degree in nursing will supersede the above point and will remain in effect. - Specialty Certification is preferred - BLS certification. - ACLS is unit dependent. - PALS is unit dependent Experience: - The Registered Nurse must be a registered nurse currently licensed in the state of employment with at least one year of experience. Alternately, the Registered Nurse may have less than one year of experience if they have been transitioned to their position from the Newly Licensed Registered Nurse Residency (NLRN) Program. - The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment. - Must maintain BLS certification. - ACLS is unit dependent. - Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit. Essential Functions: 1. Employs Nursing Professional Practice: Assesses, diagnoses, plans, implements, and evaluates patients' care. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. Performs and maintains the currency of essential competencies as required by a specific area of hire and population served. 2. Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve. 3. Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including student; Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community. 4. Aligns Practice with Safety and Quality: Accountable for safety, identifies and corrects problems, and integrates evidence and best practice into nursing care; uses data and evidence to improve patient outcomes. Aligns patient safety, self‐ safety, and environmental safety as equally important for best outcomes. 5. Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidence‐ based practice. 6. Leader in Practice Setting & Community: demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence and innovation. In partnering with colleagues appropriately delegates, coordinates care, and collaborates with others as equal members of the inter‐ professional care team to integrate nursing knowledge. Models professional behaviors as a representative of the nursing profession. 7. Participates in the planning and presentation of educational programs. 8. It is understood that this description is not intended to be all‐ inclusive and that other duties may be assigned as necessary in the performance of the position. Other Duties: 1. Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position. 2. Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff. 3. Ability to use independent, critical judgment in all aspects of patient care delivery. 4. Demonstrated interpersonal skills that convey a positive and supportive attitude. 5. Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations.

Supervisor, Clinical RN - Nursing Unit 7NW - Full Time

$40.25 - $62.59 / hour

The pay range for this position is $40.25-62.59. Up to a $25,000 Sign On Bonus. Position Summary: In collaboration with the management team focuses on daily department operations. Supervises personnel and coordinates shift activities of Nursing. Performs all duties in a manner that promotes team concept and reflects the mission and values at Guthrie Robert Packer Hospital. Serves as a role model for nurses, physicians, and department support staff, exhibiting the Core Values in all activities. Mentors under the Clinical Manager / Director and pursues management and leadership training within the Guthrie Robert Packer Hospital. May be assigned to special projects per Clinical Manager / Director consistent with strategic, fiscal, quality and operational goals/targets. In collaboration with management, coordinates the team to deliver patient care in a compassionate and ethical manner according to recognized standards and care model. Functions as the clinical & operating resource with designated hours of accountability exercising independent judgment. Ensures compliance with entity/department goals and clinical resource utilization. Promotes change and teamwork. Performs clinical duties of the patient care role related to professional specialty. Education, License & Cert: - Licensed as a Registered Nurse in the State of Pennsylvania/New York. - Certification within area of expertise or practice preferred (Nursing Management, CCRN, CEN, etc.) - BSN required within 3 years. - Masters preferred. Experience: - Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: 1. RESOURCE UTILIZATION; Considers factors related to safety, effectiveness, cost, and impact on practice in the planning and delivery of nursing and other services. Utilizes staffing management principles to assure adequate supply of all necessary staff to perform patient care. Manages daily staffing issues in conjunction with Nurse Manager/Assistant Nurse Manager, analyzing available data sources, and making decisions based on this data. Adjusts daily schedules according to changes in staffing needs, due to patient census or acuity. Responsible for daily performance against budget targets. Assists in the development, implementation and modification of programs and services needed to meet patient care and staff development needs. 2. LEADERSHIP; Uses leadership principles to anticipate and influence change. Determines resources and actions needed to accomplish objectives. Sets priorities and manages time effectively. Identifies potential problems/opportunities and plans contingent action. Collaborates with the nurse manager / director, assistant nurse managers, , patient care staff and informal leaders in these efforts. Seeks creative methods to resolve conflicts. Promotes multi-disciplinary care of the patient. Keeps Nurse Manager / Director informed of clinical issues, triage problems, staffing issues, and risk management concerns. Acts on behalf of nurse Manager / Director in his/her absence.. QUALITY OF PRACTICE; Monitors and guides clinical practice expectations based on established goals and evidenced-based directives while incorporating individual unit needs. Able to provide clinical care and is a role model for staff in the clinical setting. Responsible for overseeing clinical operations and throughput of the clinical department. Works with Nurse Manager / Director, Medical Director, and clinical staff to develop, modify and implement patient care standards. Working with clinical staff, evaluates best practices and compliance with established goals for clinical practice. Role models customer service standards of the Guthrie Robert Packer Hospital. Responds to customer requests and complaints promptly and with courtesy. Fosters a supportive environment and works towards service recovery when necessary. Effectively advances improvement activities. Implement care/services that recognize age/diversity specific needs/issues of customers served. COLLABORATION; Establish shift assignments and Creates supporting systems that enable staff to jointly plan and deliver care. Role models collaboration and partnership with the patient care team. Utilizes shift huddles and performance boards with direct report staff to assure communication related to clinical care compliance and established goals.Collaborates with staff, physicians, and all appropriate departments to promote optimal patient care and customer service. 3. COMPLIANCE; Supports the implementation of organization policies and procedures in compliance with state, Federal and other regulatory guidelines to help ensure that high quality, cost effective patient services meet or surpass accreditation standards. Maintains confidentiality of all information related to patients, employees, medical staff, and as appropriate, Guthrie Robert Packer Hospital. Responsible to develop and coordinate, with assistance of the clinical manager / director, and clinical educator,, department competencies, educational programs, new employee orientation, and annual skills labs. Keeps current with advances in nursing practice and technology, sharing knowledge with the staff on a regular basis. 4. EDUCATION/PROFESSIONAL PRACTICE EVALUATION: Assumes responsibility for obtaining information and expanding job knowledge and competency that reflects current practice. Role models personal development and education. Evaluates own practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations. 5. ADVOCACY/ETHICS; Advocates for the protections and rights of individuals, families, and staff, especially related to health and safety. Integrates ethical provisions in all areas of practice. 6. RESEARCH; Assists in the development, implementation and modification of programs and services needed to meet patient care and staff development needs. 7. HUMAN RESOURCE STEWARDSHIP; Uses appropriate interpersonal skills to guide others to accomplish objectives. Facilitates teamwork, participation, and cooperation. Delegates work so subordinates have the necessary direction, authority, and skills to complete assignments. Role models positive employee relations, using evaluation and management techniques and criteria, which are consistent and fair yet flexible enough to support employee and department needs. Assures timely performance evaluations that reflect validated competence, safety, and quality standards of practice. Counsels staffappropriately and is competent in conflict management. Uses independent judgment, after consultation with clinical staff, to recommend and/or take action related to interviews, new hires, transfers, promotions, evaluations, and performance management issues. In collaboration with manager / director recommends promotions, supports disciplinary actions, and investigates and follows through with employee complaints and concerns. Other Duties: 1. Performs other related duties as required. Rev: 12-05-2023

Registered Nurse - Medical Oncology - Per Diem

Position Details: Per Diem - Robert Packer Hospital – Medical Oncology unit Department Details: The Infusion Center is a 20-chair clinical department dedicated to safe and efficient delivery of infusion therapies. The department provides patient-centered care through an interdisciplinary team approach, supported by coordinated nursing services, standardized clinical workflows, and a supportive environment that promotes comfort, safety, and high-quality infusion services. Position Summary: The Registered Nurse (RN) provides professional, comprehensive nursing care for patients in an acute care environment. Accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidence-based quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty. Education, License, & Certification(s): - Registered Nurse in the State of Practice - BSN in Nursing preferred - Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect, including those who transition to their position from the NLRN Program - Any contract with specific time frames for obtaining a bachelor’s degree in nursing will supersede the above point and will remain in effect - Specialty Certification is preferred - BLS certification - ACLS is unit dependent Experience: The Registered Nurse must be a registered nurse currently licensed in the state of employment with at least one year of experience. Alternately, the Registered Nurse may have less than one year of experience if they have been transitioned to their position from the Newly Licensed Registered Nurse Residency (NLRN) Program. The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment. Must maintain BLS certification. ACLS is unit dependent. Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit. Essential Functions: - Employs Nursing Professional Practice: Assesses, diagnoses, plans, implements, and evaluates patients' care. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. Performs and maintains the currency of essential competencies as required by a specific area of hire and population served - Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve - Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including student; Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community - Aligns Practice with Safety and Quality: Accountable for safety, identifies and corrects problems, and integrates evidence and best practice into nursing care; uses data and evidence to improve patient outcomes. Aligns patient safety, self-safety, and environmental safety as equally important for best outcomes - Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidence-based practice - Leader in Practice Setting & Community: demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence and innovation. In partnering with colleagues appropriately delegates, coordinates care, and collaborates with others as equal members of the inter-professional care team to integrate nursing knowledge. Models professional behaviors as a representative of the nursing profession. Participates in the planning and presentation of educational programs - It is understood that this description is not intended to be all-inclusive and that other duties may be assigned as necessary in the performance of the position Other Duties: - Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position - Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff - Ability to use independent, critical judgment in all aspects of patient care delivery - Demonstrated interpersonal skills that convey a positive and supportive attitude - Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations Benefits Summary: A nursing career with Guthrie means being part of a focused organization that provides each team member an opportunity to advance and grow. We have invested in resources to empower our employees to succeed and use their passion and talent to provide excellence. You take care of our patients. We take care of you. - Generous shift differentials - Career advancement opportunities - Tuition reimbursement - Excellent benefits - Experiential PTO accrual - Competitive salary - Rewarding career - Magnet driven - Refinancing support with SoFi *Exclusions apply. To see why nurses love Guthrie, click HERE! “We are more than a team, we’re family. And we’re committed to hold each other to the highest professional standard so our patients get the best care every time they choose Guthrie.” – Jennifer Hepinger, RN

Licensed Practical Nurse - Emergency Services -Full Time

Up to a $15,000 Sign on Bonus! Position Summary: Provides high quality nursing care for assigned patients in accordance with nursing standards of care and practice under the supervision of a Registered Nurse. Maintains collaborative relationships with other nursing staff members, physicians and ancillary staff to provide this care. Maintains an appropriate level of knowledge and clinical skill through continuing education/in-services and self‐study activities. Education, License & Cert: LPN ‐ Must be licensed in the state of practice. Experience: For those that will be working in PA, the individual must have completed the IV therapy curriculum requirements as noted in the Pennsylvania Code, Section 21.203. If not completed at the time of hire, the individual must complete a Board‐ approved, LPN IV Therapy Education Program prior to independently practicing IV therapy. In addition, the staff LPN must meet individual nursing unit specifications regarding educational requirements during employment. Must maintain CPR certification. Essential Functions: 1. Works collaboratively with and under the direction of a Registered Nurse. A. Demonstrates the ability to communicate observations of patient to members of the healthcare team. B. Supports the philosophy and objectives of the nursing department. 2. Assists the Registered Nurse with nursing process. A. Participates in patient data collection, including the admission process. B. Contributes in determining outcomes (goals) that will involve the patient and family. C. Implements plan of care in collaboration with the nursing team. D. Assists RN to evaluate patient’s response to interventions. E. Recommends changes in plan of care to RN and participates in patient care conferences. 3. Demonstrates competence in performance of nursing skills and procedures relative to clinical area and scope of practice. A. Practices within the scope of nursing care consistent with policies and procedures and Pennsylvania licensure for LPNs. B. Partners with the RN to implement evidence‐based interventions and treatments unique to the patient need. C. Assists with health education of patients and family, utilizing patient education resources. D. Prioritizes work assignments and sets goals in order to manage daily patient assignments. 4. Documents in a thorough, concise, timely manner according to the nursing department standards. A. Accurately documents and reports changes in patient's conditions to the RN. 5. Fulfills professional role expectations and requirements. A. Demonstrates behaviors aligned with the organization’s mission and vision. B. Demonstrates positive interpersonal relations in dealing with nursing and inter-professional team to promote efficiency and to provide quality patient care. C. Shares knowledge and skills with peers and colleagues by recognizing and utilizing opportunities to teach other staff members, participating in orientation of new employees and collaborating with faculty in clinical experiences for healthcare students. D. Demonstrates a commitment to lifelong learning by assessing and identifying personal learning needs, developing a plan to maintain skills and competence in clinical practice or role performance, and then completing the plan. Maintains professional records that provide evidence of competency. E. Evaluates personal strengths and weakness. F. Participates in performance improvement activities to enable changes in nursing practice and in the healthcare delivery system. G. Participates in efforts to minimize costs and unnecessary duplication in patient care. Other Duties: 1. Utilizes time between patient care procedures to maintain clean and orderly work environment and help other nurses with patient care. 2. It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position update: 1-31-24

RN Registered Nurse WKND - ICU - Full Time

$39 - $54.12 / hour

This position is eligible for up to $50,000.00 Sign on Bonus for those that qualify. Job Summary: Responsible for delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. Directs and guides patient teaching and the activities of ancillary personnel while maintaining standards of professional nursing. Understands and adheres to GCMC’s Compliance Standards as they appear in GCMC’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy. Keeps abreast of all pertinent federal, state and GCMC regulations, laws, and policies as they presently exist and as they change or are modified. Experience: - Entry level-graduate per Education requirements - Specialty Units-At least 1 year of medical-surgical nursing preferred. (i.e. ICU, Maternity, Psych) Skills: - See core competencies and unit specific competencies Licensure/Certificates/Certification: - Current NYS license to perform as a registered professional nurse - Current BLS-CPR certification required (or within first 30 days of employment) - Specialty Unit - Maternity – Neonatal Resuscitation Certification within 6 months of employment - Specialty Unit –ICU- ACLS within 6 months of hire Essential Job Functions: Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed. Assessment-Performs patient assessment and documents accurately in a timely manner per nursing and department policy. - Performs nursing admission assessment thoroughly and within timeframe. Documents the admission assessment accurately and completely. - Performs skin risk assessment accurately and reassessment per policy and protocol. - Performs pain assessment and reassessment per policy and utilizes hospital approved pain scale and documents appropriately. Patient Monitoring-Monitors patient as appropriate for condition, status and safety according to nursing department policy. - Monitors patient’s vital signs and systems per protocol and documents on appropriate forms. - Recognizes change in patient’s condition or status and reports to charge nurse or physician as appropriate. - Calls CAT team for patients who meet criteria. - Works to ensure patient safety is maintained in all aspects of patient care, by following all policies related to National Patient Safety Goals, etc. - Raises concern about patient care and utilizes the Chain of Command as needed to prevent patient harm. Medication Administration-Performs safe administration and complete documentation of medications, IV fluids, and blood products in accordance with nursing policy. - Follows medication administration policy using e-Mar, bar coding and scanning of medications and has at least an 85% scan rate. - Insertion of IVs under aseptic technique and follows IV policy by changing site, tubing and dressing and documents accordingly. - Always follows hospital policy when administering blood products. - Maintains security of electronic signature with Omnicell and accounts for all narcotics removed from automated dispensing system through proper waste/return administration documentation. Patient and Family Education - Assesses and addresses educational needs of patients and families to include disease state, care and treatment. - Documents educational needs. - Distributes appropriate teaching sheets. - Includes evaluation of learner’s understanding post-teaching. Safe Discharge/Discharge Planning - Contributes to or initiates discharge plan upon day of admission and participates in interdisciplinary planning. - Completes all pre-discharge checklist items. - Always gives patient correct forms and discharge instructions by using 2 patient identifiers. - Provides patient a safe discharge and appropriate follow-up information and community resources are in place. Assist Providers-Assist providers in performing procedures and treatments per unit, department specific and hospital policy. - Assist physicians/providers with beside procedures and remains competent with unit-specific procedures. - Performs read back of critical values and telephone orders when interacting with physicians as warranted. - Uses SBAR when giving physicians report on change in patient condition. Equipment Use - Demonstrates knowledge and ability to use equipment safely and effectively. - Utilizes hospital equipment per policy (i.e., guardrails for IV pumps, alarm settings). - Uses patient lift equipment per policy at all times. Nursing Clinical Skills- Demonstrates the ability to perform nursing treatments and procedures. - Demonstrates competency, knowledge, and ability to perform nursing treatments and procedures safely and effectively. - Conducts Hourly Rounds on patients using 4 “P’s” and documents on appropriate forms. - Regularly uses patient room white boards to communicate information to patients and families. Emergency Preparedness-Demonstrates working knowledge and understanding of emergency preparedness plans and operations. - Aware of and actively participates in emergency preparedness procedures and operations. - Aware of and actively participates in Code Blue, Green, Pink, Orange, White, and Silver drills and actual events. Documentation-Completely and accurately documents patient care activities and response in a timely manner in accordance with department and hospital policy. - Documents on a regular, real time basis all patient care activities in accordance to hospital policy. Nursing Promotion-Promotion of professional nursing to include participation in PI/QI, Customer satisfaction, community involvement, committee activities and nursing continuing education. - Actively sits on and attends at least 1 team or committee, or participates in unit PI activity or department team or projects - Attends at least 75% of all staff meetings. - Attends at least 1 clinical update and all mandatory in services. - Participates in unit specific or hospital wide PI/QI activity. Infection Control-Provide safe and effective patient care in accordance with hospital Infection Control policy and procedures. - Wears appropriate PPE as warranted. - Follows hand hygiene protocol. - Follows all isolation procedures. Utilize nursing process-Identify patient needs and problems through assessment. Implement nursing interventions based on nursing diagnosis. Develop individualized patient care plan. Provide appropriate discharge instructions to patient and family. - Initiates individualized patient plan of care for all admissions. - Edits Plan of Care on a regular basis per policy. - Document’s interventions every shift based on nursing diagnosis. Assist and provide for participation in clinical learning experiences. - Participates in learning experiences for orientees, nursing and ancillary staff and students by serving as a preceptor. - Participates in Nursing Grand Rounds at least quarterly by either attending a session or assisting in preparing for unit topic. Provide for continuum of care-Assure safe patient hand off through effective communication of the treatment status of each patient. - Participates in interdisciplinary care/discharge planning. - Uses SBAR for patient handoffs. - Uses Ticket to Ride and communicates important information to other departments. Other Duties as Assigned Employees may be asked to perform duties that are outside the specific functions that are listed. Pay Range $$39.00-$54.12/hr Dependent on years of applicable experience.

NP

1 month ago

Employee Health and Wellness - Nurse Practitioner

$115,000 - $120,000 / year

Quick Apply Outpatient Opportunity As a Guthrie Employee Health & Wellness Nurse Practitioner, you will play a key role in supporting employee wellness, workplace safety, and clinical compliance across the health system. The NP provides assessment, treatment coordination, immunization oversight, occupational surveillance examinations, and regulatory compliance functions in collaboration with the Employee Health Manager, Medical Director, and broader care team. This is a clinical role focused on employee health services rather than community outpatient primary care. This position is primarily based at Guthrie Lourdes in Binghamton, NY. However, periodic coverage may be required at Guthrie locations in Cortland, NY and Sayre, PA to support system-wide employee health needs. Highlights of the Opportunity Outpatient employee health position within Guthrie’s Employee Health department Supports clinical evaluation, injury/illness assessment, immunization programs, and wellness initiatives Works collaboratively across departments and with system clinicians Schedule: Monday - Friday Contributes to regulatory compliance and OSHA-required employee wellness functions Core Responsibilities You will provide clinical duties and occupational oversight, including: Conducts employee examinations, surveillance assessments, and regulatory health evaluations Documents all encounters in the employee health record and maintains accurate logs Screens, assesses, and evaluates employee injuries and illnesses Performs (or trains to perform) phlebotomy, specimen collection, drug screen collection, and breath alcohol testing Administers employee immunizations, including onboarding, surveillance, and annual influenza compliance Conducts OSHA-compliant vision screening and monitors exposure requirements Provides clinical counseling, testing follow-up, and health education for employees Responds to workplace incidents requiring clinical intervention or escalation Collaborates with the Medical Director to ensure compliance with state, federal, and internal regulations Maintains confidentiality, continuity of care, and proper reporting for employee wellness records Participates in performance improvement participation, continuing education, and ongoing occupational compliance training Candidate Requirements Master’s Degree in Nursing from an accredited program Ability to obtain/maintain a Pennsylvania and New York State license Three (3) or more years of Nurse Practitioner practice; occupational health experience highly desirable OR Five (5) or more years of RN experience with 1+ year of Nurse Practitioner practice Excellent interpersonal, documentation, and clinical communication skills Phlebotomy experience desired but not required Ability to collaborate across departments and work within established regulatory processes Work-Life Balance Schedule: Monday-Friday, 7-4 Compensation & Benefits Base salary: $115,000-$120,000 Full benefits including medical, dental and disability insurance 403B retirement plan Zip 13901 Location:Binghamton, NY Opportunity ID:EMPHLTH_NP Contact Name:Shannon Anderson Contact Email:Shannon.Anderson@guthrie.org Contact Phone:6077387329

RN Registered Nurse - ICU - Full Time

$39 - $54.12 / hour

This position is eligible for up to $50,000.00 Sign on Bonus for those that qualify! Job Summary: Responsible for delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. Directs and guides patient teaching and the activities of ancillary personnel while maintaining standards of professional nursing. Understands and adheres to GCMC’s Compliance Standards as they appear in GCMC’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy. Keeps abreast of all pertinent federal, state and GCMC regulations, laws, and policies as they presently exist and as they change or are modified. Experience: - Entry level-graduate per Education requirements - Specialty Units-At least 1 year of medical-surgical nursing preferred. (i.e. ICU, Maternity, Psych) Skills: - See core competencies and unit specific competencies Licensure/Certificates/Certification: - Current NYS license to perform as a registered professional nurse - Current BLS-CPR certification required (or within first 30 days of employment) - Specialty Unit - Maternity – Neonatal Resuscitation Certification within 6 months of employment - Specialty Unit –ICU- ACLS within 6 months of hire Essential Job Functions: Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed. Assessment-Performs patient assessment and documents accurately in a timely manner per nursing and department policy. - Performs nursing admission assessment thoroughly and within timeframe. Documents the admission assessment accurately and completely. - Performs skin risk assessment accurately and reassessment per policy and protocol. - Performs pain assessment and reassessment per policy and utilizes hospital approved pain scale and documents appropriately. Patient Monitoring-Monitors patient as appropriate for condition, status and safety according to nursing department policy. - Monitors patient’s vital signs and systems per protocol and documents on appropriate forms. - Recognizes change in patient’s condition or status and reports to charge nurse or physician as appropriate. - Calls CAT team for patients who meet criteria. - Works to ensure patient safety is maintained in all aspects of patient care, by following all policies related to National Patient Safety Goals, etc. - Raises concern about patient care and utilizes the Chain of Command as needed to prevent patient harm. Medication Administration-Performs safe administration and complete documentation of medications, IV fluids, and blood products in accordance with nursing policy. - Follows medication administration policy using e-Mar, bar coding and scanning of medications and has at least an 85% scan rate. - Insertion of IVs under aseptic technique and follows IV policy by changing site, tubing and dressing and documents accordingly. - Always follows hospital policy when administering blood products. - Maintains security of electronic signature with Omnicell and accounts for all narcotics removed from automated dispensing system through proper waste/return administration documentation. Patient and Family Education - Assesses and addresses educational needs of patients and families to include disease state, care and treatment. - Documents educational needs. - Distributes appropriate teaching sheets. - Includes evaluation of learner’s understanding post-teaching. Safe Discharge/Discharge Planning - Contributes to or initiates discharge plan upon day of admission and participates in interdisciplinary planning. - Completes all pre-discharge checklist items. - Always gives patient correct forms and discharge instructions by using 2 patient identifiers. - Provides patient a safe discharge and appropriate follow-up information and community resources are in place. Assist Providers-Assist providers in performing procedures and treatments per unit, department specific and hospital policy. - Assist physicians/providers with beside procedures and remains competent with unit-specific procedures. - Performs read back of critical values and telephone orders when interacting with physicians as warranted. - Uses SBAR when giving physicians report on change in patient condition. Equipment Use - Demonstrates knowledge and ability to use equipment safely and effectively. - Utilizes hospital equipment per policy (i.e., guardrails for IV pumps, alarm settings). - Uses patient lift equipment per policy at all times. Nursing Clinical Skills- Demonstrates the ability to perform nursing treatments and procedures. - Demonstrates competency, knowledge, and ability to perform nursing treatments and procedures safely and effectively. - Conducts Hourly Rounds on patients using 4 “P’s” and documents on appropriate forms. - Regularly uses patient room white boards to communicate information to patients and families. Emergency Preparedness-Demonstrates working knowledge and understanding of emergency preparedness plans and operations. - Aware of and actively participates in emergency preparedness procedures and operations. - Aware of and actively participates in Code Blue, Green, Pink, Orange, White, and Silver drills and actual events. Documentation-Completely and accurately documents patient care activities and response in a timely manner in accordance with department and hospital policy. - Documents on a regular, real time basis all patient care activities in accordance to hospital policy. Nursing Promotion-Promotion of professional nursing to include participation in PI/QI, Customer satisfaction, community involvement, committee activities and nursing continuing education. - Actively sits on and attends at least 1 team or committee, or participates in unit PI activity or department team or projects - Attends at least 75% of all staff meetings. - Attends at least 1 clinical update and all mandatory in services. - Participates in unit specific or hospital wide PI/QI activity. Infection Control-Provide safe and effective patient care in accordance with hospital Infection Control policy and procedures. - Wears appropriate PPE as warranted. - Follows hand hygiene protocol. - Follows all isolation procedures. Utilize nursing process-Identify patient needs and problems through assessment. Implement nursing interventions based on nursing diagnosis. Develop individualized patient care plan. Provide appropriate discharge instructions to patient and family. - Initiates individualized patient plan of care for all admissions. - Edits Plan of Care on a regular basis per policy. - Document’s interventions every shift based on nursing diagnosis. Assist and provide for participation in clinical learning experiences. - Participates in learning experiences for orientees, nursing and ancillary staff and students by serving as a preceptor. - Participates in Nursing Grand Rounds at least quarterly by either attending a session or assisting in preparing for unit topic. Provide for continuum of care-Assure safe patient hand off through effective communication of the treatment status of each patient. - Participates in interdisciplinary care/discharge planning. - Uses SBAR for patient handoffs. - Uses Ticket to Ride and communicates important information to other departments. Other Duties as Assigned Employees may be asked to perform duties that are outside the specific functions that are listed. Pay Range $39.00-$54.12/hr Depended on years of applicable experience.

RN

Per Diem

2 months ago

RN - Employee Health - Per Diem

$34.25 - $46.16 / hour

Guthrie Lourdes Hospital in Binghamton, NY is hiring a per diem Registered Nurse to join our Employee Health team. This weekday-only role is perfect for RNs who want extra hours in collaborative environment, and the chance to support the health and safety of fellow caregivers. You’ll be a trusted resource for immunizations, injury triage, and regulatory compliance — all while helping build a culture of wellness across the hospital. Why Join Guthrie? At Guthrie, you’ll find more than just a job — you’ll discover a career path with purpose, stability, and the chance to make a difference in the lives of those who care for others. Our Employee Wellness team plays a vital role in keeping our workforce safe, healthy, and supported — and we’re ready to welcome you with open arms. Position Summary: Administers programs, policies and procedures for The Guthrie Clinic population. The Guthrie clinic population includes Employees, Contract Workers, Volunteers, and Community providers at various locations across the Guthrie system. Occasional travel is required. The Employee Health Office (EHO) nurse utilizes a holistic systems approach to protect and promote client wellness and safety in the physiological, psychological, social-cultural, developmental and spiritual domains. Nursing interventions are interdisciplinary, age specific and are directed toward optimal wellness. Education, License, & Certification: The Employee Health Office (EHO) nurse must be a registered nurse currently licensed by both Pennsylvania State Board of Nursing and the NYS Board of Nursing. Completion of Drug Screening Training Certificate, CAQHC Hearing Conservation Technician Training and Fit Test Training required within 1 year of hire. A BSN in Nursing is preferred. Additional Certification in Occupational Health and Tobacco Cessation Counseling is preferred. Registered nurses currently licensed in Pennsylvania and New York State with current nursing care experience complete an orientation program outlined by The Guthrie Clinic. Experience: 2 - 3 years of clinical experience in an equivalent setting wherein independent judgement was required in assessing patient conditions and determining action are required. Demonstrated ability in the following areas is desirable: - Ability to solve complex problems - Ability to develop and implement comprehensive health programs - Ability to develop and utilize systems for control of extensive information - Ability to manage an independent departmental function Essential Functions: 1. Must possess ability to interact and communicate with a wide cross-section of individuals in a courteous and tactful manner; Must possess high ethical standards with respect to discretion and confidential information; May spend a majority of work hours standing; May be required to work hours other than those normally scheduled; Must strive to produce error free work and meet the requirements of internal customers, on time, every time with regards to organization’s Total Quality Management process; Must possess an abiding commitment to basic ethical and legal principals. Must conduct self in a manner that positively reflects the organization. 2. At the end of orientation, must have completed the following competencies:3. Infection Control Procedures 4. Safety, Fire, Disaster and OSHA 5. Standards of Practice 6. Policy and Procedure: Human Resources and EHO 7. CQI Principles and Activities 8. Pre-employment hiring process 9. Organization’s Mission and Vision Statements - Required competencies at the end of one year’s employment:1. Standards: JCAHO, NYS/Pennsylvania DOH, OSHA, CDC 2. Employment requirements 3. Inter/Intra Department functions 4. Employee online incident reporting and follow-up 5. Immunization requirements 6. Volunteer requirements Further competencies may be designated by the Director of Employee Health. - Demonstrates competence in performance of nursing skills and procedures relative to Employee Health including:1. Assures compliance with all standards set by JCAHO, PA/NY DOH and all other relevant regulatory agencies. 2. Administers and updates EHO policies and procedures. 3. Vaccine administration — injections include IM, SQ and ID 4. Provides immunization requirements are met for all entities to maintain compliance with DOH, CDC, JCAHO and OSHA - Practices within the scope of current policies and procedures of the employee health department. 5. Tuberculosis and Habituation compliance for all New York state Guthrie populations and as needed for those employees that are required to maintain annual TB screening 6. Annual Influenza Program - as a requirement of employment, tracks and manages employees to ensure all in scope population are compliant with Guthrie Seasonal Influenza policy. 7. Urine Drug screening: DOT, Non-DOT, Reasonable suspicion, Post accident 8. Visual acuity screening 9. Bloodborne Pathogen exposure work up and follow up criteria — Includes Counseling and Exposure work-up for bloodborne pathogens (Hep C, Hep B and HIV) with follow up plan implemented based on Bloodborne Exposure Policy. Coordinates prophylaxis treatment as appropriate. Ensure source’s bloodwork is obtained. 10. Completes/Tracks Annual Antineoplastic Surveillance (annual bloodwork/Schedules physicals) on all employees who handle antineoplastics, or who work with patients who receive those drugs. This includes Pharmacy staff, Hospital floor staff, and GMG clinic staff. 11. Proficiency in Phlebotomy, specimen handling. N95 Respirator fit testing, including instruction on PAPR use, cleaning, storage and location. 12. Appropriate charge entry 13. Assumes responsibility of Office in Managers’ absence 14. Administers Hearing tests to appropriate departments. 15. Participates in Organization’s Quality Improvement Process — identifies problems and works towards solution. 16. Participates in Organization’s Lean Six Sigma activities as appropriate. 17. Maintains complete, current medical records on all employees to comply with regulatory agencies. - Assesses, evaluates, reports and documents employee injury/illness for appropriate referral for treatment. Keeps Employee Health Medical Provider apprised of employee illnesses as appropriate. - Reviews work related employee/contract worker injury /ncident reports. Work with Safety Department and Managers in post-accident investigations. - Evaluates all individual, department, entity and system trends regarding employee exposures to blood and body fluid, assists employees and managers in root cause analysis and implementation of corrective action across all entities. - Offers Hepatitis B vaccine to employees as needed. Informs employees of schedule of Hepatitis B vaccine dates. Ensure all follow-up vaccine and immunity titers are completed. - Performs annual respiratory fit testing to assigned locations across the Guthrie System, for employees who have direct patient contact. - NYS Employees: Notifies every hospital employee about their annual health assessment; Schedules appointment for annual assessment, PPD administration, immunization review. Tracks compliance. Notifies employee’s department manager of any employees that are not compliant. Provides copy of immunization record at employee request. - As needed: Assists, in conjunction with the Program Manager of Workers’ Compensation, in providing injured employees with alternative work assignments or creating light duty or restricted duty assignments whenever possible for injured employees. Provides, in conjunction with the Program Manager of Workers’ Compensation, day-to-day administrative duties for the Return-to-Work Program. Attends Workers’ Comp meetings and offers input as appropriate. Reviews incidents with Medical Director and Workers’ Comp. Manager — determine if additional measures should be taken to prevent future injuries. - Arrange Employee Fit for Duty and Return to Work exams as requested by Human Resources. - Document all vaccine administration and exams at the time of the visit. - Provides periodic blood pressure, weight, temperature monitoring for employees as requested. Recognizes emergency situations and initiates proper plan of action. May be required to respond to critical situations involving employee’s health. - Participates on various committees and provides EHO data: Infection Control, Safety/Risk Management, Emergency Preparedness, GOHST and others as appropriate. - Assists and participates in Employee Wellness Programs. Participates in Health and Benefit Fair – coordinates Flu vaccines for employees - Demonstrates respect and consideration for all employees as individuals, respecting cultural differences, and maintaining confidentiality of all employee information. - Demonstrates positive interpersonal relations in dealing with co-workers, physicians, and other members of Guthrie staff so as to promote efficiency and to provide quality care. Participates in problem solving by confronting and resolving conflicts in a constructive manner. Represents the hospital in a professional courteous manner to patients, families, and health care team while being sensitive to how others perceive both verbal and non-verbal communications. - Prioritizes work assignments and sets goals in order to manage daily assignments. - Prepares and submits reports to various Managers, Administration and Committees as requested. - Demonstrates willingness to accept non-routine work assignments as appropriate. Greets employees and answers telephone. - Utilizes time between procedures to maintain clean and orderly work environment and help other staff with various tasks. - May be required (by needs of employees) to perform counseling or at minimum, to recognize problems of an emotional or psychological nature and refer the employee to an appropriate resource. Refers employees to the Employee Assistance Program as needed or refer to own healthcare provider. - Schedules and confirms appointments. Arranges consults and referrals to other areas as directed by the provider. - Coordinates and maintains annual Volunteer Health Assessment Records. This includes annual TB screening of volunteers. - Assists with preparations of the employee for examinations, procedures, tests. - Screens the employee for appropriate information of past immunizations, present medical history and history of current problem. - Prepares, instructs employees and performs the collection of blood and any other lab related specimens. - Travelers - Reviews immunization records and physical records to ensure they have completed requirements prior to start of work. - Demonstrates and integrates age-specific care for the adolescent, adult, geriatric population as delineated by the adolescent, adult/geriatric guidelines for care, and appropriate standards for care and practice.1. Maintenance of employee confidentiality 2. Environment of Care3. medication storage 4. specimen handling/storage 5. monitoring - Inventory and ordering of Dept. Meds and Supplies. - Computer, telephone, Fax machine, copier, and other various office equipment. Thermometer, blood pressure machine, blood collecting equipment, audiometer, vision screening device, stethoscope. - Drug Screen reporting and follow up of non-negative reports with Medical Director. Other Duties: It is understood that this description not intended to be all inclusive and that other duties may be assigned as necessary in the performance of this position. The payrate for this position is $34.25 to $46.16 per hour

LPN

2 months ago

Licensed Practical Nurse - Family Practice - Full Time

Guthrie Waverly, NY

$22.24 - $34.70 / hour

Up to a $15,000.00 Sign on Bonus!! Position Summary: Assist physician with duties necessary to support the needs of the practice working within and to the maximum scope of license Education, License & Cert: LPN ‐ Must be licensed in the state of practice. Experience: One‐year experience in healthcare field preferred but not required Essential Functions: 1. Directs patient to exam room and prepares patient for exam or treatment by identifying height, weight, respirations, blood pressure, temperature, additional testing, and records same on chart. Will also interview patient to obtain history allergies, reconciles medication list and records on chart as requested. 2. Write or call Rx after obtaining surgeon/provider authorization for all department surgeons/providers as needed. Chart as written in patient’s chart 3. Email, fax or call in any insurance referrals. Follow up phone call with referral number to specialist if requested. 4. Assists in smooth departmental operation by filling in for other LPNs, clinical assistant and MOA’s as requested. Answers telephone and performs other clerical functions as necessary (screen calls according to urgency and need). Must train and maintain proficiency in the use of computer equipment and other computer program training as requested. Must train and maintain proficiency in the use of computer equipment and other computer program training as requested 5. Attends to exam and procedure rooms, including assurance that proper supplies are on hand, maintain order and cleanliness. Order medications or clinical supplies for the department as requested. 6. Administers prescribed injections/medications and records them on patient’s chart 7. Routes patient after exam to proper area for ancillary testing or follow‐up appointments, i.e. Blood work, x‐rays, and enter lab testing as requested. 8. Basic knowledge of medications (side effects/contraindications, etc.) 9. Be able to read and review pathology results with patients 10. Setup and tear down sterile fields 11. Basic knowledge of surgical instruments 12. Prepare surgical trays as needed for procedures for the day. 13. Assist surgeon with operative procedures both in the office and Operating Room if necessary 14. Maintain infection control measures including but not limited to proper cleaning of surgical equipment and use of autoclave 15. Proficient with autoclave sterilization process 16. Knowledge and proficiency of dressing changes and suture removal 17. Assess signs and symptoms of infection and reporting to surgeon and/or provider 18. Hepatitis checks and protocol to protect surgeon, patient, and nurse 19. May perform high level disinfection, based on departmental equipment. Other Duties: 1. As assigned as appropriate for LPN licensure 2. Attend new employee orientation and all mandatory events such as in‐services, classes, training as required by the organization 3. Complies with the dress code policy as set forth by Guthrie 4. Attends and participates in Department meetings, along with contributing to department/office goals The pay for this position ranges from $22.24 - $34.70/hour Updated 8.20.25

Registered Nurse - Emergency Services - Full Time Day 7a-7p

Up To $25,000 Sign On Bonus For Qualified RNs! Position Summary: The Registered Nurse (RN) provides professional, comprehensive nursing care for patients in an acute care environment. Accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidence‐ based quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty. Education, License & Cert: - Registered Nurse in the State of Practice. - BSN in Nursing preferred. - Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect, including those who transition to their position from the NLRN Program. - Any contract with specific time frames for obtaining a bachelor’s degree in nursing will supersede the above point and will remain in effect. - Specialty Certification is preferred - BLS certification. - ACLS is unit dependent. - PALS is unit dependent Experience: - The Registered Nurse must be a registered nurse currently licensed in the state of employment with at least one year of experience. Alternately, the Registered Nurse may have less than one year of experience if they have been transitioned to their position from the Newly Licensed Registered Nurse Residency (NLRN) Program. - The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment. - Must maintain BLS certification. - ACLS is unit dependent. - Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit. Essential Functions: 1. Employs Nursing Professional Practice: Assesses, diagnoses, plans, implements, and evaluates patients' care. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. Performs and maintains the currency of essential competencies as required by a specific area of hire and population served. 2. Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve. 3. Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including student; Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community. 4. Aligns Practice with Safety and Quality: Accountable for safety, identifies and corrects problems, and integrates evidence and best practice into nursing care; uses data and evidence to improve patient outcomes. Aligns patient safety, self‐ safety, and environmental safety as equally important for best outcomes. 5. Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidence‐ based practice. 6. Leader in Practice Setting & Community: demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence and innovation. In partnering with colleagues appropriately delegates, coordinates care, and collaborates with others as equal members of the inter‐ professional care team to integrate nursing knowledge. Models professional behaviors as a representative of the nursing profession. 7. Participates in the planning and presentation of educational programs. 8. It is understood that this description is not intended to be all‐ inclusive and that other duties may be assigned as necessary in the performance of the position. Other Duties: 1. Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position. 2. Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff. 3. Ability to use independent, critical judgment in all aspects of patient care delivery. 4. Demonstrated interpersonal skills that convey a positive and supportive attitude. 5. Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations.

LPN

2 months ago

Licensed Practical Nurse - Orthopedics - Full Time

Guthrie Big Flats, NY

$22.24 - $34.70 / hour

Up to a $15,000.00 Sign on Bonus! Position Summary: Assist physician with duties necessary to support the needs of the practice working within and to the maximum scope of license Education, License & Cert: LPN ‐ Must be licensed in the state of practice. Experience: One‐year experience in healthcare field preferred but not required Essential Functions: 1. Directs patient to exam room and prepares patient for exam or treatment by identifying height, weight, respirations, blood pressure, temperature, additional testing, and records same on chart. Will also interview patient to obtain history allergies, reconciles medication list and records on chart as requested. 2. Write or call Rx after obtaining surgeon/provider authorization for all department surgeons/providers as needed. Chart as written in patient’s chart 3. Email, fax or call in any insurance referrals. Follow up phone call with referral number to specialist if requested. 4. Assists in smooth departmental operation by filling in for other LPNs, clinical assistant and MOA’s as requested. Answers telephone and performs other clerical functions as necessary (screen calls according to urgency and need). Must train and maintain proficiency in the use of computer equipment and other computer program training as requested. Must train and maintain proficiency in the use of computer equipment and other computer program training as requested 5. Attends to exam and procedure rooms, including assurance that proper supplies are on hand, maintain order and cleanliness. Order medications or clinical supplies for the department as requested. 6. Administers prescribed injections/medications and records them on patient’s chart 7. Routes patient after exam to proper area for ancillary testing or follow‐up appointments, i.e. Blood work, x‐rays, and enter lab testing as requested. 8. Basic knowledge of medications (side effects/contraindications, etc.) 9. Be able to read and review pathology results with patients 10. Setup and tear down sterile fields 11. Basic knowledge of surgical instruments 12. Prepare surgical trays as needed for procedures for the day. 13. Assist surgeon with operative procedures both in the office and Operating Room if necessary 14. Maintain infection control measures including but not limited to proper cleaning of surgical equipment and use of autoclave 15. Proficient with autoclave sterilization process 16. Knowledge and proficiency of dressing changes and suture removal 17. Assess signs and symptoms of infection and reporting to surgeon and/or provider 18. Hepatitis checks and protocol to protect surgeon, patient, and nurse 19. May perform high level disinfection, based on departmental equipment. Other Duties: 1. As assigned as appropriate for LPN licensure 2. Attend new employee orientation and all mandatory events such as in‐services, classes, training as required by the organization 3. Complies with the dress code policy as set forth by Guthrie 4. Attends and participates in Department meetings, along with contributing to department/office goals Updated 8.20.25 The pay for this position ranges from $22.24 - $34.70/hour

LPN Licensed Practical Nurse- Acute Care (Med/Surg Seton 2 Ortho) - Full Time

$27 - $39.27 / hour

This position is eligible for up to $15,000.00 Sign on Bonus for those that qualify. ($7,500.00 for those with less than one year of experience) Position Summary: Provides high quality nursing care for assigned patients in accordance with nursing standards of care and practice under the supervision of a Registered Nurse. Maintains collaborative relationships with other nursing staff members, physicians and ancillary staff to provide this care. Maintains an appropriate level of knowledge and clinical skill through continuing education/in-services and self‐study activities. Education, License & Cert: LPN ‐ Must be licensed in the state of practice. Experience: For those that will be working in PA, the individual must have completed the IV therapy curriculum requirements as noted in the Pennsylvania Code, Section 21.203. If not completed at the time of hire, the individual must complete a Board‐ approved, LPN IV Therapy Education Program prior to independently practicing IV therapy. In addition, the staff LPN must meet individual nursing unit specifications regarding educational requirements during employment. Must maintain CPR certification. Essential Functions: 1. Works collaboratively with and under the direction of a Registered Nurse. A. Demonstrates the ability to communicate observations of patient to members of the healthcare team. B. Supports the philosophy and objectives of the nursing department. 2. Assists the Registered Nurse with nursing process. A. Participates in patient data collection, including the admission process. B. Contributes in determining outcomes (goals) that will involve the patient and family. C. Implements plan of care in collaboration with the nursing team. D. Assists RN to evaluate patient’s response to interventions. E. Recommends changes in plan of care to RN and participates in patient care conferences. 3. Demonstrates competence in performance of nursing skills and procedures relative to clinical area and scope of practice. A. Practices within the scope of nursing care consistent with policies and procedures and Pennsylvania licensure for LPNs. B. Partners with the RN to implement evidence‐based interventions and treatments unique to the patient need. C. Assists with health education of patients and family, utilizing patient education resources. D. Prioritizes work assignments and sets goals in order to manage daily patient assignments. 4. Documents in a thorough, concise, timely manner according to the nursing department standards. A. Accurately documents and reports changes in patient's conditions to the RN. 5. Fulfills professional role expectations and requirements. A. Demonstrates behaviors aligned with the organization’s mission and vision. B. Demonstrates positive interpersonal relations in dealing with nursing and inter-professional team to promote efficiency and to provide quality patient care. C. Shares knowledge and skills with peers and colleagues by recognizing and utilizing opportunities to teach other staff members, participating in orientation of new employees and collaborating with faculty in clinical experiences for healthcare students. D. Demonstrates a commitment to lifelong learning by assessing and identifying personal learning needs, developing a plan to maintain skills and competence in clinical practice or role performance, and then completing the plan. Maintains professional records that provide evidence of competency. E. Evaluates personal strengths and weakness. F. Participates in performance improvement activities to enable changes in nursing practice and in the healthcare delivery system. G. Participates in efforts to minimize costs and unnecessary duplication in patient care. Other Duties: 1. Utilizes time between patient care procedures to maintain clean and orderly work environment and help other nurses with patient care. 2. It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position Pay Range is $27.00-$39.27/hr Dependent on years of applicable experience. update: 1-31-24

LPN Licensed Practical Nurse - Acute Care (Med/Surg Seton 2 Ortho) - Full Time

$27 - $39.27 / hour

This position is eligible for up to $15,000.00 Sign on Bonus for that that qualify. ($7,500.00 for those with less than one year of experience) Position Summary: Provides high quality nursing care for assigned patients in accordance with nursing standards of care and practice under the supervision of a Registered Nurse. Maintains collaborative relationships with other nursing staff members, physicians and ancillary staff to provide this care. Maintains an appropriate level of knowledge and clinical skill through continuing education/in-services and self‐study activities. Education, License & Cert: LPN ‐ Must be licensed in the state of practice. Experience: For those that will be working in PA, the individual must have completed the IV therapy curriculum requirements as noted in the Pennsylvania Code, Section 21.203. If not completed at the time of hire, the individual must complete a Board‐ approved, LPN IV Therapy Education Program prior to independently practicing IV therapy. In addition, the staff LPN must meet individual nursing unit specifications regarding educational requirements during employment. Must maintain CPR certification. Essential Functions: 1. Works collaboratively with and under the direction of a Registered Nurse. A. Demonstrates the ability to communicate observations of patient to members of the healthcare team. B. Supports the philosophy and objectives of the nursing department. 2. Assists the Registered Nurse with nursing process. A. Participates in patient data collection, including the admission process. B. Contributes in determining outcomes (goals) that will involve the patient and family. C. Implements plan of care in collaboration with the nursing team. D. Assists RN to evaluate patient’s response to interventions. E. Recommends changes in plan of care to RN and participates in patient care conferences. 3. Demonstrates competence in performance of nursing skills and procedures relative to clinical area and scope of practice. A. Practices within the scope of nursing care consistent with policies and procedures and Pennsylvania licensure for LPNs. B. Partners with the RN to implement evidence‐based interventions and treatments unique to the patient need. C. Assists with health education of patients and family, utilizing patient education resources. D. Prioritizes work assignments and sets goals in order to manage daily patient assignments. 4. Documents in a thorough, concise, timely manner according to the nursing department standards. A. Accurately documents and reports changes in patient's conditions to the RN. 5. Fulfills professional role expectations and requirements. A. Demonstrates behaviors aligned with the organization’s mission and vision. B. Demonstrates positive interpersonal relations in dealing with nursing and inter-professional team to promote efficiency and to provide quality patient care. C. Shares knowledge and skills with peers and colleagues by recognizing and utilizing opportunities to teach other staff members, participating in orientation of new employees and collaborating with faculty in clinical experiences for healthcare students. D. Demonstrates a commitment to lifelong learning by assessing and identifying personal learning needs, developing a plan to maintain skills and competence in clinical practice or role performance, and then completing the plan. Maintains professional records that provide evidence of competency. E. Evaluates personal strengths and weakness. F. Participates in performance improvement activities to enable changes in nursing practice and in the healthcare delivery system. G. Participates in efforts to minimize costs and unnecessary duplication in patient care. Other Duties: 1. Utilizes time between patient care procedures to maintain clean and orderly work environment and help other nurses with patient care. 2. It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position Pay Range $27.00-$39.27/hr Dependent on years of applicable experience. update: 1-31-24

LPN Licensed Practical Nurse - Acute Care (Med/Surg Seton 2 Ortho) - Full Time

$27 - $39.27 / hour

This position is eligible for up to $15,000.00 Sign on Bonus for those that qualify. ($7,500.00 for those with less than one year of experience) Position Summary: Provides high quality nursing care for assigned patients in accordance with nursing standards of care and practice under the supervision of a Registered Nurse. Maintains collaborative relationships with other nursing staff members, physicians and ancillary staff to provide this care. Maintains an appropriate level of knowledge and clinical skill through continuing education/in-services and self‐study activities. Education, License & Cert: LPN ‐ Must be licensed in the state of practice. Experience: For those that will be working in PA, the individual must have completed the IV therapy curriculum requirements as noted in the Pennsylvania Code, Section 21.203. If not completed at the time of hire, the individual must complete a Board‐ approved, LPN IV Therapy Education Program prior to independently practicing IV therapy. In addition, the staff LPN must meet individual nursing unit specifications regarding educational requirements during employment. Must maintain CPR certification. Essential Functions: 1. Works collaboratively with and under the direction of a Registered Nurse. A. Demonstrates the ability to communicate observations of patient to members of the healthcare team. B. Supports the philosophy and objectives of the nursing department. 2. Assists the Registered Nurse with nursing process. A. Participates in patient data collection, including the admission process. B. Contributes in determining outcomes (goals) that will involve the patient and family. C. Implements plan of care in collaboration with the nursing team. D. Assists RN to evaluate patient’s response to interventions. E. Recommends changes in plan of care to RN and participates in patient care conferences. 3. Demonstrates competence in performance of nursing skills and procedures relative to clinical area and scope of practice. A. Practices within the scope of nursing care consistent with policies and procedures and Pennsylvania licensure for LPNs. B. Partners with the RN to implement evidence‐based interventions and treatments unique to the patient need. C. Assists with health education of patients and family, utilizing patient education resources. D. Prioritizes work assignments and sets goals in order to manage daily patient assignments. 4. Documents in a thorough, concise, timely manner according to the nursing department standards. A. Accurately documents and reports changes in patient's conditions to the RN. 5. Fulfills professional role expectations and requirements. A. Demonstrates behaviors aligned with the organization’s mission and vision. B. Demonstrates positive interpersonal relations in dealing with nursing and inter-professional team to promote efficiency and to provide quality patient care. C. Shares knowledge and skills with peers and colleagues by recognizing and utilizing opportunities to teach other staff members, participating in orientation of new employees and collaborating with faculty in clinical experiences for healthcare students. D. Demonstrates a commitment to lifelong learning by assessing and identifying personal learning needs, developing a plan to maintain skills and competence in clinical practice or role performance, and then completing the plan. Maintains professional records that provide evidence of competency. E. Evaluates personal strengths and weakness. F. Participates in performance improvement activities to enable changes in nursing practice and in the healthcare delivery system. G. Participates in efforts to minimize costs and unnecessary duplication in patient care. Other Duties: 1. Utilizes time between patient care procedures to maintain clean and orderly work environment and help other nurses with patient care. 2. It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position Pay Range is $27.00-$39.27/hr Dependent on years of applicable experience. update: 1-31-24

Registered Nurse - Emergency Department - Full Time Midshift 11a-11:30p

$39 - $54.12 / hour

Up To $25,000 Sign On Bonus For Qualified RNs! Job Summary: Responsible for delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. Directs and guides patient teaching and the activities of ancillary personnel while maintaining standards of professional nursing. Understands and adheres to GCMC’s Compliance Standards as they appear in GCMC’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy. Keeps abreast of all pertinent federal, state and GCMC regulations, laws, and policies as they presently exist and as they change or are modified. Experience: - Entry level-graduate per Education requirements - Specialty Units-At least 1 year of medical-surgical nursing preferred. (i.e. ICU, Maternity, Psych) Skills: - See core competencies and unit specific competencies Licensure/Certificates/Certification: - Current NYS license to perform as a registered professional nurse - Current BLS-CPR certification required (or within first 30 days of employment) - Specialty Unit - Maternity – Neonatal Resuscitation Certification within 6 months of employment - Specialty Unit –ICU- ACLS within 6 months of hire Essential Job Functions: Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed. Assessment-Performs patient assessment and documents accurately in a timely manner per nursing and department policy. - Performs nursing admission assessment thoroughly and within timeframe. Documents the admission assessment accurately and completely. - Performs skin risk assessment accurately and reassessment per policy and protocol. - Performs pain assessment and reassessment per policy and utilizes hospital approved pain scale and documents appropriately. Patient Monitoring-Monitors patient as appropriate for condition, status and safety according to nursing department policy. - Monitors patient’s vital signs and systems per protocol and documents on appropriate forms. - Recognizes change in patient’s condition or status and reports to charge nurse or physician as appropriate. - Calls CAT team for patients who meet criteria. - Works to ensure patient safety is maintained in all aspects of patient care, by following all policies related to National Patient Safety Goals, etc. - Raises concern about patient care and utilizes the Chain of Command as needed to prevent patient harm. Medication Administration-Performs safe administration and complete documentation of medications, IV fluids, and blood products in accordance with nursing policy. - Follows medication administration policy using e-Mar, bar coding and scanning of medications and has at least an 85% scan rate. - Insertion of IVs under aseptic technique and follows IV policy by changing site, tubing and dressing and documents accordingly. - Always follows hospital policy when administering blood products. - Maintains security of electronic signature with Omnicell and accounts for all narcotics removed from automated dispensing system through proper waste/return administration documentation. Patient and Family Education - Assesses and addresses educational needs of patients and families to include disease state, care and treatment. - Documents educational needs. - Distributes appropriate teaching sheets. - Includes evaluation of learner’s understanding post-teaching. Safe Discharge/Discharge Planning - Contributes to or initiates discharge plan upon day of admission and participates in interdisciplinary planning. - Completes all pre-discharge checklist items. - Always gives patient correct forms and discharge instructions by using 2 patient identifiers. - Provides patient a safe discharge and appropriate follow-up information and community resources are in place. Assist Providers-Assist providers in performing procedures and treatments per unit, department specific and hospital policy. - Assist physicians/providers with beside procedures and remains competent with unit-specific procedures. - Performs read back of critical values and telephone orders when interacting with physicians as warranted. - Uses SBAR when giving physicians report on change in patient condition. Equipment Use - Demonstrates knowledge and ability to use equipment safely and effectively. - Utilizes hospital equipment per policy (i.e., guardrails for IV pumps, alarm settings). - Uses patient lift equipment per policy at all times. Nursing Clinical Skills- Demonstrates the ability to perform nursing treatments and procedures. - Demonstrates competency, knowledge, and ability to perform nursing treatments and procedures safely and effectively. - Conducts Hourly Rounds on patients using 4 “P’s” and documents on appropriate forms. - Regularly uses patient room white boards to communicate information to patients and families. Emergency Preparedness-Demonstrates working knowledge and understanding of emergency preparedness plans and operations. - Aware of and actively participates in emergency preparedness procedures and operations. - Aware of and actively participates in Code Blue, Green, Pink, Orange, White, and Silver drills and actual events. Documentation-Completely and accurately documents patient care activities and response in a timely manner in accordance with department and hospital policy. - Documents on a regular, real time basis all patient care activities in accordance to hospital policy. Nursing Promotion-Promotion of professional nursing to include participation in PI/QI, Customer satisfaction, community involvement, committee activities and nursing continuing education. - Actively sits on and attends at least 1 team or committee, or participates in unit PI activity or department team or projects - Attends at least 75% of all staff meetings. - Attends at least 1 clinical update and all mandatory in services. - Participates in unit specific or hospital wide PI/QI activity. Infection Control-Provide safe and effective patient care in accordance with hospital Infection Control policy and procedures. - Wears appropriate PPE as warranted. - Follows hand hygiene protocol. - Follows all isolation procedures. Utilize nursing process-Identify patient needs and problems through assessment. Implement nursing interventions based on nursing diagnosis. Develop individualized patient care plan. Provide appropriate discharge instructions to patient and family. - Initiates individualized patient plan of care for all admissions. - Edits Plan of Care on a regular basis per policy. - Document’s interventions every shift based on nursing diagnosis. Assist and provide for participation in clinical learning experiences. - Participates in learning experiences for orientees, nursing and ancillary staff and students by serving as a preceptor. - Participates in Nursing Grand Rounds at least quarterly by either attending a session or assisting in preparing for unit topic. Provide for continuum of care-Assure safe patient hand off through effective communication of the treatment status of each patient. - Participates in interdisciplinary care/discharge planning. - Uses SBAR for patient handoffs. - Uses Ticket to Ride and communicates important information to other departments. Other Duties as Assigned Employees may be asked to perform duties that are outside the specific functions that are listed. The pay range for this position is $39.00 - $54.12 per hour.

UroGynecology - Nurse Practitioner / Physician Assistant