Night Rotation

WellSpan Health•Chambersburg, PA

7d•Onsite

About The Position

This is a Registered Nurse position in a Telemetry/Observation Unit. The unit has 30 beds and specializes in cardiac, medical, and surgical patients. The position offers an individualized, comprehensive orientation program, a residency program for new graduates, and provides a Basic Rhythm course, ACLS certification, and NIHSS course. A mentorship program is available after orientation, along with opportunities for committee participation and professional growth through a Clinical Ladder. There is a leadership presence on every shift, and this role is considered the first steppingstone to an ICU/CCU career. The position is full-time, averaging 72 hours biweekly, with 12-hour day/night shifts (7-7) and requires working every third weekend, with eligibility for a weekend differential. The Registered Nurse is responsible and accountable for implementing, directing, and coordinating patient care through the nursing process (assessment, planning, implementation, and evaluation), including recognizing and treating physical and psychosocial changes unique to the age/population group served on the specific unit.

Requirements

Graduate of an accredited School of Nursing required
Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.
Experience applying customer service behaviors and communication skills required.
Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania.
CPR certification required.

Nice To Haves

Bachelor of Science in Nursing is preferred.
Previous nursing experience in specialty area preferred.
Certification in specialty preferred.
ACLS required for Cardiovascular Services, CCU, Device Clinic, Emergency, IMCU, FBS, Tele Observation, PACU/SDS, or achieved within one year of start date.
ACLS required for Cardiac Rehab or achieved within 3 months of hire/transfer.
Proficiency in cardiac monitor interpretation, conscious sedation, and ACLS required for Cath Lab or achieved within 6 months of hire/transfer.
ACLS required for Float Pool.
PALS required for Emergency, PACU, and Pediatric trained staff within one year from start date.
PALS and Conscious Sedation is required for SDS, or must be achieved within four months of hire/transfer.
CNOR preferred for OR.
CPAN/CAPA preferred for PACU/SDS.
CRRN preferred for Rehabilitation Medicine.
NRP required for Level II NICU.
NRP and Fetal Monitoring education required for Family Birthing Services within one year from start date.
PMH-BC preferred for BHS (IP and OP).
Proficiency in cardiac monitor interpretation required for PACU/SDS, IMCU, Tele Observation, CCU, Cardiac Rehab, Cardiovascular Services, Cath Lab, and Emergency.
WOCNCB or CWCN preferred for Wound Care Center.

Responsibilities

Demonstrates safe medication practice.
Maintains a professional image that reflects the employee’s role in health care, with confidence and a positive impression.
Completes chart check to ensure no missed orders.
Accurately transcribes physician’s orders.
Demonstrates therapeutic communication skills.
Demonstrates ability to assess patient education needs and use of patient education resources.
Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.
Demonstrates leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.
Acts as a resource person regarding patient care, specialty area, orientation and teaching of staff.
Responds to delays in a calm manner. Apologizes for inconveniences and gives alternatives.
Analyzes assessment data, identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.
Uses effective problem-solving skills to plan patient care.
Identifies critical factors evidencing changes in patient condition and responds appropriately.
Completes and documents discharge assessment against plan of care goals.
Initiates and maintains Intravenous Therapy according to IV standards.
Responds appropriately to emergency situations.
Utilizes proper body mechanics to prevent injury to self and others. Safely positions, transfers and transports patients.
Functions as a virtual nurse as assigned which includes, but is not limited to, admissions, discharges, education, documentation through a virtual platform and working collaboratively with the bedside nursing staff.
Demonstrates excellent customer service skills by frequent interaction with patient and family, keeping them informed regarding status of care.
Collaboratively coordinates with other departments and disciplines in order to meet patient’s needs.
Completes accurate problem focused patient assessment and treatments.
Provides basic dysrhythmia interpretation and treatment.
Provides basic and advanced life support.
Drug dosage calculation, continuous medication infusion administration, and patient monitoring for medication affects.
Identifies abnormal clinical findings and responds appropriately.
Evaluates patient response to medications and treatments.
Performs peritoneal dialysis.
Demonstrate the appropriate technique for bladder scanner.
Assessment, monitoring, and management of patients requiring renal therapeutic interventions (hemodialysis, peritoneal dialysis, stents).
Demonstrates appropriate pre/postoperative patient management.
Demonstrates understanding and application of pain management techniques.
Utilizes appropriate fall prevention protocols.
Rounds with physicians.
Hemodynamic monitoring including equipment setup and troubleshooting, monitoring, and recognition of signs and symptoms of patient instability.
Recognition of the signs and symptoms of cardiopulmonary emergencies and initiation of standardized interventions to stabilize the patients awaiting transfer to a higher level of care.
Interpretation of arterial blood gas analysis and communication of findings.
Recognizes indications for and management of patients requiring noninvasive oxygen delivery systems.
Recognition of indications for and complications of enteral and paraenteral nutrition.
Completes annual glucometer competency.
Attends annual skills day for all other unit specific competencies and reviews.
Accurately completes and transmits 12 lead EKG2’s.
Completes mandatory education and in-services by due date.
Maintains general cleanliness of department.
Demonstrates proper application of external pacemaker.
Recognition of and evaluation of the family’s need for enhanced involvement in care to facilitate the transition from hospital to home.