Registered Nurse - Tower 2 (Cardiac Med / Surg & Cardiac IMCU) - PRN Tier 3

Job Description

Schedule

PRN (As Needed)

Hours : 48 Hours Every 6 Weeks Required (Includes 24 Hours Off-Shift and 24 Hours Weekend Hours)

12 Hours of Annual Holiday Hours Required

24 Hours Annual Difficult-to-Staff Shift Hours Required

Shift and Weekend Differential Pay Eligible

Department Summary

Tower 2 is a 60-bed mixed acuity, cardiac and telemetry unit. T2 specializes in the care of patients 18 years and older who are recovering from cardiac and vascular surgeries and interventions (post open-heart surgery, ventricular assist devices, vascular, and thoracic surgery) and cardiac medical patients, (post-interventional cardiology procedures, heart failure, and acute coronary syndrome) and patients requiring intermediate level of care.

General Summary

Provides professional nursing care within an assigned unit according to established procedures, protocols and regulations. Coordinates care planning with other disciplines. May require specialized skills depending on unit assignment.

Responsibilities

Duties and Responsibilities

Essential Functions

Provides and coordinates direct care in accordance with the principles of Relationship Based Care to patients based on the nursing process and according to the clinical standards of the hospital. Acts as a primary nurse for patients on the unit. Synthesizes patient data to develop outcome-driven plans.

Safely and independently administers prescribed treatments, medications, and nursing interventions based on assessment and plan of care.

Appropriately organizes and prioritizes time based on patient condition and expected workload. Identifies changes in patients’ status and acts accordingly. Knows and can activate resources to achieve outcomes for patients.

Identifies and communicates individualized patient needs for inter-shift report and transfer / discharge. Includes patient / family in planning. Collaborates with all disciplines in evaluation of patient progress.

Appropriately and correctly documents the patient response to interventions and progress toward outcomes. Identifies and documents variances from pathway or plan of care. Appropriately utilizes flow sheets, progress notes, and / or electronic medical record for documentation. Validates compliance with system and unit-specific clinical initiatives, i.e. pain scores, restraints, fall precautions, etc..

Keeps practice current by participating in performance improvement efforts. Complies with changes in clinical standards and policies. Participate in data collection for performance improvement activity. Recognizes the value of evidence based research as it applies to best practice.

Seeks learning opportunities and resources beyond own work environment and incorporates into practice the new knowledge and skills acquired.

Promotes an environment conducive to professional practice, interdisciplinary collaboration, and patient and staff safety. Supports Shared Decision Making by unit committee membership or by supporting and helping fellow co-workers attend committee meetings and / or work on SDM projects. Participates in staff meetings and unit activities. Uses opportunities in the clinical setting to teach and support others, one-on-one or in groups (e.g. Students, other hospital personnel).

Begins to provide leadership for problem solving and goal formation. Negotiates for a win-win solution.

Delegates aspects of care to other nursing personnel in order to meet patient needs and to maximize team performance. Helps assistive personnel organize and set priorities for work. Monitors completion of tasks that are assigned or delegated to the patient care team.

Promotes collaboration and cooperation among physicians, nursing staff, and other members of the interdisciplinary team. Contributes to effective communications among all team members. Begins to display conflict resolution and negotiation skills to maximize team performance.

Variation of duties may result based on the assigned customer care unit(s). This may include differences in the specific clinical skills required of the RN. Unit based skill lists outline expectations beyond the house wide RN requirements. SYS-NURS-L Nursing Education Requirements Policy outlines current certification(s) required for specific areas of nursing practice and is considered to be part of the job description.

In addition to requirements specified in the license and certification section below, current BLS certification for all areas of nursing practice is required.

Current certification may be required for the following areas of nursing practice :

Emergency Care Center – ACLS, PALS

Intensive Care Center & MSCC Lead – ACLS, PALS

L&D – ACLS, NRP, - Experienced L&D nurses will obtain within 6 months and new L&D nurses will obtain at 1 year of experience

NICU – NRP

PEDS – PALS

PCC / PACU / ENDO – ACLS, PALS

Procedural – ACLS

Common Expectations

Demonstrates knowledge of the principles of growth and development over the life span of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care to assigned patient age group(s).

Demonstrates a commitment to patient, visitor and staff by : complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.

Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.

Enhances professional growth and development through advanced / continuing education to maintain up-to-date knowledge, skills, and competencies.

Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

QUALIFICATIONS

Minimum Education

Diploma Program Required or

Associates Degree Required

Bachelors Degree Nursing (BSN) Preferred

Work Experience

Less than 1 year Relevant experience. Required

Licenses

Licensed Registered Nurse Upon Hire Required or

Registered Nurse Multi State License Upon Hire Required and

Basic Life Support Upon Hire Required

About Us

WellSpan Health’s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.

About The Team

WellSpan York Hospital

Built on a solid 140-year legacy of providing high-quality, high-volume, community-based care, WellSpan York Hospital, the largest of WellSpan’s eight hospitals, is a 596-bed acute care community teaching hospital that employs nearly 5,000 people, making WellSpan the largest employer in York County. Driven by a mission to provide exceptional care to all, WellSpan York Hospital serves a diverse population of more than 520,000 residents from the greater York County area. WellSpan York Hospital was one of several WellSpan Health hospitals honored by U.S. News & World Report with the High Performing recognition for 2022-23.

The hospital offers services and programs that feature highly skilled clinical staff, life-saving technology and state-of-the-art facilities to address some of the most complex medical, surgical and behavioral health conditions.

WellSpan York Hospital’s Regional Resource / Level 1 Trauma Center has been accredited by the Pennsylvania Trauma Systems Foundation and is the only accredited trauma center in York, Adams and Franklin counties. It is a nationally recognized teaching hospital with nine residency programs, six allied health schools and other training programs. More than 700 physicians and other professionals are members of WellSpan York Hospital’s medical and dental staff.

WellSpan York Hospital in embarking on a significant five-year project. The centerpiece will be a new, eight-story surgical and critical care tower, which will dramatically expand the hospital’s intensive care unit as well as develop new state of-the-art surgical suites, making it one of the top 10 largest hospitals in Pennsylvania with approximately 600 beds.