PRN Clinical Nurse 1 - 4 Main Medical - 8-24 hours/ 6 weeks

PRN 1; 8-24 hours/ 6 weeks

Day/evening/night

4 Main is a 23-bed medical telemetry unit that specializes in the care of patients 18 years and older with a variety of acute medical diagnoses that include metabolic disorders, stable cardiovascular problems, renal patients, GI bleeds, substance abuse withdrawal, diabetes, stroke and respiratory conditions.

York Hospital Nursing supports the mission and vision through a centralized department of nursing. We strive to be the best in the eyes of our patients, family, staff, and community by providing safe, evidence based practice leading to exemplary outcomes. Each professional nurse accepts the accountability and responsibility for his/her professional practice by fostering an environment that supports leading change, responding to the healthcare needs of our community and advancing health. Nurses at YH are lifelong learners who value continued professional development and education. They are role models in honesty, responsibility, upholding human dignity, ease of human suffering and equality of all patients. Helping others in need and improving the quality of life for all is the act of behaving in a manner defined by the profession. YH nurses are active participants in decisions about patient care and nursing practice, and commit to upholding professional nursing standards at local, state and national levels.

Job Description:

Under the general supervision of the Nurse Manager, provides professional nursing care at the beginner practitioner level 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.

Duties and Responsibilities

1. 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.
2. Safely and independently administers prescribed treatments, medications, and nursing interventions based on assessment and plan of care.
3. 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.
4. 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.
5. 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..
6. 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.
7. Seeks learning opportunities and resources beyond own work environment and incorporates into practice the new knowledge and skills acquired.
8. 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).
9. Begins to provide leadership for problem solving and goal formation. Negotiates for a win-win solution.
10. 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.
11. 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.

Qualifications

• Notes:
  • Other combinations of formal education, training and experience may be considered.
• Minimum Experience:
  • 6 - 12 months
• Minimum Education:
  • Associate's Degree
• Preferred Education:
  • Bachelors of Science, Nursing (BSN)
• Required Certification:
  • Registration and current RN license in PA; Basic Life Support (BLS) certification required
• Physical Demands:
  • Prolonged, extensive, or considerable standing/walking
  • Lifts, positions, pushes and/or transfers patients
  • Considerable reaching, stooping, bending, kneeling, crouching