Registered Nurse II - Critical Care Unit - Nights

Gettysburg, PA | Nursing | Tracking Code: 69006

This position is eligible for a sign-on bonus.

To learn more about the sign-on bonus level, position and WellSpan Health’s benefits, please contact the talent acquisition consultant associated with this posting.

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Provides evidence-based nursing care to patients and families (including significant others) using the nursing process of assessment, nursing diagnosis, implementation of interventions and evaluation of the patient response to care.  Nursing care includes physiological assessment and monitoring, psychosocial assessment and support, patient/family education; maintaining a safe environment conducive to healing and managing transitions of care. Critical Care is an 8-bed unit which provides care for medical and surgical patients who require intensive cardio-respiratory monitoring, drug therapies, hemodynamic monitoring and/or mechanical ventilation.

Full Time (72 Hours Biweekly)
7pm-7am 
Every other weekend and holiday rotation

Job Description:

Under the general supervision of the Nurse Manager, provides professional nursing care at the intermediate practitioner level in accordance with the principles of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Coordinates care planning with other disciplines. Coaches and mentors the Clinical Nurse I. Safely and independently administers prescribed treatments, medications, and nursing interventions based on assessment and plan of care. May require specialized skills depending on unit assignment.

 

Duties and Responsibilities

Essential Accountabilities:

  1. Meets all expectations of CNI.
  2. Coaches and mentors the CN I in developing and coordinating the primary nurse case load and their plans of care. Initiates and manages plans of care for more complex groups of assigned patients.
  3. Independently recognizes subtle changes in condition and modifies plan of care accordingly. Safely and independently administers prescribed treatments, medications, and nursing interventions based on assessment and plan of care. Initiates emergency action in response to acute risk situations.
  4. Independently organizes and prioritizes time based on higher acuity patient assignments and increased workload.
  5. Evaluates patient care and promotes goal-directed change to achieve patient outcomes. Able to discuss, document and apply Performance Initiatives and outcomes at the unit level as they relate to the WellSpan Wildly Important Goals (WIGs) and Nursing Sensitive Indicators (NSIs).
  6. Independently evaluates and monitors the effectiveness of interventions and progress toward outcomes for more complex groups of patients. Initiates interdisciplinary collaboration in evaluation of patient progress. Identifies and facilitates individualized patient needs for transfer/ discharge and includes patient/family in decisions.
  7. Begins reading current literature. Express interest in evidence based research and its application to best practice. Understands clinical relevance and its impact on patient outcomes.
  8. Seeks learning opportunities and resources beyond own work environment and incorporates into practice the new knowledge and skills acquired. Required education and competencies completed, including 30 CEU’s above system required education. Encouraged to share pertinent information and job knowledge, related to readings, educational programs and participation in professional organization activities. Meets mandatory criteria for CNAP II level.
  9. Actively promotes an environment conducive to professional practice, interdisciplinary collaboration, and patient and staff safety. Supports Shared Decision Making by unit and/or hospital-wide committee membership or by supporting and helping fellow co-workers attend committee meetings and/or work on SDM projects.
  10. Demonstrates leadership at point of care.
  11. Provides leadership for problem solving and goal formation. Applies current WIGs to care delivery.
  12. Begins to take on charge duties/responsibilities. Anticipates needs for alterations in staffing for upcoming 24 hours and assists with actions to adjust. Accountable for completion of required charge nurse responsibilities. Demonstrates ownership of patients beyond individual assignments. Applies comprehensive thought process.
  13. .Promotes cooperation and communication among all team members. Seeks opportunities to assist co-workers without compromising individual responsibilities. Gives feedback to team members about unique strengths and contributions. Consistently interacts with others in a manner that is perceived to be positive, supportive, and respectfully delegates appropriately
  14. Flexible with schedule and assignments; adapts to changing unit conditions (admissions, discharges, emergencies, etc.).
  15. Displays conflict resolution and negotiation skills to maximize team performance. Provides feedback in a positive and respectful way. Aware of and investigates events that led to conflict; recommends preventative measures or solutions.
  16. Acts as coach to CNI staff for clinical issues and potential advancement opportunities.
 

NonEssential Accountabilities:

  1. Attends meetings as required, and participates on committees as requested.
  2. Performs other related duties as identified.
 

Common Expectations:

  1. 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).
  2. 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.
  3. Enhances professional growth and development through advanced/continuing education to maintain up-to-date knowledge, skills, and competencies.
  4. Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
  5. Provides outstanding service to all customers using caring behaviors; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
 

Qualifications

  • Notes:
    • Other combinations of formal education, training and experience may be considered.
  • Minimum Experience:
    • 2 years
  • Minimum Education:
    • Diploma/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:
    • Minimum Lifting Weight 50 pounds
    • Prolonged, extensive, or considerable standing/walking
    • Lifts, positions, pushes and/or transfers patients
    • Considerable reaching, stooping, bending, kneeling, crouching

Lindsey Myers
Sr. Talent Acquisition Consultant
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Why WellSpan Health?

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization comprises a multispecialty medical group of more than 1,600 physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals, more than 20,000 employees and 200 patient care locations. WellSpan is a charitable, mission-driven organization committed to exceptional care for all, lifelong wellness and healthy communities. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

Employment Benefits

  • Sign-on incentives for new employees (click here for details)
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts

Diversity & Inclusion

Welcome. Respect. Value.

Wellspan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected, and valued while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

Quality of Life

Established in 1800, Adams County includes the borough of Gettysburg, Pennsylvania. Home to more than 100,000 residents, the town is a mecca for Civil War history buffs and visitors who come to tour the Gettysburg National Battlefield, Gettysburg National Military Park and see the annual Civil War reenactment.

Also located here is Gettysburg College, which has a strong academic reputation in liberal arts. The county is steeped in heritage, and offers a peaceful, country atmosphere, yet is a convenient drive to Washington, D.C., Baltimore, MD and Harrisburg, PA. The area's diversity attracts a lively local music scene, and his home to numerous restaurants and wineries, fresh-produce markets, a ski resort and more. Adams County residents can find local employment in healthcare, tourism, agriculture and manufacturing. (Patient population: 102,000)