Registered Nurse (RN) Spine & Surgical Trauma Step Down (Full Time/Nights)

Penn Medicine, University of Pennsylvania Health System; Lancaster (Lancaster County); On-site; USD 58,000 - 76,000; Full time

Job summary

Penn Medicine's Lancaster General Hospital seeks a Clinical Nurse 1 New to Practice Apprentice to join a fast-paced Trauma/Spine/Stroke unit. This role supports newly licensed RNs with 36 hours per week, night shifts from 7:00pm to 7:30am, and every third weekend/holiday.

The apprentice will develop practice under supervision, complete Nurse Residency, and provide direct patient care across the lifespan while contributing to safety, quality, and teamwork.

Qualifications

• RN licensure issued by the PA Board of Nursing.
• BSN or higher nursing degree required.
• NCLEX must be completed within 60 days of starting.
• CPR Certification (AHA) required within 30 days of hire.
• Nurse Residency Program completion required.

Responsibilities

• Incorporate mission, vision and values into planning patient care.
• Function as a team member within the health care team on the unit.
• Perform patient assessments across physiological, psychological and cognitive domains.
• Formulate age-appropriate, culturally sensitive care plans.
• Implement care and coordinate across disciplines and caregivers.
• Provide leadership and communicate expected standards of care.
• Demonstrate commitment to privacy, quality, respect, service and teamwork.
• Assign, delegate and supervise staff to ensure care plans are carried out.
• Educate patients about healthy practices and treatment modalities.
• Advance nursing practice through quality improvement and technology use.
• Consider safety, cost and impact in planning and delivery of nursing services.
• Manage rapidly changing situations per protocols and document events.
• Participate in process improvements to enhance continuity of nurse-patient relationships.
• Complete mandatory education and training on age-specific needs and skills.
• Maintain a safe working environment and report safety variances.
• Show pride in work and seek ongoing learning opportunities.
• Provide supervision and mentorship to peers and subordinates.
• Participate in employee performance processes and address concerns.
• Fulfill on-call responsibilities as required.
• Other duties as assigned.

Skills

RN licensure PA

NCLEX within 60 days

CPR Certification

Nurse Residency Program

Education

BSN or higher

Job description

Job Overview

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Location: Lancaster General Hospital - 555 N Duke St Lancaster, PA

Hours: 36 hours per week, night shift, 7:00pm-7:30am, every third weekend, every third holiday

Unit Summary (4EW)

A 35‑bed Trauma (Level I), Spine Surgery and Stroke—overflow unit that serves a diverse patient population and works in direct contact with the Trauma ICU, Emergency Department and the Post‑Anesthesia Care Unit. We consistently care for high acuity Medical/Surgical patients with tracheotomies, chest tubes, and various other complicated devices. This unit is fast‑paced and high energy. A great place to begin and continue to build a strong nursing foundation.

Summary of Clinical Nurse 1 New to Practice Apprentice

• Assume responsibility and accountability as defined by the American Nurses Association standards of nursing practice.
• The Clinical Nurse 1 New to Practice Apprentice is a newly licensed new to practice RN or RN with less than 15 months of experience that demonstrates basic safe practice within the organizational professional practice model.
• The Clinical Nurse 1 New to Practice Apprentice seeks guidance to integrate concepts, knowledge, skills and attitudes to meet standards for competent professional nursing practice.
• The Clinical Nurse 1 New to Practice Apprentice exhibits Penn Medicine’s experience standards which reflect its mission and are embedded in the professional practice competency domains.
• The Clinical Nurse 1 New to Practice Apprentice is accountable for the provision of direct care to patients who may range in age from infancy to the elderly and demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Teamwork and Technology Informatics.
• The Clinical Nurse 1 New to Practice Apprentice works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on developing the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age‑appropriate considerations of assigned patients.
• The Clinical Nurse 1 New to Practice Apprentice requires consultation with more experienced clinicians and benefits from feedback while demonstrating growth in the ability to care for increasingly complex patients. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system.
• The Clinical Nurse 1 New to Practice Apprentice must complete all Clinical Nurse 1 competencies and is expected to advance to the Clinical Nurse 2 Colleague level by 18 months of professional practice.

Key Responsibilities

• Incorporate the Lancaster General Health mission, vision and values into planning patient care.
• Function as an independent and interdependent member of the health care team as defined in the unit based Plan for Provision of Care.
• Perform patient assessments, focusing on physiologic, psychological and cognitive functions. Evaluate progress toward attainment of outcomes and adapt the plan of care based on recognized trends and changes. Collect and manage comprehensive data pertinent to the patient’s health or situation.
• Analyze assessment data to determine diagnosis or issues. Formulate age‑appropriate and culturally and ethically sensitive plan of care.
• Implement care in a knowledgeable manner and coordinate patient care across several disciplines and among caregivers.
• Provide leadership to other members of the team by effectively communicating expected standards of care and encouraging and supporting team members and their contributions.
• Demonstrate an understanding of and a commitment to our values of privacy, quality, respect, service and teamwork.
• Assign, delegate, and supervise other employees and intervene as appropriate to assure that the plan of care is carried out, continuity of care is provided and that established outcomes are achieved through availability and appropriate utilization of human, material and financial resources.
• Educate patients about healthy practices and treatment modalities.
• Systematically enhance the quality and effectiveness of nursing practices. Utilize technology where appropriate.
• Consider factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services.
• Manage rapidly changing situations following established protocols, coordinating and accessing appropriate health team members and resources, and documenting events.
• Participate in process improvement activities with an emphasis on increasing continuity in the nurse‑to‑patient relationship, minimizing rework and redundancies; constantly seek ways to improve processes, increase efficiency, find solutions to current situations or develop new methods and procedures.
• Complete mandatory education and training that includes review of age‑specific needs, caring behaviors, and interpersonal skills as defined by unit based Plan for Provision of Care.
• Maintain a safe working environment through compliance with established evidence‑based practice policies and procedures and timely reporting of safety variances.
• Project pride in their work as exhibited in day‑to‑day interactions with staff, coworkers, patients and all those they come in contact with.
• Seek experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledge.
• Provide supervision, including guidance, counseling and mentoring, to targeted peers and subordinates to enhance the learning experiences and improve the professional practice environment within the designated work setting.
• Participate in the employee performance process related to peers and subordinate team members; address employee problems, complaints, disputes or requests as the first level of supervision; evaluate their performance post‑hire.
• Participate in the on‑call responsibilities for this position as required.
• Other duties as assigned.

Minimum Required Qualifications

• RN licensure is required, issued by the PA Board of Nursing.
• Bachelor of Science in Nursing (BSN) or higher level nursing degree is required.
• New hires who start their employment with a temporary practice permit must sit for their NCLEX within 60 days of starting in their RN role.
• A graduate registered nurse may only practice professional nursing under supervision and if the graduate registered nurse holds a current temporary practice permit. Supervision means that a licensed registered nurse is physically present in the area or unit where the graduate registered nurse is practicing.
• All Clinical Nurse 1 RN’s will be required to successfully complete the Nurse Residency Program.
• CPR Certification – American Heart Association (AHA) Basic Life Support, formerly Healthcare Provider AHA Heart Saver courses for CPR are required within 30 days of hire.
• A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.
• As outlined in unit based Plan for Provision of Care.

Benefits and Employee Support

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

Are you ready to make a difference? Join us and work toward a career that lets you give hope, comfort, and healing to patients and their families.

Equal Opportunity Employer

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.