Registered Nurse - Critical Care Unit - Nights

Part Time (48 Hours Biweekly) – 2 12-hour night shifts per week (6:45pm to 7:15am). Every third weekend (Friday and Saturday nights) and every third major and minor holiday.

About the Role

WellSpan Waynesboro ICU is a 10-bed unit providing care to critically ill adult and geriatric patients. As the only intensive care unit in WH, we specialize in caring for clinically complex patient populations, including those requiring ventilator or acute respiratory support, pressors and inotrope therapy, TNK administration for stroke or pulmonary emboli, and hemodynamic monitoring.

Provides professional nursing care at the beginner 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. Acts as a primary nurse for patients on the unit and coordinates care planning with other disciplines. May require specialized skills depending on unit assignment.

Responsibilities

• Provides and coordinates direct care in accordance with the principles of patient and family-centered care based on the nursing process and clinical standards. 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 safe handoffs during transitions of care. Collaborates with patient/family in care planning with all disciplines.
• Appropriately and correctly documents the patient response to interventions and progress toward outcomes. Identifies and documents variances.
• Appropriately utilizes flow sheets, progress notes, and/or electronic medical record for documentation. Identifies system and unit-based nursing sensitive indicators (e.g., falls, pressure ulcers).
• Identifies own areas of professional growth and development in performance improvement efforts. Recognizes the value of evidence-based research as it applies to best practice.
• Promotes a professional practice environment that supports patient safety and quality through interdisciplinary collaboration and Shared Decision Making activities, including peer review.
• Begins to provide leadership for problem solving and goal formation. Negotiates for win-win solutions.
• Delegates aspects of care to other nursing personnel to meet patient needs. Helps assistive personnel organize and set priorities for work. Monitors completion of delegated tasks.
• Promotes collaboration and cooperation among physicians, nursing staff, and other interdisciplinary team members. Contributes to effective communications and begins to display conflict resolution and negotiation skills.
• Demonstrates knowledge of growth and development principles over the life span of assigned patient populations. Assesses and interprets age-specific data and provides appropriate treatment.
• Demonstrates a commitment to patient, visitor, and staff safety by complying with safety regulations, reporting errors, and identifying opportunities to improve systems.
• Maintains established policies and procedures, objectives, quality assessment, safety, environmental, and infection control standards.
• Enhances professional growth through continuing education to maintain up-to-date knowledge, skills, and competencies.

Requirements

• Diploma or Associate’s Degree in Nursing required; Bachelor’s Degree in Nursing (BSN) preferred.
• Critical Care experience preferred.
• Licensed as a Registered Nurse in the state of hire or hold a Multi-State License required upon hire.
• Basic Life Support (BLS) certification required upon hire.
• Additional certifications may be required for specific areas of nursing practice (e.g., ACLS, PALS, NRP) as outlined in the SYS-NURS-L Nursing Education Requirements Policy.

Physical Demands

• Standing – Frequently
• Walking – Frequently
• Sitting – Occasionally
• Carrying/Lifting – Occasionally (up to 50 lbs)
• Pushing/Pulling – Occasionally (up to 50 lbs)
• Kneeling/Crouching – Occasionally
• Reaching – Occasionally
• Talking – Frequently
• Hearing – Frequently
• Repetitive Motions – Occasionally
• Eye/Hand/Foot Coordination – Occasionally

Working Environment

• Occupational hazards – Occasionally
• Exposure to bloodborne pathogens – Possible