Registered Nurse (RN), Labor and Delivery, Full-Time (Night Shift)

About the Role

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, demonstrating basic safe practice within the organizational professional practice model. This role 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, reflecting its mission and embedded in professional practice competency domains. This role is accountable for providing direct care to patients ranging in age from infancy to the elderly, within competency domains such as Continuous Quality Improvement, Evidence-Based Practice and Research, Leadership, Person and Family-Centered Care, Professionalism, Safety, Teamwork, and Technology/Informatics.

The nurse works closely with the interprofessional healthcare team to facilitate coordination of care across the continuum, focusing on developing knowledge and skills to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age-appropriate considerations. The role requires consultation with more experienced clinicians and benefits from feedback while demonstrating growth in caring for increasingly complex patients. The nurse also demonstrates how nursing practice impacts organizational vision, mission, and goals, complying with all regulations and standards of regulatory and accrediting bodies.

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.

Schedule

Full-Time, Night Shift, 0.9 FTE (36 hours/week), 7:00 PM – 7:00 AM. Weekend and holiday rotation requirements.

Responsibilities

• Incorporate the Lancaster General Health mission, vision, and values into planning patient care.
• Function as an independent and interdependent member of the healthcare 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 the diagnosis or issues. Formulate an 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 team members by effectively communicating expected standards of care and encouraging and supporting contributions.
• Demonstrate an understanding of and commitment to Penn Medicine’s values of privacy, quality, respect, service, and teamwork.
• Assign, delegate, and supervise other employees, intervening as appropriate to ensure the plan of care is carried out, continuity of care is provided, and established outcomes are achieved through appropriate utilization of 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 planning and delivering nursing services.
• Manage rapidly changing situations following established protocols, coordinating and accessing appropriate healthcare team members and resources, and documenting events.
• Participate in process improvement activities, emphasizing continuity in the nurse-to-patient relationship, minimizing redundancies, and seeking solutions to improve processes.
• Complete mandatory education and training, including review of age-specific needs, caring behaviors, and interpersonal skills as defined by the unit-based Plan for Provision of Care.
• Maintain a safe working environment through compliance with evidence-based practice policies and procedures and timely reporting of safety variances.
• Project pride in work through day-to-day interactions with staff, coworkers, patients, and others.
• Seek experiences and formal/independent learning activities to maintain and develop clinical and professional skills and knowledge.
• Provide supervision, guidance, counseling, and mentoring to peers and subordinates to enhance learning experiences and improve the professional practice environment.
• Participate in the employee performance process, addressing problems, complaints, disputes, or requests as the first level of supervision and evaluating performance post-hire.
• Participate in on-call responsibilities as required.
• Perform other duties as assigned.

Requirements

• RN licensure issued by the PA Board of Nursing (required).
• Bachelor of Science in Nursing (BSN) or higher-level nursing degree (required).
• New hires starting 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 under supervision if holding a current temporary practice permit. Supervision means a licensed registered nurse is physically present in the area or unit where the graduate registered nurse is practicing.
• All Clinical Nurse 1 RNs must successfully complete the Nurse Residency Program.
• CPR Certification – American Heart Association (AHA) Basic Life Support (required within 30 days of hire; formerly Healthcare Provider AHA Heart Saver courses for CPR are not accepted).
• Must be a healthcare provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs (i.e., not excluded from participation).
• Basic Cardiac Life Support (BCLS) credential (required).
• Labor & Delivery RNs must obtain their RNC-OB or C-EFM within 3 years of hire.
• Lactation Support RNs must obtain their IBCLC Certification within 2 years of hire.