RN- 4 East Days

About the role

To provide professional nursing care in accordance with the Nurse Practice Act, collaborate with the physician's medical plan, and execute the objectives and policies of the hospital. This position is located at Penn Medicine Doylestown Health, 595 West State Street, Doylestown, PA 18901, and operates on a full-time day shift from 7am to 7pm.

Responsibilities

• Assess, plan, implement, document, coordinate, and manage patient care according to department and hospital standards, considering age-specific accommodations.
• Utilize the nursing process for all assigned patients, including:
  • Perform and document comprehensive, organized admission assessments through patient interviews and examinations.
  • Conduct and document timely shift assessments of patients.
  • Initiate a computerized plan of care and shift goal based on nursing assessment, medical plan, and patient needs.
  • Revise patient plan of care based on scientific principles, evidence-based practice, and patient response to interventions.
• Provide patient care demonstrating knowledge of normal physiology, disease pathophysiology, nursing and medical interventions, and principles of growth and development over the lifespan.
• Document patient responses to treatment, plan of care, and shift goals.
• Deliver ongoing patient education based on individual healthcare needs.
• Complete documentation, including transcription of physician orders and computer entry, without using unapproved abbreviations.
• Demonstrate proficiency in using computers for automated order entry, data retrieval, nursing documentation, and interdepartmental communication.
• Evaluate, revise, and improve patient care using creative strategies, evidence-based nursing, and age/population-specific accommodations.
• Appropriately assign tasks to Associates based on their skill level.
• Implement nursing and physician orders to achieve patient, nursing, and physician goals.
• Analyze data and respond to changes in patient status by consulting healthcare team members and taking timely action.
• Perform selected therapeutic interventions and diagnostic procedures, including but not limited to:
  • Point of care testing
  • Initiation and maintenance of oxygen therapy
  • 12-lead ECG
  • Insertion and maintenance of Nasogastric Tubes (NGT)
  • Flushing and maintenance of central lines (PICC, Groshong PICC, single/double/triple central lines, accessed Sub Q ports)
  • Shift and 24-hour chart checks
  • Use of 2 patient identifiers before interventions/procedures
  • Rhythm strip interpretations
  • Maintenance of vasoactive medications appropriate to telemetry
• Provide physical and psychological care considering age, cultural, and spiritual issues.
• Demonstrate clinical proficiency in crises and medical emergencies.
• Communicate and collaborate with patients, physicians, family members, and other healthcare disciplines to achieve excellence in patient care, including:
  • Utilize effective interpersonal skills in all interactions.
  • Involve patient/significant other in the plan of care as a patient advocate.
  • Communicate pertinent patient status and care information to the healthcare team.
  • Use interpersonal communication techniques for constructive feedback.
  • Effectively communicate during patient handoffs according to department standards.
  • Demonstrate leadership skills in team building and interpersonal relationships.
  • Follow staffing guidelines and respond to changes within the Patient Services Team.
• Promote patient safety through adherence to protocols, policies, procedures, evidence-based guidelines, and Joint Commission National Patient Safety Goals, including:
  • Maintain safety precautions (infection control, patient positioning, side rails, restraints, skin care, specimen transport, fall prevention, seizure precautions, work injury prevention).
  • Wear hand hygiene badge and maintain compliance at 70% or above.
  • Maintain equipment in good working order and report failures.
  • Safely administer medications and treatments according to hospital policy, using 2 patient identifiers and considering age-specific effects.
  • Safely handle drugs and body fluids using standard precautions.
• Actively participate in and support departmental and organizational quality initiatives and goals, including:
  • Identify professional goals reflecting strengths and weaknesses and seek assistance for improvement.
  • Attend and participate in meetings according to department standards (minimum 4 intershifts per year).
  • Support and participate in evidence-based care quality initiatives (e.g., Heart Failure, Acute MI, Glycemic Control, VTE prophylaxis, pressure ulcer prevention, Rapid Response team, infection control).
• Maintain clinical competency according to unit-specific standards:
  • Recognize legal responsibilities within the scope of the PA Nurse Practice Act.
  • Demonstrate competency in technological skills required by job category/specialty, including age/population-specific adaptations.
  • Maintain technological competence through practice and ongoing education.
  • Acquire and maintain proficiency in IV line and site maintenance.
  • Complete annual mandatory requirements:
    • CPR certification for Healthcare Providers
    • Required Annual Hospital Education (RAHE)
    • Departmental competencies (Point of Care Testing, Fit Testing, ACLS certification within one year of hire/transfer, NIHSS Certification)
    • Unit-based Skills Session yearly
• Perform duties in accordance with Penn Medicine and entity values, policies, and procedures.
• Other duties as assigned to support the unit, department, entity, and health system.

Requirements

• BSN Required
• Proof of completion of critical care course or completion of course within one year of hire

Qualifications

• Current licensure in the Commonwealth of Pennsylvania, Department of State Bureau of Occupational and Professional Affairs
• Certified in BLS for healthcare providers and ACLS

Benefits

Penn Medicine offers a comprehensive compensation and benefits program, including one of the finest prepaid tuition assistance programs in the region.