Registered Nurse (RN), Couplet Care, Full-Time (Night Shift)
Company: Lancaster General Health
Posted on: February 9, 2024
LOCATION: Lancaster, PA
HOURS: Full-Time (32 hours per week). Night Shift (11:00pm to
7:30am). Every other weekend and every other holiday
SIGN ON BONUS: Up to $15,000 (based on FTE), with 2 year
commitment. Eligibility rules apply, including 15 months or greater
RN experience. External applicants only.
POSITION SUMMARY: 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
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 nurse complies 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
ESSENTIAL FUNCTIONS: Qualified individuals must have the ability
(with or without reasonable accommodation) to perform the following
- Incorporates the Lancaster General Health mission, vision and
values into planning patient care.
- Functions as an independent and interdependent member of the
health care team as defined in unit based Plan for Provision of
- Performs patient assessments, focusing on physiologic,
psychological, and cognitive functions. Evaluates progress
attainment of outcomes and adapts the plan of care based on
recognized trends and changes. Collects and manages
comprehensive data pertinent to the patient's health or the
- Analyzes the assessment data to determine the diagnosis or
issues. Formulates age-appropriate and culturally and ethically
sensitive plan of care
- Implements care in a knowledgeable manner and coordinates
patient care across several disciplines and among caregivers.
- Provides leadership to other members of the team by effectively
communicating expected standards of care and encouraging
and supporting team members and their contributions.
- Demonstrates an understanding of and a commitment to our values
of privacy, quality, respect, service and teamwork.
- Assigns, delegates, and supervises other employees and
intervenes as appropriate to assure that the plan of care is
out, continuity of care is provided and that established outcomes
are achieved through availability and appropriated utilization
of human, material and financial resources.
- Educates patients about healthy practices and treatment
- Systematically enhances the quality and effectiveness of
nursing practices. Utilizes technology where appropriate.
- Considers factors related to safety, effectiveness, cost and
impact on practice in the planning and delivery of nursing
SECONDARY FUNCTIONS: The following duties are considered secondary
to the primary duties listed above:
- Manages rapidly changing situations following established
protocols, coordinating and accessing appropriate health team
members and resources, and documenting events.
- Participates in process improvement activities with an emphasis
on increasing continuity in the nurse to patient relationship,
minimizing rework and redundancies; constantly seeks ways to
improve processes, increase efficiency, finds solutions to
current situations or develops new methods and procedures.
- Completes 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.
- Maintains a safe working environment through compliance with
established evidence-based practice policies and procedures
and timely reporting of safety variances.
- Projects pride in their work as exhibited in day-to-day
interactions with staff, coworkers, patients and all those they
- Seeks experiences and formal and independent learning
activities to maintain and develop clinical and professional skills
- Provides 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.
- Participates 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; evaluates their performance post hire.
- Participates in the on-call responsibilities for this position
- Other duties as assigned.
MINIMUM REQUIRED QUALIFICATIONS:
- RN Licensure is required, issued by the PA Board of Nursing or
a Temporary Practice Permit until an RN license is obtained.
- Individuals with Temporary Practice Permits 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
AMA CPR/BLS certification required within 30 days of hire.
- A health care provider in good standing with Medicare,
Medicaid, and other federal and state health insurance programs,
not excluded from participation in Medicare, Medicaid or any other
federal or state health insurance program.
- As outline in unit based Plan for Provision of Care.
- Bachelor of Science in Nursing (BSN) preferred. For Magnet
designated RN positions, BSN or higher level nursing degree is
required for incumbents based upon previously established
parameters; or within two (2) years of placement in position
incumbents who started after 07/01/2020.
Attention/Concentration: The following level of ability is
essential for the jobholder to focus on certain aspects of current
experience and reject others.
- The position requires the ability to attend to a specific
stimulus without being distracted by extraneous environmental
stimuli. The individual must be able to attend to environmental
detail with the ability to separate essential from non-essential or
irrelevant stimuli. The attention skills required are generally
considered to be automatic - - passive, but focused with an intact
capacity for select perception.
New Learning and Memory: The following level of ability is
essential for the jobholder to learn and retain material.
- The position requires that an individual be able to learn new
tasks quickly and effectively. Job requirements change frequently.
The ability to understand and carry out detailed, involved
instructions is mandatory.
Problem Solving, Reasoning and Creative Thinking: The following
level of ability that is essential for the jobholder to think (in
order to solve a problem) by combining two or more elements from
past experience or imaginative thought.
- The position deals with issues or problems that often require
thoughtful reasoning before arriving at approaches or solutions.
Some independent thought, planning or origination of options and
solutions is necessary. The individual must have the ability to
apply principles of reasoning and problem solving to resolve
practical problems and deal with a variety of concrete variables in
situations where only limited standardization exists.
APTITUDES: The following are essential requirements of the position
in relation to job-worker situations. These items describe how a
worker must adapt, adjust, conform or act.
Leadership, control and planning: Ability to accept responsibility
for leadership, direction, control, planning, negotiating,
organizing, directing, supervising, formulating practices, or
making final decisions.
Performing under stressful conditions: Ability to perform under
stress when confronted with emergency, critical, unusual, or
dangerous situations, or in situations in which working speed and
sustained attention are critical aspects of the job. Is subject to
danger or risk, or to tension as a regular, consistent part of the
Variety and change: Ability to perform a variety of duties, often
changing from one task to another of a different nature without
loss of efficiency or composure involving significant differences
in technologies, techniques, procedures, environmental factors,
physical demands, or work situations.
Communication: Ability to exchange information with others clearly
and concisely; to present ideas, facts and technical
Interpersonal relations: Ability to maintain relationships that
facilitate task accomplishment; to cooperate and resolve conflicts;
to recognize needs and be sensitive of others.
EQUIPMENT USAGE REQUIREMENTS
Equipment/Tools: Computer, Phone, Copier, Printer, Fax, Office
Supplies, Monitoring Equipment, Medical Equipment
Software: Microsoft Office Products, Currently used propriety
nursing software (applicable to unit)
Rarely 0-10%; Occasionally 11-35%; Frequently 36-70%; Continuously
- Sit: Occasionally
- Stand: Frequently
- Walk: Frequently
- Bend: Frequently
- Push: Frequently
- Pull: Rarely
- Kneel/Squat: Rarely
- Reach: Frequently
- Twist: Occasionally
- Balance: Frequently
- Climb: Rarely
Lifting: Degree of physical exertion is:
Heavy, exerting up to 50 pounds of force occasionally, and/or up to
20 pounds of force frequently, and/or up to 10 pounds of force
constantly to move objects.
Sensory Abilities specifically required:
Position involves exposure to the following harmful elements:
- Bio hazardous Waste
- Blood borne Pathogens
- Radioactive Agents
Disclaimer: This job description is not intended and should not be
construed to be an exhaustive list of all responsibilities, skills,
efforts, or working conditions associated with the job. It is
intended to be a reflection of those principal job elements
essential for recruitment and selection, for making fair job
evaluations, and for establishing performance standards. The
percentages of time spent performing job duties are estimates, and
should not be considered absolute. The incumbent shall perform all
other functions and/or be cross-trained as shall be determined at
the sole discretion of management, who has the right to amend,
modify, or terminate this job in part or in whole. Incumbent must
be able to perform all job functions safely.
Benefits At A Glance:
PENN MEDICINE LANCASTER GENERAL HEALTH offers the following
benefits to employees:
- 100% Tuition Assistance at The Pennsylvania College of Health
- Paid Time Off and Paid Holidays
- Shift, Weekend and On-Call Differentials
- Health, Dental and Vision Coverage
- Short-Term and Long-Term Disability
- Retirement Savings Account with Company Matching
- Child Care Subsidies
- Onsite Gym and Fitness Classes
PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity
Employer, committed to hiring a diverse workforce. All openings
will be filled based on qualifications without regard to race,
color, sex, sexual orientation, gender identity, national origin,
marital status, veteran status, disability, age, religion or any
other classification protected by law.
Search Firm Representatives please read carefully: PENN MEDICINE
LANCASTER GENERAL HEALTH is not seeking assistance or accepting
unsolicited resumes from search firms for this employment
opportunity. Regardless of past practice, all resumes submitted by
search firms to any employee at PENN MEDICINE LANCASTER GENERAL
HEALTH via-email, the Internet or directly to hiring managers at
Penn Medicine Lancaster General Health in any form without a valid
written search agreement in place for that position will be deemed
the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH , and
no fee will be paid in the event the candidate is hired by PENN
MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or
through other means.
WBH Full Time Posted on 02/06/2024
Keywords: Lancaster General Health, Lancaster , Registered Nurse (RN), Couplet Care, Full-Time (Night Shift), Healthcare , Lancaster, Pennsylvania
Didn't find what you're looking for? Search again!