Registered Nurse (RN), Ortho OR, Full-Time (Day Shift)

Lancaster General Health

Summary

Job Description

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 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 practice.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• 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

Care.

• Performs patient assessments, focusing on physiologic, psychological, and cognitive functions. Evaluates progress toward

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 situation.

• 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 carried

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 modalities.
• 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 services.

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 come in

contact with.

• Seeks experiences and formal and independent learning activities to maintain and develop clinical and professional skills and

knowledge.

• 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 as required.
• Other duties as assigned.

JOB REQUIREMENTS

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.

• 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 three (3) years of placement in position for incumbents who started after 07/01/2020.
• A graduate registered nurse may only practice professional nursing under supervision and if the graduate registered nurseholds 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, i.e.not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.

PREFERRED QUALIFICATIONS:

• As outline in unit based Plan for Provision of Care.

COGNITIVE REQUIREMENTS

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 job.

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 information.

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)

PHYSICAL REQUIREMENTS

Rarely 0-10%; Occasionally 11-35%; Frequently 36-70%; Continuously 71-100%

Body Position/Movement:

• 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:

• Vision
• Hearing
• Touch/Feeling

PHYSICAL ENVIRONMENT

WORKING CONDITIONS:

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.

Disclaimer