Full-Time - 0.9 FTE/72 Hours Biweekly Day Shift - 0645-1915 on-call requirements, travel to 7 of the WellSpan facilities Every 3rd Weekend; 1 Major, 1 Minor and 1 Split Holiday Eligible for Shift Differential **General Summary** Provides professional nursing care at the intermediate 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. Coordinates care planning with other disciplines. Coaches and mentors the Clinical Nurse I. Safely and independently administers prescribed treatments, medications, and nursing interventions based on assessment and plan of care. May require specialized skills depending on unit assignment. **Duties and Responsibilities** + Provides dialysis treatment in conformance with nursing standards to include initiation, monitorization, and termination of treatment; measurement of blood flow and clotting; and removal and insertion of blood tubing. + Assesses and coordinates overall patient care in relation to the dialysis treatment, dietary restrictions and psychosocial and physical needs of the individual. + Provides health care instruction/education to patient and family members. + Independently recognizes subtle changes in condition and modifies plan of care accordingly. Safely and independently administers prescribed treatments, medications, and nursing interventions based on assessment and plan of care. Initiates emergency action in response to acute risk situations. + Independently organizes and prioritizes time based on higher acuity patient assignments and increased workload. + Evaluates patient care and promotes goal-directed change to achieve patient outcomes. Able to discuss, document and apply Performance Initiatives and outcomes at the unit level as they relate to the WellSpan Wildly Important Goals (WIGs) and Nursing Sensitive Indicators (NSIs). + Independently evaluates and monitors the effectiveness of interventions and progress toward outcomes for more complex groups of patients. Initiates interdisciplinary collaboration in evaluation of patient progress. Identifies and facilitates individualized patient needs for transfer/ discharge and includes patient/family in decisions. + Begins reading current literature. Express interest in evidence based research and its application to best practice. Understands clinical relevance and its impact on patient outcomes. + Seeks learning opportunities and resources beyond own work environment and incorporates into practice the new knowledge and skills acquired. Required education and competencies completed, including 30 CEU's above system required education. Encouraged to share pertinent information and job knowledge, related to readings, educational programs and participation in professional organization activities. Meets mandatory criteria for CNAP II level. + Actively promotes an environment conducive to professional practice, interdisciplinary collaboration, and patient and staff safety. Supports Shared Decision Making by unit and/or hospital-wide committee membership or by supporting and helping fellow co-workers attend committee meetings and/or work on SDM projects. + Demonstrates leadership at point of care. + Provides leadership for problem solving and goal formation. Applies current WIGs to care delivery. + Begins to take on charge duties/responsibilities. Anticipates needs for alterations in staffing for upcoming 24 hours and assists with actions to adjust. Accountable for completion of required charge nurse responsibilities. Demonstrates ownership of patients beyond individual assignments. Applies comprehensive thought process. + Promotes cooperation and communication among all team members. Seeks opportunities to assist co-workers without compromising individual responsibilities. Gives feedback to team members about unique strengths and contributions. Consistently interacts with others in a manner that is perceived to be positive, supportive, and respectfully delegates appropriately + Flexible with schedule and assignments; adapts to changing unit conditions (admissions, discharges, emergencies, etc.). + Displays conflict resolution and negotiation skills to maximize team performance. Provides feedback in a positive and respectful way. Aware of and investigates events that led to conflict; recommends preventative measures or solutions. + Variation of duties may result based on the assigned customer care unit(s). This may include differences in the specific clinical skills required of the RN. Unit based skill lists outline expectations beyond the house wide RN requirements. SYS-NURS-L Nursing Education Requirements Policy outlines current certification(s) required for specific areas of nursing practice and is considered to be part of the job description. + In addition to requirements specified in the license and certification section below, current BLS certification for all areas of nursing practice is required.Current certification may be required for the following areas of nursing practice:Emergency Care Center - ACLS, PALSIntensive Care Center & MSCC Lead - ACLS, PALSL&D - ACLS, NRP, - Experienced L&D nurses will obtain within 6 months and new L&D nurses will obtain at 1 year of experienceNICU - NRPPEDS - PALSPCC/PACU/ENDO - ACLS, PALSProcedural - ACLS **Common Expectations:** + Demonstrates knowledge of the principles of growth and development over the life span of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care to assigned patient age group(s). + Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required. + Enhances professional growth and development through advanced/continuing education to maintain up-to-date knowledge, skills, and competencies. + Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards. + Provides outstanding service to all customers using caring behaviors; fosters teamwork; and practices fiscal responsibility through improvement and innovation. **Qualifications** **Minimum Education:** + Diploma Program Required or + Associates Degree Required + Bachelors Degree Nursing (BSN) Preferred **Work Experience:** + 2 years Relevant experience. Required **Licenses:** + Licensed Registered Nurse Upon Hire Required or + Registered Nurse Multi State License Upon Hire Required and + Basic Life Support Upon Hire Required **Benefits Offered:** + Comprehensive health benefits + Retirement savings plan + Paid time off (PTO) + Education assistance + Financial education and support, including DailyPay + Expanded Paid Parental Leave For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org) (https://www.joinwellspan.org/benefits/) WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest. WellSpan York Hospital Built on a solid 140-year legacy of providing high-quality, high-volume, community-based care, WellSpan York Hospital, the largest of WellSpan's eight hospitals, is a 596-bed acute care community teaching hospital that employs nearly 5,000 people, making WellSpan the largest employer in York County. Driven by a mission to provide exceptional care to all, WellSpan York Hospital serves a diverse population of more than 520,000 residents from the greater York County area. WellSpan York Hospital was one of several WellSpan Health hospitals honored by U.S. News & World Report with the High Performing recognition for 2022-23. The hospital offers services and programs that feature highly skilled clinical staff, life-saving technology and state-of-the-art facilities to address some of the most complex medical, surgical and behavioral health conditions. WellSpan York Hospital's Regional Resource/Level 1 Trauma Center has been accredited by the Pennsylvania Trauma Systems Foundation and is the only accredited trauma center in York, Adams and Franklin counties. It is a nationally recognized teaching hospital with nine residency programs, six allied health schools and other training programs. More than 700 physicians and other professionals are members of WellSpan York Hospital's medical and dental staff. WellSpan York Hospital in embarking on a significant five-year project. The centerpiece will be a new, eight-story surgical and critical care tower, which will dramatically expand the hospital's intensive care unit as well as develop new state of-the-art surgical suites, making it one of the top 10 largest hospitals in Pennsylvania with approximately 600 beds. **Quality of Life** Established in 1800, Adams County includes the borough of Gettysburg, Pennsylvania. Home to more than 100,000 residents, the town is a mecca for Civil War history buffs and visitors who come to tour the Gettysburg National Battlefield and Gettysburg National Military Park and see the annual Civil War reenactment. Also located here is Gettysburg College, which has a strong academic reputation in liberal arts. The county is steeped in heritage, and offers a peaceful, country atmosphere, yet is a convenient drive to Washington, D.C., Baltimore, MD and Harrisburg, PA. The area's diversity attracts a lively local music scene and is home to numerous restaurants and wineries, fresh-produce markets, a ski resort and more. Adams County residents can find local employment in health care, tourism, agriculture and manufacturing. (Patient population: 102,000) WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.