Provides evidence-based nursing care to patients and families (including significant others) using the nursing process of assessment, nursing diagnosis, implementation of interventions and evaluation of the patient response to care. Nursing care includes physiological assessment and monitoring, psychosocial assessment and support, patient/family education; maintaining a safe environment conducive to healing and managing transitions of care. The mission of the Emergency Department is to provide a compassionate, exceptional healthcare to patients of all ages. We offer high level of care to patients of all ages with complex medical, surgical and emergency conditions.
Part -Time (24 Hours biweekly)
Every 3rd weekend
Under the general supervision of the Nurse Manager, provides professional nursing care at the beginner 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. Acts as a primary nurse for patients on the unit. Coordinates care planning with other disciplines. May require specialized skills depending on unit assignment.
Duties and Responsibilities
Provides and coordinates direct care 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. Acts as a primary nurse for patients on the unit. Synthesizes patient data to develop outcome-driven plans.
Safely and independently administers prescribed treatments, medications, and nursing interventions based on assessment and plan of care.
Appropriately organizes and prioritizes time based on patient condition and expected workload. Identifies changes in patients' status and acts accordingly. Knows and can activate resources to achieve outcomes for patients.
Seeks mentoring and coaching from the CN II & III.
Identifies and communicates individualized patient needs for safe handoffs during transitions of care. Collaborates with patient/family in care planning with all disciplines.
Appropriately and correctly documents the patient response to interventions and progress toward outcomes. Identifies and documents variances. Appropriately utilizes flow sheets, progress notes, and/or electronic medical record for documentation. Is able to identify system and unit-based nursing sensitive indicators; i.e. falls, pressure ulcers.
Identifies own areas of professional growth and development in performance improvement efforts. Recognizes the value of evidence based research as it applies to best practice.
Promotes a professional practice environment that supports patient safety and quality through interdisciplinary collaboration, Shared Decision Making activities including peer review. Integrate Shared Decision Making by unit committee membership or by supporting and helping fellow co-workers attend committee meetings and/or work on SDM projects. Serves as positive role model.
Delegates aspects of care to other nursing personnel in order to meet patient needs. Helps assistive personnel organize and set priorities for work. Monitors completion of tasks that are assigned or delegated to the patient care team.
Promotes collaboration and cooperation among physicians, nursing staff, and other members of the interdisciplinary team. Contributes to effective communications among all team members. Begins to display conflict resolution and negotiation skills to maximize team performance.
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.
Maintains Adheres to established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
Enhances professional growth and development through advanced/continuing education to maintain up-to-date knowledge, skills, and competencies.
Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
No experience required
Diploma or Associate's Degree
Bachelors of Science, Nursing (BSN)
Registration and current RN license in PA; Basic Life Support (BLS) certification required
Minimum Lifting Weight 50 pounds
Prolonged, extensive, or considerable standing/walking
Lifts, positions, pushes and/or transfers patients
Considerable reaching, stooping, bending, kneeling, crouching
#Bonus$46k-81k yearly est.5h ago
Licensed Practical Nurse to RN Student - York Hospital
Work in one of York Hospital's inpatient units while attending school.$39k-58k yearly est.15d ago
Lead Nurse (RN) - OB/GYN
Under the general supervision of the Practice Manager and Medical Director, functions as part of the management team, performing a variety of clinical and administrative duties related to clinical staff management and patient care. Duties may include quality monitoring, patient assessments, direct patient care, triage, administration of IVs, and patient/caregiver/staff education. Provides safe, therapeutic, efficient quality care and services to all patients served. Functions as a member of the health care team at registered nurse level to assist in the planning and implementation of patient care based upon sound nursing judgment, clinical preparation, knowledge, skills and experience. Nursing care is provided in accordance with the provisions of the Pennsylvania State Board of Nursing. May be responsible for the clinical functions of more than one practice.
Duties and Responsibilities
Works with the Practice Manager and Office Manager to ensure adequate staffing levels and skill mix are maintained for all shifts through the development, preparation and maintenance of staffing schedules that meet department/unit needs and apply to variable census conditions. Makes appropriate adjustments/assignments to maximize timely patient care. Looks to staffing needs into the next matrix.
Oversees the delivery of patient care. Directs and delegates patient care assignments to staff based on acuteness of patient care needs, staff availability and patient safety.
Prioritizes and organizes work. Actively takes part in the performance appraisal process by providing input for staff evaluations. Holds staff accountable for performance standards. Assists with interviewing. Mediates staff conflicts and provides feedback concerning performance, behavior, etc.
Collaborates with the Practice Manager on areas of need in the department (e.g., problematic flow issues, equipment and supplies issues, documentation issues, patient satisfaction issues and performance issues).
Anticipates and resolves patient/family concerns in a timely manner. Keeps patients and families informed.
Protects patient confidentiality by promoting professional staff communications.
Serves as a resource and role model/mentor to staff.
Assists with ordering or delegating the ordering of medications, supplies, and equipment. Submits maintenance and repair services and prepares related forms. Keeps stock and equipment inventories.
Responds to RASMAS
Supervision of POCA, PON, and Staff Nurses - includes recruitment, orientation, ongoing performance evaluations, retention, and corrective action in collaboration with Practice Manager.
Coordinates and ensures implementation of onboarding and orientation of new employees.
Coordinates continuing education of clinical staff and assures clinical competencies are met, documented, and maintained.
Educates nursing and medical assistant team on new clinical policies and procedures. Ensures high level of clinical excellence of new policies and procedures are maintained.
Ensures an efficient day-to-day clinical workflow within the practices. Including timely rooming of all patients, ensure appropriate triage of patients, and managing number of rooms utilized.
Oversight of advanced clinical programs specific to the department. Maintain appropriate certifications required.
Follows recommended processes to appropriately manage and document patient concerns and quality of care issues including use of Just Culture.
Applies lean principles and identifies opportunities for improvement.
Monitors and audits staff completion of clinical tasks within the patient electronic record. Ensures timely completion of all tasks.
Assumes practice manager role when practice manager or office manager is not present.
Prepares and holds regular clinical staff meetings.
Enters, assists in investigation, and follows up on SRS events. Participates in daily Safety Huddle Call.
3 - 5 years
Registration and current RN license in PA
BLS certification$78k-161k yearly est.15d ago
Registered Nurse - NRT ICU Float - Weekend Option
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). York Hospital has 60 ICU beds across 6 units: Cardiac, Open Heart, Medical, Neuro, Surgical and Trauma and 54 Intermediate Care beds across 3 units.$55k-74k yearly est.15d ago
Registered Nurse - Cardiac Cath Lab - PRN
Under general supervision, performs a variety of professional nursing, technical and administrative duties as they relate to the cardiac catheterization lab. Perform scrub, circulate and hemodynamic monitoring duties with cardiac catheterizations using clinical knowledge, technical skills, and professional judgment in accordance with professional and departmental standards and protocols. Provides care, assessment prior, during and post-procedural instruction to patients. Prepares and maintains all pertinent information related to procedures.
Duties and Responsibilities
Assists Cardiologist in performance of diagnostic invasive procedures. Maintains operational knowledge of Cath Lab equipment according to manufacture's specifications.
Assist and performs diagnostic invasive procedures in the Cardiac Cath Lab. Provides care for patients prior, during and after procedures. Scrubs and assists Cardiologist as requested. Responds to patient distress situations and assists with equipment quality control and inventory management. Prepares sterile trays, instruments, supplies and equipment necessary for procedures, and maintains sterile field. Provides all appropriate services to safely and efficiently complete patient's procedures. Maintains knowledge of cardiac concepts and clinical practices.
Possesses the knowledge & skills level of basic and complex invasive procedures which may include: Percutaneous Coronary Intervention (PCI), stents, IABP placement and operation and peripheral interventions. Responsible for patient safety in the CCL and must be able to recognize cardiac arrhythmias and respond according to emergency protocols, operate external cardiac pacemaker and defibrillator. Intervenes with appropriate therapy in the event of cardiac emergencies.
Maintains, troubleshoots and operates fluoroscopy equipment to ensure operability and safety. Calibrates equipment and performs routine preventive maintenance procedures.
Properly handles and processes PACS images to include storage and transfer. Follows radiation safety policies as outlined by the NRC and York Hospital's Radiation Safety Committee.
Monitors and records patients' hemodynamic status during procedures. Administers medications during procedures under the direction of a physician.
Assumes “off premise” call responsibilities as required to assure complete call coverage.
Performs various tests of multiple blood samples obtained through catheterization or other means, from specific areas within the patient's heart or lung to determine the concentration of gases in order to aid in the physician's diagnosis and treatment.
Acts as patient educator. Explains procedure and answers questions prior to the procedure.
Immobilizes patients as necessary and practices radiation safety procedures.
Selects and operates equipment as needed to perform required exams.
Prepares written documentation as required by the profession and the department, such as evaluation results, individualized treatment plans, progress reports, and other such reports.
2 - 3 years
Pref Experience Experience in Cath Lab, ED, or ICU
Minimum Field Of Expertise:
Cardiology; EKG and physiologic monitoring; Knowledge of cardiology,
electrophysiology, pacemakers, peripheral vascular procedures and related equipment; Fluent in medical terminology
Registration and current RN license in PA; Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certification required.
Experience in electric countershock techniques; Ability to function as a team member; excellent interpersonal skills; Ability to demonstrates the principals of surgical asepsis; Understands cardiovascular pathophysiology; Ability to read a 12 lead EKG; Ability to identify lethal arrhythmias 100% of the time; Ability to identify normal versus abnormal intra cardiac and peripheral pressure waveforms.$58k-76k yearly est.15d ago
RN - Clinical Practice Transition Specialist - Emergency Department
York Hospital Nursing supports the mission and vision through a centralized department of nursing. The Emergency Department (ED) is a 74- bed department within York Hospital, a Level 1 Trauma Center, Comprehensive Stroke Center and Chest Pain Accredited Center of Excellence.$52k-61k yearly est.15d ago
Registered Nurse - Operating Room - Perioperative Program
We are looking for talented New Graduates and Experienced Nurses to join our Perioperative Nursing Team here @ WellSpan Health York Hospital. Registered Nurse (RN) - OR Experienced Nurse Residency Program: Registered Nurse (RN) - OR New Graduate Nurse Residency Program: Licensed and eligible to practice as a registered nurse in the state of Pennsylvania at the time of hire; As a Registered Nurse at WellSpan Health York Hospital, you will experience: The OR Nurse Fellowship is designed to prepare new nursing graduates and experienced nurses who have no prior work experience in a perioperative setting to perform the roles of the registered nurse in the operating room.$46k-81k yearly est.15d ago
LEAD OFFICE - FT
Job DescriptionFront Office Lead Full time (40 hours per week) Monday - Friday The Office Lead will assist the office manager by helping to oversee front office staff.$104k-143k yearly est.7d ago
LCSW, LPC or LMFT
Licensed Clinical Social Workers Licensed Professional Counselors Licensed Marriage Family Therapists Keystone Health is growing and is looking for full-time and part-time Licensed Clinical Social Workers, Licensed Professional Counselors, and Licensed Marriage Family Therapists to join our team!$69k-79k yearly est.4d ago
ONBOARDING SPECIALIST - FT
Job DescriptionOn-Boarding Specialist - Human Resources Full Time Monday - Friday Overview: The On-boarding Specialist coordinates and carries out personnel-related matters concerning the organization's employees.$73k-115k yearly est.10d ago
CRNP - RELIEF
The Nurse Practitioner will work as part of a medical outreach team approximately 4 to 6 hours, one or two evenings a week providing medical care to migrant and seasonal farm workers in Gardners, PA and neighboring counties. Job DescriptionCertified Registered Nurse Practitioner Relief/ PRN (This position is located in Gardners, PA) Keystone Health, has an exciting opportunity for a Certified Registered Nurse Practitioner (CRNP) to join our Agricultural Worker's Program and play an integral role in helping to provide high quality compassionate care to all migrant patients throughout the community. Keystone Health is the largest multi-specialty Federally Qualified Health Center (FQHC) in the nation, founded in 1986.$41k-75k yearly est.15d ago
FRONT OFFICE STAFF - FT
Job DescriptionKeystone Internal Medicine Front Office Staff No Weekends Full Time (40 hours per week) Keystone Internal Medicine is seeking someone who is detail oriented, excels with time management, and values being a team player.$33k-38k yearly est.4d ago
HYGIENIST - FT
At Keystone Health, you will discover a career and community that you'll love! Job DescriptionDental Hygienist Keystone Health has an exciting opportunity for a Registered Dental Hygienist looking for a full-time position (40 hours per week).$61k-81k yearly est.20d ago
Urgent Care Physician
Keystone Health is located in Chambersburg, PA, in beautiful south-central Pennsylvania, an area rich with outdoor activities and history. For more about the community, visit www.chambersburg.org.$162k-218k yearly est.Easy Apply22d ago
BlLINGUAL SPEECH THERAPIST - FT
Job DescriptionKeystone Pediatric Developmental Center (A specialized program of Keystone Health) is continuing to expand our pediatric therapy program.$66k-83k yearly est.20d ago
$35k-41k yearly est.14d ago
AWP OFFICE ASSISTANT - RELIEF
Job DescriptionAgricultural Worker Program Office Assistant Full-Time South Central Region Blair, Bedford, Fulton, Huntingdon, Juniata, Cumberland, Franklin, Mifflin, Perry, Adams, York, and Snyder Counties Keystone Health is looking for someone who is self-motivated and has a passion for helping the migrant community.$31k-37k yearly est.14d ago
Clinical Coordinator (RN) - Registered Nurse - 4 SW - Med/Surg Intermediate Care Unit - E/N
York Hospital Nursing supports the mission and vision through a centralized department of nursing.$49k-76k yearly est.15d ago
CERTIFIED MEDICAL ASSISTANT - FT
LPN Applicants Current PA LPN license Current CPR /BLS certification MA Applicants Graduate of an accredited Medical Assistant program Current CPR/BLS certification Click here to apply!$30k-34k yearly est.12d ago
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Keystone Health may also be known as or be related to KEYSTONE RURAL HEALTH CENTER, Keystone Health and Keystone Rural Health Center.