Registered Nurse (RN) - Neurosurgery
Excela Westmoreland Hospital
Greensburg, PA

RN SUBSIDIARY NEUROSURGERY

* $5,000 sign-on bonus* Job Summary The RN Subsidiary will perform direct patient care activities such as lab tests, treatments, and medication administration. These are performed under the direction of the physician in preparation for the patient's examination and treatment. RN will utilize nursing process to assess patient's condition and direct to the appropriate level of care using internal and external resources. Carry out clerical activities. Quality control activities, performance improvement initiatives, etc. in order to support the physician and practice as assigned. Essential Job Functions * Deliver direct and indirect patient care in accordance with the RN Practice Act, hospital, and/or physician practice policies, procedures, protocols and other professional standards of care. * Collect patient health care data, including VS, weight, chief complaint and pain assessment focusing on the physical, psychosocial, age, cultural and spiritual needs for the patient. * Complete initial assessment of the patient's health history, learning needs and barriers, physical, psychosocial, cultural and spiritual needs and reassess annually. * Involve the patient/family and other healthcare professionals when appropriate. * Complete patient care treatments/testing as ordered by the physician. * Administer medications/immunizations using appropriate routes and techniques specific to age of the patient. * Comply with completeness, accuracy and timeliness of documentation. * Provide education and instruction, within their scope of practice, to patients and families. * Assess the patient's readiness to learn, educational needs and educational barriers. * Provide educational material and/or instruction based on assessed needs. * Document all education/instruction provided including topic, individual provided to and understanding. * Maintain collaborative relationship with physicians to achieve desired patient outcomes. * Prepare patients for examinations, treatments, and procedures. * Assist the physician with treatments and procedures as requested. * Provide for patient safety in compliance with hospital and physician practice policies. * Utilize two forms of patient identification before implementing any form of patient care. * Label all patient specimens with identifiers per policy. * Use patient identifiers on all written documentation, including notes and point of care testing results. * Assist in compliance with all regulatory agency requirements. * Adhere to infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. * Participate in non-punitive medication reporting. * Demonstrate leadership by utilizing the concepts inherent to the practice of professional nursing. * Demonstrate an ability to solve problems independently and seek assistance from immediate supervisor when appropriate. * Maintain accountability for actions taken. * Delegate patient care appropriately. * Effectively function as a resource person. * Act as a patient advocate. * Perform effectively in the role of preceptor/mentor to new hires and/or students. * Assist in maintaining/decreasing organizational/departmental costs. * Coordinate communication between patients/families and physician practice, pharmacies, specialists and insurance carriers. * Provide advise based on protocols and physician instructions and direct patients to the appropriate level of care. * Facilitate patient's access to prescription refills based on physician order. * Obtain prior authorizations and/or assist with indigent programs per physician order based on the patient's financial status or insurance coverage. * Support performance improvement initiatives within the physician practice. * Assist in data collection as directed by the manager/physician. * Incorporate into practice performance improvement initiatives that have been implemented. * Maintain the environment of care. * Ensure that supplies in patient care areas are replenished daily. * Consistently maintains a clean safe environment. * Follow policies pertaining to daily/weekly/monthly quality control for refrigerator temperature, and equipment controls. * Perform POC testing as ordered by the physician. * Complete all quality control testing per policy and manufacturing guidelines. * Use two patient identifiers, name and DOB, prior to testing. * Follow appropriate procedures when collecting patient specimens. * Accurately record patient test results on appropriate result form and testing log. * Identify results that are out of acceptable range and follow up prior to performing patient testing. * Prepare forms, copy records and respond to requests per policies and procedures. * Assist in maintaining the patient's record to facilitate filing and retrieval of information. * Participate in staff education. * Perform other duties as assigned. Required Qualifications * Graduate of an accredited Nursing Program required. * Strong leadership ability, independent thinking and decision-making ability; analytical problem-solving skills, sound judgment; excellent oral and written communication skills, must be able to function in a team environment. Preferred Qualifications * Bachelor's Degree in Nursing preferred. * Previous experience in an outpatient office setting. License, Certification & Clearances * Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. * Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. * Act 33 with renewal * Act 34 with renewal * Act 73 Clearances Supervisory Responsibilities * This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work * Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). * Travel may be expected locally between Excela Health locations. LEAN * Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Recognizes the necessity of taking ownership of one's own motivation, morale, performance and professional development. Strives for behavior consistent with being committed to Excela's missions, vision and values. AAP/EEO * Excela Health is an Equal Opportunity Employer. It is the policy of Excela Health to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants, without regard to race, color, religion, sex, national origin, age, marital status, non-job related disability, veteran status, or genetic information, or any other protected class. Excela Health will conform to the spirit as well as the letter of all applicable laws and regulations. * Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below. Work Environment When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential - Absolute Necessity. Marginal - Minimal Necessity. Constantly - 5.5 to 8 hours or more or 200 reps/shift. Frequently - 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally - 0.25 to 2.5 hours or 2-32 reps/shift. Rarely - Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x x Extreme Cold x x Heights x x Confined Spaces x x Extreme Noise(>85dB) x x Mechanical Hazards x x Use of Vibrating Tools x Operates Vehicle x x Operates Heavy Equipment x Use of Lifting/Transfer Devices x x Rotates All Shifts x x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call Overtime(+8/hrs/shift; 40/hrs/wk) x x Travel Between Sites x x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x x Hand Protection x x Feet, Toe Protection x x Body Protection x x Latex Exposure x x Solvent Exposure x x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure x x Blood/Body Fluid Exposure x Chemicals (direct use) Exposure x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential - Absolute Necessity. Marginal - Minimal Necessity. Constantly - 5.5 to 8 hours or more or 200 reps/shift. Frequently - 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally - 0.25 to 2.5 hours or 2-32 reps/shift. Rarely - Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling x x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x x Carry x x Transfer/Push/Pull Patients x x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle =<20

x Lifting Seat Pan to Knuckle ### x Lifting Knuckle to Shoulder ### x Lifting Shoulder to Overhead ### x When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required.