Summary A 35-bed Trauma (Level I), Spine Surgery and Stroke-overflow unit that serves a diverse patient population and works in direct contact with the Trauma ICU, Emergency Department and the Post-Anesthesia Care Unit. We consistently care for high acuity Medical/Surgical patients with tracheotomies, Chest Tubes, and various other complicated devices. This unit is fast-paced and high energy. A great place to begin and continue to build a strong nursing foundation. Job Description LOCATION: Lancaster, PA HOURS: Full time (32 Hours per Week), Night Shift (7:00pm-7:30am), every third weekend, every third holiday SIGN ON BONUS ELIGIBLE (new grads and experienced RNs) 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 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:<ul><li>Incorporates the Lancaster General Health mission, vision and values into planning patient care.</li><li>Functions as an independent and interdependent member of the health care team as defined in unit based Plan for Provision of Care.</li><li>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.</li><li>Analyzes the assessment data to determine the diagnosis or issues. Formulates age-appropriate and culturally and ethically sensitive plan of care</li><li>Implements care in a knowledgeable manner and coordinates patient care across several disciplines and among caregivers.</li><li>Provides leadership to other members of the team by effectively communicating expected standards of care and encouraging and supporting team members and their contributions.</li><li>Demonstrates an understanding of and a commitment to our values of privacy, quality, respect, service and teamwork.</li><li>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.</li><li>Educates patients about healthy practices and treatment modalities.</li><li>Systematically enhances the quality and effectiveness of nursing practices. Utilizes technology where appropriate.</li><li>Considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of nursing services.</li></ul> SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above: <ul><li>Manages rapidly changing situations following established protocols, coordinating and accessing appropriate health team members and resources, and documenting events.</li><li>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.</li><li>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.</li><li>Maintains a safe working environment through compliance with established evidence-based practice policies and procedures and timely reporting of safety variances.</li><li>Projects pride in their work as exhibited in day-to-day interactions with staff, coworkers, patients and all those they come in contact with.</li><li>Seeks experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledge.</li><li>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.</li><li>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.</li><li>Participates in the on-call responsibilities for this position as required.</li><li>Other duties as assigned.</li></ul> JOB REQUIREMENTS MINIMUM REQUIRED QUALIFICATIONS: <ul><li>RN licensure is required, issued by the PA Board of Nursing.</li><li>Bachelor of Science in Nursing (BSN) or higher level nursing degree is required.</li><li> New hires who start their employment with a temporary practice permit must sit for their NCLEX within 60 days of starting in their RN role. </li><li> 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. </li><li>All Clinical Nurse 1 RN's will be required to successfully complete the Nurse Residency Program.</li><li>CPR Certification - American Heart Association (AHA) Basic Life Support, formerly Healthcare Provider (AHA Heart Saver courses for CPR are not accepted) required within 30 days of hire.</li><li>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.</li></ul> PREFERRED QUALIFICATIONS: <ul><li>As outline in unit based Plan for Provision of Care</li></ul> Benefits At A Glance: PENN MEDICINE LANCASTER GENERAL HEALTH offers the following benefits to employees:<ul><li>100% Tuition Assistance at The Pennsylvania College of Health Sciences</li><li>Paid Time Off and Paid Holidays</li><li>Shift, Weekend and On-Call Differentials</li><li>Health, Dental and Vision Coverage</li><li>Short-Term and Long-Term Disability</li><li>Retirement Savings Account with Company Matching</li><li>Child Care Subsidies</li><li>Onsite Gym and Fitness Classes</li></ul> Disclaimer 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. <img src="https://www.jobg8.com/Tracking.aspx?wLOT0gE6zAkigqMuVw1cigz" width="0" height="0" />

Join a fast-paced, high-energy trauma and stroke-overflow unit as a Clinical Nurse 1. Provide direct patient care, perform assessments, and implement care plans. Collaborate with a healthcare team, focusing on continuous quality improvement, leadership, and safety. Develop skills to advance professional nursing practice, ensuring patient-centered care across age groups.

**Clinical Nurse 1 New to Practice/Apprentice**

**Location:** Lancaster, PA

**Job Description:**

- Assume responsibility and accountability as defined by the American Nurses Association standards of nursing practice.
- Provide direct care to patients ranging from infancy to the elderly, demonstrating competencies in Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Teamwork, and Technology/Informatics.
- Develop knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age-appropriate considerations of assigned patients.
- Work closely with the interprofessional health care team to facilitate the coordination of care across the continuum.
- Comply with all regulations and standards of regulatory and accrediting bodies.
- Complete all Clinical Nurse 1 competencies and advance to the Clinical Nurse 2 Colleague level by 18 months of professional practice.

**Essential Functions:**

- Incorporate the Lancaster General Health mission, vision, and values into planning patient care.
- Function as an independent and interdependent member of the health care team.
- Perform patient assessments, focusing on physiologic, psychological, and cognitive functions.
- Implement care in a knowledgeable manner and coordinate patient care across several disciplines.
- Provide leadership to other members of the team by effectively communicating expected standards of care.
- Educate patients about healthy practices and treatment modalities.

**Secondary Functions:**

- Manage rapidly changing situations following established protocols.
- Participate in process improvement activities to increase efficiency.
- Complete mandatory education and training.
- Maintain a safe working environment through compliance with established policies and procedures.

**Requirements:**

- RN licensure is required, issued by the PA Board of Nursing.
- Bachelor of Science in Nursing (BSN) or higher level nursing degree is required.
- New hires with a temporary practice permit must sit for their NCLEX within 60 days of starting in their RN role.
- CPR Certification - American Heart Association (AHA) Basic Life Support required within 30 days of hire.

**Preferred Qualifications:**

- As outlined in unit-based Plan for Provision of Care.

**Benefits:**

- 100% Tuition Assistance at The Pennsylvania College of Health Sciences
- Paid Time Off and Paid Holidays
- Health, Dental and Vision Coverage
- Retirement Savings Account with Company Matching

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.

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