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Clinical Nurse II Inpatient - Full Time Nights - Telemetry Unit at Penn Medicine Princeton Health

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Job ID: 132833
Category: Nursing
Work Type: FT
Location: Plainsboro, NJ, United States
Work Schedule: Full Time Nights, 7p-7a

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Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Shift: Full time nights, 7p-7a

The Telemetry Unit is a 36 bed medical-surgical unit with a specialized focus on cardiac patients requiring cardiac monitoring. Patients are admitted to our unit for a wide variety of diagnoses, including: need for pacemaker; syncope; chest pain; tachycardia; initiation of medication therapy; CHF; Sepsis; pulmonary embolism; stroke; and others. Our patients receive more frequent monitoring than on our other medical-surgical units, and often have co-morbid diseases which make them complex. We value teamwork and collaboration, and are focused on providing appropriate patient-centered care. Clinical skills performed regularly include: EKGs; care of tracheostomies, chest tubes, foley catheters, invasive lines, and wounds; blood transfusions; medication administration-including antiarrhythmic medications and IV drips; evaluation of cardiac rhythms; and response to inpatient Rapid Responses.

Summary:

  • The Clinical Nurse 2 Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse 2 position description.
  • The Clinical Nurse 2 Colleague exhibits PMPH organizational behavioral competencies which reflect its mission and are embedded in the professional practice competency domains.
  • The Clinical Nurse 2 Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly.
  • The Clinical Nurse 2 Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology/Informatics, and Teamwork (Definitions listed below).
  • The Clinical Nurse 2 Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding 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 2 Colleague seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. 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.

Responsibilities:

  • Continuous Quality Improvement (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable.
  • Demonstrates competency in all Knowledge, Skills and Attitudes for a Clinical Nurse 1 in addition to:
  • Identifies QI tools, methods and mindsets and participates in the design, review and evaluation of QI data and initiatives at the unit level
  • Integrates QI initiatives into individual plan of care
  • Links initiatives or projects to Penn Medicine Quality Blueprint Imperatives and focuses efforts to improve the quality of health care
  • Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness.
  • Demonstrates competency in all Knowledge, Skills and Attitudes for a Clinical Nurse 1 in addition to:
  • Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice
  • Questions current practice and develops a sense of clinical inquiry
  • Locates current evidence and resources related to clinical practice
  • Leadership: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence- based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Penn Medicine
  • Demonstrates competency in all Knowledge, Skills and Attitudes for a Clinical Nurse 1 in addition to:
  • Communicates confidently with team members, adapting one’s own style of communicating to meet the needs of the team and situation, identifies diverse viewpoints and manages conflict.
  • Identifies and embraces the need for change and new approaches to care when supported by evidence
  • Demonstrated appropriate use and allocation of resources
  • Establishes oneself as a credible healthcare provider and resource
  • Person and Family Centered Care: The nurse recognizes the patient (or the patient’s designee) as the source of control and a full partner in providing compassionate and coordinated care based on respect for the patient’s preferences, values, and needs
  • Demonstrates competency in all Knowledge, Skills and Attitudes for a Clinical Nurse 1 in addition to:
  • Manages more complex patient acre assignments appropriate to skill level using clinical experience and historical patient responses as a way to develop and refine practice while participating in building consensus and resolving conflict in the context of patient care
  • Engages in problem solving to address complex issues regarding the delivery of safer, high-quality patient- and family-centered care and participates in building consensus and resolving conflict in the context of patient care.
  • Evaluates and considers the implementation of alternative approaches to establishing a healing environment and ensures the systems within the area of practice support patient- and family-centered care
  • Is able to speak to the patients about advanced care planning, values and end- of- life care before the need for an acute decision arises
  • Professionalism: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA’s Code of Ethics for Nurses, participation in a professional organization and advancing community outreach
  • Demonstrates competency in all Knowledge, Skills and Attitudes for a Clinical Nurse 1 in addition to:
  • Promotes the ANA’s Code of Ethics for Nurses and professional nursing and organizational standards, promotes identification and discussion of ethical concerns and identifies opportunities for improved processes related to moral and ethical dilemmas
  • Obtains membership and participated in professional organizations, prepares for certification in a specialty and fosters and supports the development of others through precepting
  • Actively delivers constructive feedback to peers with the purpose of fostering the development and improving performance
  • Safety: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance.
  • Demonstrates competency in all Knowledge, Skills and Attitudes for a Clinical Nurse 1 in addition to:
  • Looks for an unsafe situation and reacts enhancing technologies and recognizes the benefits and limitations of safety
  • Participated appropriately in analyzing errors and designing system improvements, uses available resources to prevent injury and services as resource person for safety concerns
  • Participates appropriately in analyzing errors and designing system improvements
  • Teamwork: The nurse effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams.
  • Demonstrates competency in all Knowledge, Skills and Attitudes for a Clinical Nurse 1 in addition to:
  • Applies leadership skills that support collaborative practice and team effectiveness, asserts his/her own position or perspective, and supports discussions about patient care and the work environment and continuously plans for improvement in effective team development
  • Describes the roles and scopes of practice of inter- professional team members as well as his/her own role within the team. Initiates a plan for self-development as a team member
  • Demonstrates team values that orient people to care about performance and the success of others and the organization
  • Technology/Informatics: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum.
  • Demonstrates competency in all Knowledge, Skills and Attitudes for a Clinical Nurse 1 in addition to:
  • Serves as a resource for other nurses utilizing technology, models behaviors that support implementation and appropriate use of clinical systems and technology in providing sage patient care, promotes communication technologies that support clinical decision making, error prevention, care coordination and protection of patient privacy
  • Searches, retrieves, manages and evaluates information and its source critically and incorporates selected information to make decisions
  • Integrates the use of clinical information systems to coordinate and anticipate care across the continuum and anticipated unintended consequences of new technology and respond proactively demonstrating an understanding of the principles upon which organizational and professional healthcare information systems are based.

Credentials:

  • Basic Cardiac Life Support (Required)
  • Basic Life Support Certification (required prior to first day of hire) required.
  • Registered Nurse - NJ (Required)
  • Active New Jersey Registered Nurse License (required prior to first day of hire) required. National Nursing Certification preferred

Education or Equivalent Experience:

  • Bachelor of Science Nursing (Required)
  • Bachelor’s Degree in Nursing (BSN) from an accredited school of nursing or in pursuit of a BSN. Related Work Experience: Greater than 15 months professional nursing experience. A registered nurse with an Associate’s Degree with greater than 5 years of clinical experience in a clinical specialty may be considered.

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

   Current UPHS employees must apply HERE
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