Float Pool – Maternal Child Health – Registered Nurse – Full time

The Float Pool provides staff the opportunity to train to various departments within Patient Services.
Minimum requirements are to work in the Family Birthing Services, NICU and Pediatric Units
Previous FBS, NICU and/or Ped experience required.
Every 4th weekends.
Float Pool differential is $3.50 per hour.
Full time (72 hours biweekly)
Shift: 12-hour Night
Eligible for shift and weekend differential

The Registered Nurse is responsible and accountable for implementing, directing and coordinating the care of patients through the use of the nursing process: assessment, planning implementation and evaluation. Included is recognition and treatment of the physical and psychosocial changes unique to the age/population group served on the specific unit.

Essential Functions and Responsibilities
Job Class Specifics
1. Demonstrates safe medication practice.
2. Maintains a professional image that reflects the employee’s role in health care, with confidence and a positive impression.
3. Completes chart check to ensure no missed orders.
4. Accurately transcribes physician’s orders.
5. Demonstrates therapeutic communication skills.
6. Demonstrates ability to assess patient education needs and use of patient education resources.
7. Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.
8. Demonstrates leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.
9. Acts as a resource person regarding patient care, specialty area, orientation and teaching of staff.
10. Responds to delays in a calm manner. Apologizes for inconveniences and gives alternatives.
11. Analyzes assessment data, identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.
12. Uses effective problem-solving skills to plan patient care.
13. Identifies critical factors evidencing changes in patient condition and responds appropriately.
14. Completes and documents discharge assessment against plan of care goals.
15. Initiates and maintains Intravenous Therapy according to IV standards.
16. Responds appropriately to emergency situations.
17. Utilizes proper body mechanics to prevent injury to self and others. Safely positions, transfers and transports patients.
18. Functions as a virtual nurse as assigned which includes, but is not limited to, admissions, discharges, education, documentation through a virtual platform and working collaboratively with the bedside nursing staff.

Department: Family Birthing Services

1. Successfully completes the FBS Fetal Monitoring Pathway.
2. Provides care to the Family Birthing Services population in accordance with age-specific development.
3. Demonstrates accuracy and timely documentation in electronic health record.
4. Demonstrates the ability to provide care to the cesarean patient-preoperatively, intraoperatively, and postoperatively.
5. Demonstrates the ability to provide care to the ante partum patient.
6. Demonstrates the ability to provide care to the intrapartum patient.
7. Demonstrates the ability to provide care to the mother/baby couplet.
8. Demonstrates the ability to provide care to the neonate requiring intermediate nursery care.
9. Demonstrates the ability to function effectively in the resource nurse role upon successful completion of orientation to the resource nurse role and functions.
10. Completes and maintains NRP program training.
11. Completes and maintains S.T.A.B.L.E. program training (neonatal education program to focus on the post-resuscitation/pre-transport stabilization care of sick infants).
12. Demonstrates the ability to perform newborn metabolic screening.

Department: Level II Neonatal Intensive Care Unit (NICU)

Level II NICU
1. Provides care to the neonate admitted to the Level II NICU in accordance with age specific development.
2. Successfully completes Level II NICU competency checklist.
3. Demonstrates accurate observations of patient condition and timely documentation. Demonstrates ability to care for the critically ill newborn, late preterm or preterm neonate.
4. Monitors and adjusts specialized equipment used on the patients, including incubators, ventilators, CPAP, I-STAT analyzer and medication and enteral feeding administration devices.
5. Demonstrates the ability to act rapidly and effectively during any emergency situation using principles of NRP and STABLE to deliver care to the compromised neonate.
6. Collaborates with other members of the care team to establish priorities necessary to achieve expected outcomes.
7. Demonstrates competency in caring for umbilical venous/arterial, picc and peripheral intravenous therapy in the neonate.
8. Demonstrates proficiency in collecting lab specimens.
9. Completes and maintains certification in NRP training program.
10. Successfully completes and maintain STABLE programming training.
11. Successfully completes and maintains iSTAT training as required.
12. Demonstrates the ability to provide care and emotional support to the neonate and family.
13. Assists mother in maintaining breastfeeding by providing assistance to LATCH and breastfeed and/or by providing necessary education and training for using electric or manual breast pump to maintain breast milk supply.
14. Instructs and educates patient’s family to participate in neonates care and planning for discharge.
15. Performs other position-related duties as assigned, depending on assignment setting.
16. Demonstrates the ability to provide care to the post-partum newborn and partner with FBS to coordinate care of the mother-baby couplet.
17. Demonstrates the ability to provide assistance to the neonatologist/advanced practitioner/Pediatrician as needed to care for the compromised neonate.

Department: Pediatric

1. Provides care to the patient admitted to Pediatrics in accordance with age specific development. Pediatric patient is defined as anyone under 18 years of age.
2. Successfully completes Pediatric competency checklist and maintains Pediatric specific yearly competencies.
3. Demonstrates accurate observations of patient condition and timely documentation.
4. Demonstrates ability to care for the acutely ill Pediatric patient.
5. Monitors and adjusts specialized equipment used on the patients including continuous pulse oximeters, cardiac/apnea monitors, weight-based medication and enteral feeding administration devices, glucometers, and appropriate oxygen delivery devices.
6. Demonstrates the ability to recognize decline or change in condition and act rapidly and effectively during any emergency situation using principles of PALS.
7. Collaborates with other members of the care team to establish priorities necessary to achieve expected outcomes.
8. Demonstrates competency in starting and maintaining care for peripheral intravenous therapy in the Pediatric patient.
9. Demonstrates proficiency in collecting appropriate lab specimens.
10. Demonstrates appropriate pre/post operative patient management.
11. Completes and maintains certification in PALS training program.
12. Demonstrates the ability to provide care and emotional support to the pediatric patient and family.
13. Instructs and educates patient’s family to participate in care and planning for discharge.
14. Performs other position-related duties as assigned, depending on assignment setting.
15. Demonstrates the ability to provide assistance to the neonatologist/advanced practitioner/Pediatrician as needed to care for the compromised pediatric patient.

Qualifications and Standards

Education:

Graduate of an accredited School of Nursing required; Bachelor of Science in Nursing is preferred.
Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.

Experience:

Experience applying customer service behaviors and communication skills required.
Previous nursing experience in specialty area preferred.
For Cath Lab, one year of acute carenursing experience (ED, Cath Lab, CCU, IMCU, Tele-Observation) preferred.
For Cardiac Rehab, two years experience in Critical Care and/or Progressive Care required.
For Cardiovascular Services, two years of experience reading cardiac monitors and be self directed in responding to abnormalities or cardiac arrests codes as a team member.
For Device Clinic, at least one year of device management services required. Successful completion of EKG course required. At least two years of acute care nursing required (Tele-Observation, IMCU, CCU, Cath Lab, ED).
For Emergency Department, at least one year of RN experience in ED or Critical Care required.
For Family Birthing Services, a minimum of 1 year Labor and Delivery experience (within the last five years); For Family Birthing position posted as a trainee position, requirement of at least 1 year of experience as an RN with preferred areas of ICU, CCU, IMCU, EDor internal nurse intern upon successfully completing accredited nursing program. Experience requirement does not apply to an RN in the Family Birthing Services Fellowship Program (FBSFP)
For Infusion Services, 6 months of infusion nursing experience required, and 6 months Midline and PICC experience required.
For Wound Care Center, two years experience and expertise in the nursing process related to wound care required. Experience in advanced wound care initiatives preferred.
For Outpatient Behavioral Health Services, two years experience in Behavioral/Psychiatric nursing is required. Previous experience in a Behavioral Health Outpatient setting preferred. Child Abuse Recognition and Reporting Training in accordance with Act31 of 2014 required. Federal Bureau of Investigation (FBI) Clearance and finger printing required.
For Rapid Admission, requires one year acute care experience and successful completion of EKG course within six months of hire.
For SDS / PACU, must have experience with, and be familiar with, reading cardiac monitors and be self directed in responding to abnormalities or cardiac arrest as a team member. Must have recent clinical experience with cardiopulmonary resuscitation and have the ability to lead a Code Blue in the absence of a higher level professional.
For Medical Surgical (Renal, Oncology and Pediatrics), pediatric experience is preferred.
For Level II NICU, a minimum of one year NICU experience (within the last five years); For Level II NICU position posted as a trainee position, requirement of at least 2 years of experience in: NICU Level 1, Labor and Delivery, Post-Partum, Nursery, PICU, ICU, ED, or CCU. Or, for Level II NICU position posted as a trainee position, requirement of a new graduate RN with (A) practicum/capstone in Labor and Delivery, Nursery, or NICU, or (B) experience as Tech/Aide in Labor and Delivery, Post-Partum Nursery, or NICU.

Certifications/Licensure:

Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania.
Certification in specialty preferred.
CPR certification required.
ACLS required for Cardiovascular Services, CCU, Device Clinic, Emergency, IMCU, FBS, Tele Observation, PACU/SDS, or achieved within one year of start date.
ACLS required for Cardiac Rehab or achieved within 3 months of hire/transfer.
Proficiency in cardiac monitor interpretation, conscious sedation, and ACLS required for Cath Lab or achieved within 6 months of hire/transfer.
ACLS required for Float Pool.
PALS required for Emergency, PACU, and Pediatric trained staff within one year from start date.
PALS and Conscious Sedation is required for SDS, or must be achieved within four months of hire/transfer.
CNOR preferred for OR.
CPAN/CAPA preferred for PACU/SDS.
CRRN preferred for Rehabilitation Medicine.
NRP required for Level II NICU.
NRP and Fetal Monitoring Pathway required for Family Birthing Services within one year from start date.
STABLE required for FBS, Level II NICU within 12 months from start date.
PMH-BC preferred for BHS (IP and OP).
Proficiency in cardiac monitor interpretation required for PACU/SDS, IMCU, Tele Observation, CCU, Cardiac Rehab, Cardiovascular Services, Cath Lab, and Emergency.
Temporarily reassigned personnel will work in a limited scope of practice consistent with credentials and be surpervised by appropriately credentialed staff.
WOCNCB or CWCN preferred for Wound Care Center.

WellSpan Health Services

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Registered Nurse - Maternal Child Health Float Pool - Night