Licensed Practical Nurse - Operating Room - Day/Evening

Surgical Services - Licensed Practical Nurse III

• 10 OR Suites including Cystoscopy and Obstetrics Suites.
• The schedule is based on opening seven to eight operating rooms Monday - Friday from 7am - 3:30pm or 7am - 5:30 pm.
• Minimal staffing for each OR is one RN and one or two scrub persons, either RN's or Surgical Technicians.
• Call: Seven days a week: on RN and two Surgical Technicians, 3:30pm - 7am. Saturday: one RN and two Surgical Technicians, 3:30pm - 7am working for urgent cases. One RN and on Surgical Technician on call from 7am - 7am, second call.
• Unit provides a wide variety of surgical specialties including orthopedics, general, vascular, neurology, ENT, plastics, OB/GYN, urology and Robotics. The unit is also responsible for urgent/emergent cases and cesarean sections 24 hours a day, seven days a week.
• RN orientation includes a comprehensive AORN Perioperative Nursing 101 training program.
• Advanced robotic surgery (Da Vinci SI Surgical System)

Position Function: The Licensed Practical Nurse functions as an integral part of the patient care team by providing and being accountable for direct patient care under the supervision of the registered nurse. The LPN III role includes IV therapy and reflects the full scope of the practice as outlined in the 1990 and future revisions / additions of the PA Practical Nurse Law. 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

Core Values: Service, Integrity, Compassion
1. Demonstrates service excellence and patient and family centered care by showing respect, honesty, fairness, and a positive attitude toward all customers.
2. Maintains confidentiality.
3. Demonstrates dependability, to include attendance and punctuality.
4. Is accountable - takes initiative and ownership of issues.
5. Displays a professional demeanor. Represents hospital in a positive way. Has a compassionate working relationship with patients and families.
6. Assumes personal responsibility for 2-way communication. Communicates and listens effectively with patients, families, coworkers, other departments, physicians/providers, and community.
7. Supports coworkers, initiatives and a patient and family centered philosophy; pitches in; does own part and helps others.
8. Works to continuously improve work environment/processes (Performance Improvement). Demonstrates a patient and family centered focus when considering/developing improvement solutions.
9. Represents willingness/enthusiasm to create, embrace and facilitate change.
10. Develops self and others; supports a learning environment; leads by example. Encourages patients and families to give feedback and suggestions for improvement.
11. Develops working relationships critical to the organization including patients, families, coworkers, other departments, physicians/providers, and community.
12. Encourages others by providing recognition and support.

Technical Excellence
1. Thinks critically; utilizes sound judgment; promptly reports potential risks.
2. Maintains state of art knowledge of area of specialty, healthcare trends and practice, and populations served.
3. Maintains a level of computer literacy appropriate to their role.
4. Meets and maintains current all unit specific and organizational skills/competencies, certifications/licensures, as required.
5. Completes hospital-required reviews, e.g., HIPAA, safety, health screening,
care concerns, and others as assigned.
6. Adheres to National Patient Safety Goals.

Job Class Specifics
1. Responds appropriately to emergency situations.
2. Accurately transcribes physician's orders within scope of practice.
3. Completes chart check to ensure no missed orders.
4. Demonstrates therapeutic communication skills.
5. Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.
6. Demonstrates ability to communicate pertinent information to the Registered Nurse.
7. Acts as a resource person regarding patient care, specialty area, orientation and teaching of staff.
8. Assumes responsibility and accountability for assisting in the completion of patient admission and documentation throughout hospitalization.
9. Collects data, identifies priority problems and documents on the Plan of Care in PCS.
10. Effective problem-solving skills related to patient status.
11. Identifies critical factors evidencing changes in patient condition and responds appropriately and reports to the Registered Nurse.
12. Collaborates with the Registered Nurse to Identify and initiate appropriate interventions to deal with problems/needs/education.
13. Initiates and maintains Intravenous Therapy according to IV standards.
14. Safely administers medications within the practice setting.
15. Utilizes proper body mechanics to prevent injury to self or others. Safely positions, transfers & transports patients.

General Requirements

The following requirements are expected of all employees:
Core Values: Integrity, Compassion, Excellence, Service
Annual Health Screening with Infection Control and Blood Borne Pathogens Education
Safety Awareness: Hospital Fire, Safety, and Disaster Procedures
Confidentiality: Maintains Employee and Patient Confidentiality.
Attendance: Regular attendance is an essential function of the position
Leadership Standards:
Character: Attitude, Integrity, Role Modeling
Job Performance: Results Orientation, Customer Focus, Decision Making, Awareness
Interpersonal Skills: Communication, Relationship-building, Team Player, Celebration
Innovation: Breakthrough Thinking, Knowledge-Building/Sharing, Coaching/Empowering, System Vision & Management

Physical and Mental Requirements: Classified as medium work by Dictionary of Occupational Titles: May exert 20-50 pounds of force occasionally, and/or 10-20 pounds of force frequently/and/or greater than negligible (up to 10 pounds) force constantly in order to move objects.
- Stands frequently during a normal shift.
- Walks frequently within the department.
- Sits occasionally.
- Lifts up to 50 pounds laterally to and from waist level.
- Pulls/pushes up to 125 pounds.
- Carries up to 15 pounds.
- Frequent bending, kneeling and squatting from an upright position to lower levels.
- Reaches to heights of up to 2 feet.
- Occasional twisting from upper torso.
- Ability to move rapidly in response to unpredictable emergencies/patient behaviors.
- Ability to physically restrain average person (weighing 155 pounds) by assisting in a 2-person lift.
- Near-visual acuity with color perception in order to view computer screen, decipher fine print and detect changes in patient's skin color and
colors of medications and solutions; also must be able to observe specific actions from a distance.
- Auditory acuity; able to hear phone conversation, overhead pagers, alarms and call bells, heart and lung and bowel sounds (differentiating the quality of each), normal voice tones when not facing the individual, and able to hear as well as see blood pressure reading with accuracy.
- Ability to occasionally operate hand/arm and foot/leg controls on beds, stretchers, bed scales, wheelchairs and lifts.
- Manual dexterity, digital sensitivity, and flexibility (i.e. ability to program equipment, start IV's, give injections, check pulses and temperatures of patient, adjust flow rates, open medications and utilize a keyboard).
- Good hand/eye coordination.
Mental Requirements: Must possess good general mental health; ability to work under pressure; ability to communicate effectively in both written and verbal form. Must establish priorities among essential functions of the job and coordinate these functions with others; ability to speak, read, and write the English language.

Working Environment: Work is performed in a clean well-ventilated, indoor area. Possible exposure to patients with infectious diseases or to bodily fluids, which may contain infectious agents. Some risk of harm through dealing with patients who may pose a danger to self, others or property. Interfaces with a diversity of customers.

Reporting Structure:
A. Formal Reporting and Chain of Command - Reports to the Clinical Manager of the assigned unit or their designee. In his/her absence,
reports to Nurse Manager, Administrative Shift Supervisor, Director of Patient Services and/or Vice President of Patient Services.
B. Informal Reporting and Relationships - Establishes and maintains harmonious, productive relationships with all levels of nursing personnel,
other hospital personnel, management, physicians, patients and the general public.

Disclaimer: These essential job functions are requirements of the position which must be performed either with or without reasonable accommodation. The essential job function list is intended to be a guide rather than a limitation. The Chambersburg Hospital possesses the right to add new responsibilities to the list as business demands dictate. Some of the essential job functions may exclude individuals who pose a direct threat/significant risk to the health and safety of themselves or others.
By identifying essential job functions, we are in no way stating or implying that these required tasks are the only activities that are to be performed by the employee occupying this position. In addition, employees will also be expected to follow any other job-related instructions and to perform any other job-related duties that are included in the job description. The preceding requirements represent only the minimum acceptable levels of knowledge, skills, and/or abilities that a job incumbent must possess; in order to perform the job successfully, the incumbent will possess additional aptitudes so as to perform the other duties that the job description entails.

Qualifications and Standards
Education: A. Graduate of an accredited School of Practical / Vocational Nursing required. B. Evidence of participation in educational programs to update and maintain current knowledge and clinical skills. For Emergency Department, successful completion of EKG class with minimum score of 80% required within 6 months of hire.

Experience: Experience applying customer service behaviors and communication skills required.
Previous nursing experience in specialty area preferred.

Cath Lab: Critical Care and/or Emergency Room experienced required. Diagnostic and Interventional Cardiac Cath Lab experience preferred.

Emergency Department: Emergency Department and/or Urgent Care experience preferred.

Certifications/Licensure: Eligible for / or currently licensed as a Practical Nurse in Pennsylvania. CPR certification required.