Nursing Opportunities
Nursing Settings at Guthrie
Guthrie offers nursing opportunities in
inpatient, outpatient and long-term care settings. Choose a Guthrie facility
below to learn more about nursing there. For a full listing of Guthrie’s
facilities, click here.
If your
question is not answered here, contact a nurse recruiter at (570)
882-4405.
Nursing at Guthrie Clinic in
Sayre
Guthrie Clinic’s Sayre location consists of two
multi-story buildings directly adjacent to Robert Packer Hospital. If you work
on Guthrie’s Sayre campus, you have immediate access to the Robert Packer
Hospital cafeteria and Gift Shop, Guthrie’s Clinic Pharmacy, Med Supply Depot,
an employee gym, as well as the opportunity to attend seminars and other events.
Choose from the options below to learn more about Guthrie Clinic Sayre.
Departments
Nursing opportunities exist in the following
departments on Guthrie’s Sayre campus:
Outpatient Nursing
Nursing in an outpatient setting affords nurses
the opportunity to utilize their full range of clinical skills. Nurses are
able to perform a wide range of nursing tasks, from patient education to
assisting with in-office procedures such as colonoscopies, minor surgical
procedures and debridement, as increasing numbers and types of procedures
shift to the outpatient setting. In the family medicine arena, nurses are able
to provide care for patients of all ages and to develop long-lasting
relationships with entire families. Nurses are also able to build a
relationship with the primary physician with whom they work, as well as
develop a sense of autonomy in practice. A typical daily routine for a
outpatient nurse might include offering well-visit care, acute/sick visits,
phone triage, patient education, assisting a physician and more. Nurses also
have the opportunity to travel to regional offices with the physicians they
work for.
Schedule
In outpatient nursing, nurses typically work 8
AM to 5 PM Monday-Friday, with weekends and holidays off. Some departments at
Guthrie Clinic in Sayre provide extended evening or weekend hours. Outpatient
nurses typically have a one-hour lunch in addition to breaks as workload
permits.
If your
question is not answered here, contact a nurse recruiter at (570)
882-4405.
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Nursing with Guthrie Home
Care/Hospice
Guthrie Home Care, located in Towanda, PA,
provides home health and hospice care for a diverse population of patients in
the home environment. Nurses utilize a case management approach to manage
intermittent care and maximize patient/family independence while working closely
with physicians, physical therapists, occupational therapists, speech
therapists, certified nursing assistants, and social workers. Hospice nurses
also consult with clergy and volunteers. Services include patient teaching,
infusion therapy, post-operative care, pediatric care, rehabilitative care,
death and dying issues, and palliative care. Patient profiles are varied and
include CHF, COPD, diabetes, wound care and terminal illnesses. HomMed®
monitors are frequently used to remotely monitor vital signs, PS02, activity,
glucose and protime/INR values in the home. Work hours are primarily first shift
with on-call and reasonable weekends. Dependable transportation is needed.
Mileage compensation is provided. Nurses with strong assessment, teaching,
communication and creativity skills thrive in the dynamic home care environment.
If your
question is not answered here, contact a nurse recruiter at (570)
882-4405.
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Nursing in Guthrie
Long-Term Care Settings
Guthrie has three long-term care facilities,
including Sayre
House Nursing Home in Sayre, PA. Guthrie’s long-term care division
provides a continuum of health care services, including skilled nursing,
assisted/enriched living, respite care, adult medical day services and
ventilator management. There are currently 331 licensed long-term care beds
within Guthrie Healthcare System.
If your
question is not answered here, contact a nurse recruiter at (570)
882-4405.
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Nursing at Guthrie
Regional Offices
Guthrie has 23 locations in communities
throughout the southern tier of New York and the northern tier of Pennsylvania.
Choose from the options below to learn more about nursing in a regional office.
Frequently Asked
Questions
- What is the regional office float pool?
The regional office float pool is a group of
Guthrie nurses who "float" among Guthrie’s New York and
Pennsylvania regional locations. They have expertise in a wide variety of
nursing areas. Float pool nurses are assigned daily to assist offices that
require extra staffing or to substitute for a regular staff nurse who is out
for a period of time. Float nurses must be flexible, able to adapt to change
and willing to travel. Regional floats receive premium mileage reimbursement
and a higher rate of pay due to the additional skills and flexibility
required.
- How do I apply for reciprocity for my nurse’s
license?
To apply for nursing license reciprocity in New
York, call the New York State Board of Nursing at (518) 474-3817; in
Pennsylvania call the Pennsylvania State Board of Nursing at (717) 783-7142.
Temporary permits will be issued prior to official licensing so that you can
practice pending official licensing.
Outpatient
Nursing
Nursing in a regional office outpatient setting
affords nurses the opportunity to utilize their full range of clinical skills.
Nurses are able to perform a wide range of nursing tasks, from patient
education to assisting with in-office procedures such as colonoscopies, minor
surgical procedures and debridement, as increasing numbers and types of
procedures shift to the outpatient setting. In the family medicine arena,
nurses are able to provide care for patients of all ages and to develop
long-lasting relationships with entire families. Nurses are also able to build
a relationship with the primary physician with whom they work, as well as
develop a sense of autonomy in practice. A typical daily routine for a
outpatient nurse might include offering well-visit care, acute/sick visits,
phone triage, patient education, assisting a physician and more.
Schedule
In regional office outpatient nursing, nurses
typically work 8 AM to 5 PM Monday-Friday, with weekends and holidays off.
Some regional offices provide extended evening or weekend hours.
Regional office nurses typically have a
one-hour lunch in addition to breaks as workload permits.
If your
question is not answered here, contact a nurse recruiter at (570)
882-4405.
[back to top]
Nursing at Robert Packer Hospital
Robert Packer Hospital was established in Sayre
in 1885; its School of Nursing followed in 1901. Guthrie’s Robert Packer
Hospital has a rich tradition of nursing excellence. Choose from the options
below to learn more about nursing at Robert Packer Hospital.
Clinical
Advancement Program
The Clinical Advancement Program at Robert
Packer Hospital recognizes continuing education and professional advancement
without necessitating a move out of clinical nursing. To participate in the
program, nurses complete an extensive application and are rated by the
Clinical Advancement Subcommittee for their performance that year in the
following categories: performance evaluation, educational level, committee
involvement, research, task-force work, teaching/presentations, support to
nursing unit, community involvement, continuing education and certifications.
What
departments could I work in at Robert Packer Hospital?
Robert
Packer Hospital is a full-service hospital including major service lines such
as cardiothoracic care, oncology, neuromusculoskeletal, surgery and more. The
complete list includes:
Frequently Asked Questions
What
is Robert Packer Hospital?
Robert
Packer Hospital is a 258-bed tertiary care teaching hospital in Sayre, PA,
offering traditional and minimally invasive open heart surgery,
electrophysiology services, invasive and interventional cardiology, advanced
and minimally invasive surgery, comprehensive cancer care, corneal transplants
and more. Robert Packer Hospital is an accredited Chest Pain Center.
How
is Robert Packer Hospital accredited?
Robert
Packer Hospital is accredited by the Joint Commission on Accreditation of
Healthcare Organizations (JCAHO). On its December 2003 survey, Robert Packer
Hospital earned a 97 out of a possible 100. Robert Packer Hospital also
remains in compliance with the Pennsylvania Department of Health. JCAHO is an
independent, not-for-profit organization that sets the standards by which
health care quality is measured in America and around the world. JCAHO is
governed by a board including physicians, nurses, and consumers. JCAHO
evaluates the quality and safety of care for more than 16,000 health care
organizations. To maintain and earn accreditation, organizations must have an
extensive on-site review by a team of JCAHO health care professionals at least
once every three years. The purpose of the review is to evaluate the
organization's performance in areas that affect patient care. Accreditation
may then be awarded based on how well the organizations met JCAHO standards.
What
kind of a schedule would I be expected to work?
Most of
our positions are days rotating to another shift, but permanent off-shifts are
available if desired. See our Scheduling
section for more information.
What
type of nurse-to-patient ratios does Robert Packer Hospital strive for?
Robert
Packer Hospital strives to maintain a nurse-to-patient ratio of 1:5-6 for days
and evenings on med-surg and 1:8-9 for nights. In the ICU, the
nurse-to-patient ratio is maintained at 1:2.
What's
involved in orientation for registered nurses at Robert Packer Hospital?
Orientation
for new nurses includes classroom and clinical experiences with a preceptor.
The length of orientation varies depending on the nurse's clinical background
and past experiences. This process is individualized to meet each person’s
needs. Every new nurse is paired with a preceptor who will guide the new nurse
toward independent practice, and every new nurse has regular meetings with a
nurse educator to help facilitate the orientation process.
What's
involved in orientation for graduate nurses at Robert Packer Hospital?
Graduate
nurses enrolled in the Fellowship Nursing Program are partnered with a RN
mentor/preceptor for 12 (med-surg) or 16 (ICU and Emergency Department) weeks,
who help acquaint GNs with Guthrie procedures. Click here for more information
about the Nursing Fellowship Program at Robert Packer
Hospital.
What
are shift times at Robert Packer Hospital?
Robert
Packer Hospital offers flexible scheduling for nursing staff. Each unit has a
scheduling committee and self-scheduling is encouraged as much as possible.
Flexible shifts are available in four, eight and 12-hour increments. For
example, shifts are available from 7 AM-7 PM, 7 PM-7 AM, 3 PM-3 AM or 3 AM-3
PM along with standard shifts such as 9 AM-5:30 PM.
What
is the Robert Packer Hospital float pool?
Float
pool nurses are oriented to almost every nursing area of the hospital; most
have critical care experience. Float nurses receive a higher rate of pay due
to the additional skills and flexibility required.
How
are nurses involved in leadership?
Through
involvement in committees, staff nurses are an integral part of leadership at
Robert Packer Hospital. The committees guide nursing practice, with nurses
having a strong voice in the direction of nursing at Robert Packer Hospital.
The four committees include:
-
Policy
and Procedure -- establishes and maintains an effective system for
delivery of quality patient care based policies that reflect high
standards of nursing practice while ensuring patient safety.
-
Clinical
Outcomes -- strives to improve patient outcomes by measuring, evaluating,
and improving the practice of nursing.
-
Standards
of Care and Practice -- establish and maintain nursing standards of care
and practice to assure a consistently high standard of nursing care
throughout the hospital.
-
Nursing
Leadership
The
first three committees are comprised of bedside nurses from a variety of
departments and are co-chaired by a manager and nurse educator. Each group
meets once a month for eight hours; this day is considered part of the nurses’
work week. These three committees recommend changes in practice and report to
the nursing leadership committee for final approval. There is also a Nursing
Advisory Task Force that meets monthly for roundtable discussions with the
hospital president, CEO, vice-president of human resources and others.
Mabel Lamberson Nursing
Awards and Scholarships
During Nurses’ Week each year, three staff
members are presented with excellence awards from the Mabel Lamberson
Endowment, and scholarship money is awarded from the endowment to several
staff members in support of their continuing education.
- The Mabel Lamberson Excellence in Nursing
Leadership Award is presented annually to recognize outstanding nursing
leadership at RPH.
- The Mabel Lamberson Excellence in Nursing
Care Award is given each year to a registered nurse or licensed practical
nurse for exceptional performance in nursing care at RPH.
- The Excellence in Nursing Care Award for
Support Staff recognizes an outstanding support employee, such as a care
partner, patient care technician or unit clerk at RPH.
Mabel Lamberson of Athens, PA, was a Robert
Packer School of Nursing graduate who transferred into the school halfway
through her training at another institution. She stayed on as a staff nurse
following her training, and was employed as an operating room nurse at Robert
Packer from 1909 to 1913. Although she did not work in nursing for the last 42
years of her life, when she died at age 88 in 1974, a trust fund in excess of
$300,000 came to the Robert Packer School of Nursing. She specified that the
annual income of the trust was to be used to help further education for nurses
as well as to provide award money to recognize outstanding nurses. These
prizes are known today as the Mabel Lamberson Awards. Ever dedicated to her
profession, Lamberson was buried in her nursing uniform upon her death.
Nursing Fellowship
Program
Since 1985, Robert Packer Hospital’s Nursing
Fellowship Program has been helping graduate nurses successfully transition
from school to professional nursing practice, providing the graduate nurse
with the knowledge, skills, and confidence to become a valuable member of the
team.
The program is a combination of classroom, lab
and clinical experiences. The first week is spent in the classroom and lab
setting, during which time the graduate nurse is introduced to the
professional practice of nursing at Robert Packer Hospital. Policies and
standards of care are reviewed regarding IV therapy, medications,
documentation, and overall patient care. The graduate nurse will be introduced
to many members of the Guthrie team, including pain management nurses, wound/ostomy
care nurses, the laboratory coordinator, respiratory therapists and others.
The lab setting allows for hands-on experiences with IV pumps, IV insertion,
suctioning, ostomy appliances, PCA/epidural pumps and more. Each nurse will
take part in a mock code review and practice setting up chest tubes in
preparation for the experiences he or she will encounter on the nursing units.
After the classroom orientation, the graduate
nurse is ready to begin clinical on his or her unit. Each graduate will be
paired with an experienced registered nurse, or preceptor. The preceptor is
responsible for meeting the educational needs of the graduate nurse throughout
the remainder of orientation. In the beginning, the graduate nurse will work
with the preceptor to take a patient assignment with the preceptor managing
the majority of the assignment. Over a period of weeks, the preceptor will
progressively guide and mentor the graduate nurse toward taking the full
patient assignment.
The final components of the fellowship program
are courses offered throughout the orientation program. Basic EKG, trauma and
critical care courses are designed to enable the graduate nurse to attain the
critical thinking skills that are needed to provide superior nursing care.
Nursing
Practice at Robert Packer Hospital
Robert Packer Hospital’s Nursing Department
provides holistic, comprehensive, professional care to patients and their
significant others, which requires specialized knowledge, judgment and skill
appropriate to the level of practice. Nursing care is provided to patients of
all ages, and nursing services cover all aspects of care, including
prevention, patient and family education, screenings, diagnostics, treatment
and end-of-life supportive care. Day-to-day, nurses work with other nurses,
physicians, social workers, pharmacists, physical therapists, respiratory
therapists, and others staff members to plan for and to provide care to
patients. They coordinate their efforts on behalf of the patient through
rounds, interdisciplinary team meetings, case conferences, face-to-face
communication, and through the use of clinical pathways.
Robert Packer Hospital has developed a Patient
Care Delivery Model which maintains quality care while enabling the hospital
to respond to the changing health care environment. The model is designed to
meet patient care needs, provide quality care, and improve satisfaction for
patients and staff. It was developed by an interdisciplinary team including
nurses, housekeepers, administrators, laboratory staff, human resources
representatives and other staff members. The model creates a partnership
between registered nurses and care partners, which may include LPNs.
The Nursing Department's organization is based
on a philosophy of participatory management and self-governance that supports
a professional practice model for nursing. Staff nurses are involved in the
development or adoption of standards in their clinical areas through their
involvement in committees and task force groups, including the four committees
that guide nursing practice at Robert Packer Hospital. The committees include:
- Policy and Procedure -- establishes and
maintains an effective system for delivery of quality patient care based
policies that reflect high standards of nursing practice while ensuring
patient safety.
- Clinical Outcomes -- strives to improve
patient outcomes by measuring, evaluating, and improving the practice of
nursing.
- Standards of Care and Practice -- establish
and maintain nursing standards of care and practice to assure a
consistently high standard of nursing care throughout the hospital.
- Nursing Leadership
The first three committees are comprised of
bedside nurses from a variety of departments and are co-chaired by a manager
and nurse educator. Each group meets once a month for eight hours; this day is
considered part of the nurses’ work week. These three committees recommend
changes in practice and report to the nursing leadership committee for final
approval.
Orientation
Orientation for new nurses includes classroom
and clinical experiences with a preceptor. The length of orientation varies
depending on the nurse's clinical background and past experiences. This
process is individualized to meet each person’s needs. Every new nurse is
paired with a preceptor who will guide the new nurse toward independent
practice, and every new nurse has regular meetings with a nurse educator to
help facilitate the orientation process.
Scheduling
Shifts vary depending on the Guthrie entity and
location at which a position is based. Outpatient nursing positions at Guthrie
Clinic in Sayre and at Guthrie regional offices are generally 8 AM to 5 PM,
although some locations offer some evening and weekend hours. Acute-care and
long-term care positions offer flexible scheduling in four, eight and 12 hour
blocks; unconventional shifts are also available. Guthrie offers per diem
nursing positions system-wide as well as weekend nursing opportunities at
Robert Packer Hospital.
If your
question is not answered here, contact a nurse recruiter at (570)
882-4405.
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Nursing at Troy Community
Hospital
The medical-surgical nursing unit at Troy
Community Hospital is comprised of 32 beds, semi-private and private depending
on the patient population. Care is provided to acutely and chronically ill
patients. There are inpatient, observation and skilled nursing beds with
specialty focus on ventilator rehabilitation. All nursing care is provided under
the direction of registered nurses who direct practical nurses and nursing
assistants. Registered nurses must evidence competency and completion of a
certified EKG interpretation program and are also encouraged to seek additional
certification in specialty areas of practice. Various staff have advanced
certification in advanced cardiac life support, geriatric nursing and
medical-surgical nursing. The Emergency Department and the OR are also staffed
by registered nurses with specialty areas of practice including basic trauma
life support, critical care (CCRN), RN first assistant, CNOR, and CEN.
Professional nursing practice is facilitated through empowerment, collaboration,
and encouragement of innovation through a performance improvement framework.
If your
question is not answered here, contact a nurse recruiter at (570)
882-4405.
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