Robert Packer Hospital was established inSayre 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
- What departments could I work in at Robert Packer Hospital?
- Frequently Asked Questions
- Mabel Lamberson Awards and Scholarships
- Nursing Fellowship Program
- Nursing Practice at Robert Packer Hospital
- Shared Governance
TheClinical Advancement Program at Robert Packer Hospital recognizes continuing education andprofessional 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-forcework, quality improvement, teaching/presentations, support to nursing unit, community involvement, continuing educationand certifications
RobertPacker Hospital is a full-service hospital including major servicelines such as cardiothoracic care,oncology, neuromusculoskeletal, surgery and more. The complete list includes:
- Preadmission Services
- Prep/Recovery Unit
- Arrhythmia Center
- Behavioral Science
- Cardiac Catheterization Lab
- Cardiac Rehabilitation
- First Impressions Birthing Center (labor/delivery/recovery/postpartum)
- Float Nursing
- Infusion Center
- Inpatient Oncology
- Joint Camp
- Operating Room
- Radiation Oncology
- Short Day Observers
- Wound Care and Hyperbaric Medicine
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 1:4-5 for days and evenings on med-surgand 1:8-9 for nights. In the ICU,the nurse-to-patient ratio ismaintained at 1:2 or 1:1.
What's involved in orientation for registered nurses at Robert Packer Hospital?
Orientation for new nurses includes classroom and clinical experiences with apreceptor. 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 on the following link for more information about the Nursing Fellowship Program at Robert Packer Hospital.
What kind of a schedule would I be expected to work?
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 and12-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 7AM-3:30 PM. Guthrie offers weekend nursing opportunities as well as per diem.
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 Nursing Councils and Resource Teams guide nursing practice, with nurses having a strong voice in the direction of nursing at Robert Packer Hospital. These groups are:
- Interdisciplinary Council
- People/Professional Council
- Nursing Practice Council
- Quality Council
- Research Council
- Magnet Council
- Epic Nurse Advisory
The Nursing Council and Resource Teams are comprised of bedside nurses from all nursing departments and are chaired by staff nurses. Each group meets once a month for 1 1/2 hours; this time is considered part of the nurses' work schedule. These councils recommend changes in practice and process 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, CNO and others.
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.
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 nurseis introduced to the professional practice of nursing at Robert Packer Hospital. Policies and standards ofcare 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, 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.
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 plan of care.
Robert Packer Hospital has developed a Patient Care Delivery Model which maintains quality care while enabling the hospital to respond tothe 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 ofparticipatory management and self-governance that supports a professional practice model for nursing. Staff nurses are involvedin 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 re-designed RPH Nursing Department Shared Governance Model changed to reflect the addition of the Magnet Council and the specialty resource groups to our structure. Visually, the model reflects the inter-woven dynamics and flow of communication between the councils, resource groups, unit councils, and leadership council in their commitment to improving patient care. The patient is the center of all we do.
What is Shared Governance?
An organizational framework proposed by Tim Porter-O’Grady that provides for the full use of nursing resources. This system is designed to reflect the professional character of the participants in the nursing organization and to promote certain positive behaviors and practices. The purpose of shared governance is the establishment of a system in which staffs participate in problem solving activities and decision making that has an impact on their work and their ultimate goal of meaningful patient care.