Posted in Other 30+ days ago.
Type: Full Time
Location:LOC_MAIN-Main Hospital
Req ID:84171
Shift: Rotating
Employment Status:Regular - Full Time
Job Summary
Thank you for your interest in the Children's Hospital of Philadelphia. Due to the COVID-19 pandemic, the recruitment process for this position has been placed ON HOLD. If you would still like to be considered for the role, you may apply to this position.
The Pediatric Intensive Care Unit (PICU) is a growing 60 bed, blended acuity, multidisciplinary unit. The PICU serves critically ill children and their families who require the most advanced diagnostic and therapeutic services. These advanced technologies include, but are not limited to, high frequency oscillatory ventilation, nitric oxide and heliox therapies as well as Extra Corporeal Membrane Oxygenation (ECMO) and Continuous Renal Replacement Therapy (CRRT). Equipped with advanced technology, nursing care is dedicated to improve survival, hasten recovery, minimize disability and relieve pain and suffering from critical illness and injury in a safe, humane, and respectful manner. Conditions that commonly cause critical illness and injury include respiratory failure, severe infection, poisoning, drug overdose, trauma, extensive surgery, congenital anomalies and immunological disorders. This requisition may be filling multiple positions.
The Clinical Nurse practices at the level of an advanced beginner to expert practitioner of professional nursing in accordance with, and guided by the CHOP Nursing Professional Practice Model. The nurse at this level demonstrates competence in caring for patients and families and progresses to caring for those with the most complex problems/highest acuity in the designated clinical area. Provides age/developmentally appropriate care. Care is delivered through RN leadership for patient care within the framework of family-centered care.
The Clinical Nurse adheres to the organizational and nursing department mission, vision, and values. S/he practices in accordance with the ANA Code of Ethics; the ANA Standards of Clinical Nursing Practice; practice standards of applicable specialty nursing organizations; and CHOP developed standards of nursing practice. The professional nurse practices within the defined scope of practice designated by the Nurse Practice Acts of Pennsylvania and/or New Jersey, depending on the assigned work site.
Job Responsibilities
Clinical Practice
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- Follows the nursing process to deliver safe, compassionate, and culturally effective care.
- Gathers and recognizes/synthesizes assessment data to determine the patient/family plan of care, pertinent data to be shared with care team, and tasks to be delegated.
- Recognizes and/or seeks resources to recognize clinical changes that are indicative of patient deterioration; utilizes the CAT team when appropriate.
- Collaborates with the patient, family and multidisciplinary team to coordinate all facets of patient care.
- Develops, implements and/or revises the patient's plan of care on admission and during the course of the hospitalization. Plans of care are outcomes focused and include goals as well as required interventions. Plans are developed in partnership with the patient, family, and the interdisciplinary care team.
- Care is coordinated across the continuum - understands and utilizes case management resources.
- Consistently follows evidence based practice bundles and nursing standards/procedures to provide nursing care that eliminates preventable events of patient harm and promotes excellent patient outcomes.
- Recognizes and addresses situations which present ethical dilemmas and/or moral distress. Takes steps to actively address the situation. Seeks resources as needed to resolve the situation.
- Demonstrates competence in teaching patients/families and progresses to an expert educator of patients/families.
- Evaluates and documents the care provided on each assigned shift.
- Accountable for the rapid adoption and implementation of clinical practice changes into own practice.
Communication
- Documents the evaluation of nursing interventions and outcomes of nursing care utilizing hospital standards, policies and procedures.
- Consistently follows safe hand-off practices as defined in patient care standards and procedures.
- Utilizes and exemplifies safety behaviors for error prevention. Identifies potential safety concerns and communicates with unit leadership as appropriate. Enters safety nets when applicable, including good catch/near miss situations.
- Effective verbal and nonverbal communication techniques and good listening skills are used to empathically communicate with patients/ families, and colleagues.
- Encourages patient/family self-advocacy.
Job Responsibilities (Continued)
Collaboration
- Demonstrates effective teamwork as a member of the interdisciplinary care team, fostering and exemplifying a culture of respect. Recognizes/addresses situations where disrespectful collaboration may impact patient care and/or create non-collaborative relationships. Seeks resources as needed to resolve situations involving incivility and/or disrespect.
- Actively participates in interdisciplinary patient care rounds and/or meetings and makes recommendations to the plan of care that reflect nursing goals, interventions, and expected outcomes. Revises the plan of care according to the patient care decisions made on rounds.
- Incorporates evidence based practice into direct clinical care in collaboration with other members of the multidisciplinary team.
- Develops and implements effective partnerships with members of the ancillary staff; delegates tasks effectively to assure comprehensive nursing care is provided.
- Develops and sustains professional, well- boundary, therapeutic relationships with patients and families in which all actions are in the best interest of the patient and family and there is no personal gain at the patient/families expense.
Professional Development
- Models appearance and behaviors that promote a positive image of professional nursing.
- Expands clinical judgment and critical thinking skills with increased experience
- Demonstrates mastery of the principles of Family Centered Care, including dignity and respect, information sharing, participation, and collaboration.
- Demonstrates understanding of optimal patient/family experiences and incorporates into care delivery. Has a working knowledge of patient/family experience results (NRC Picker) at the unit and organizational level. Participates and/or leads in initiatives to improve satisfaction scores.
- Practices within a shared decision making environment. Familiar with and participates in Shared Governance council activities at the unit and/or department level. Progresses to leading council activities at the unit and/or department levels.
- Familiar with Magnet designation and the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion.
- Demonstrates fiscal stewardship:
- Manages own time to accomplish direct/indirect care in a cost-effective manner
- Conserves unit and organizational resources; assures supplies are not wasted or misused.
- Does not incur incidental overtime.
- Understands the implications of the cost of staffing decisions.
- Identifies observed opportunities for cost savings.
Children's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status.
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