Clinical Nurse, Emergency Department

Children's Hospital of Philadelphia•King of Prussia, PA

1d•$48 - $58

About The Position

The Clinical Nurse provides professional nursing care in the Emergency Department at Children’s Hospital of Philadelphia, practicing at a level ranging from advanced beginner to expert practitioner in accordance with CHOP’s Nursing Professional Practice Model. The nurse provides age- and developmentally appropriate, culturally effective, family-centered care, progressing to care for patients with the most complex problems and highest acuity in the designated clinical area. Practice is guided by applicable nursing ethics, professional standards, CHOP standards, and the scope of practice established by the relevant Pennsylvania or New Jersey Nurse Practice Act. The role involves assessing patients and families, coordinating and evaluating care, communicating with the interdisciplinary team, and adopting evidence-based clinical practices. The nurse also contributes to professional development, quality improvement, nursing research and evidence-based practice, shared governance, patient experience initiatives, and community health. The position has a rotating shift. Patient-facing employees and employees working in patient care buildings must receive an annual influenza vaccine as a condition of employment.

Requirements

At least one year of RN experience.
Technical Diploma in Nursing.
Required upon hire: an active Pennsylvania or New Jersey Registered Nurse license or the applicable state Nursing Temporary Practice Permit.
Required upon hire: CPR certification from an organization requiring hands-on, instructor-led psychomotor skills verification, such as the American Heart Association or Red Cross.
Computer competency, including basic computer and Microsoft Office use, web browsing, intranet searches, document access, shared network file use, and use of patient-facing technology and clinical communication systems.
Information literacy: determine clinical information needs, access information effectively, evaluate sources critically, apply information to clinical practice, and evaluate its outcomes.
Information management literacy, including navigating electronic health records and clinical information systems, locating patient data, using clinical decision support, understanding information-system policies and privacy and security requirements, and collecting data with quality-improvement tools.
Employees with patient-facing responsibilities or who work in patient care buildings must receive an annual influenza vaccine as a condition of employment.

Nice To Haves

Bachelor’s Degree in Nursing.
Prior experience in pediatrics or the applicable area of specialty.

Responsibilities

Follow the nursing process to provide safe, compassionate, culturally effective, age- and developmentally appropriate care.
Gather, interpret, and synthesize assessment information to develop the patient and family plan of care, share relevant information with the care team, and determine tasks to delegate.
Recognize signs of patient deterioration, seek appropriate resources, and use the CAT team when indicated.
Coordinate care with patients, families, and the multidisciplinary team, including across the care continuum and with case management resources.
Develop, implement, and revise outcome-focused plans of care with patients, families, and the interdisciplinary care team.
Follow evidence-based practice bundles, nursing standards, and procedures to prevent patient harm and promote positive outcomes.
Recognize and address ethical dilemmas and moral distress, seeking resources as needed.
Teach patients and families and develop expertise in patient and family education.
Evaluate and document care provided during each assigned shift, including nursing interventions and outcomes, in accordance with hospital standards and procedures.
Implement clinical practice changes promptly and follow safe hand-off practices.
Use safety behaviors, communicate potential safety concerns to unit leadership, and enter safety nets for applicable events, including good catches and near misses.
Communicate empathetically with patients, families, and colleagues using effective verbal and nonverbal techniques and listening skills; encourage patient and family self-advocacy.
Contribute to respectful interdisciplinary teamwork, address incivility or disrespect that may affect care, and participate in patient care rounds and meetings.
Recommend and revise nursing plans of care based on interdisciplinary decisions and incorporate evidence-based practice into direct care.
Partner with ancillary staff and delegate tasks effectively to ensure comprehensive nursing care.
Maintain professional, therapeutic relationships with patients and families, acting in their best interests.
Model professional nursing behavior and appearance; develop clinical judgment and critical thinking with experience.
Apply family-centered care principles and use patient and family experience information to participate in or lead improvement initiatives.
Participate in shared decision-making and unit or department Shared Governance activities, progressing to leading council activities.
Participate in Magnet designation activities and related initiatives.
Practice fiscal stewardship by managing time and resources cost-effectively, avoiding incidental overtime, understanding staffing-cost implications, and identifying cost-saving opportunities.
Maintain healthcare informatics competency and use patient-care, outcome-data, and healthcare technology tools appropriately.
Use nursing-sensitive outcome information and the nursing scorecard to participate in or lead improvement initiatives.
Identify and meet learning needs, attend required programs, maintain nursing licensure CEUs, and complete mandatory education and annual competencies.
Adapt to a fast-paced, changing environment and use effective change-management approaches.
Apply quality-improvement principles and progress to participating in or leading improvement initiatives.
Contribute to nursing knowledge and evidence-based practice through inquiry, relevant reading, literature reviews, clinical questions, and use of research resources.
Participate in activities that improve community health.