Clinical Nurse, Emergency Dept - Philadelphia Campus

Children's Hospital of Philadelphia•Philadelphia, PA

2d•$48 - $58•Onsite

About The Position

The Clinical Nurse provides professional nursing care in the Emergency Department at Children’s Hospital of Philadelphia’s Philadelphia Campus, a Level 1 Trauma Center. The nurse practices in accordance with CHOP’s Nursing Professional Practice Model, applicable professional standards, and the scope of practice designated by the Pennsylvania and/or New Jersey Nurse Practice Acts. The role progresses from advanced beginner to expert practitioner, caring for patients and families across levels of complexity and acuity and providing age- and developmentally appropriate, family-centered care. This is a full-time position with rotating shifts, including every third weekend. The role requires at least one year of RN experience. A technical diploma in nursing is required; a bachelor’s degree in nursing and prior pediatric or specialty experience are preferred. Candidates must hold an applicable Pennsylvania or New Jersey RN license or temporary practice permit and CPR certification upon hire. The Clinical Nurse assesses patients, develops and revises care plans with patients, families, and the interdisciplinary team, provides and evaluates care, communicates changes and safety concerns, and supports coordination across the care continuum. The nurse also contributes to professional development, evidence-based practice, quality improvement, shared governance, and initiatives to improve patient and family outcomes. CHOP offers benefits including well-being resources, fertility support, education assistance, retirement savings, paid time off, and pet insurance. Employees with patient-facing responsibilities or who work 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.
Registered Nurse license in Pennsylvania or New Jersey, or a nursing temporary practice permit in Pennsylvania or New Jersey, upon hire.
CPR certification upon hire 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 use, Microsoft Office, web browsing, intranet search, document access, and shared network file space.
Ability to use patient-facing technology such as IV pumps, point-of-care devices, and cardiac monitors, and to navigate clinical communication systems.
Ability to determine clinical information needs, access and evaluate information, and incorporate it appropriately into clinical practice.
Ability to navigate electronic health records and clinical information systems, locate and review patient data, use clinical decision support tools, and follow confidentiality, security, and privacy requirements.
Ability to collect clinical data using quality improvement tools.

Nice To Haves

Bachelor’s degree in nursing.
Prior experience in pediatrics or an area of specialty.
Two years of pediatric Emergency Department experience and/or critical care experience.

Responsibilities

Follow the nursing process to provide safe, compassionate, and culturally effective care.
Gather and synthesize assessment data to develop patient and family care plans, share pertinent information with the care team, and determine tasks to delegate.
Recognize clinical changes that may indicate patient deterioration, seek resources as needed, and use the CAT team when appropriate.
Coordinate patient care with patients, families, and the multidisciplinary team, including across the continuum of care.
Develop, implement, and revise outcomes-focused plans of care in partnership with patients, families, and the interdisciplinary care team.
Follow evidence-based practice bundles and nursing standards and procedures to prevent patient harm and promote positive outcomes.
Recognize and address ethical dilemmas or moral distress, seeking resources when needed.
Teach patients and families, document and evaluate care delivered during each assigned shift, and adopt clinical practice changes.
Document nursing interventions and outcomes according to hospital standards, policies, and procedures; follow safe hand-off practices.
Use safety behaviors, identify and communicate potential safety concerns, and enter safety reports when applicable, including good catches and near misses.
Communicate empathetically with patients, families, and colleagues; encourage patient and family self-advocacy.
Participate effectively in interdisciplinary teamwork and care rounds or meetings; make nursing recommendations and revise care plans based on care decisions.
Incorporate evidence-based practice into direct care and partner with multidisciplinary and ancillary staff, delegating tasks effectively.
Maintain professional therapeutic relationships with patients and families and model behaviors that promote a positive image of professional nursing.
Develop clinical judgment and critical thinking, support family-centered care and positive patient and family experiences, and participate in initiatives to improve satisfaction.
Participate in shared governance and Magnet designation activities, and progress to leading relevant council activities or serving as a unit-based Magnet champion.
Demonstrate fiscal stewardship by managing time cost-effectively, conserving resources, avoiding incidental overtime, understanding staffing-cost implications, and identifying cost-saving opportunities.
Use healthcare informatics and clinical systems to manage patient care and outcome data; understand nursing-sensitive outcomes and participate in improvement initiatives.
Identify and meet learning needs, attend required programs, maintain nursing CEUs, and remain compliant with mandatory education and annual competencies.
Adapt to a fast-paced, changing environment and understand and apply quality improvement methods, progressing to participation in or leadership of initiatives.
Contribute to nursing knowledge and evidence-based practice through inquiry, reading relevant articles, literature reviews, clinical questions, and participation in research as appropriate.
Participate in activities that contribute to improving community health.