Clinical Nurse, Emergency Department

Children’s Hospital of Philadelphia•Upper Merion Township, PA

6d•$48 - $58

About The Position

The Clinical Nurse practices at an advanced-beginner-to-expert level in accordance with CHOP’s Nursing Professional Practice Model. The nurse provides age- and developmentally appropriate care and progresses from caring for patients and families to caring for those with the most complex problems and highest acuity in the designated clinical area. Patient care is led by the RN within a family-centered care framework. The Clinical Nurse follows the organization’s and nursing department’s mission, vision, and values, and practices in accordance with professional nursing ethics and standards, applicable specialty standards, CHOP nursing standards, and the scope of practice set by the Pennsylvania or New Jersey Nurse Practice Act, depending on work site. Responsibilities include clinical care, communication, interdisciplinary collaboration, professional development, quality improvement, and ongoing learning.

Requirements

Technical Diploma in Nursing.
At least one year of RN experience.
Required Pennsylvania or New Jersey Registered Nurse license or Nursing Temporary Practice Permit 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 and Microsoft Office use, web browsing, intranet and document access, shared network file use, patient-facing technology, and clinical communication systems.
Information literacy skills, including identifying information needs, accessing and evaluating information, applying it to clinical practice, and evaluating its outcomes.
Information management literacy, including navigating the electronic health record and other clinical systems, using clinical decision support tools, understanding confidentiality and security requirements, and collecting clinical data with quality-improvement tools.

Nice To Haves

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

Responsibilities

Use the nursing process to provide safe, compassionate, culturally effective, and age-appropriate care.
Collect and synthesize assessment data to guide the patient and family plan of care, communicate relevant information to the care team, and determine tasks to delegate.
Recognize or seek help identifying clinical changes that may indicate deterioration, and use the CAT team when appropriate.
Collaborate with patients, families, and the multidisciplinary team to coordinate all aspects of care.
Develop, implement, and revise outcome-focused plans of care in partnership with patients, families, and the interdisciplinary team.
Coordinate care across the continuum and use case management resources.
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 and nursing interventions and outcomes on each assigned shift.
Adopt and implement clinical practice changes in own practice.
Follow safe hand-off practices and use safety behaviors; identify and communicate potential safety concerns and submit safety reports when applicable.
Communicate empathetically with patients, families, and colleagues, and encourage patient and family self-advocacy.
Contribute to respectful interdisciplinary teamwork, patient care rounds, and meetings; recommend and revise care plans as appropriate.
Incorporate evidence-based practice into direct care with the multidisciplinary team.
Partner with ancillary staff and delegate tasks effectively to ensure comprehensive nursing care.
Maintain professional, therapeutic relationships with patients and families, with their best interests as the priority.
Model professional nursing behaviors and develop clinical judgment and critical-thinking skills.
Support family-centered care and improve patient and family experience, including participation in satisfaction initiatives.
Participate in shared decision-making and Shared Governance activities, and contribute to Magnet designation activities.
Practice fiscal stewardship by managing time and resources effectively, avoiding incidental overtime, and identifying cost-saving opportunities.
Use healthcare informatics and technology to manage patient care and outcome data.
Participate in initiatives to improve nursing-sensitive outcomes and quality improvement.
Identify and meet learning needs, attend required programs, maintain nursing CEUs, and complete mandatory education and annual competencies.
Adapt to a fast-paced, changing environment and apply change-management principles.
Develop nursing inquiry and evidence-based practice skills, review relevant literature, and use resources to participate in research.
Participate in activities that contribute to improving community health.