Clinical Nurse - Observation Unit

Children's Hospital of Philadelphia•Philadelphia, PA

1d•$48 - $58•Onsite

About The Position

This is a Full-Time, 36 weekly hours with rotating shifts opportunity to support the Observation Unit at the Philadelphia campus. The fast-paced, 16-bed General Pediatrics observation unit primarily cares for patients from the Emergency Room who require a 24- to 72-hour admission for bronchiolitis/RSV, asthma, BRUE, common childhood infections, infant fevers, failure to thrive, constipation/dehydration, and hyperbilirubinemia. Specialty populations include post-operative patients recovering from arm/leg fractures, cholecystectomy, appendectomy, tonsillectomy/adenoidectomy, and urology procedures. This multidisciplinary team—including nurses, attendings, social workers, case managers, respiratory therapists, and Child Life specialists—partners on care management, nursing interventions, and discharge planning. The patient to RN ratio is typically 4:1. A Clinical Nurse in the Seasonal Staffing Program performs Nursing duties, as assigned, throughout certain times of the year in which CHOP's operational needs require additional Nursing staff due to high volumes and acuity ("Concentrated Period"), and flex down to no, or limited, scheduled shifts during other times of the year ("Quiet Period"). Although the Concentrated and Quiet Periods will depend upon operational need, the anticipated Concentrated Period will be from September through May, with a Quiet Period from June through August. The "Seasonal Staffing Benefited Program Guidelines" provides further details regarding scheduling and program policies. A Clinical Nurse in the Seasonal Staffing Program 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. A Clinical 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; practicing 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 Clinical 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.

Requirements

At least one (1) year RN experience.
Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (New Jersey) - New Jersey State Licensing Board - upon hire - Required
Cardiopulmonary Resuscitation (CPR) - issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross). - upon hire - Required
Basic use of a computer (mouse, keyboard, printer, USB ports).
Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype).
Web browsing, intranet search, document access.
Use of shared network file space.
Basic use of patient facing technology (e.g. IV pumps, point of care devices, CR monitors).
Navigation and use of clinical communication systems.
Determines the nature and extent of clinical information needed and uses the appropriate technology to access it.
Accesses needed information effectively and efficiently.
Evaluates information and its sources critically and appropriately incorporates it into clinical practice.
Evaluates outcomes of the use of information.
Navigation of the electronic health record system.
Ability to locate and review specific patient data in various clinical information systems.
Effectively uses clinical decision support tools.
Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems.
Ability to collect clinical data using quality improvement tools.

Nice To Haves

Bachelor's Degree Nursing Preferred
Prior experience in pediatrics or area of specialty Preferred

Responsibilities

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.
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.
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.
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.
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.
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.
Well informed about the Professional Advancement Program (PEAP) and considers the opportunity to participate.
Demonstrates healthcare informatics competency to manage patient care, outcome data, and current and emerging healthcare technology.
Understands Nursing sensitive outcomes and knows how to navigate the Nursing scorecard.
Participates and/or leads improvement initiatives to improve outcomes.
Identifies own learning needs and actively assures learning needs are met. Seeks out opportunities to meet needs and attends all required programs.
Maintains CEU’s for Nursing licensure.
Maintains compliance with mandatory education and annual Nursing competencies.
Recognizes individual preferences regarding an environment of constant change and understands change management.
Develops effective methods to cope with and incorporate learning from a fast-paced, ever changing environment.
Understands the principles and methodology of quality improvement; progresses to participating in and/or leading QI initiatives at the unit or organizational level.
Understands and contributes to the science of Nursing: Develops a sense of inquiry. Reads articles pertinent to the patient population. Performs literature reviews. Develops clinical questions and advances understanding and application of evidence-based practice.
Understands the Nursing research process and utilizes resources to participate in research projects.
Participates in activities that contribute to improving the health of the community.