CST, CTOR

Cincinnati Children's

1d•Onsite

About The Position

The CTOR role focuses on clinical inquiry, systems thinking, inclusion, and clinical judgment. This position requires following professional practice standards, questioning current practices, and seeking ways to improve patient care. The role involves assisting in the development of peers through precepting and knowledge sharing. It also requires utilizing self-appraisal and peer review for competence assurance and professional development, promoting safe and ethical practice. The CTOR will coach and mentor others, facilitate learning for the healthcare team, and collaborate with department managers and representatives to implement and evaluate safety best practices. A key aspect is mitigating risks to patient and staff safety and using current research to enhance professional knowledge and support research studies. Systems thinking involves recognizing healthcare processes that affect the patient experience, anticipating patient and family needs, and utilizing resources effectively. Inclusion involves considering patient values, supporting colleagues, engaging patients' families, protecting patient and family rights, inquiring about cultural differences, and accommodating differences in the plan of care. Clinical judgment includes collecting and interpreting complex patient data, making judgments based on the overall picture, recognizing patterns, documenting care, responding to subtle patient changes, engaging compassionately, tailoring care to individual needs, promoting a healing environment, and recognizing death as a potential outcome. The role integrates age-specific concepts, uses self-management support, develops care goals through partnerships, employs teach-back strategies, coordinates education, and integrates strategies for patient/family adaptation to the home environment.

Requirements

Associate/Diploma prepared RNs from ACEN, CCNE or NLN CNEA accredited institution requires 2+ years of experience.
If hired without a BSN or MSN, must enroll in a BSN or MSN program within 1 year of hire date/RN job date and complete program within 5 years of hire/RN job date.
Active Ohio RN License.
May be required to obtain other state licensure.
2 years of work experience in a related job discipline.
Foreign graduates must have license validated through TruMeritTM per Ohio Board of Nursing code for Foreign Graduates.

Nice To Haves

BSN from ACEN, CCNE or NLN CNEA accredited institution or MSN are preferred.

Responsibilities

Follows professional practice standards and guidelines.
Questions appropriateness of policies and guidelines; questions current practice; seeks advice, resources, or information to improve patient care; begins to compare and contrast possible alternatives.
Assists with development of competence in peers; formally, by precepting new employees, and informally, by sharing knowledge at the point-of-care.
Uses self-appraisal performance review and peer review, including annual goal setting, for assurance of competence and professional development to promote safe and ethical practice using the nursing process.
Coaches and mentors others.
Precepts nursing peers and students.
Facilitates learning for members of the healthcare team.
Actively works with department managers, nurse council and magnet representatives to identify, share, implement and evaluate safety best practices.
Mitigate actual or potential risks to patient and staff safety.
Utilize current research findings and other evidence to expand professional knowledge, enhance role performance, and increase knowledge of nursing professional issues.
Support clinical nursing, health care, and health system research studies conducted by professional, credentialed researchers.
Recognizes systems and processes within the healthcare environment that affect the patient experience; anticipates needs of patients and families as they move through the healthcare system; utilizes untapped and alternative resources as necessary.
Considers patient values and incorporates in care, when differing from personal values; supports colleagues in ethical and clinical issues; moral decision-making can deviate from rules; engages the patient's family, encouraging them to speak/represent themselves; protects patient and family rights.
Inquires about cultural differences and considers their impact on care accommodates personal and professional differences in the plan of care; helps patient/family understand the culture of the healthcare system.
Collects & interprets complex patient data; makes clinical judgments based on an immediate grasp of the whole picture; recognizes patterns & trends by focusing on key elements while eliminating extraneous details.
Documents & teaches others to document the plan of care, care delivered, & patient/family outcomes.
Responds to subtle patient/family changes; engages with each unique patient/family in a compassionate manner; tailors caring practices to the individuality of patient/family; recognizes the importance of a healing environment & tailors the environment to meet the needs of the patient/family; promotes safety throughout patient/family transitions along the healthcare continuum; recognizes that death may be an acceptable outcome.
Proficiently integrates age specific concepts into patient care, taking into consideration both the patient's chronological age & developmental functioning.
Using self-management support, develops care goals & actions through partnerships with patients.
Uses teach back strategies to evaluate effectiveness.
Coordinates education with other members of the health care team.
Integrates strategies in the plan of care that support the patient/family adaptation to the home environment.