Registered Nurse General Peds

Children's Hospital of Philadelphia•Philadelphia, PA
•$48 - $58

About The Position

The Clinical Nurse provides professional nursing care on the 12NW General Pediatrics Unit, a 16-bed inpatient medical unit caring for children with common diagnoses such as asthma, pneumonia, viral illnesses, gastroenteritis, and dehydration. Patients typically have three or fewer medical problems, and the average length of stay is approximately 2.5 days. The average daily census is 14.4 patients. Nursing care is delivered primarily by Registered Nurses, with Senior Nursing Aides or Nursing Students providing additional support. The Clinical Nurse practices from advanced beginner through expert practitioner level in accordance with CHOP’s Nursing Professional Practice Model. The nurse provides age- and developmentally appropriate, family-centered care, and progresses toward caring for patients with the most complex problems and highest acuity in the designated clinical area. The role follows applicable professional nursing standards, ethical requirements, and the scope of practice set by the Pennsylvania or New Jersey Nurse Practice Act, depending on the assigned work site. This position requires at least one year of RN experience and is scheduled for 36 hours per week on rotating day and night 12-hour shifts, including every third weekend.

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.
  • Basic computer skills, including use of a mouse, keyboard, printer, and USB ports.
  • Basic use of 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 monitoring devices.
  • Ability to navigate clinical communication systems and electronic health records, locate and review patient data, and use clinical decision support tools.
  • Ability to identify needed clinical information, access and evaluate it effectively, incorporate it into practice, and evaluate outcomes.
  • Understanding of confidentiality, security, privacy regulations, and policies and procedures for clinical information systems.
  • Ability to collect clinical data using quality-improvement tools.
  • Compliance with required education and annual nursing competencies; maintenance of continuing education units for nursing licensure.

Nice To Haves

  • Bachelor's Degree in Nursing.
  • Prior experience in pediatrics or the relevant specialty area.

Responsibilities

  • Use the nursing process to provide safe, compassionate, and culturally effective care.
  • Collect, recognize, and synthesize assessment data to determine patient and family care plans, information to share with the care team, and tasks to delegate.
  • Recognize clinical changes that may indicate patient deterioration, seek resources as needed, and use the CAT team when appropriate.
  • Collaborate with patients, families, and the multidisciplinary team to coordinate patient care.
  • Develop, implement, and revise outcome-focused plans of care in partnership with patients, families, and the interdisciplinary care 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 outcomes.
  • Recognize and address ethical dilemmas or moral distress, taking action and seeking resources as needed.
  • Teach patients and families and develop expertise as a patient and family educator.
  • Evaluate and document care provided during each assigned shift, including nursing interventions and outcomes.
  • Adopt and implement clinical practice changes promptly.
  • Follow safe hand-off practices and use safety behaviors to prevent errors; identify and communicate safety concerns and enter safety reports when applicable.
  • Communicate empathetically with patients, families, and colleagues using effective verbal and nonverbal communication and listening skills; encourage patient and family self-advocacy.
  • Contribute to respectful teamwork, address incivility or disrespect that may affect care, and seek resources to resolve concerns.
  • Participate in interdisciplinary rounds and meetings, recommend nursing goals and interventions, and revise care plans based on care decisions.
  • Incorporate evidence-based practice into direct care with the multidisciplinary team.
  • Partner with ancillary staff and delegate tasks effectively to provide comprehensive nursing care.
  • Maintain therapeutic, professional relationships with patients and families in their best interests.
  • Model professional nursing behavior and appearance; expand clinical judgment and critical-thinking skills with experience.
  • Apply Family Centered Care principles and incorporate patient and family experience information into care; participate in or lead improvement initiatives.
  • Participate in shared decision-making and shared governance activities, progressing to leading council activities as appropriate.
  • Participate in Magnet designation activities, such as serving as a unit-based Magnet champion.
  • Manage time and resources cost-effectively, avoid incidental overtime, understand staffing cost implications, and identify cost-saving opportunities.
  • Maintain required education, nursing competencies, and continuing education; identify learning needs and pursue opportunities to meet them.
  • Use healthcare informatics and clinical information systems to manage patient care and outcome data, and participate in initiatives to improve nursing-sensitive outcomes.
  • Understand quality improvement methods and participate in or lead improvement initiatives as appropriate.
  • Contribute to nursing knowledge and evidence-based practice through inquiry, reading relevant literature, literature reviews, clinical questions, and participation in research projects as resources allow.
  • Participate in activities that contribute to improving community health.
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