Registered Nurse Inpatient Physical Medicine and Rehabilitation Unit

Children's Hospital of Philadelphia•Philadelphia, PA

2d•$47 - $57•Onsite

About The Position

The Registered Nurse (RN) position is a 36-hour per week role with rotating day/night shifts and 12-hour shifts, requiring every third weekend. This role requires 12 months of previous RN work experience. The Rehabilitation Unit at Children's Hospital of Philadelphia (CHOP) is an 18-bed unit dedicated to delivering safe, high-quality, family-centered care. The unit specializes in treating children recovering from various conditions including brain injury, stroke, spinal cord or orthopedic trauma, and neuromuscular disorders. The care provided is interdisciplinary, involving nursing, physical, occupational, and speech therapy, as well as neuropsychology, integrative health, and child life programs. The Clinical Nurse practices at an advanced beginner to expert level, demonstrating competence in caring for patients and families, including those with complex problems and high acuity. Care is delivered through RN leadership within a family-centered care framework, adhering to the organizational and nursing department mission, vision, and values, as well as professional nursing standards and applicable Nurse Practice Acts.

Requirements

12 months of previous RN work 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
Technical Diploma Nursing
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

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

Responsibilities

Follows the nursing process to deliver safe, compassionate, and culturally effective care.
Gathers and synthesizes assessment data to determine the patient/family plan of care, pertinent data to be shared with the care team, and tasks to be delegated.
Recognizes and/or seeks resources to recognize clinical changes 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 hospitalization, ensuring plans are outcomes-focused with goals and required interventions, developed in partnership with the patient, family, and interdisciplinary care team.
Coordinates care across the continuum and understands/utilizes case management resources.
Consistently follows evidence-based practice bundles and nursing standards/procedures to provide nursing care that eliminates preventable patient harm and promotes excellent patient outcomes.
Recognizes and addresses situations presenting ethical dilemmas and/or moral distress, seeking resources as needed.
Demonstrates competence in teaching patients/families and progresses to an expert educator.
Evaluates and documents 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.
Uses effective verbal and nonverbal communication techniques and good listening skills to empathetically 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 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 ancillary staff; delegates tasks effectively to assure comprehensive nursing care.
Develops and sustains professional, well-bounded, therapeutic relationships with patients and families.
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 its models.
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 CEUs 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.
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.