Registered Nurse- General Oncology

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

About The Position

This Clinical Nurse position is on a 24-bed General Oncology medical unit caring for pediatric patients from infancy through early adulthood. Common diagnoses include leukemia, lymphoma, solid organ tumors, and neuro-oncology disease. The role requires at least one year of RN experience and involves rotating 12-hour day and night shifts, including every third weekend. The Clinical Nurse practices in accordance with CHOP’s Nursing Professional Practice Model and applicable professional nursing standards, ethics, and scope-of-practice requirements. The nurse delivers age- and developmentally appropriate, family-centered care, progressing in competence from advanced beginner toward expert practice and caring for patients with increasingly complex needs and acuity. The position includes clinical care, communication, interdisciplinary collaboration, and professional development responsibilities. Nurses provide safe, compassionate, culturally effective care; coordinate care with patients, families, and the multidisciplinary team; document care and outcomes; contribute to quality improvement and evidence-based practice; and maintain professional competencies and licensure. Employees with patient-facing responsibilities or who work in patient care buildings must receive an annual influenza vaccine.

Requirements

  • At least one year of RN experience.
  • Technical Diploma in Nursing.
  • Pennsylvania RN license or Pennsylvania Nursing Temporary Practice Permit upon hire, or New Jersey RN license or New Jersey 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.
  • Basic computer skills, including use of a mouse, keyboard, printer, and USB ports.
  • Basic use of Microsoft Office, including word processing, spreadsheets, presentations, and Skype.
  • Ability to browse the web, search the intranet, access documents, and use shared network file space.
  • Basic use of patient-facing technology, such as IV pumps, point-of-care devices, and cardiac monitors.
  • Ability to navigate and use clinical communication systems and electronic health records.
  • Ability to identify needed clinical information, access and critically evaluate information, incorporate it into practice, and evaluate its outcomes.
  • Ability to locate and review patient data in clinical information systems and effectively use clinical decision-support tools.
  • Understanding of policies and procedures and confidentiality, security, and privacy regulations for clinical information systems.
  • Ability to collect clinical data using quality improvement tools.

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.
  • Assess and synthesize patient and family information to guide care planning, team communication, and delegation.
  • Recognize clinical changes that may indicate patient deterioration, seek appropriate resources, 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 ethical dilemmas and moral distress, take steps to address them, and seek resources as needed.
  • Teach patients and families and develop expertise in patient and family education.
  • Evaluate and document care and outcomes for each assigned shift.
  • Adopt and implement clinical practice changes in personal practice.
  • Document nursing interventions and outcomes according to hospital standards, policies, and procedures.
  • Follow safe hand-off practices and use safety behaviors to prevent errors; identify and communicate safety concerns and enter safety nets 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, effective interdisciplinary teamwork and address collaboration issues that may affect patient care.
  • Participate in interdisciplinary rounds and meetings, recommend nursing goals and interventions, and revise plans of care based on decisions made.
  • 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, acting in their best interests.
  • Model professional nursing behavior and appearance and continue developing clinical judgment and critical thinking.
  • Apply family-centered care principles and incorporate patient and family experience information into care; participate in initiatives to improve satisfaction.
  • Participate in shared decision-making and Shared Governance activities, progressing to leading council activities.
  • Participate in Magnet designation activities, including potentially serving as a unit-based Magnet champion.
  • Use time and organizational resources cost-effectively, avoid incidental overtime, and identify cost-saving opportunities.
  • Develop healthcare informatics competency and use technology to manage patient care and outcome data.
  • Participate in initiatives to improve nursing-sensitive outcomes and quality improvement.
  • Identify learning needs, attend required programs, maintain nursing CEUs, and complete mandatory education and annual competencies.
  • Adapt to a fast-paced, changing environment and use effective change-management practices.
  • Develop inquiry and evidence-based practice skills, read relevant literature, perform literature reviews, formulate clinical questions, and use research resources.
  • Participate in activities that contribute to improving community health.
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