Clinical Nurse-Med/Surg - CHOP

A Brief Overview
Deliver compassionate, culturally effective care as a Registered Nurse at CHOP. Ranging from advanced beginners to expert practitioners, our nurses coordinate all facets of patient care, collaborate with diverse healthcare professionals, and can progress to managing the most complex cases in their clinical area.

Commitment to Diversity, Equity, and Inclusion
CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.

We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.

Responsibilities

• Deliver family-centered care guided by CHOP’s Nursing Professional Practice Model.
• Develop, evaluate, and revise patients’ plans of care throughout their hospitalization.
• Gather and analyze data to inform the care team and delegate tasks.
• Promote excellent patient outcomes by adhering to evidence-based practices, nursing standards, and safety procedures.
  • Identify and address safety concerns or ethical dilemmas with unit leadership.
  • Develop effective partnerships with the interdisciplinary care team.
• Adopt healthcare technology and clinical practice changes in a fast-paced environment.
• Maintain CEUs for nursing licensure and comply with annual nursing competencies and mandatory education.

The Clinical Nurse 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. The 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. S/he practices 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 professional 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. 

Clinical Practice 
•    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 careteam.
•    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. "

"Additional Technical Requirements:

Computer Competency-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. 

Information Literacy-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. 

Information Management Literacy-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."

Required Licenses, Certifications, Registrations:
Registered Nursing License or active Temporary Practice Permit in the Commonwealth of Pennsylvania. Multistate Compact license, which includes PA, can be accepted in lieu of PA RN license. If practicing with an active temporary practice permit, obtains an RN license prior to the expiration of the practice permit.

BLS certification required

PALS or PEARS certification required

Required Education and Experience
Required Education: Nursing Diploma
According to the CMS (Centers for Medicaid and Medicare Services) a copy of diploma or transcript is required as proof of academic achievement for all non-laboratory personnel performing non-waived POC testing
Required Experience: At least one (1) year of unit RN experience and at least one (1) year of pediatric experience

Preferred Education, Experience & Cert/Licenses
Preferred Education: BSN 
Preferred Experience: Prior experience in pediatrics or area of specialty. 
Preferred Licenses/certificates/registrations: Active membership in a professional nursing organization."

Level 4 worker