Reference #: 1007481SHIFT:Rotating (United States of America)

　　Seeking Breakthrough Makers

　　Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

　　At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.

　　CHOP's 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.

　　A Brief OverviewThe Cardiac Intensive Care Unit (CICU) is a 32 bed unit that cares for patients with congenital and acquired heart conditions, that largely require surgicaland/or medical intervention, some within just hours of being born.No pediatric experience is required for this position and a comprehensive orientation will be provided.The CICU at CHOP is one of the largest in the world and is comprised of a team of highly trained medical providers, nurses, and respiratory therapists dedicated to the healing and well-being of this specialized patient population. State of the art medical technology, such as Ventricular Assist Devices (VADs), ECMO, dialysis, as well as open heart transplants are all readily seen on the CICU. This education rich, and collaborative environment leads with evidence based practice and innovation to promote the best patient outcomes possible.The requisition will fill multiple positions.

　　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.

　　What you will doClinical PracticeFollows 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 care team.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.CommunicationDocuments 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.Effective verbal and nonverbal communication techniques and good listening skills are used to empathically communicate with patients/ families, and colleagues.Encourages patient/family self-advocacy.CollaborationDemonstrates 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 the 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 members of the ancillary staff; delegates tasks effectively to assure comprehensive nursing care is provided.Develops and sustains professional, well- boundary, therapeutic relationships with patients and families in which all actions are in the best interest of the patient and family and there is no personal gain at the patient/families expense.Professional DevelopmentModels appearance and behaviors that promote a positive image of professional nursing.Expands clinical judgment and critical thinking skills with increased experienceo 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 the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activi