64 jobs found in Philadelphia

Job Summary The PACU provides preoperative and postoperative care to all types of surgical patients and also to those patients receiving general anesthesia in other departments in the Main and Wood buildings of CHOP and at the Hospital of the University of Pennsylvania. These services are provided 24/7 through in-house coverage or an on-call system. The staff also aids in the completion and accuracy of patient chart preparation through the Chart Center. May be filling 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. Job Responsibilities 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 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. Communication 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. 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. Job Responsibilities (Continued) Collaboration 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 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 Development 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 the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion. Demonstrates fiscal stewardship: 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. Job Responsibilities (Continued) Well informed about the Professional Advancement Program (PEAK) 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 CEU’s 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. Understands and contributes to the science of nursing: 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. Required Licenses, Certifications, Registrations CPR Certification issued through an organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross)Registered Nursing License or active Temporary Practice Permit in the Commonwealth of Pennsylvania or State of New Jersey, depending on the assigned work location.If practicing with an active temporary practice permit, obtains an RN license prior to the expiration of the practice permit. 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 RN experience. Preferred Education, Experience & Cert/Lic Preferred Education: BSN Preferred Experience: Prior experience in pediatrics or area of specialty. Preferred Licenses/certificates/registrations: Active membership in a professional nursing organization. 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.

Job Summary Under the general supervision of the Supervisor, Clinical Documentation Improvement the Clinical Documentation Improvement Specialist (CDIS) facilitates and obtains appropriate physician documentation for any clinical conditions or procedures which support the appropriate severity of illness, expected risk of mortality and the complexity of care of the patient population. This individual exhibits a sufficient knowledge of clinical documentation requirements, DRG assignment, and clinical conditions and procedures for the pediatric patient population. This individual also educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing staff, and case management. Job Responsibilities Essential Duties and Responsibilities: Completes initial and subsequent concurrent reviews of pediatric inpatient medical records in accordance with established timelines, in order to promote accurate code and DRG assignment and assessment of risk of mortality and severity of illness. Queries physicians regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation in the health record when needed. Collaborates with case managers, nursing staff, and other ancillary staff regarding interaction with physicians on documentation issues and strives to resolve physician queries prior to patient discharge. Reviews and clarifies clinical issues in the health record with the coding professionals to support accurate DRG assignment, severity of illness, and/or risk of mortality. Educates physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record. Supports and participates in the continuous assessment and improvement of the quality of services provided. Participates in the analysis and trending of statistical data for specified patient populations to identify opportunities for improvement Assists with preparation and presentation of clinical documentation monitoring/trending reports for review with physicians and hospital leadership Educates members of the patient care team regarding specific documentation needs and reporting and reimbursement issues identified through daily and retrospective documentation reviews and aggregate data analysis. Other Responsibilities: Adheres to established departmental policies, procedures, and objectives. Enhances professional growth and development by accessing educational programs, job related literature, in-service meetings, and workshops/seminars. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops. Maintains established department/hospital/system policies and procedures, directives, safety, environmental and infection control standards apprpriate to this position. Demonstrates a courteous and professional manner through interactions with internal and external customers. Integrates scientific principles and research based knowledge in decision making. Exemplifies a professional image in appearance, manner and presentation. Engages in self-performance appraisal, identifying areas of strength as well as areas for professional development. Researches, selects and promotes adaptation of best practice findings to ensure quality patient care and optimal outcomes. Adapts behavior as needed to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style Performs other related duties as assigned. Required Licenses, Certifications, Registrations Registered Nursing License in the Commonwealth of Pennsylvania or State of New Jersey, depending on the assigned work location. Required Education and Experience Required Education: Associate’s Degree in Nursing Required Experience: Three (3) years acute care nursing experience (e.g., ED, ICU, case management, etc.) Preferred Education, Experience & Cert/Lic Preferred Education: BSN Preferred Experience: Three (3) years acute care pediatric nursing experience (e.g., ED, ICU, case management, etc.) preferred will consider translatable adult acute care experience. Two (2) years’ experience as a CDIS Additional Technical Requirements Ability to work effectively with all departments and all levels of CHOP professionals. Ability to work independently or within a team structure. Must be very organized and able to work independently. Ability to establish priorities among multiple needs, meet deadlines and maintain standards of productivity. Computer skills and a working knowledge of Word, Excel and Access. Strong knowledge base in complete and accurate clinical documentation in the acute care setting and for all healthcare disciplines. Strong knowledge base and experience in interpreting and applying federal/government regulations to ensure coding and documentation compliance Strong knowledge base of the conventions, rules and guidelines for multiple classification and reimbursement systems (i.e. ICD -10, DRGs, APR-DRGs, etc). Ability to establish rapport with physicians and other healthcare practitioners. Demonstrated knowledge of medical terminology, anatomy and physiology, pharmacology, computers, and encoding software. Demonstrated interpersonal, critical thinking, and time management skills. Strong communication, teaching and presentation skills; must be detail oriented, and possess good problem solving skills

Job Summary The surgical/trauma unit is a 46-bed unit located on the same floor as the perioperative complex. Nurses provide care to patients in the following surgical specialties: general surgery, orthopedic surgery, ENT surgery, urologic surgery, liver and kidney transplant surgery. The unit is the designated non-ICU trauma unit that supports our Level 1 trauma center. Patients arrive on the unit from various locations throughout the hospital including direct admissions, post-operatively, and interdepartmental transfers with a high percentage from the Emergency Department. The unit strives to provide a seamless transition throughout the perioperative complex for surgical patients. 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. Job Responsibilities 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 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. Communication 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. 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. Job Responsibilities (Continued) Collaboration 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 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 Development 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 the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion. Demonstrates fiscal stewardship: 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. Job Responsibilities (Continued) Well informed about the Professional Advancement Program (PEAK) 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 CEU’s 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. Understands and contributes to the science of nursing: 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. Required Licenses, Certifications, Registrations CPR Certification issued through an organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross)Registered Nursing License or active Temporary Practice Permit in the Commonwealth of Pennsylvania or State of New Jersey, depending on the assigned work location.If practicing with an active temporary practice permit, obtains an RN license prior to the expiration of the practice permit. 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 RN experience. Preferred Education, Experience & Cert/Lic Preferred Education: BSN Preferred Experience: Prior experience in pediatrics or area of specialty. Preferred Licenses/certificates/registrations: Active membership in a professional nursing organization. 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.

Job Summary Job Summary Clinical Research Nurse Coordinator coordinates clinical research activities of the Neurocardiac Research Program (NCRP) within the clinical divisions of the Cardiac Center. Facilitates the conduct of clinical research by providing care to research participants as well as activities to support protocol implementation, data collection, and human subject protection. Provides specialized education concerning clinical research studies. Within the scope of clinical research protocols, participates in direct patient care. Accountable for adherence to all policies and procedures surrounding this process and for maintaining up to date knowledge on these policies from IRB, FDA, ICH, GCP and other sources. Preferred applicant: Bachelor of Science in Nursing 5 or more years of pediatric nursing, preferably in pediatric cardiac nursing 2-3 years clinical research experience preferred Successful performance in a high-intensity work environment. Excellent problem identification and problem solving skills. Flexibility. Ability to work in teams and to work autonomously Knowledge of computers and appropriate software packages. Ability to handle multiple tasks. Excellent interpersonal communication, organizational and managerial skills. Job Responsibilities Human Subject Protection: The clinical research nurse coordinator demonstrates leadership in ensuring adherence to ethical practices during the conduct of research studies in order to protect the rights and well being of patients and the collection of quality data. Understands the relevance of the historical development of clinical research to current research and policy Advocates for ethical care of clinical research study patients and the conduct of clinical research in accordance with standards of nursing practice. Promotes ongoing compliance with key ethical concepts by the research team, including informed consent, documentation, respect for persons, beneficence, and justice. Ensures that members of vulnerable populations enrolled in clinical trials are identified and that their rights are addressed. Contributes to the preparation of documentation and submissions for IRB (ethical) approval. Manages potential ethical and financial conflicts of interest for self Identifies and follows institutional procedures to report any falsification of data or scientific misconduct. Job Responsibilities Management of clinical research study protocols: The clinical research nurse coordinator demonstrates leadership in ensuring protocol compliance, financial compliance and effective clinical research study related communication. Facilitates compliance with the requirements of the research protocol and good clinical research practice while remaining cognizant of then needs of cardiac center patient population. Identifies the financial variables that affect research and supports good financial stewardship in clinical research studies. Utilizes multiple communication methods to facilitate the effective conduct of clinical research studies Management of potential and enrolled clinical research study patients [subjects]: The clinical research nurse coordinator demonstrates leadership in ensuring appropriate care for patients during all steps of the research process- recruitment, informed consent and study participation. Utilizes a variety of strategies to enhance recruitment while being mindful of the needs of diverse patient populations. Demonstrates leadership in ensuring patient comprehension and safety during initial and ongoing clinical research study informed consent discussions. Uses a variety of resources and strategies to manage the care of patients participating in clinical research studies, ensuring compliance with protocol procedures, assessments, and reporting requirements as well as management of symptoms Job Responsibilities Data Management: The clinical research nurse coordinator provides leadership to the research team in ensuring collection of source data and completion of documentation that validate the integrity of the conduct of the clinical research study. Complies with regulations, institutional policies, and sponsor requirements governing source data and documentation. Documents assessment, management, and evaluation in source documents for patients in clinical research studies as appropriate to the protocol and role. Educates research and clinical team members regarding appropriate and accurate source documentation for participation in clinical research studies Ensures that relevant data from the source document are abstracted and recorded in the clinical research study case report forms and that every data point can be verified within the source document. Follows appropriate guidelines in making corrections to data entry in clinical records and case report forms as recommended by good clinical practices, standards, or institutional procedures. Ensures that all regulatory documents are processed an maintained per institution, IRB, and GCP regulations Demonstrates proficiency in the use of clinical and research-related computer programs/applications. Required Licenses, Certifications, Registrations Registered Nursing License in the Commonwealth of Pennsylvania or in the State of New Jersey, depending on the assigned work location.CPR Certification Required Education and Experience Required Education: Bachelor of Science in Nursing (BSN) degree Required Experience: Three (3) years of experience in nursing or research Preferred Education, Experience & Cert/Lic Preferred Licenses/certificates/registrations: ACRP or SOCRA Job Requirements Scientific contribution: The clinical research nurse coordinator contributes to science by supporting the preparation and dissemination of research data, development of new ideas for study, mentorship of students, and own professional development. Participate in the query and analysis of research data. Assist in the preparation of manuscript and poster presentations Generate practice questions as a result of a new study procedure or intervention. Collaborate with the interdisciplinary team to develop innovations in care delivery that have a potential to improve patient outcomes and accuracy of data collection. Identify new questions as a result of study team participation Perform secondary data analysis to contribute to the development of new ideas. Mentor junior staff and students participating as members of the research team. Serve as a resource to a new investigator Disseminate clinical expertise and best practices related to clinical research through presentations, publications, and/or interactions with nursing colleagues. Participates in educational opportunities to increase knowledge about clinical research, regulations and guidance, and the role of the clinical research nurse coordinator.

Job Summary This position is for a Neonatal Nurse Practitioner or Pediatric Acute Care Nurse Practitioner. In collaboration with an attending physician, the Front Line Ordering Clinician (FLOC) Nurse Practitioner is responsible for the direct care and follow-up of a population of patients that matches his/her scope of practice and skill set. This care is delivered in defined inpatient and hospital-outpatient areas. The components of the role include clinical practice, consultation, professional development, education, and research. The NPs in these roles may be required to have acute/critical care education and certification. The appropriate education/certification will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients. In addition to managing patient care, the FLOC NP may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off shift rotation schedule includes days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment. The Surgical NICU FLOC Nurse Practitioners to join our neonatologists, pediatric surgeons and fellows in providing seamless care to infants with birth defects such as congenital diaphragmatic hernia, lung lesions, omphalocele and gastroschisis. Our team also cares for fetal surgery patients as part of CHOP’s renowned Center for Fetal Diagnosis and Treatment. Job Responsibilities Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care. Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process. Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions. Manages the plan of care through evaluation, modification and documentation according to the patient’s response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes. Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness. Facilitates the patient’s transitions between and within health care settings. Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members. Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers. Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations RN - Registered Nurse Certificate of Prescriptive Authority National Certification - Nurse Practitioner CRNP - Cert Regist Nurse Prac License Required Education and Experience Required Education: Masters or doctorate degree from an NLNAC and/or CCNE accredited graduate school of nursing as a Neonatal Nurse Practitioner or Pediatric Acute Care Nurse Practitioner. National board certification to match area of education. Previous Level III-IV NICU Experience required. Preferred Education, Experience & Cert/Lic Previous surgical NICU experience preferred Additional Technical Requirements Ability to work in an inter-professional team setting with multiple responsibilities. Ability to use computer and electronic medical records effectively. Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role. 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.

Job Summary Under the supervision of an attending physician, the Per Diem Front Line Ordering Clinician (FLOC) Physician Assistant is responsible for the direct care and follow-up of a population of patients that matches his/her scope of practice and skill set. This care is delivered in defined inpatient and hospital-outpatient areas. The components of the role include clinical practice, consultation, professional development, education, and research. The PAs in these roles may be required to have acute/critical care education. The appropriate education will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients . In addition to managing patient care, the FLOC PA may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off shift rotation schedule may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment. Job Responsibilities Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care. Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process. Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions. Manages the plan of care through evaluation, modification and documentation according to the patient’s response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes. Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness. Facilitates the patient’s transitions between and within health care settings. Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members. Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers. Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations NCCPA - National Commission on Certification of Physician AssistantsPA - Physician Assistant (Practice Location) Required Education and Experience Required Education: Bachelors/Masters/Doctorate as appropriate to correlating physician assistant program. Preferred Education, Experience & Cert/Lic Additional Technical Requirements Ability to work in an inter-professional team setting with multiple responsibilities. Ability to use computer and electronic medical records effectively. Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role. 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.

Job Summary Under the supervision of an attending physician, the Physician Assistant is responsible for the direct care and follow-up of a population of patients that matches his/her scope of practice and skill set. This care is delivered in the NIICU inpatient areas. The components of the role include clinical practice, consultation, professional development, education, and research. The PAs in these roles may be required to have acute/critical care education. The appropriate education will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients. In addition to managing patient care, the PA may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off shift rotation schedule may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment. In this role the physican assistant will be caring for patients on the inpatient medical NICU team. Job Responsibilities Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care. Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process. Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions. Manages the plan of care through evaluation, modification and documentation according to the patient’s response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes. Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness. Facilitates the patient’s transitions between and within health care settings. Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members. Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers. Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations NCCPA - National Commission on Certification of Physician AssistantsPA - Physician Assistant (Practice Location) Required Education and Experience Required Education: Bachelor’s/Master’s/Doctorate as applicable to correlating physician assistant program. Preferred Education, Experience & Cert/Lic Additional Technical Requirements Ability to work in an inter-professional team setting with multiple responsibilities. Ability to use computer and electronic medical records effectively. Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role. 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.

Job Summary In collaboration with an attending physician, the Nurse Practitioner is responsible for the direct care and follow-up of a population of patients that matches his/her delineation of privileges and skill set. This care is delivered in defined inpatient hospital areas. The components of the role include clinical practice, consultation, professional development, education, and research. The NPs in these roles may be required to have acute/critical care education and certification. The appropriate education/certification will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients. In addition to managing patient care, the NP may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off shift rotation schedule may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment. Job Responsibilities Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care. Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process. Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions. Manages the plan of care through evaluation, modification and documentation according to the patient’s response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes. Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness. Facilitates the patient’s transitions between and within health care settings. Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members. Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers. Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations RN - Registered NurseCertificate of Prescriptive AuthorityAdvanced Practice RoleNational Certification - Nurse Practitioner Required Education and Experience Required Education: Masters/Doctorate in Nursing as applicable to correlating program of study Preferred Education, Experience & Cert/Lic Additional Technical Requirements Ability to work in an inter-professional team setting with multiple responsibilities. Ability to use computer and electronic medical records effectively. Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role. 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.

Job Summary The Harriet and Ronald Lassin Newborn/Infant Intensive Care Unit (N/IICU) at Children's Hospital of Philadelphia utilizes the latest technology to provide care for sick newborns and infants. Our nurses are part of an incredible team that includes top neonatologists and pediatric surgeons. You’ll play an essential role in providing the best care for a child, while working with cutting-edge solutions. N/IICU nurses are active participants in research in neonatology, surgery and pediatric subspecialty care, along with supporting deliveries in our Special Delivery Unit. The N/IICU is currently 100 beds spread over 5 individual units, each with its own manager and leadership team. Applications to this requisition include all 5 units. Opportunities available for rotating or night shift positions. This requisition may be filling 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. Job Responsibilities 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 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. Communication 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. 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. Job Responsibilities (Continued) Collaboration 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 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 Development 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 the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion. Demonstrates fiscal stewardship: 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. Job Responsibilities (Continued) Well informed about the Professional Advancement Program (PEAK) 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 CEU’s 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. Understands and contributes to the science of nursing: 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. Required Licenses, Certifications, Registrations CPR Certification issued through an organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross)Registered Nursing License or active Temporary Practice Permit in the Commonwealth of Pennsylvania or State of New Jersey, depending on the assigned work location.If practicing with an active temporary practice permit, obtains an RN license prior to the expiration of the practice permit. 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 RN experience. Preferred Education, Experience & Cert/Lic Preferred Education: BSN Preferred Experience: Prior experience in pediatrics or area of specialty. Preferred Licenses/certificates/registrations: Active membership in a professional nursing organization. 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.

Job Summary The Harriet and Ronald Lassin Newborn/Infant Intensive Care Unit (N/IICU) at Children's Hospital of Philadelphia utilizes the latest technology to provide care for sick newborns and infants. Our nurses are part of an incredible team that includes top neonatologists and pediatric surgeons. You’ll play an essential role in providing the best care for a child, while working with cutting-edge solutions. N/IICU nurses are active participants in cutting-edge research in neonatology, surgery and pediatric subspecialty care, along with supporting deliveries in our Special Delivery Unit. The N/IICU is currently 100 beds spread over 5 individual units, each with its own manager and leadership team. Applications to this requisition include all 5 units. Opportunities available for rotating or night shift positions. This requisition may be filling 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. Job Responsibilities 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 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. Communication 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. 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. Job Responsibilities (Continued) Collaboration 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 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 Development 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 the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion. Demonstrates fiscal stewardship: 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. Job Responsibilities (Continued) Well informed about the Professional Advancement Program (PEAK) 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 CEU’s 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. Understands and contributes to the science of nursing: 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. Required Licenses, Certifications, Registrations CPR Certification issued through an organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross)Registered Nursing License or active Temporary Practice Permit in the Commonwealth of Pennsylvania or State of New Jersey, depending on the assigned work location.If practicing with an active temporary practice permit, obtains an RN license prior to the expiration of the practice permit. 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 RN experience. Preferred Education, Experience & Cert/Lic Preferred Education: BSN Preferred Experience: Prior experience in pediatrics or area of specialty. Preferred Licenses/certificates/registrations: Active membership in a professional nursing organization. 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.

Job Summary A dedicated group of nurses, surgeons, anesthesiologists, surgical technologists, medical assistants, perioperative and anesthesia technicians, and administrative support staff collaborate to provide state of the art family-centered perioperative care for more than 20,000 patients each year. Patients from all over the world undergo both straightforward and complex surgical procedures on a daily basis twenty-four hours each day in a 21 room intraoperative suite. Trainees in all disciplines develop skills that allow them to further the care of children and research efforts and form the foundation for new and innovative perioperative care. Prior Operating Room nursing experience strongly preferred. This requisition may be filling 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. Job Responsibilities 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 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. Communication 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. 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. Job Responsibilities (Continued) Collaboration 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 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 Development 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 the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion. Demonstrates fiscal stewardship: 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. Job Responsibilities (Continued) Well informed about the Professional Advancement Program (PEAK) 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 CEU’s 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. Understands and contributes to the science of nursing: 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. Required Licenses, Certifications, Registrations CPR Certification issued through an organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross)Registered Nursing License or active Temporary Practice Permit in the Commonwealth of Pennsylvania or State of New Jersey, depending on the assigned work location.If practicing with an active temporary practice permit, obtains an RN license prior to the expiration of the practice permit. 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 RN experience. Preferred Education, Experience & Cert/Lic Preferred Education: BSN Preferred Experience: Prior experience in pediatrics or area of specialty. Preferred Licenses/certificates/registrations: Active membership in a professional nursing organization. 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.

Job Summary In collaboration with an attending physician, the Front Line Ordering Clinician (FLOC) Nurse Practitioner is responsible for the direct care and follow-up of a population of patients that matches his/her delineation of privileges and skill set. This care is delivered in defined inpatient and hospital-outpatient areas. The components of the role include clinical practice, consultation, professional development, education, and research. The NPs in these roles may be required to have acute/critical care education and certification. The appropriate education/certification will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients. In addition to managing patient care, the FLOC NP may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off shift rotation schedule may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment. Job Responsibilities Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care. Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process. Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions. Manages the plan of care through evaluation, modification and documentation according to the patient’s response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes. Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness. Facilitates the patient’s transitions between and within health care settings. Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members. Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers. Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations RN - Registered NurseCertificate of Prescriptive AuthorityAdvanced Practice RoleNational Certification - Nurse Practitioner Required Education and Experience Required Education: Masters/Doctorate in Nursing as applicable to correlating program of study Preferred Education, Experience & Cert/Lic Additional Technical Requirements Ability to work in an inter-professional team setting with multiple responsibilities. Ability to use computer and electronic medical records effectively. Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role. 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.

Job Summary The Certified Nurse Midwife (CNM) is an integral member of the collaborative team responsible for the day to day direct care and follow-up of patients on the Special Delivery Unit and in The Center for Fetal Diagnosis and Treatment. The CNM, in a provider role, assesses and manages the health care of the obstetrical patient population. The CNM provides prenatal, intrapartum, and post-partum care in collaboration or consultation with the attending obstetrician. Experience with first assist for cesarean sections and centering pregnancy preferred. The role includes off-shift responsibility including days, nights, evenings, weekends and holidays in order to provide coverage of both inpatient and outpatient units. Job Responsibilities Antepartum, intrapartum and postpartum care for women and their families expecting to give birth to an infant with a fetal anomaly including surgical first assist for cesarean sections. Assess the complex needs of patients. Utilize the data to formulate a plan of care. Analyze the indications, contraindications, risk of complications and cost-benefit of therapeutic interventions. Manage the plan of care through evaluation, modification and documentation according to the patient’s response. Manage changes in condition with a focus on optimizing patient outcomes. Incorporate health promotion, health protection and injury prevention measures into the plan of care within the context of the patient and fetal condition Serve as an educational resource to patients/families, nursing staff and provider team. Acts as a consultant to multidisciplinary health care team members. Participate in scholarly activities including research and education. Participate in own professional development by maintaining required licenses, competencies, identifying learning needs and seeking appropriate educational offerings. Participate in the professional development of others. Demonstrate commitment to patient safety. Speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanism. Demonstrate shared accountability for safe practice. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations ACLS Certification required within 90 days of placement into positionDEA License required within 90 days of placement into positionPrescriptive authority in the Commonwealth of Pennsylvania within 90 days of placement into position.NRP, BLS issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross)RN and CNM License from the Commonwealth of Pennsylvania. Required Education and Experience Required Education: Master’s In Midwifery (MSN with a focus on Midwifery) Certificate of graduation from First Assist for Cesarean Section Course Required Experience: Minimum of two (2) years of midwifery experience Preferred Education, Experience & Cert/Lic Preferred Experience: Experience in tertiary care setting. First assist surgical training and experience. Centering pregnancy experience. Additional Technical Requirements

Job Summary A CRNA is a member of the anesthesiology care team which administers anesthesia to patients. All case assignment is determined by an Anesthesiologist by demonstrating the knowledge, skills and abilities necessary to provide anesthesia care appropriate to the neonatal, pediatric and adolescent population in operating room. Our CRNAs practice in non-operating room environments like oncology and radiology after 1 year of working exclusively in the operating room. The CRNA implements the mission, vision, and values of The Children’s Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine and Children’s Anesthesiology Associates, Ltd. The CRNA participates in departmental and hospital programs for Quality Assessment and Improvement by identifying opportunities to improve services, making recommendations and implementing actions as appropriate and consistent with the goals of Children Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine and Children’s Anesthesiology Associates, Ltd. Job Responsibilities Patient Management – Anesthesiology All performed under the direct supervision of an attending Anesthesiologist Pre-anesthetic evaluation, determination of appropriateness of preparation and physical status of patient for anesthesia and operation as scheduled, physical exam, appropriate lab and radiological studies as indicated, and discussion of anesthesia management and risks Conduct of general, regional, or local anesthesia and monitored anesthesia care in appropriate locations, including: Selection, ordering, and administration of anesthetics, muscle relaxants, and other adjuvant drugs Monitoring and support of vital functions, including but not limited to, management of ventilation and administration of fluids and blood products Ordering and administration of potent analgesics and sedatives to control pain in the perioperative period Airway management and cardiopulmonary resuscitation Vascular access by percutaneous techniques as required, including arterial cannulation and catheterization of central veins, pulmonary arteries, and internal jugular veins Provision of post-anesthetic care including: Airway management and cardipulmonary resuscitation Determination of recovery from anesthesia including level of consciousness, cardiopulmonary stability, and recovery from neuromuscular blockade Level of surveillance required by the patient’s condition Approval of patient discharge from the Post Anesthesia Care Unit This section for those with privileges in Cardiac Anesthesia: Conduct of general and regional anesthesia, including the selection and administration of anesthetics, muscle relaxants, and other adjuvant drugs and monitoring and support of vital functions for: Cardiothoracic procedures requiring cardiopulmonary bypass closed cardiac procedures Catheterization lab procedures in patients with pulmonary hypertension institution of ECMO, Ventricular Assist Devices Vascular access by arterial cut down Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations Board Certified Nurse AnesthetistCurrent unrestricted license as a registered nurse in Pennsylvania and any other states as required by the Department based on job dutiesMust maintain Certificate of APN/Prescriptive Authority where required.Must maintain ACLS, PALS, and BCLS Required Education and Experience Required Education: Masters or doctorate degree in nursing, from a Nurse Anesthesia program. Preferred Education, Experience & Cert/Lic Additional Technical Requirements Interpersonal skills and leadership working with people. Ability to complete duties and responsibilities under pressure. Manages priorities and workload quick and accurately. Knowledge of word processing, electronic mail, spreadsheets, etc. Ability to handle multiple tasks, meet deadlines and handle confidential matters professionally. Excellent phone etiquette. Must be able to work flexible schedule.

Job Summary In collaboration with an attending physician, the Front Line Ordering Clinician (FLOC) Nurse Practitioner is responsible for the direct care and follow-up of a population of patients that matches his/her delineation of privileges and skill set. This care is delivered in defined inpatient and hospital-outpatient areas. The components of the role include clinical practice, consultation, professional development, education, and research. The NPs in these roles may be required to have acute/critical care education and certification. The appropriate education/certification will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients. In addition to managing patient care, the FLOC NP may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off shift rotation schedule may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment. Job Responsibilities Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care. Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process. Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions. Manages the plan of care through evaluation, modification and documentation according to the patient’s response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes. Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness. Facilitates the patient’s transitions between and within health care settings. Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members. Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers. Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations RN - Registered NurseCertificate of Prescriptive AuthorityAdvanced Practice RoleNational Certification - Nurse Practitioner Required Education and Experience Required Education: Masters/Doctorate in Nursing as applicable to correlating program of study Preferred Education, Experience & Cert/Lic Additional Technical Requirements Ability to work in an inter-professional team setting with multiple responsibilities. Ability to use computer and electronic medical records effectively. Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role. 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.

Job Summary In collaboration with an attending physician, the Front Line Ordering Clinician (FLOC) Nurse Practitioner is responsible for the direct care and follow-up of a population of patients that matches his/her delineation of privileges and skill set. This care is delivered in defined inpatient and hospital-outpatient areas. The components of the role include clinical practice, consultation, professional development, education, and research. The NPs in these roles may be required to have acute/critical care education and certification. The appropriate education/certification will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients. In addition to managing patient care, the FLOC NP may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off shift rotation schedule may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment. The Emergency Department at CHOP cares for more than 100,000 patients a year. The ED is a Level 1 Trauma Center and is home to the Poison Control Center. Nurse Practitioners in the Emergency Department practice in all patient environments including the acute care cohort, respiratory cohort, Emergency Department Extended Care Unit (EDECU), and participate in trauma. With experience, NPs can move into a direct biller role. To learn more about our Center for Advanced Practice and innovative programs for our APPs, please visit https://www.chop.edu/centers-programs/center-advanced-practice Job Responsibilities Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care. Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process. Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions. Manages the plan of care through evaluation, modification and documentation according to the patient’s response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes. Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness. Facilitates the patient’s transitions between and within health care settings. Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members. Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers. Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations RN - Registered NurseCertificate of Prescriptive AuthorityAdvanced Practice RoleNational Certification - Nurse Practitioner Required Education and Experience Required Education: Masters/Doctorate in Nursing as applicable to correlating program of study as a Pediatric Acute Care Nurse Practitioner, or a Pediatric Primary Care Nurse Practitioner with agreement to obtain a Pediatric Acute Care Nurse Practitioner certification and license. Preferred Education, Experience & Cert/Lic Additional Technical Requirements Ability to work in an inter-professional team setting with multiple responsibilities. Ability to use computer and electronic medical records effectively. Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role. 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.

Job Summary In collaboration with an attending physician, the Front Line Ordering Clinician (FLOC) Nurse Practitioner is responsible for the direct care and follow-up of a population of patients that matches his/her delineation of privileges and skill set. This care is delivered in defined inpatient and hospital-outpatient areas. The components of the role include clinical practice, consultation, professional development, education, and research. The NPs in these roles may be required to have acute/critical care education and certification. The appropriate education/certification will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients. In addition to managing patient care, the FLOC NP may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off shift rotation schedule may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment. As part of the interdisciplinary team, this role manages care for the Neuro-oncology patients, with cross coverage of the General Oncology (liquid and solid) patients on weekends and night shift. The Nurse Practitioner rounds on their own patients in conjunction with an Oncology Attending Physician. The team of Nurse Practitioners is supported by a Team Lead in Oncology and an Advanced Practice Provider Manager. To learn more about our Center for Advanced Practice and innovative programs for our APPs, please visit https://www.chop.edu/centers-programs/center-advanced-practice Job Responsibilities Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care. Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process. Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions. Manages the plan of care through evaluation, modification and documentation according to the patient’s response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes. Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness. Facilitates the patient’s transitions between and within health care settings. Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members. Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers. Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations RN - Registered NurseCertificate of Prescriptive AuthorityAdvanced Practice RoleNational Certification - Nurse Practitioner Required Education and Experience Required Education: Masters/Doctorate in Nursing as applicable to correlating program of study as a Pediatric Acute Care Nurse Practitioner; OR a Pediatric Primary Care or Family Nurse Practitioner with the agreement to obtain a Pediatric Acute Care certification and licensure. Preferred Education, Experience & Cert/Lic Additional Technical Requirements Ability to work in an inter-professional team setting with multiple responsibilities. Ability to use computer and electronic medical records effectively. Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role. 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.

Job Summary In collaboration with an attending physician, the Nurse Practitioner is responsible for the direct care and follow-up of a population of patients that matches his/her delineation of privileges and skill set. The components of the role include clinical practice, consultation, professional development, education, and research. The Division of Pulmonary Medicine is ranked No. 2 in the nation on U.S. News & World Report’s prestigious 2019-20 Honor Roll of Best Children's Hospitals. Each year, our multidisciplinary team sees more than 7,000 outpatients and another 7,200 inpatients. This Nurse Practitioner role in the Division of Pulmonary Medicine will focus on the outpatient management of patients in the interstitial and diffuse lung disease program at the University City campus. To learn more about our Center for Advanced Practice and innovative programs for our APPs, please visit https://www.chop.edu/centers-programs/center-advanced-practice Job Responsibilities Utilizes advanced assessment skills to manage a cohort of patients. Performs and documents daily assessments. Collects and analyzes data and formulates a family-centered plan of care. Performs any needed advanced procedures that are listed in the Scope of Practice Document and approved as a part of the credentialing process. Evaluates and monitors the effectiveness of the prescribed treatment plan. Using the most current evidence, modifies the plan of care based on the effectiveness of the treatment and the patient/family response to the plan. Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members. Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers. Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations RN - Registered NurseCertificate of Prescriptive AuthorityLicensure for Advanced Practice RoleCRNP - Cert Regist Nurse Prac LicenseNational Certification - Nurse Practitioner Required Education and Experience Required Education: Master’s/Doctorate in Nursing as applicable to correlating program of study as a Pediatric Acute Care or Pediatric Primary Care Nurse Practitioner Preferred Education, Experience & Cert/Lic Additional Technical Requirements Ability to work in an inter-professional team setting with multiple responsibilities. Ability to use computer and electronic medical records effectively. Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role.

Job Summary The Pediatric Intensive Care Unit (PICU) is a growing 60 bed, blended acuity, multidisciplinary unit. The PICU serves critically ill children and their families who require the most advanced diagnostic and therapeutic services. These advanced technologies include, but are not limited to, high frequency oscillatory ventilation, nitric oxide and heliox therapies as well as Extra Corporeal Membrane Oxygenation (ECMO) and Continuous Renal Replacement Therapy (CRRT). Equipped with advanced technology, nursing care is dedicated to improve survival, hasten recovery, minimize disability and relieve pain and suffering from critical illness and injury in a safe, humane, and respectful manner. Conditions that commonly cause critical illness and injury include respiratory failure, severe infection, poisoning, drug overdose, trauma, extensive surgery, congenital anomalies and immunological disorders. This requisition may be filling 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. Job Responsibilities 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 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. Communication 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. 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. Job Responsibilities (Continued) Collaboration 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 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 Development 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 the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes. Participates in ongoing designation activities such as serving as a unit based Magnet champion. Demonstrates fiscal stewardship: 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. Job Responsibilities (Continued) Well informed about the Professional Advancement Program (PEAK) 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 CEU’s 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. Understands and contributes to the science of nursing: 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. Required Licenses, Certifications, Registrations CPR Certification issued through an organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross)Registered Nursing License or active Temporary Practice Permit in the Commonwealth of Pennsylvania or State of New Jersey, depending on the assigned work location.If practicing with an active temporary practice permit, obtains an RN license prior to the expiration of the practice permit. 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 RN experience. Preferred Education, Experience & Cert/Lic Preferred Education: BSN Preferred Experience: Prior experience in pediatrics or area of specialty. Preferred Licenses/certificates/registrations: Active membership in a professional nursing organization. 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.