69 jobs found in Philadelphia

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 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 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 Responsible for the patient care systems and structures that promote the provision of excellent nursing care on the unit(s). Manages all nursing personnel within the unit(s). Collaborates with support staff to ensure the smooth operation of the units. Job Responsibilities Creates and maintains cost effective systems to ensure the availability of adequate staff for unit/program. Identifies optimal patterns of staffing to meet patient care needs of unit/program. Ensures unit/program schedule is prepared in a timely manner to meet needs of employees as well as staffing standards for unit/program Develop systems for daily staffing adjustment within unit/program. Collaborates with nursing supervisors to ensure staffing needs within unit/program and across department are met. Ensures patient care provided by staff in unit/program is consistent with national standards and/or evidence-based practice. Appoints staff representatives to department clinical practice committees. Assists staff with development of effective systems to disseminate practice standards within unit/program. Supervises clinical practice of staff through rounds, assessment of documentation and feedback from families. Ensures that staff participates in educational and clinical development programs to meet specific requirements of patient population served. Knowledgeable of clinical standards of care for patient population served by rehabilitation and acute care child development Collaborates with other departments to foster interdisciplinary practice and meet the needs of patients and families. Works with leadership and staff from other disciplines to create collaborative relationships with nursing staff to meet patient care needs. Works with other departments to ensure that clinical staff have systems and supplies/equipment needed to support patient care. Creates systems for regular family input into care and unit policies. Uses patient satisfaction data and other forms of feedback to improve systems of care. Involves family members in unit decision-making where appropriate. Educates and supports staff to include families in planning and providing care. Develops active quality improvement systems for unit/program and participates in nursing department QI initiatives. Ensures that unit has at least one active quality improvement initiative per year. Ensures that unit is represented on departmental QI committee and participates in department QI initiatives. Actively supports and ensures unit participation in other departmental and hospital initiatives. Ensures unit staff are educated about and comply with hospital patient safety initiatives. Implements and supports human resource and financial initiatives that are part of institutional annual goals. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations RN - Registered Nurse Required Education and Experience Required Education: Bachelor’s degree in Nursing and Master’s degree required. 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: Minimum of two (2) years prior management or leadership experience Preferred Education, Experience & Cert/Lic Additional Technical Requirements Excellent communication skills, excellent leadership ability, excellent judgment.

Job Summary The Clinical Coordinator of the International Patient Program is a member of the International Patient Program team and works closely with the Clinical Manager. The Coordinator collaborates regularly with the physicians, clinicians and administrators from multiple Divisions and Departments at CHOP while serving international patients. The Clinician Coordinator provides case coordination and management support to the International Medicine staff for ongoing care of international patients. The Clinical Coordinator also works with international clients, families, patients and their representatives as directed by the Clinical Manager. In this role, the Clinical Coordinator provides support to the ongoing operational and monitoring activities of the International Patient Program which is responsible for facilitating the delivery of excellent and timely pediatric health services for international patients and families. The Clinical Coordinator is integrated into patient services by offering clinical summaries of medical records and coordination of consulting services during clinical case reviews and evaluation requests from international families. The Coordinator ensures efficiency in the operational process. The Clinical Coordinator also provides some case management services as necessary and directed in support of complex international patients who require ongoing review and coordination of services, case summaries, coordination of DME, outpatient pharmacy services, financial summaries, etc. The Clinical Coordinator will be responsible for generating reports regarding individual cases and collaborating with other departments or agencies as directed by the Clinical Manager. Job Responsibilities Clinical Coordination Services: Provide clinical coordination of international cases by facilitating assigned case reviews and evaluation requests. It is the Clinical Coordinator’s responsibility to provide efficient reviews of medical record information and support the efficient processing from the time of the request to the generation of an appointment. Communicates, documents and participates in discharge planning activities when assigned by the Clinical Manager. Assures clinical information and discharge goals are communicated/ transferred to alternative international site providers. The role requires ongoing communication between clinical services and international families and constituencies as assigned for cases requiring ongoing or lengthy services at CHOP. Provides documentation letters of medical diagnoses for assigned cases in order to expedite the Visa application process. Facilitates billing and reimbursement by communicating pertinent and appropriate medical information to CHOP finance department and/or international third party payers when assigned. Works with the Clinical Manager to obtain certification and approval of all hospital stays with international agencies as assigned. Seeks input from attending physician or other care providers as needed to obtain certification and approval of payment. Participates in interdisciplinary discharge planning as assigned with the clinical team caring for international patients. Case Management Responsibilities Review international clinical case review requests and clinical documentation (determine if additional records are needed, determine if clinical records provided are complete and appropriate, review clinical request for clarity around requested services, etc.) Review requested clinical services and identify appropriate clinical services at CHOP to be involved with each case. Support the standard expectations for case review process and provide a summary of the case and pertinent information to the CHOP clinical practices in a timely manner that summarizes the key clinical pieces that are required by each Division. Work with clinicians to identify the probable diagnosis for the case and develop case evaluation scenarios for the development of financial cost estimates (for those without an established case rate). Propose on-site physician visits, diagnostic studies, etc. that would be conducted at the time of the CHOP visit and facilitate coordination of care. Review and validate the clinical case review & evaluation plan with physician and clinician specialist(s). The Clinical Coordinator facilitates care coordination for international patients when they seek care and come to CHOP. S/he provides clinical knowledge during the process and assists in the communication between teams as necessary to keep all constituencies informed. The Clinical Coordinator provides case summaries and letters as assigned for families or international agencies during the delivery of services. Maintain standards of performance for the process of clinical case review and care coordination for international patients. This includes assistance in coordinating appointments and maintaining detailed/accurate schedules of outpatient appointments for international patients. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations RN - Registered Nurse Required Education and Experience BSN from an accredited program. 5 years of pediatric clinical experience. Preferred Education, Experience & Cert/Lic International experience and/or expertise are highly preferred. Utilization and/or case management experience preferred Additional Technical Requirements Fluency in a second language is highly preferred. Broad pediatric clinical knowledge is required. Excellent oral and written communication skills necessary. Excellent interpersonal skills and the ability to negotiate diplomatically. Ability to work effectively with all departments and all levels of CHOP professionals and with international families and their representatives. Basic knowledge of IS/IT systems is required including ability to use MS Word, Excel. Ability to work collaboratively through consultation with other health care providers Ability to coordinate and implement multiple tasks simultaneously Critical analysis and problem-solving skills. Ability to understand and summarize clinical records, laboratory and radiographic data. Excellent customer service orientation and strong interpersonal skills. Must be very organized and able to work independently.

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 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 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 Clinical Nurse-Float Pool III is a clinically competent practitioner of pediatric, family- centered nursing. The nurse, at this level, provides safe nursing care to the general unit population ICU, Medical, Surgical, and at least 1 specialty area as defined in Supplemental Staffing Nursing Policy, with minimal guidance and bases practice on identified principles and standards of care. Minimum Total Hours: 96 hours per 8 week schedule period (0.3 FTE) Weekend Requirement: 96 hours per 8 week schedule period Department: Flex Team Holiday Requirement (Winter/Summer): None Shifts Available: Weekends Only Job Responsibilities 1. Nursing Practice Follows Nursing Process to deliver safe care: assessment, planning, implementation,and evaluation. Synthesizes patient assessment data and recognizes complex situations prior to communicating with care team. Collaborates with family, team members, and other caregivers to initiate/update plan of care, patient/family education, and discharge needs. Manages care of complex patients utilizing proper prioritization and delegation to appropriate staff. Identifies expected outcomes, revises plan of care when unexpected outcomes arise,and begins to use full range of communication as a means of conveying plan. Documents ongoing evaluation and effectiveness of patient care utilizing current hospital standards, policies, and procedures. Provides care that meets professional standards of practice and meets regulatory requirements. 2. Professionalism/Leadership Role models appearance and behaviors that promote a positive image of nursing. Interacts with parents/patients and colleagues with respect and dignity. Spends “the extra time” with families, listening for avenues to improve on the ideal patient experience. Understands the impact of arriving to work on time, is ready to start the shift, and predicts challenges and obstacles. Provides an accurate patient status report to members of the team that reflect nursing interventions and patient outcomes. Actively participates in patient care rounds and makes recommendations to the plan of care. Chairs and/or participates in unit PPM council and may participate in departmental PPM council. 3. Research Reads nursing articles, analyzes information, and initiates staff discussion(s). Assists with data collection in research studies being conducted in work area. Participates in efforts to apply research findings to clinical practice. Frames basic research questions. Job Responsibilities (Continued) 4. Learning Identifies own learning needs. Seeks out opportunities to meet needs and attends all required programs. Applies education and training from internal in-services to daily work to enhance personal nursing knowledge and skills. Attends education programs related to patient population. Utilizes patient education materials relevant to patient population. Demonstrates healthcare informatics competency to manage patient care, outcome data, and current and emerging healthcare technology, which include: -Basic computer competency, including the effective use of patient care devices, computers, computer software programs such as e-mail and word processing programs, and shared network file space. - Information literacy, including the effective use of the Intranet and Internet to find electronic resources for patient care, nursing practice, and evidence-based decision-making. - Information management skills, including the effective use of the electronic health record and clinical information systems, the ability to collect clinical data using quality tools, and the ability to discuss, evaluate, and analyze outcome data presented in charts and tables. 5. Resource Management Participates in promoting quality, efficient, and cost-effective care. Monitors own usage of supplies and equipment. Identifies opportunities for improvement and makes recommendations. Manages own time to accomplish direct/indirect care in a cost-efficient manner. Job Responsibilities (Continued) Required Licenses, Certifications, Registrations Registered Nursing License or active Temporary Practice Permit (PA or NJ) BLS Required Education and Experience Required Education : Graduation from an ACEN and/or CCNE accredited school of nursing or college. Required Experience: 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 2 years of Pediatric Nursing experience required. Preferred Education, Experience & Cert/Lic Preferred Education: BSN strongly preferred Additional Technical Requirements Computer Competency Basic Use of MS Word 2007. -Creating meeting minutes, charts, and tables. - Saving and naming new and established files. Basic Use of MS PowerPoint 2007. - Creating education presentations using clip art. Basic Use of MS Excel 2007. - Creating simple spreadsheets, sometimes using symbols. Navigation and basic search functions of the Internet using Internet Explorer. Use of MS Outlook 2007 email, opening attachments, attaching new files to emails,and saving attached files to computer. Use of shared network file space. Basic use of computers, printers, monitors, patient care devices, and fax machines. -Navigation and use of Sortec Nurse Call system. Information Literacy Use of Internet and Intranet to look up basic electronic resources for practice. - Ability to find and print Patient Family Education Documents. - Ability to find PPM Department Council minutes from last month. Ability to find and navigate Department of Nursing websites and related linked CHOP resource sites. Ability to perform a literature search on the Internet and ability to find professional journal and/or research-based articles. Ability to evaluate Internet sites for reliability. Information Management Literacy Navigation of electronic health information records Ability to review specific patient data in a clinical information system. Understanding of policies and procedures around timeliness of care, use of a clinical information system, and support of safe nursing practice. -Utilize applicable clinical pathways. Ability to collect raw clinical data using quality tools. Ability to discuss, evaluate, and analyze outcome data in charts and tables. Discuss the responsibilities of each user of an electronic record related to confidentiality and privacy. Coordination of patient care information in a fragmented environment, where there are both electronic and hard copy references.

Job Summary The Clinical Nurse-Float Pool II is a clinically competent practitioner of pediatric, family-centered nursing. The nurse, at this level, provides safe nursing care to the general unit population ICU, Medical, Surgical, and at least 1 specialty area as defined in Supplemental Staffing Nursing Policy, with minimal guidance and bases practice on identified principles and standards of care. Minimum Total Hours : 80 hours per 8 week schedule period (0.25 FTE) Weekend Requirement: 36 hours per 8 week schedule period Department: Flex Team Holiday Requirement (Winter/Summer): None Shifts Available: Evenings / Nights / Weekends Job Responsibilities 1. Nursing Practice Follows Nursing Process to deliver safe care: assessment, planning, implementation,and evaluation. Synthesizes patient assessment data and recognizes complex situations prior to communicating with care team. Collaborates with family, team members, and other caregivers to initiate/update plan of care, patient/family education, and discharge needs. Manages care of complex patients utilizing proper prioritization and delegation to appropriate staff. Identifies expected outcomes, revises plan of care when unexpected outcomes arise,and begins to use full range of communication as a means of conveying plan. Documents ongoing evaluation and effectiveness of patient care utilizing current hospital standards, policies, and procedures. Provides care that meets professional standards of practice and meets regulatory requirements. 2. Professionalism/Leadership Role models appearance and behaviors that promote a positive image of nursing. Interacts with parents/patients and colleagues with respect and dignity. Spends “the extra time” with families, listening for avenues to improve on the ideal patient experience. Understands the impact of arriving to work on time, is ready to start the shift, and predicts challenges and obstacles. Provides an accurate patient status report to members of the team that reflect nursing interventions and patient outcomes. Actively participates in patient care rounds and makes recommendations to the plan of care. Chairs and/or participates in unit PPM council and may participate in departmental PPM council. Job Responsibilities (Continued) 3. Research Reads nursing articles, analyzes information, and initiates staff discussion(s). Assists with data collection in research studies being conducted in work area. Participates in efforts to apply research findings to clinical practice. Frames basic research questions. 4. Learning Identifies own learning needs. Seeks out opportunities to meet needs and attends all required programs. Applies education and training from internal in-services to daily work to enhance personal nursing knowledge and skills. Attends education programs related to patient population. Utilizes patient education materials relevant to patient population. Demonstrates healthcare informatics competency to manage patient care, outcome data, and current and emerging healthcare technology, which include: - Basic computer competency, including the effective use of patient care devices, computers, computer software programs such as e-mail and word processing programs, and shared network file space. - Information literacy, including the effective use of the Intranet and Internet to find electronic resources for patient care, nursing practice, and evidence-based decision-making. - Information management skills, including the effective use of the electronic health record and clinical information systems, the ability to collect clinical data using quality tools, and the ability to discuss, evaluate, and analyze outcome data presented in charts and tables. 5. Resource Management Participates in promoting quality, efficient, and cost-effective care. Monitors own usage of supplies and equipment. Identifies opportunities for improvement and makes recommendations. Manages own time to accomplish direct/indirect care in a cost-efficient manner. Job Responsibilities (Continued) Required Licenses, Certifications, Registrations Registered Nursing License or active Temporary Practice Permit (PA or NJ) BLS Required Education and Experience Required Education: Graduation from an ACEN and/or CCNE accredited school of nursing or college. Required Experience:  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 nonlaboratory personnel performing non-waived POC testing  2 years of Pediatric Nursing experience required. Preferred Education, Experience & Cert/Lic Preferred Education : BSN strongly preferred Additional Technical Requirements Computer Competency Basic Use of MS Word 2007. Creating meeting minutes, charts, and tables. Saving and naming new and established files. Basic Use of MS PowerPoint 2007. Creating education presentations using clip art. Basic Use of MS Excel 2007. Creating simple spreadsheets, sometimes using symbols. Navigation and basic search functions of the Internet using Internet Explorer. Use of MS Outlook 2007 email, opening attachments, attaching new files to emails, and saving attached files to computer. Use of shared network file space. Basic use of computers, printers, monitors, patient care devices, and fax machines. Navigation and use of Sortec Nurse Call system. Information Literacy Use of Internet and Intranet to look up basic electronic resources for practice. Ability to find and print Patient Family Education Documents. Ability to find PPM Department Council minutes from last month. Ability to find and navigate Department of Nursing websites and related linked CHOP resource sites. Ability to perform a literature search on the Internet and ability to find professional journal and/or research-based articles. Ability to evaluate Internet sites for reliability. Information Management Literacy Navigation of electronic health information records Ability to review specific patient data in a clinical information system. Understanding of policies and procedures around timeliness of care, use of a clinical information system, and support of safe nursing practice. Utilize applicable clinical pathways. Ability to collect raw clinical data using quality tools. Ability to discuss, evaluate, and analyze outcome data in charts and tables. Discuss the responsibilities of each user of an electronic record related to confidentiality and privacy. Coordination of patient care information in a fragmented environment, where there are both electronic and hard copy references.

Job Summary 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 Responsible for oversight of organizational safety and clinical operations as well as flow. This position provides leadership and direct day to day effective supervision of staff. Acts as a liaison with physicians, patients, families and staff. Schedules personnel and makes patient care recommendations and ensures effective patient throughput activities. Makes administrative decisions, provides direction and authorizes and acts in the absence of the department manager and hospital administration. Job Responsibilities Financial Stewardship Executes and monitors systems to assure consistent and appropriate resource assignment and utilization. Partners with nurse manager to identify and execute annual unit based quality improvement initiatives that result in a measurable impact on quality, cost and resource utilization. Assures efficient and cost effective utilization of Hospital resources at the unit level for day to day operations, clinical programming and unit based education. Maximizes IT systems to assign staff to meet fluctuations in acuity, census and staffing needs Clinical Excellence Provide leadership for clinical excellence, personnel management, resource management, fiscal accountability and maintenance of positive working relationships with staff, physicians, managers, patients, their families and the public. Assures regulatory compliance i.e., environmental, financial, practice, safety, technological, compliance. Partners with Clinical leaders to execute the action plans for measurable continuous improvement in care outcomes. Executes unit plans to improve patient/family experience by identifying trends, and establishing systems to improve. Ensures staff compliance to systems that promote quality, efficient and cost effective care. Resources daily operations to ensure nursing sensitive indicator metrics are at or above the mean of comparison units. Identifies opportunities for improvement and develops an action plan to improve patient outcomes. Make assessment rounds of all patient care areas throughout the hospital at least once per shift. Provide support, guidance, and education for the staff and assists them as needed. Keeps managers and directors apprised of bed capacity and barriers to patient placements, including the need to consider treat & transfer. Promote problem identification, investigates hospital incidents, facilitate resolution and follow up and communicate as necessary, assists in documentation of incidents. Patient Safety Expert who raises safety concerns timely and appropriately. Collaborates with physicians and nurses to assure appropriate patient placement Creates efficient flow of patients throughout the hospital Assures clinically appropriate inpatient bed assignment Reviews clinical information for scheduled and emergent patient admissions. Expertise in clinical information systems Professional Engagement Manages staff performance through coaching, counseling, goal setting, anecdotal and annual appraisals. Coordinates with other CHOP care team colleagues to support continuous and measurable improvement in systems and process, further engaging staff in their environment. Establishes innovative staff recognition programs that acknowledge staff accomplishment at the unit/program level. Assesses individual and team needs and deploys strategies that foster the succession plan for the team. Aligns resources to assure comprehensive support of the Shared Governance structure; coaches and facilitates staff participation on unit/departmental councils. Creates a unit work climate which achieves high level employment engagement as measured through department specific metrics. Responsible for administrative decisions and appropriate escalation of issues to the DON/AOC/POL Leads and/or participates in Nursing Department initiatives Actively participates in the leadership of the Nursing Department Job Responsibilities (Continued) Advancing Practice Provides opportunities to allow staff to practice at the full scope of their licensure. Assists in developing and deploys systems that assure consistent and appropriate resources for patient management. Sets goals with employee to support development. Supports evidence-based practice by leading and supporting system improvements and measuring outcomes with concise metrics. Innovation and Learning Supports and resources evidence-based practice planning and implementation of educational program/projects. Promotes evidence-based practice and generates research ideas. Identifies and participates in the sharing of best practices throughout the department Job Responsibilities (Continued) Required Licenses, Certifications, Registrations Current Basic Life Support (BLS) issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross) required. Registered Nursing License in the Commonwealth of Pennsylvania Required Education and Experience Required Education: BSN. Required Experience: Minimum of five (5) years nursing experience with leadership responsibility. Experience as a unit leader, charge nurse or other relevant patient flow experience. Preferred Education, Experience & Cert/Lic Preferred Education: MSN. Preferred Experience: Two (2) years nursing experience in a pediatric setting Additional Technical Requirements Critical thinking and decisive judgment Ability to work independently Strong critical thinking skills Ability to resolve issues in a positive manner Excellent communication skills, both verbal and written Proficient computer skills including MS Office applications and any applicable clinical software (Kronos, EPIC, Optilink) Demonstrates the ability to facilitate change Planning and organization/long and short term Problem solving Ability to influence/change agent Conflict management Adaptability Takes initiative Excellent leadership ability Excellent judgment

Job Summary The Clinical Nurse Float Pool I is a clinically competent practitioner of pediatric, family-centered nursing. The nurse, at this level, provides safe nursing care to the general unit population ICU, Medical, Surgical, and at least 1 specialty area as defined in Supplemental Staffing Nursing Policy, with minimal guidance and bases practice on identified principles and standards of care. Minimum Total Hours: 56 hours per 8 week schedule period (0.175 FTE) Weekend Requirement: 24 hours per 8 week schedule period Department: Flex Team Holiday Requirement (Winter/Summer): None Shifts Available: Evenings / Nights / Weekends Job Responsibilities 1.Nursing Practice Follows Nursing Process to deliver safe care: assessment, planning, implementation, and evaluation. Synthesizes patient assessment data and recognizes complex situations prior to communicating with care team. Collaborates with family, team members, and other caregivers to initiate/update plan of care, patient/family education, and discharge needs. Manages care of complex patients utilizing proper prioritization and delegation to appropriate staff. Identifies expected outcomes, revises plan of care when unexpected outcomes arise, and begins to use full range of communication as a means of conveying plan. Documents ongoing evaluation and effectiveness of patient care utilizing current hospital standards, policies, and procedures. Provides care that meets professional standards of practice and meets regulatory requirements. 2. Professionalism/Leadership Role models appearance and behaviors that promote a positive image of nursing. Interacts with parents/patients and colleagues with respect and dignity. Spends “the extra time” with families, listening for avenues to improve on the ideal patient experience. Understands the impact of arriving to work on time, is ready to start the shift, and predicts challenges and obstacles. Provides an accurate patient status report to members of the team that reflect nursing interventions and patient outcomes. Actively participates in patient care rounds and makes recommendations to the plan of care. Chairs and/or participates in unit PPM council and may participate in departmental PPM council. Job Responsibilities (Continued) 3. Research Reads nursing articles, analyzes information, and initiates staff discussion(s). Assists with data collection in research studies being conducted in work area. Participates in efforts to apply research findings to clinical practice. Frames basic research questions. 4. Learning Identifies own learning needs. Seeks out opportunities to meet needs and attends all required programs. Applies education and training from internal in-services to daily work to enhance personal nursing knowledge and skills. Attends education programs related to patient population. Utilizes patient education materials relevant to patient population. Demonstrates healthcare informatics competency to manage patient care, outcome data, and current and emerging healthcare technology, which include: Basic computer competency, including the effective use of patient care devices, computers, computer software programs such as e-mail and word processing programs, and shared network file space. Information literacy, including the effective use of the Intranet and Internet to find electronic resources for patient care, nursing practice, and evidence-based decision-making. Information management skills, including the effective use of the electronic health record and clinical information systems, the ability to collect clinical data using quality tools, and the ability to discuss, evaluate, and analyze outcome data presented in charts and tables. Job Responsibilities (Continued) 5.Resource Management Participates in promoting quality, efficient, and cost-effective care. Monitors own usage of supplies and equipment. Identifies opportunities for improvement and makes recommendations. Manages own time to accomplish direct/indirect care in a cost-efficient manner Required Licenses, Certifications, Registrations RN / Temp Practice Permit BLS - Basic Life Support Required Education and Experience Required Education : Graduation from an ACEN and/or CCNE accredited school of nursing or college. Required Experience:- 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 2 years of Pediatric Nursing experience required. Preferred Education, Experience & Cert/Lic Preferred Education: BSN Additional Technical Requirements Computer Competency Basic Use of MS Word 2007. - Creating meeting minutes, charts, and tables. - Saving and naming new and established files. Basic Use of MS PowerPoint 2007. - Creating education presentations using clip art. Basic Use of MS Excel 2007. - Creating simple spreadsheets, sometimes using symbols. Navigation and basic search functions of the Internet using Internet Explorer. Use of MS Outlook 2007 email, opening attachments, attaching new files to emails, and saving attached files to computer. Use of shared network file space. Basic use of computers, printers, monitors, patient care devices, and fax machines. - Navigation and use of Sortec Nurse Call system. Information Literacy Use of Internet and Intranet to look up basic electronic resources for practice. - Ability to find and print Patient Family Education Documents. - Ability to find PPM Department Council minutes from last month. Ability to find and navigate Department of Nursing websites and related linked CHOP resource sites. Ability to perform a literature search on the Internet and ability to find professional journal and/or research-based articles. Ability to evaluate Internet sites for reliability. Information Management Literacy Navigation of electronic health information records Ability to review specific patient data in a clinical information system. Understanding of policies and procedures around timeliness of care, use of a clinical information system, and support of safe nursing practice. - Utilize applicable clinical pathways. Ability to collect raw clinical data using quality tools. Ability to discuss, evaluate, and analyze outcome data in charts and tables. Discuss the responsibilities of each user of an electronic record related to confidentiality and privacy. Coordination of patient care information in a fragmented environment, where there are both electronic and hard copy references.

Job Summary Responsible for oversight of organizational safety and clinical operations as well as flow. This position provides leadership and direct day to day effective supervision of staff. Acts as a liaison with physicians, patients, families and staff. Schedules personnel and makes patient care recommendations and ensures effective patient throughput activities. Makes administrative decisions, provides direction and authorizes and acts in the absence of the department manager and hospital administration. Job Responsibilities Financial Stewardship Executes and monitors systems to assure consistent and appropriate resource assignment and utilization. Partners with nurse manager to identify and execute annual unit based quality improvement initiatives that result in a measurable impact on quality, cost and resource utilization. Assures efficient and cost effective utilization of Hospital resources at the unit level for day to day operations, clinical programming and unit based education. Maximizes IT systems to assign staff to meet fluctuations in acuity, census and staffing needs Clinical Excellence Provide leadership for clinical excellence, personnel management, resource management, fiscal accountability and maintenance of positive working relationships with staff, physicians, managers, patients, their families and the public. Assures regulatory compliance i.e., environmental, financial, practice, safety, technological, compliance. Partners with Clinical leaders to execute the action plans for measurable continuous improvement in care outcomes. Executes unit plans to improve patient/family experience by identifying trends, and establishing systems to improve. Ensures staff compliance to systems that promote quality, efficient and cost effective care. Resources daily operations to ensure nursing sensitive indicator metrics are at or above the mean of comparison units. Identifies opportunities for improvement and develops an action plan to improve patient outcomes. Make assessment rounds of all patient care areas throughout the hospital at least once per shift. Provide support, guidance, and education for the staff and assists them as needed. Keeps managers and directors apprised of bed capacity and barriers to patient placements, including the need to consider treat & transfer. Promote problem identification, investigates hospital incidents, facilitate resolution and follow up and communicate as necessary, assists in documentation of incidents. Patient Safety Expert who raises safety concerns timely and appropriately. Collaborates with physicians and nurses to assure appropriate patient placement Creates efficient flow of patients throughout the hospital Assures clinically appropriate inpatient bed assignment Reviews clinical information for scheduled and emergent patient admissions. Expertise in clinical information systems Professional Engagement Manages staff performance through coaching, counseling, goal setting, anecdotal and annual appraisals. Coordinates with other CHOP care team colleagues to support continuous and measurable improvement in systems and process, further engaging staff in their environment. Establishes innovative staff recognition programs that acknowledge staff accomplishment at the unit/program level. Assesses individual and team needs and deploys strategies that foster the succession plan for the team. Aligns resources to assure comprehensive support of the Shared Governance structure; coaches and facilitates staff participation on unit/departmental councils. Creates a unit work climate which achieves high level employment engagement as measured through department specific metrics. Responsible for administrative decisions and appropriate escalation of issues to the DON/AOC/POL Leads and/or participates in Nursing Department initiatives Actively participates in the leadership of the Nursing Department Job Responsibilities (Continued) Advancing Practice Provides opportunities to allow staff to practice at the full scope of their licensure. Assists in developing and deploys systems that assure consistent and appropriate resources for patient management. Sets goals with employee to support development. Supports evidence-based practice by leading and supporting system improvements and measuring outcomes with concise metrics. Innovation and Learning Supports and resources evidence-based practice planning and implementation of educational program/projects. Promotes evidence-based practice and generates research ideas. Identifies and participates in the sharing of best practices throughout the department Job Responsibilities (Continued) Required Licenses, Certifications, Registrations Current Basic Life Support (BLS) issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross) required. Registered Nursing License in the Commonwealth of Pennsylvania Required Education and Experience Required Education: BSN. Required Experience: Minimum of five (5) years nursing experience with leadership responsibility. Experience as a unit leader, charge nurse or other relevant patient flow experience. Preferred Education, Experience & Cert/Lic Preferred Education: MSN. Preferred Experience: Two (2) years nursing experience in a pediatric setting Additional Technical Requirements Critical thinking and decisive judgment Ability to work independently Strong critical thinking skills Ability to resolve issues in a positive manner Excellent communication skills, both verbal and written Proficient computer skills including MS Office applications and any applicable clinical software (Kronos, EPIC, Optilink) Demonstrates the ability to facilitate change Planning and organization/long and short term Problem solving Ability to influence/change agent Conflict management Adaptability Takes initiative Excellent leadership ability Excellent judgment

Job Summary The Clinical Nurse III - Cardiothoracic Surgery safely delivers care as a competent-to-proficient practitioner of nursing. The Nurse III, at this level, demonstrates competence in caring for patients with complex problems —specializing in cardiothoracic surgery. In addition, the nurse demonstrates clinical leadership skills by contributing to standards of care and unit goals. The nurse serves as a role model for other staff and a preceptor for new employees. He/she participates in endeavors to increase knowledge. Job Responsibilities Competently scrubs on complex congenital heart cases. Makes daily staffing assignments. Participates in collection of specimens for clinical research projects. Identifies research projects that influence nursing practice in the Cardiac OR. Provides orientation for new staff. Develops systems that promote efficient and cost effective care and quality Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations BLS Registered Nursing License in the State of New Jersey or within 6 months of placement into position. RN - PA Required Education and Experience Required Education: Nursing Diploma Required Experience: At least one (1) year of previous RN experience. Preferred Education, Experience & Cert/Lic Preferred Education: BSN Preferred Experience: Prior pediatric or prior experience in area of specialty. Active membership in a professional nursing organization. Preferred Licenses/certificates/registrations: Pennsylvania and New Jersey CNOR Additional Technical Requirements Strong scrubbing and circulating skills. Strong critical thinking skills.

Job Summary 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 Transport Intake Clinical Nurse coordinates/triages transport and referral requests, and participates in the efficient management of patient transfers. This includes working within numerous departmental data entry systems. Operates a variety of communication equipment, such as telephones and computer systems. Acts as a central communication source for all components of the Transport process, including notification of the transport team, coordinating the mode of transport and deciding appropriate team compositions. Practices at the level of a proficient clinical practitioner, while demonstrating effective multi-tasking, communication skills, and clinical practices. 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. 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 Nursing Practice and Communication Follows Nursing Process to deliver safe care: assessment, planning, implementation and evaluation. Receives and triages incoming/outgoing requests, (obtains clinical information) and arranges for immediate transfers into/out of the hospital. Transfers/assists calls with designated/Medical Command Physicians. Responsible for obtaining an accepting physician/service for incoming transport. Works with bed management to assist with the coordination of bed assignments/admissions to the hospital. Notification of appropriate transferring and receiving clinical staff of impending and in progress transports. Notification of appropriate ambulance, helicopter or fixed-wing vendors of impending transfers/discharges. Updates referring hospitals with ETA of the team arrivals. Facilitates direct contact between Transport Team with referring and/or receiving hospital. Contacts out of hospital Transport Teams with the appropriate medical command physicians. Coordinates information between ambulance, aircraft (rotor, fixed, commercial), referring hospitals and CHOP personnel for quick and efficient patient transport according to departmental procedures. Provides direct contact for the referring staff for direct report process to receiving staff at CHOP. Obtains/enters patient demographics into computer based systems (Epic/CHOPworks) during initial call for transport process. Updates and fully completes departmental database for each transport request. Anticipates and synthesizes complex assessment data to best determine and influence total plan of care, including determining which pertinent data should be shared with the care team, and assists with tasks to be delegated. Collaborates with family, team members, and other caregivers to coordinate all facets of patient care, including planning with the multidisciplinary team. Manages care for complex patients, and anticipates needs, delegating care as necessary to other team members. Identifies patient response, communicates changes to physicians, family and other team members, and contributes to revised plan of care. Ensures that the documentation reflects outcomes and appropriate revisions of patient care provided, and utilizes current hospital standards, policies and procedures. Uses and exemplifies safety behaviors for error prevention, identifies safety concerns and communicates as appropriate. Effective verbal and nonverbal communication techniques and good listening skills are used to empathically communicate. 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-boundaried, 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. Job Responsibilities (Continued) 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 patient/family satisfaction and incorporates into care delivery. Has a working knowledge of patient/family satisfaction 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. 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 learnings 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 BLS - Basic Life Support Registered Nurse - PA Required Education and Experience Required Education: Graduation from an ACEN and/or CCNE accredited school of nursing or college. BSN or Bachelor’s degree in another field with MSN required. Required Experience: 4-5 years of previous nursing experience. Preferred Education, Experience & Cert/Lic Preferred Experience: 2 years of Pediatric Critical Care or ED experience. Membership in a professional nursing organization. Charge nurse experience of at least 6 months. Preferred Licenses/certificates/registrations : ACLS, PALS, NRP 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 UP2 Clinical Nurse meets the established staffing and scheduling expectations for the position. Maintenance of all competencies and required educational programs relevant to the unit patient population is required. UP 2 Clinical Nurses practice as Clinical Nurses in accordance with the following, which is consistent for all RNs with this job title: 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. Coordinates care 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. Uses effective verbal and nonverbal communication techniques and good listening skills to empathetically communicate with patients/ families, and colleagues. Encourages patient/family self-advocacy. 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- boundaried, 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. Job Responsibilities (Continued) 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. 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. Job Responsibilities (Continued) Required Licenses, Certifications, Registrations Registered Nursing License in the Commonwealth of Pennsylvania or State of New Jersey CPR Certification issued through an organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross) 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 one (1) year of pediatric nursing experience. Preferred Education, Experience & Cert/Lic Preferred Education: BSN. 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.