Children's National Medical Center
Washington, DC, USA
All advanced nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. Children's National supports the development of APRN relationships within the community; specifically those relationships associated with the health and well being of the community at large. Credentialed by the medical staff and licensed to function in an expanded nursing role as an Advanced Practice Nurse to a group of patients. Acts in a collaborative and integrated practice with a physician and is responsible for the management of care to patients assigned including: diagnostic and therapeutic interventions, the assessment, implementation and evaluation of an appropriate plan of care. The Advanced Practice Telehealth Nurse will develop, plan, and implement telehealth activities and programs. He/she will provide remote support and oversight over all department telehealth activities and programs. He/she will provide telephonic or virtual clinical assessments, advice, health education, and counseling giving appropriate clinical disposition and facilitating referral as needed. The Advanced Practice Telehealth Nurse will engage in telenursing practice using technologies such as the Internet, computers, telephones, digital assessment tools, and tele-monitoring equipment. He/she will oversee departmental data systems and technologies and will execute short and long-term strategic goals in the areas of telemedicine, distance learning, and enterprise video conferencing to improve efficiency of daily department operations. All activities are performed within the guidelines of protocols agreed upon by the authority of licensure, the medical and nursing divisions, and the medical staff bylaws. Provides leadership and consultation within a specialty area through participation in division/department initiatives and mentorship of others. Participates in Divisional/Departmental and organizational wide initiatives to represent advanced practice nursing, and leverage the role of the advanced practice nurse.
Required Skills & Knowledge:
The Advanced Practice Telehealth Nurse will successfully complete the hospital and advanced practice nursing orientation at Children’s National. Have high proficiency with MS Office, including but not limited to Excel, Word, and Powerpoint. Will apply the nursing process in telehealth care using telecommunication devices as appropriate. Will handle multiple line phones, clinical knowledge in disease, prevention, wellness, health risk assessment, self-care management, and health education. Demonstrate effective prescription management skills and use of clinical decision support tools. Deliver culturally sensitive, age-specific care to identified populations. Demonstrate problem-solving, prioritization, collaboration, and excellent customer relation skills. Communication skills: including effective listening, negotiation, counsel and crisis management. Will exhibit diplomacy, self-motivation, and strong interpersonal skills. Will possess knowledge of and appropriate use of internal and external resources (people, services, and materials). Will prevent and report unusual occurrences and adverse events. Demonstrate organization and ability to multitask and meet critical deadlines.
Master's Degree - Nursing with National Board certification in one of four APRN roles. Continuing education credits necessary to maintain national board certification, and state licensure.
Minimum Work Experience:
3 years related experience in adult care and Informatics.
• Develop and implement systems to monitor and improve performance and delivery of care
• Implement strategic plan through oversight of day-to-day telehealth activities; troubleshoot operational issues and develop action plans to resolve
• Develop and use performance metrics to benchmark, monitor, and track operational and quality outcomes
• Demonstrate appropriate and efficient use of department specific equipment/software necessary to perform role (multi-feature telephones, automatic call distribution (ACD), keyboard skills, Windows and call processing software, fax, copier, etc.
• Comply with call/email management standards
• Demonstrate thorough knowledge of the program’s identified top 10 triage/symptom guidelines
• Manage clinical calls/emails using the nursing process; document caller encounters in the system
• Be able to manage and document calls if computer system is down
• Achieve telehealth and other applicable national certifications
• Contribute to Magnet re-designation as evidenced by independent involvement or leadership in: committees, task forces, and/or community outreach
• Communicate plan of care and ability to advocate to meet patients’ needs; make suggestions for resolution of system issues
• Role model procedures for escalation of issues, utilize chain of command
• Demonstrate proper use of identified hand off processes; follow up on inconsistent practice related to handoff
• Demonstrate a collegial and respectful relationship with peers, physicians, and other departments
• Take the lead to implement change and support management decisions
• Maintain regulatory requirements e.g. license, credentialing
• Initiate professional activities to enhance nursing practice; provide telephonic and electronic clinical assessment, advice, health education and counseling – giving appropriate clinical disposition and facilitating referral
• Engage in active review of peers giving constructive feedback through timely participation in evaluations
• Serve as a resource as needed and know when to escalate to next level.
• Participate in educational activities and opportunities related to Telehealth
• Initiate ways to improve operations through quality improvement and implement related solutions
• Identify self-learning needs and take initiative to meet those needs
• Serve as a resource for current, new information or changes in specialty area
• Care incorporates best practices based on benchmarks and evidence within the literature
• Work with Manager to develop evaluation tools to measure each aspect of clinical, educational, and administrative service delivery
• Provide data analytics and metrics of department telehealth activities
• Partner in the mission and upholds the core values of the organization
• Committed to diversity and recognizes value of cultural ethnic differences
• Demonstrate personal and professional integrity
• Maintain confidentiality at all times
• Anticipate and responds to customer needs; follows up until needs are met
• Demonstrate collaborative and respectful behavior
• Partner with all team members to achieve goals
• Encourage and share new ways of making work more efficient
• Receptive to others’ ideas and opinions
• Contribute to a positive work environment
• Demonstrate flexibility and willingness to change
• Identify opportunities to improve clinical and administrative processes and share incremental improvements in operations
• Make appropriate decisions; using sound judgment and critical analysis
Cost Management/Financial Responsibility
• Use resources efficiently
• Search for less costly ways of doing things
• Participate in Shared Leadership.
• Contribute to the MAGNET Journey of Children’s National.
• Ensure that advanced nursing practice is based on evidence of best practice through the use of scientific and theoretical foundation for practice and on-going education and research on evidence-based practice.
• Provide nursing leadership in advancing evidence-based nursing practice.
• Accountable for participating in Division’s Performance Improvement process (division or department level) to advance the efficient appropriate and effective delivery of care.
• Participate in community activities.
• Effectively identify , evaluate, and address disease prevention and health promotion issues of the population in practice while administering quality patient care.
• Work in an independent and interdependent relationship with members of the medical staff, allowing for consultation, collaboration, or referral.
• Responsible for the diagnosis and treatment of acute, chronic, and long-term healthcare issues by area of practice.
• Educate patients and/or families about preventive care, medical issues, and use of prescribed medical treatments and/or medications.
• Maintain legible, accurate, and confidential medical records.
• Document all medical evaluations, diagnosis, procedures, treatment, outcomes, education, referrals, and consultations consistent with federal and state regulatory standards.
• Analyze new knowledge gained from conferences, workshops, professional literature, or training, and assimilate this new knowledge into clinical practice; inform and educate others regarding new learned knowledge from conferences and educational activities especially evidence-based best practices.
• Practice within the Scope of Practice and Delineation of Privilege Credentialing Documents for role and Division.
• Maintain clinical competency related to clinical area for privileged procedures.
• Prescribe legend drugs according to Children’s National guidelines.
• Participate in multidisciplinary patient care, discharge planning, and resource case management.
• Demonstrate practice consistent with professional standards of care.
• Plan, manage, and evaluate orientation process for new hires at department level.
• Direct the clinical work of APRN students and new hires through precepting and evaluation of orientation process.
• Model consultation skills as a professional member of the interdisciplinary team.
• Demonstrate effective conflict management skills.
• Collaborate with nursing and other health care professionals in the planning and implementation of system change.
• Provide a point of contact for patients and families pre, post and throughout hospitalization.
• Exhibit service excellence in all areas of practice.
• In collaboration with the patient care team assess learning needs of patients, families, and staff, and provide education as necessary, including specialty specific education.
• Speak up when team members appear to exhibit unsafe behavior or performance
• Continuously validate and verify information needed for decision making or documentation
• Stop in the face of uncertainty and takes time to resolve the situation
• Demonstrate accurate, clear and timely verbal and written communication
• Actively promote safety for patients, families, visitors and co-workers
• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance
• Assist department head in development, implementation, and evaluation of telehealth services, programs, policies and procedures, and performance standards to achieve departmental goals
Primary Location: District of Columbia-Washington
Work Locations: Sheikh Zayed Campus 111 Michigan Avenue Washington 20010
Regular / Temporary: R (Regular)
Position Status: FT - Full-Time
Work Schedule: 7am to 4pm