The Children's Hospital of Philadelphia

       

Your Career at Children’s Hospital of Philadelphia

At Children's Hospital of Philadelphia (CHOP), we help children grow and thrive — and we offer these same opportunities to the professionals who make up our team. CHOP is a unique work environment, with exceptional team members, supportive managers and state-of-the-art training. Our employees are all empowered to realize their well-defined goals, because we believe everyone makes a difference — it’s the very foundation on which our hospital is built.

Since 1855, CHOP has been the birthplace of many dramatic firsts in pediatric medicine. As the nation's first hospital devoted exclusively to caring for children, CHOP has fostered medical discoveries and innovations that have improved pediatric healthcare and saved the lives of countless children.

Today, that same spirit of care and innovation continues. The hospital now employs more than 13,000 people in more than 50 locations across Pennsylvania and New Jersey.

Children’s Hospital of Philadelphia (CHOP) is proud to once again be named to U.S. News & World Report’s Honor Roll of the nation’s Best Children’s Hospitals.

In addition to the overall Honor Roll rankings of the top children’s hospitals in the nation, U.S. News evaluates programs in 10 specialty areas. For 2018-19, CHOP ranked in the top three in seven out of 10 specialties, and No. 1 rankings were awarded to the Division of Endocrinology and Diabetes and Division of Urology.

The Children's Hospital of Philadelphia Philadelphia, PA, USA
Job Summary In collaboration with an attending physician, the Front Line Ordering Clinician (FLOC) Nurse Practitioner is responsible for the direct care and follow-up of a population of patients that matches his/her delineation of privileges and skill set. This care is delivered in defined inpatient and hospital-outpatient areas. The components of the role include clinical practice, consultation, professional development, education, and research. The NPs in these roles may be required to have acute/critical care education and certification. The appropriate education/certification will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients. In addition to managing patient care, the FLOC NP may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off shift rotation schedule may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment. Job Responsibilities Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care. Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process. Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions. Manages the plan of care through evaluation, modification and documentation according to the patient’s response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes. Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness. Facilitates the patient’s transitions between and within health care settings. Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members. Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers. Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations RN - Registered NurseCertificate of Prescriptive AuthorityAdvanced Practice RoleNational Certification - Nurse Practitioner Required Education and Experience Required Education: Masters/Doctorate in Nursing as applicable to correlating program of study Preferred Education, Experience & Cert/Lic Additional Technical Requirements Ability to work in an inter-professional team setting with multiple responsibilities. Ability to use computer and electronic medical records effectively. Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role. Computer Competency Basic use of a computer (mouse, keyboard, printer, USB ports). Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype). Web browsing, intranet search, document access. Use of shared network file space. Basic use of patient facing technology. (e.g. IV pumps, point of care devices, CR monitors). Navigation and use of clinical communication systems. Information Literacy Determines the nature and extent of clinical information needed and uses the appropriate technology to access it. Accesses needed information effectively and efficiently. Evaluates information and its sources critically and appropriately incorporates it into clinical practice. Evaluates outcomes of the use of information. Information Management Literacy Navigation of the electronic health record system. Ability to locate and review specific patient data in various clinical information systems. Effectively uses clinical decision support tools. Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems. Ability to collect clinical data using quality improvement tools.
Feb 28, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
Job Summary This position is with the Extra Corporeal Membrane Oxygenation department. The position is 3 twelve hour day shifts per week, including every third weekend. ECMO experience strongly preferred. 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.
Feb 28, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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
Feb 25, 2020
The Children's Hospital of Philadelphia Lancaster, PA, USA
Job Summary In collaboration with an attending physician, the Front Line Ordering Clinician (FLOC) Nurse Practitioner is responsible for the direct care and follow-up of a population of patients that matches his/her delineation of privileges and skill set. This care is delivered in defined inpatient and hospital-outpatient areas. The components of the role include clinical practice, consultation, professional development, education, and research. The NPs in these roles may be required to have acute/critical care education and certification. The appropriate education/certification will be determined by the scope of the role in a particular practice area. The clinical portion of this role will require increased level of accountability including managing a cohort of high acuity patients. In addition to managing patient care, the FLOC NP may be required to utilize invasive interventions and procedures to promote physiologic stability. The role will also include off-shift responsibility. The off shift rotation schedule may include days, evenings, nights, weekends and holidays and will be determined by the clinical needs of the practice environment. This position will be located at Lancaster General Hospital in Lancaster, PA. Job Responsibilities Assesses the complex acute, critical and chronically ill patient for urgent and emergent conditions. Uses relevant data to evaluate for physiologic instability. Utilizes the data to formulate a plan of care. Performs therapeutic interventions to stabilize acute and critical health problems. Specific interventions are listed in the Scope of Practice Document and approved as a part of the credentialing/privileging process. Analyzes the indications, contraindications, risk of complications and cost-benefits of therapeutic interventions. Manages the plan of care through evaluation, modification and documentation according to the patient’s response to therapy. Manages changes in condition with a focus on optimizing the patient outcomes. Incorporates health promotion, health protection and injury prevention measures into the plan of care within the context of the complex acute, critical and chronic illness. Facilitates the patient’s transitions between and within health care settings. Serves as an educational resource to the patient/family, nursing staff, and provider team. Acts as a consultant to multidisciplinary health care team members. Participates in scholarly activities including research and education. Participates in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate educational offerings. Participates in the professional development of others. Acts as a preceptor and mentor to support the development of nurses, nurse practitioners, students, and other health care providers. Demonstrates a commitment to patient safety by speaking up about safety issues and changing practice to enhance safety. Shares errors or potential errors through system reporting mechanisms. Demonstrates shared accountability for safe practice. Job Responsibilities (Continued) Job Responsibilities (Continued) Required Licenses, Certifications, Registrations RN - Registered NurseCertificate of Prescriptive AuthorityAdvanced Practice RoleNational Certification - Nurse Practitioner Required Education and Experience Required Education: Masters/Doctorate in Nursing as applicable to correlating program of study Preferred Education, Experience & Cert/Lic Additional Technical Requirements Ability to work in an inter-professional team setting with multiple responsibilities. Ability to use computer and electronic medical records effectively. Refer to Scope of Practice Document and Clinical Responsibilities Checklist for specific requirements of role. Computer Competency Basic use of a computer (mouse, keyboard, printer, USB ports). Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype). Web browsing, intranet search, document access. Use of shared network file space. Basic use of patient facing technology. (e.g. IV pumps, point of care devices, CR monitors). Navigation and use of clinical communication systems. Information Literacy Determines the nature and extent of clinical information needed and uses the appropriate technology to access it. Accesses needed information effectively and efficiently. Evaluates information and its sources critically and appropriately incorporates it into clinical practice. Evaluates outcomes of the use of information. Information Management Literacy Navigation of the electronic health record system. Ability to locate and review specific patient data in various clinical information systems. Effectively uses clinical decision support tools. Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems. Ability to collect clinical data using quality improvement tools.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
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.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
Job Summary The Pediatric Intensive Care Unit (PICU) is a 55 bed multidisciplinary unit. The PICU serves critically ill children and their families who require the most advanced diagnostic and therapeutic services. These advanced technologies include, but are not limited to, high frequency oscillatory ventilation, nitric oxide and heliox therapies as well as Extra Corporeal Membrane Oxygenation (ECMO) and Continuous Renal Replacement Therapy (CRRT). Conditions that commonly cause critical illness and injury include respiratory failure, severe infection, poisoning, drug overdose, trauma, extensive surgery, congenital anomalies and immunological disorders. Equipped with this advanced technology, nursing care is dedicated to improve survival, hasten recovery, minimize disability and relieve pain and suffering from critical illness and injury in a safe, humane, and respectful manner. 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.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
Job Summary Under the general supervision of the Director, the Case Manager provides clinically-based support to the delivery of effective and efficient patient care. Paces each case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within the assigned caseload. Partners with Social Workers and collaborates with other health care team members to identify appropriate utilization of resources and to ensure reimbursement. Uses criteria to confirm medical necessity for admission and continued stay. With the patient, family and health care team, creates a discharge plan appropriate to the patient’s needs and resources. Job Responsibilities Essential Duties and Responsibilities: Determines medical necessity, appropriateness of admission, continuing stay and level of care using a combination of clinical information, clinical criteria, and third party information. Intervenes when determinations are not in alignment with clinical information, clinical criteria or third party information to resolve the situation. Documents all case management interventions in the current electronic system (EPIC). Validates admission and continuing stay criteria with third party payers as well as the Attending Physicians. Recommends alternative care sites where appropriate. Collaborates with third party payers to prevent denial of payment and proactively addresses issues contributing to a potential denial. Intervenes to prevent the denial when possible. Supports the effective prevention and management of denials, including providing requested information as part of the appeal process. Assesses the patient and family for continuing care needs to develop, implement and evaluate an effective discharge plan in collaboration with the multidisciplinary team. Uses knowledge of usual length of stay to initiate a plan for discharge. Collaborates and communicates with patients/families related to reimbursement issues and to create a discharge plan. Supports the process of patient choice in establishing a discharge plan. Uses clinical knowledge and knowledge of anticipate response to treatment to assess patient progression towards anticipated outcomes. Communicates and coordinates with the patient/family and health care team to intervene when progression is stalled or diverted. Addresses actual/potential barriers to discharge Completes the interventions necessary for discharges to home with self-care, home with services or short term skilled nursing facility placement. Assembles necessary referrals, discharge summaries and pertinent information for discharge to home, placement, or transfer prior to the day of discharge. Actively contributes to, participates in, and follows through on interventions identified in care coordination and complex patient rounds. Identifies high risk patients and creates a collaborative plan to address their unique needs. Job Responsibilities (Continued) Other Responsibilities: Adheres to established departmental policies, procedures, and objectives. Enhances professional growth and development by accessing educational programs, job related literature, in-service meetings, and workshops/seminars. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops. Maintains established department/hospital/system policies and procedures, directives, safety, environmental and infection control standards apprpriate to this position. Demonstrates a courteous and professional manner through interactions with internal and external customers. Integrates scientific principles and research based knowledge in decision making. Exemplifies a professional image in appearance, manner and presentation. Engages in self-performance appraisal, identifying areas of strength as well as areas for professional development. Reseraches, selects and promotes adaptation of best practice findings to ensure quality patient care and optimal outcomes. Adapts behavior as needed to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style Performs other related duties as assigned. Required Licenses, Certifications, Registrations RN license in the state of Pennsylvania Required Education and Experience Required Education: Nursing Diploma Required Experience: Five (5) years’ experience. Preferred Education, Experience & Cert/Lic Preferred Education: BSN Preferred Experience: Previous experience with discharge planning or home care experience. Prior experience as a Case Manager or Utilization Reviewer. Previous experience in a pediatric setting or similar adult setting Preferred Licenses/certificates/registrations: CCM or ACM Certifications Additional Technical Requirements Excellent communication skills and demonstrated organizational skills. Ability to work effectively with all departments and all levels of CHOP professionals. Ability to work independently or within a team structure. Must be very organized and able to work independently. Ability to establish priorities among multiple needs, meet deadlines and maintain standards of productivity. Knowledge of managed care admission process (i.e. verification of benefits, admissions notification). Ability to effectively negotiate with internal and external providers of patient care services. Sound problem solving skills. Excellent customer service orientation and strong interpersonal skills. Computer skills and a working knowledge of Word, Excel and Access.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
Job Summary Under the general supervision of the Director, the Case Manager provides clinically-based support to the delivery of effective and efficient patient care. Paces each case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within the assigned caseload. Partners with Social Workers and collaborates with other health care team members to identify appropriate utilization of resources and to ensure reimbursement. Uses criteria to confirm medical necessity for admission and continued stay. With the patient, family and health care team, creates a discharge plan appropriate to the patient’s needs and resources. Job Responsibilities Essential Duties and Responsibilities: Determines medical necessity, appropriateness of admission, continuing stay and level of care using a combination of clinical information, clinical criteria, and third party information. Intervenes when determinations are not in alignment with clinical information, clinical criteria or third party information to resolve the situation. Documents all case management interventions in the current electronic system (EPIC). Validates admission and continuing stay criteria with third party payers as well as the Attending Physicians. Recommends alternative care sites where appropriate. Collaborates with third party payers to prevent denial of payment and proactively addresses issues contributing to a potential denial. Intervenes to prevent the denial when possible. Supports the effective prevention and management of denials, including providing requested information as part of the appeal process. Assesses the patient and family for continuing care needs to develop, implement and evaluate an effective discharge plan in collaboration with the multidisciplinary team. Uses knowledge of usual length of stay to initiate a plan for discharge. Collaborates and communicates with patients/families related to reimbursement issues and to create a discharge plan. Supports the process of patient choice in establishing a discharge plan. Uses clinical knowledge and knowledge of anticipate response to treatment to assess patient progression towards anticipated outcomes. Communicates and coordinates with the patient/family and health care team to intervene when progression is stalled or diverted. Addresses actual/potential barriers to discharge Completes the interventions necessary for discharges to home with self-care, home with services or short term skilled nursing facility placement. Assembles necessary referrals, discharge summaries and pertinent information for discharge to home,placement, or transfer prior to the day of discharge. Actively contributes to, participates in, and follows through on interventions identified in care coordination and complex patient rounds. Identifies high risk patients and creates a collaborative plan to address their unique needs. Job Responsibilities (Continued) Other Responsibilities: Adheres to established departmental policies, procedures, and objectives. Enhances professional growth and development by accessing educational programs, job related literature, in-service meetings, and workshops/seminars. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops. Maintains established department/hospital/system policies and procedures, directives, safety, environmental and infection control standards apprpriate to this position. Demonstrates a courteous and professional manner through interactions with internal and external customers. Integrates scientific principles and research based knowledge in decision making. Exemplifies a professional image in appearance, manner and presentation. Engages in self-performance appraisal, identifying areas of strength as well as areas for professional development. Reseraches, selects and promotes adaptation of best practice findings to ensure quality patient care and optimal outcomes. Adapts behavior as needed to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style Performs other related duties as assigned. Job Responsibilities (Continued) Required Licenses, Certifications, Registrations Registered Nursing License in The Commonwealth of Pennsylvania (Active) Required Education and Experience Required Education: Nursing Diploma Required Experience: At least three (3) years of experience as clinical nurse in an acute care pediatric setting Preferred Education, Experience & Cert/Lic Preferred Education: BSN Preferred Experience: Previous experience with discharge planning or home care experience Prior experience as a Case Manager or Utilization Reviewer Additional Technical Requirements Excellent communication skills and demonstrated organizational skills. Ability to work effectively with all departments and all levels of CHOP professionals. Ability to work independently or within a team structure. Must be very organized and able to work independently. Ability to establish priorities among multiple needs, meet deadlines and maintain standards of productivity. Knowledge of managed care admission process (i.e. verification of benefits, admissions notification). Ability to effectively negotiate with internal and external providers of patient care services. Sound problem solving skills. Excellent customer service orientation and strong interpersonal skills. Computer skills and a working knowledge of Word, Excel and Access.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
Job Summary Under the general supervision of the Director, the Case Manager provides clinically-based support to the delivery of effective and efficient patient care. Paces each case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within the assigned caseload. Partners with Social Workers and collaborates with other health care team members to identify appropriate utilization of resources and to ensure reimbursement. Uses criteria to confirm medical necessity for admission and continued stay. With the patient, family and health care team, creates a discharge plan appropriate to the patient’s needs and resources. We may be filling multiple positions. Job Responsibilities Essential Duties and Responsibilities: Determines medical necessity, appropriateness of admission, continuing stay and level of care using a combination of clinical information, clinical criteria, and third party information. Intervenes when determinations are not in alignment with clinical information, clinical criteria or third party information to resolve the situation. Documents all case management interventions in the current electronic system (EPIC). Validates admission and continuing stay criteria with third party payers as well as the Attending Physicians. Recommends alternative care sites where appropriate. Collaborates with third party payers to prevent denial of payment and proactively addresses issues contributing to a potential denial. Intervenes to prevent the denial when possible. Supports the effective prevention and management of denials, including providing requested information as part of the appeal process. Assesses the patient and family for continuing care needs to develop, implement and evaluate an effective discharge plan in collaboration with the multidisciplinary team. Uses knowledge of usual length of stay to initiate a plan for discharge. Collaborates and communicates with patients/families related to reimbursement issues and to create a discharge plan. Supports the process of patient choice in establishing a discharge plan. Uses clinical knowledge and knowledge of anticipate response to treatment to assess patient progression towards anticipated outcomes. Communicates and coordinates with the patient/family and health care team to intervene when progression is stalled or diverted. Addresses actual/potential barriers to discharge Completes the interventions necessary for discharges to home with self-care, home with services or short term skilled nursing facility placement. Assembles necessary referrals, discharge summaries and pertinent information for discharge to home, placement, or transfer prior to the day of discharge. Actively contributes to, participates in, and follows through on interventions identified in care coordination and complex patient rounds. Identifies high risk patients and creates a collaborative plan to address their unique needs. Job Responsibilities (Continued) Other Responsibilities: Adheres to established departmental policies, procedures, and objectives. Enhances professional growth and development by accessing educational programs, job related literature, in-service meetings, and workshops/seminars. Enhances professional growth and development through participation in educational programs, current literature, in-service meetings and workshops. Maintains established department/hospital/system policies and procedures, directives, safety, environmental and infection control standards apprpriate to this position. Demonstrates a courteous and professional manner through interactions with internal and external customers. Integrates scientific principles and research based knowledge in decision making. Exemplifies a professional image in appearance, manner and presentation. Engages in self-performance appraisal, identifying areas of strength as well as areas for professional development. Reseraches, selects and promotes adaptation of best practice findings to ensure quality patient care and optimal outcomes. Adapts behavior as needed to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style Performs other related duties as assigned. Required Licenses, Certifications, Registrations RN license in the state of Pennsylvania Required Education and Experience Required Education: Nursing Diploma Required Experience: Five (5) years’ experience. Preferred Education, Experience & Cert/Lic Preferred Education: BSN Preferred Experience: Previous experience with discharge planning or home care experience. Prior experience as a Case Manager or Utilization Reviewer. Previous experience in a pediatric setting or similar adult setting Preferred Licenses/certificates/registrations: CCM or ACM Certifications Additional Technical Requirements Excellent communication skills and demonstrated organizational skills. Ability to work effectively with all departments and all levels of CHOP professionals. Ability to work independently or within a team structure. Must be very organized and able to work independently. Ability to establish priorities among multiple needs, meet deadlines and maintain standards of productivity. Knowledge of managed care admission process (i.e. verification of benefits, admissions notification). Ability to effectively negotiate with internal and external providers of patient care services. Sound problem solving skills. Excellent customer service orientation and strong interpersonal skills. Computer skills and a working knowledge of Word, Excel and Access.
Feb 25, 2020
The Children's Hospital of Philadelphia Philadelphia, PA, USA
Job Summary The Registered Nurse (RN) Care Management Coordinator or “Care Manager” provides care management services to a panel of medically complex patients or populations of patients who have risk factors that are amenable to care management interventions. The RN Care Manager may be assigned regionally to support one or more CHOP primary care practices and/or may be assigned to the care of patients who receive primary care outside of the CHOP Care Network. S/he serves an advocate for patients and their families and assists them to navigate the health care system. The RN Care Manager facilitates the continuity of a patient’s care by functioning as a liaison between primary care providers (PCPs), outpatient specialty care providers and inpatient care teams, as well as payers, medical equipment suppliers, home care providers, subacute and chronic care facilities and community resources. S/he collaborates with ambulatory, emergency department and inpatient care teams with the goals of optimizing communication among care providers, promoting seamless transitions between care settings and facilitating the appropriate use of health care resources. Job Responsibilities Practice General care coordination responsibilities: Identify patients in need of care management and maintain a patient database. Provide care management services to an assigned panel or designated population of patients and their families. Develop and maintain patient-centered, intra-disciplinary, longitudinal plans of care and monitor patients’ progress toward care plan goals. Advocate for patients and families and promote communication and collaboration to keep all care team care members informed of patients’ care needs and to ensure that patients access and benefit maximally from available health care resources. Facilitate transitions across care settings. Assist patients and families with access to health care services as needed, including collaboration with payers. Teach, coach and counsel patients and their families to build independence and skills for self-management. Monitor and evaluate patients’ outcomes and communicate outcomes to health care teams. Use information systems to document and track care coordination interventions Transfer patients to higher or lower levels of care management support as appropriate. Outpatient care coordination responsibilities: Communicate regularly with PCPs and relevant specialists regarding acute and chronic patient care issues and intra-disciplinary care plans. Review medical records prior to encounters and participate in outpatient visits as necessary to assist in the development and updating of care plans. Participate in care team meetings to discuss active clinical issues and progress toward goals. Establish routine communication plans and communicate regularly with patients and families to assess ongoing care needs and to facilitate proactive care planning, including regular telephone contact. Serve as a liaison with insurers/payers, review resource utilization and eligibility and identify the need for and facilitate obtaining additional health insurance services. Complete letters of medical necessity, referrals and prior authorizations as needed. Collaborate with home nursing companies and Durable Medical Equipment (DME) providers. Identify and develop relationships with community resources to support patient’s needs and makes referrals when appropriate. Job Responsibilities (Continued) Inpatient care coordination responsibilities: Respond to referrals from inpatient teams, primary care providers or referring hospitals/facilities prior to discharge, and provide consultation on enrollment in longitudinal care management services. Establish relationships with patients who are newly enrolled in care management services prior to discharge and collaborate with the inpatient teams regarding discharge plans and anticipated outpatient care needs. Serve as a longitudinal resource for inpatient teams to obtain relevant information and updates about patients during admissions, and collaborate with inpatient teams regarding outpatient care needs and discharge plans. Facilitate scheduling post-discharge follow up telephone encounters and visits with the PCPs and specialists. Coordinate plans for follow up visits with care providers and for laboratory and diagnostic studies after discharge. Attend inpatient family meetings and care conferences when necessary to integrate inpatient care with patients’ longitudinal, intra-disciplinary care plans. Emergency Department care coordination responsibilities; Serve as a resource to Emergency Department providers for information about patients that will inform the Emergency Department plan of care. General registered nursing duties (including but not limited to); Obtain and document patients’ histories. Perform and document physical assessments. Conduct telephone triage and refer patients to appropriate services. Perform and/or interpret basic laboratory tests. Professionalism and Leadership Assist with surveys and other data collection activities to measure the effectiveness of care management interventions. Support strategies and changes as needed to improve the care management program. Serve as an institutional expert on care coordination and transition management. Job Responsibilities (Continued) Research Read, analyze and synthesize nursing and other scholarly articles and research studies; share knowledge with colleagues. With assistance, apply research findings to clinical practice. Seek opportunities to participate in research studies. Learning Identify learning needs of self and others and assists in the development of a learning plan. Apply education and training from departmental in-services and external sources to unit practices to enhance Nursing practice. Participate in the development/presentation of education programs. Demonstrate health care informatics competency in order to manage patient care, outcome data and current and emerging health care technology. Resource Management Participate in promoting quality, efficient and cost effective care. Monitor own usage of supplies and equipment/identify opportunities for improvement and makes recommendations. Manage own time to accomplish direct/indirect care in a cost efficient manner. Required Licenses, Certifications, Registrations Registered Nursing License or active Temporary Practice Permit in the Commonwealth of Pennsylvania. Can practice with a temporary practice permit for 6 months. BLS Certification issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross). Certification in Care Coordination and Transition Management (CCTM) by the American Academy Ambulatory Care Nursing (AAACN) within three (3) years of being placed into position. Required Education and Experience Required Education: BSN Required Experience: At least five (5) years of nursing experience Preferred Education, Experience & Cert/Lic Preferred Experience: Pediatric experience. Nursing experience with a combination of outpatient and inpatient experience. Additional Technical Requirements Computer Competency Navigation and basic search functions of the Internet using Internet Explorer Use of Outlook 2007 email, opening of attachments, attaching new files to emails and saving attached files to computer Basic use of computers, printers, monitors, patient care devices, and Fax machines Information Literacy Use of Internet and Intranet to look up basic electronic resources for practice Ability to find and print Patient Family Education Documents Information Management Literacy Navigation of electronic health information records and 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 Ability to discuss data presented 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 is partially online and partially paper references
Feb 25, 2020