Children’s National Hospital is the region’s leading provider of critical care for seriously ill and injured infants and children. We offer the only Level IV Pediatric Intensive Care Unit and specialized Cardiac ICU (CICU) in the greater Washington, DC area.

In our state-of-the-art CICU, our team of pediatric heart specialists is dedicated to saving and improving the lives of our most vulnerable patients.

The Cardiac ICU is a 26-bed unit. This unit provides comprehensive cardiac care to pediatric patients. The CICU Patient Care Management Team coordinates interdisciplinary patient assessment and patient care and provided by cardiac surgeons, cardiologists, and pediatric intensivists and nursing in conjunction with multiple specialty services within the Medical Center. Patients are admitted to the CICU from the ED, Cardiac Clinic, the Operating Room, and transfers from in-house units as well as transports from other institutions via the Pediatric Transport team. The CICU also provides for extracorporeal life support (ECMO) and rapid deployment ECMO. Twenty to twenty-five percent of the intensive care patients are cardiovascular surgery or cardiac patients. Children requiring repair of congenital heart defects from the simple to the complex, including heart transplants receive care in the CICU.

The Telehealth Command Center in our CICU uses cutting-edge technology to keep continuous watch over the most fragile patients. It offers collaborative communication to help monitor, predict and prevent major events such as cardiac arrest.

The Cardiac ICU provides subspecialty care for critically ill patients with congenital, acquired cardiovascular or related diseases. The 26-bed unit integrates the latest technology in a family friendly environment. The multidisciplinary team is dedicated to improving outcomes for children through innovation and research. The CICU staff includes an integrated cardiac team with all sub-specialists readily available and accessible. The unit-based staff includes a dedicated pharmacist, respiratory therapist, social worker, nurses, as well as physicians from the divisions of anesthesiology, critical care medicine, cardiology and cardiac surgery. Children’s CICU is home to an Extracorporeal Life Support Organization (ELSO) center of excellence for ECMO services in children. The CICU also has VAD (Ventricular Assist Device) and heart transplant programs.

All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children's National Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. Children's National supports the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large.

Minimum Education
ADN Minimum, BSN Preferred

Minimum Work Experience
1 year pediatric acute care or Adult ICU RN experience (Required)

Required Skills/Knowledge
The licensed Registered Nurse will successfully complete the hospital and nursing orientation at Children’s National.
Keep knowledge base current with new information or changes in specialty area.

Required Licenses and Certifications
Registered Nurse in District of Columbia (Required)

Cardio-Pulmonary Resuscitation (CPR) .

Functional Accountabilities
Transformational Leadership

• Contribute to Magnet re-designation as evidenced by independent updating of professional profile and initiation of council involvement, committees, task forces and /or community outreach.

• Demonstrate critical thinking skills by problem solving appropriately during patient care.

• Communicate to reflect development of plan of care and ability to advocate to meet patients’ needs.

• Independently initiate escalation of issues utilizing chain of command.

• Demonstrate proper use of the currently identified hand off processes.

• Demonstrate a collegial and respectful relationship with ancillary staff.

• Participate in implementing change and support management decisions.

• Role model behavior that reflects empathy, concern and a desire to help others.

Structural Empowerment

• Independently maintain regulatory requirements e.g. license, BLS.

• Plan for attendance at mandatory education and professional activities to enhance nursing practice.

• Demonstrate professional review of peers through timely participation in evaluations.

• Seek out opportunities to participate in enhancing departmental goals by ensuring adherence to national safety standards and service excellence standards; support advancement of education and certification as well.

• Collaborate with members of the healthcare team and role model professional behavior and teamwork with coworkers.

• Utilize resources as needed and know when to escalate to next level.

Exemplary Professional Practice

• Utilize assessment data gathered from patient and family to ensure completion of data base and plan of care within identified timeframes.

• Demonstrate clinical skills with complex patients that reflect analysis of patient status and appropriate interventions.

• Role model skill in prioritization and organization for complex patient with rapidly changing needs.

• Documentation exemplifies adherence to the highest standards of practice.

• Anticipate and proactively plan for educational needs verified with patient and family throughout the hospital/outpatient stay and prior to discharge.

• Role model organizational skills, adjust for changes and is able to complete assignment on time.

• Demonstrate caring in all encounters with patient and family as evidenced by feedback from parents and an increase in patient satisfaction scores.

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

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Full-Time Salary Range