Advanced Practice Hospital Nurse

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CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. 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. Clinical Nurses practice 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.
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.
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.
Evaluates and documents the care provided on each assigned shift.
Accountable for the rapid adoption and implementation of clinical practice changes into own practice.
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.
Identifies potential safety concerns and communicates with unit leadership as appropriate. Enters safety nets when applicable, including good catch/near miss situations.
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. 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.
Models appearance and behaviors that promote a positive image of professional nursing.
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. 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.
Participates in ongoing designation activities such as serving as a unit based Magnet champion.
Manages own time to accomplish direct/indirect care in a cost-effective manner
Conserves unit and organizational resources; Does not incur incidental overtime.
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. Maintains CEU's for nursing licensure.
Maintains compliance with mandatory education and annual nursing competencies.
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 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.
Technical Diploma Nursing - Required
Bachelor's Degree Nursing - Preferred
At least one (1) year RN experience - Required
Prior experience in pediatrics or area of specialty - Preferred
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.
IV pumps, point of care devices, CR monitors).