Clinical Nurse Expert

SHIFT:

Any (United States of America)

Seeking Breakthrough Makers

Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.

CHOP's Commitment to Diversity, Equity, and Inclusion

CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.

We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.

A Brief Overview

Children's Hospital of Philadelphia is seeking a Clinical Nurse Expert to join their CHOP Specialty Care at Virtua. This position will be Monday-Friday and it will require travel to the Princeton, Voorhees and Mays Landing Specialty Care Centers. The hiring manager prefers current and/or previous experience with nurse education, pediatrics, regulatory compliance and supervisory experience.

The Clinical Expert practices at the level of an expert practitioner of professional nursing in accordance with, and guided by the CHOP Nursing Professional Practice Model. The nurse at this level demonstrates expertise in caring for patients with multiple and complex problems and leads the advancement of safe, quality clinical practice and development of advanced clinical skills in others. Provides age/developmentally appropriate care. Care is delivered through RN leadership for patient care within the framework of family-centered care.

The Clinical Nurse Expert 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 and may mentor others to incorporate these guidelines into their individual 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.

What you will do

* Clinical Practice
* Follows the nursing process to deliver safe, compassionate, and culturally effective care:
* Manages the care of complex and/or vulnerable populations through expert direct care and by supporting other clinical staff with their direct patient care
* Educates clinical staff to recognize clinical changes that are indicative of patient deterioration and on the appropriate actions steps to ensure patient safety
* Coaches and interacts with clinical staff to coordinate all facets of patient care with the multidisciplinary team. Assures coordination of care across the continuum, utilizing case management resources as needed.
* Consistently incorporates evidence based practice to provide nursing care that eliminates preventable events of patient harm and promotes excellent patient outcomes.
* Maintains an awareness of trends in nursing outcomes and mentors clinical staff to improve outcomes.
* Recognizes patient/family situations which create ethical dilemmas or distress for self and/or colleagues; provides leadership to resolve the distress and/or ensure caregiver support.
* Expert educator of patients/families and staff
* Monitors professional practice related to nursing sensitive indicators (e.g. medication delivery, patient falls, patient and family experience). Educates colleagues and creates programs to drive metrics above the mean of comparison practices/benchmarks
* Accountable for the adoption and rapid implementation of clinical practice change into the practice of nursing within the practice.
* Communication
* Role models effective verbal and nonverbal communication techniques and good listening skills to empathically communicate with patients/ families, and colleagues. Coaches others to improve communication skills.
* Consistently follows safe hand-off practices as defined in patient care standards and procedures; coaches colleagues in hand-offs.
* Exemplifies the use of safety behaviors for error prevention and hold colleagues accountable for their use. Identifies and addresses potential safety events and communicates with unit leadership as needed. Enters KAPS reports, including those for good catch/near miss situations. Follows up on safety events as assigned. Identifies trends in safety event reports and participates in systems improvement to respond to the trend.
* Encourages patient/family self-advocacy.
* Collaboration
* Role Models ICARE values
* Demonstrates effective teamwork as a leader/member of the interdisciplinary care team, fostering and exemplifying a culture of respect. Addresses/manages situations where disrespectful collaboration may impact patient care and/or create non-collaborative relationships. Escalates unresolved situations involving incivility and/or disrespect for resolution.
* Role models the nursing role through participation in interdisciplinary collaboration.
* Demonstrates expertise in the incorporation of 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.
* Leads activities that build on strengths and opportunities for the team.
* Provides employees with experiences to help meet their developmental clinical and professional advancement goals.
* Professional Development
* Role models and mentors others in the appearance and behaviors that promote a positive image of professional nursing
* Demonstrates expert clinical judgment and critical thinking skills
* Demonstrates mastery of the principles of Family Centered Care, including:
* Dignity and respect, information sharing, participation, and collaboration
* Teaches others to apply the principles of family centered care
* Partners with multidisciplinary clinical leadership to execute plans to improve the patient/family experience. Understands patient family experience survey results and identifies trends. Leads and establishes systems for patient/family satisfaction improvements.
* Supports a practice work climate which achieves high level employee engagement/satisfaction and retention as measured through department specific metrics. Leads improvement efforts related to the results of the Nurse Satisfaction/Practice Environment Survey.
* Implements/leads innovative staff recognition programs that acknowledge staff accomplishments at the practice/department level.
* Recognizes patient/family situations which create ethical dilemmas or distress for self or colleagues; provides leadership to resolve the distress and/or ensure caregiver support.
* Recognizes issues related to nonprofessional boundaries with patients, families, and/or colleagues and leads efforts to encourage therapeutic relationships with patients and families.
* Practices within a shared decision making environment. Supports the Ambulatory Shared Governance structure; promotes staff participation on ambulatory council.
* Fluent with Magnet designation requirements and the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes:
* Seeks opportunities to serve on organizational clinical decision making groups i.e. Ethics Committee, Infection Prevention and Control, Therapeutic Standards.
* Actively supports ongoing Magnet designation: partners with department leadership to develop and execute action plans for measurable continuous improvement in patient care outcomes.
* Reviews data and implements action plans to improve patient outcomes.
* Serves as a leader to improve nurse sensitive indicators at the unit or department level.
* Assists with regulatory compliance (i.e., environmental, practice, safety, technological). Coordinates education programs for staff to align with hospital initiatives and to meet regulatory requirements.
* Identifies own learning needs and actively assures learning needs are met.
* Seeks out opportunities to meet needs and attends all required programs.
* Maintains CEU's for nursing licensure.
* Maintains compliance with mandatory education and annual nursing competencies.
* Recognizes individual preferences regarding an environment of constant change and understands change management. Develops effective methods to cope with and incorporate learnings from a fast-paced, ever changing environment; assists others to develop effective methods.
* Understands and contributes to the science of nursing
* Has a well-developed sense of inquiry.
* Stays abreast of relevant literature.
* Performs literature reviews.
* Develops clinical questions and advances understanding and application of evidence based practice.
* Serves as an evidence-based practice expert; leads system improvements with demonstrated measurable improvements in clinical outcomes.
* Participates in nursing research to generate new clinical knowledge.
* Promotes and supports implementation of educational programs/projects.
* Participates in activities that contribute to improving the health of the community
* Demonstrates fiscal stewardship:
* Manages own time to accomplish direct/indirect care in a cost-effective manner
* Teaches the implications of the cost of staffing decisions to others.
* Assists in developing and deploying systems that assure consistent and appropriate resources for patient care management.
* Partners with practice leadership team to monitor systems, assuring consistent and appropriate resource assignment and utilization.
* In collaboration with practice leadership, identifies ideas for cost management strategies and implements efficient and cost effective strategies at the practice level.
* Partners with practice leadership to identify and execute annual quality improvement initiatives that result in a measurable impact on quality, cost and resource utilization.
* Demonstrates healthcare informatics competency to manage patient care, outcome data, and current and emerging healthcare technology.

Education Qualifications

* Bachelor's Degree Nursing Required

Experience Qualifications

* At least two (2) years previous nursing experience Required or
* Progressive leadership Preferred
* Prior pediatric experience or in a specialty area Preferred

Skills and Abilities

* Informatics competencies for registered nurses:
* Computer Competency
* Basic use of a computers (e.g mouse, keyboard, printer, USB ports), fax machines
* Basic use of MS Office Suite
* Use of MS Outlook email, opening attachments, attaching files to emails, and saving attached files to computer.
* Use of shared network file space.
* Basic use of patient care devices. (e.g. IV pumps, point of care devices, CR monitors)
* Navigation and use of Clinical communication systems
* Nurse Call system
* Ascom
* 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 Shared Governance Department Council minutes Ability to find and navigate Department of Nursing websites, @CHOP Communities and related linked CHOP resources.
* Ability to perform a literature search on the Internet and ability to find professional journal and/or research-based articles.
* Information Management Literacy
* Navigation of electronic health records.
* Ability to locate and review specific patient data in clinical information systems and the electronic health record.
* Understanding of policies and procedures around timeliness of care, use of a clinical information system, and support of safe nursing practice. (e.g. use of clinical pathways.)
* Ability to collect clinical data using quality improvement tools (e.g. hand hygiene).
* Understanding confidentiality and privacy regulations when using a patient electronic health record.
* Coordination of patient care information in a patient care record that utilizes multiple systems.

Licenses and Certifications

* Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or
* Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required and
* 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). - upon hire - Required
* Specialty Certification - in area of specialty. - upon hire - Preferred

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must be fully vaccinated against COVID-19 and receive an annual influenza vaccine. Learn more.

Employees may request exemptions for valid religious and medical reasons. Start dates may be delayed until candidates are immunized or exemption requests are reviewed.

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