Clinical Nurse Expert - King of Prussia
King of Prussia, PA
Full Time
POSTED ON 9/18/2022
CLOSED ON 10/29/2022
Job Posting for Clinical Nurse Expert - King of Prussia at Children's Hospital of Philadelphia
Job Summary
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.
The Clinical Expert must attain and maintain all expectations of the PEAK II position within the CHOP Nursing Professional Advancement Program.
Job Responsibilities
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. Anticipates and synthesizes complex assessment data to best determine and influence total plan of care, pertinent data to be shared with care team, and tasks to be delegated.
- Role models the recognition of clinical changes that are indicative of patient deterioration; utilizes the CAT team when appropriate and serves as a resource to other clinical nurses in encouraging the involvement of the CAT team.
- Coaches and interacts with staff at the bedside to coordinate all facets of patient care with the multidisciplinary team. Assures coordination of care across the continuum, utilizing case management resources as needed.
- 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. Assists less experienced staff in developing and advancing care planning skills.
- 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. Aware of trends in nursing outcomes and mentors nurses 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.
- Is an expert educator of patients/families.
- Evaluates and documents the care provided on each assigned shift.
- Monitors professional practice related to nursing sensitive indicators (e.g. medication delivery, prevention of hospital acquired infections, patient falls, hospital acquired pressure ulcers). Educates colleagues and creates programs to drive metrics above the mean of comparison units/benchmarks.
- Provides expertise in implementation of evidenced-based practice and professional practice standards.
- Accountable for the adoption and rapid implementation of clinical practice changes into own practice; assists less experienced staff with developing this skill.
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; 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 safety nets, 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.
- 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.
Job Responsibilities (Continued)
- Encourages patient/family self-advocacy.
- Coaches and supports unit based nurses and multidisciplinary teams in effectively managing patient care and communication.
Collaboration
- 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 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. Evaluates outcomes achieved for patients/families
- 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 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 unit 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 unit/program/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. Leads Shared Governance council activities at the unit and/or department level. Supports the unit shared governance structure; promotes staff participation on unit/departmental councils.
- Seeks opportunities to serve on organizational clinical decision making groups i.e. Ethics Committee, Infection Prevention and Control, Therapeutic Standards.
Job Responsibilities (Continued)
- Fluent with Magnet designation requirements and the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes:
- Actively supports ongoing Magnet designation: partners with unit 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.
- 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.
- Promotes staff compliance of systems that demonstrate quality, efficient and cost effective care at the bedside.
- Assists in developing and deploying systems that assure consistent and appropriate resources for patient care management.
- Partners with unit leadership team to monitor systems, assuring consistent and appropriate resource assignment and utilization.
- In collaboration with unit leadership, identifies ideas for cost management strategies and implements efficient and cost effective strategies at the unit level.
- Partners with unit leadership to identify and execute annual unit based 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.
- 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.
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: BSN required unless hired previous to 2007 with an exemption from Chief Nursing Officer. 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 two (2) years of previous nursing experience or completion of CHOP Nurse Resident Program.
- Meets eligibility requirements for specialty certification.
Preferred Education, Experience & Cert/Lic
Preferred Experience:
- Prior pediatric experience or prior experience in your area of specialty.
- 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.
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