Registered Nurse, PICU

Nemours Children's Health Wilmington, DE, US

Job Description

The PICU is seeking a Registered Nurse to join our team in Wilmington, DE.

The Pediatric Intensive Care Unit of Nemours Children's Health, Delaware is a 24-bed unit in a Level 1 Trauma Center. Patients requiring care and surveillance in the PICU will have conditions and diagnoses which may include, but are not limited to, those producing: acute and reversible loss of consciousness, respiratory failure, compromised air exchange, cardiovascular dysfunction, hepatic failure, hemodynamic instability, renal dysfunction, central nervous system injury or dysfunction, acute trauma and organ failure requiring transplantation.

Treatments or interventions performed in the PICU include measures utilizing advanced life support technology. These include, but are not limited to cardiopulmonary resuscitation, tracheal intubation, ECMO, pharmacologic support of circulation, mechanical ventilation, point of care monitoring, CRRT, thoracentesis, and hemodynamic, intracranial pressure, intravascular monitoring.

Each patient room has electrocardiographic, pulse oximetry, respiratory, hemodynamic and intracranial pressure monitoring capability, as well as central EKG and respiratory monitoring. Portable monitoring during patient transport is provided.

Special equipment includes radiant warmer beds, heating/cooling blanket systems, Mapleson manual ventilation system, end tidal CO2 monitors, ventilators, hemodynamic monitoring systems, intracranial pressure monitoring system, ventriculostomy systems, infusion pumps, blood warmer, continuous renal replacement systems, and peripheral nerve stimulators.

Requirements

Be a graduate of an accredited school of nursing; BSN preferred.
Experienced pediatric intensive care nurse of at least 2 years preferred.
Current Delaware or Multistate Compact License
Must be CPR certified by the American Heart Association. PALS and ACLS preferred.
Certifications: CCRN preferred

About Us

Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.

Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.

Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.

Learn more at Nemours.org .

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SHIFT: Day (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 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. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview Under the leadership of the Medical Director of the CTSA CHOP Clinical Research Unit (CRU), this role will be a key member of the leadership team, responsible for providing operational, clinical and administrative oversight of all CRU Research Nursing Core patient care activities. Specifically, this includes supervising all research nurses and the implementation of all research protocols in the CRU nursing unit and inpatient areas, as well as serving as a resource for all studies requiring nursing support. This position will ensure that all nurses are trained appropriately and that they are in compliance with state and hospital licensing and training requirements. This role will also assist in budgetary preparations and planning as well as annual reporting. What you will do Strategic Planning With the Medical leadership and administrative leadership, develop and implement short- and long-term plans for facilities and services to accommodate growth and complexity of the studies led by investigators Develop working relationships among investigators in different divisions and departments to facilitate the implementation of clinical studies under CHOP PI-sponsors or industry sponsors Ensure alignment of and communication with key stakeholders Operational Management Provide operational, clinical and administrative oversight of patient care activities and coordinate resources for studies requiring nursing support Work collaboratively with other team members and leaders to review the resource requests and ensure that applications submitted by investigators requesting nursing core resources reflects what is needed in the IRB approved protocol Attend monthly operations meetings; make recommendations about level of nursing resources available Hold monthly nursing meetings to review activities, projected utilizations, schedules and any issues involving nursing requests or services Make recommendations to administrative and program leadership to resolve any nursing or patient care issues within the nursing areas Oversee nursing patient census records and reporting, ensure staff is keeping accurate records of protocol utilization and patient visit activities Assist in budgetary preparations and prepare the annual report to be shared with senior leaders Schedule and oversee implementation of studies to maximize resource allocation at family/patient convenience Work in the various nursing areas implementing current protocols, manage all protocols at the patient bedside Ensure safety of research subjects through communication and collaboration with the hospital and research safety teams Purchasing including Supply chain and COUPA; assist studies in purchases that are required Investigator/Nursing Core Liaison Evaluation of research studies Understand diagnosis and pertinent medical findings, rationale, goals in treatment, and nursing care protocols Review plan of study with the nursing personnel to establish full understanding of the research protocol and to facilitate the research study Assist and/or oversees assistance given to investigators, in protocol development and planning by educating them on resources and activities Promote high quality clinical research through oversight, policy development and QA mechanisms Meets with investigators and/or nursing personnel prior to the implementation of study to ensure all necessary processes are clearly established prior to study initiation Attend educational sessions, conferences, or patient care rounds which are pertinent to current protocols Ensure that accurate, dependable data is relayed to investigators Personnel Management Supervise all research nursing staff Assist the lab core leadership by support scheduling of laboratory and medical assistant staff Approve time off requests, complete performance evaluations, ensure adequate new employee and continuing training of staff, when necessary develop and implement job performance improvements goals and plans Create staffing plans and documents future staffing needs; justify additional staffing requests; ensure productivity of all staff Work with the administrative leadership in filling any vacant positions by reviewing current job description, reviewing candidate credentials, interviewing and making recommendations for hire Aim to retain experienced nursing staff; develop plans for nursing retention Utilize patient satisfaction data, QI data, incident report data and other forms of feedback to improve care provided by nursing staff Immediately investigate patient/family complaints and provide prompt feedback Supervise, and as needed perform, the insertion of IVs, drawing of blood samples, accessing ports, collecting biospecimens as designated by the protocol Coordinate and supervise all necessary services performed by nursing staff to complete study requirements and minimize disruption to patient/family; this can include ECGs, Holter monitors, IV infusions, oral and injectable medications and any other services in the protocol under nursing services Document study related activities in electronic health record including vital signs, urine pregnancy tests, medication dosing Provide support of the lab core and laboratory staff, including -Collaborate to set up studies in systems -Assist study staff in identifying samples that need to be pulled and sent out from systems -Review lab protocols with laboratory staff, including additives and special processing Regulatory Compliance Oversee adherence to principles of infection control and universal precautions, adherence to OSHA standards, hazardous material guidelines, and isolation procedures Ensure all necessary licensing and training requirements are current and documented Distribute and track investigational medication Oversee with refrigeration systems – making sure units are checked, temperature probes are calibrated annually Prepare temperature logs and follow up on freezer or refrigerator alarms Oversee the NOVA glucose monitors including training and adding new lot numbers to the system for both the sticks and controls Reviewing POC, including yearly staff competency Education Qualifications Bachelor's Degree Nursing Required Master's Degree Nursing Preferred Experience Qualifications At least five (5) years of pediatric nursing experience Required At least three (3) years of leadership, management or supervisory experience Required At least two (2) years of clinical research experience including the conduct of clinical trials Preferred Skills and Abilities Advanced proficiency with electronic medical records systems (EPIC) Intermediate proficiency with office software (Microsoft) including email & calendar, word processing, spreadsheet, presentation, collaboration and content/knowledge management software (Outlook, Word, Excel, PowerPoint, Teams, SharePoint) Advanced knowledge of policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems. Excellent verbal and written communications skills Excellent interpersonal skills Excellent time management skills Excellent organizational skills Strong leadership skills Ability to maintain confidentiality and professionalism Ability to work independently with minimal supervision Ability to gather, analyze and make recommendations/decisions based on data / best practices Ability to convey complex or technical information in an easy-to-understand manner Ability to influence others to accomplish tasks outside of the direct span of control Ability to collaborate with stakeholders at all levels 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 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 receive an annual influenza vaccine. Learn more. EEO / VEVRAA Federal Contractor | Tobacco Statement SALARY RANGE: $98,820.00 - $126,000.00 Annually Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly. ------------------- This job is eligible for an incentive program. At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.

Pediatric

Full-time

1 week ago

ECMO Primer, Registered Nurse

Children’s Hospital of Philadelphia Philadelphia, PA

$47.15 - $56.72 / hour

SHIFT: Day (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 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. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview This is a day shift opportunity with the ECMO core team and would include every third weekend. The position includes responsibility for ECMO circuit assembly, priming and emergency procedures including cannulation. ECMO pump 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. 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. What you will do 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. 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 o 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: o Manages own time to accomplish direct/indirect care in a cost-effective manner o Conserves unit and organizational resources; assures supplies are not wasted or misused. o Does not incur incidental overtime. o Understands the implications of the cost of staffing decisions. o 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. o Seeks out opportunities to meet needs and attends all required programs. o Maintains CEU’s for nursing licensure. o 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: o Develops a sense of inquiry. o Reads articles pertinent to the patient population. o Performs literature reviews. o Develops clinical questions and advances understanding and application of evidence based practice. o 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. Education Qualifications Technical Diploma Nursing Required Bachelor's Degree Nursing Preferred Experience Qualifications At least one (1) year RN experience. Required Prior experience in pediatrics or area of specialty Preferred Skills and Abilities 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. Licenses and Certifications Registered Nurse (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (Pennsylvania) - Pennsylvania State Licensing Board - upon hire - Required or Registered Nurse (New Jersey) - New Jersey State Licensing Board - upon hire - Required or Nursing Temporary Practice Permit (New Jersey) - New Jersey State Licensing Board - upon hire - Required and Cardiopulmonary Resuscitation (CPR) - issued through on organization that requires a hands-on instructor lead psychomotor skills verification (ex. American Heart Association or Red Cross). - upon hire - Required 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 receive an annual influenza vaccine. Learn more. EEO / VEVRAA Federal Contractor | Tobacco Statement SALARY RANGE: $47.15 - $56.72 Hourly Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly. ------------------- At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.