*STAFF NURSE II

Overview

The Perioperative Nurse performs circulating and scrubbing duties for operative procedures. He/she is responsible to the Nurse Manager, Surgery/GI Lab, and works closely with surgeons, anesthesiologists and other members of the operative team to prepare the patient and the operating room for the intended surgical procedure. The Perioperative Nurse is independently responsible for the welfare and safety of the patient during the surgical procedure. Contributes to the team spirit and cohesiveness of the unit and nursing department. Contributes to the unit and department problem solving and issue resolution. Contributes to positive unit and interdepartmental communications and relationships. Communicates effectively, including speaking English, as appropriate.Maintains a professional attitude, demeanor and appearance, wears prescribed departmental uniform, wears identification name badge. Arrives punctually, takes appropriate time for breaks, uses sick time appropriately. Adheres to the departmental and Medical Center policies on scheduling, overtime, sick time and time off. Through a process of ongoing self-assessment, plans and implements steps to improve knowledge and skills. Attends assigned classes and in-services, staff meetings, reads all departmental communications and assigned materials. Maintains a safe environment, prevents/corrects hazardous conditions, reports accidents promptly. Uses appropriate body mechanics for all work assignments. Knowledgeable of the Medical Center’s Environment of Care plans and programs. Appropriately responds to all safety and emergency signals and notifications. Contributes to cost containment through the wise use of both human and material resources. Participates in the unit, departmental and Medical Center’s Quality Improvement Program, as assigned. Follows all unit, departmental and Medical Center Policies and Procedures. Demonstrates excellent Customer Service in all interactions. Demonstrates a knowledge of and competence in age-related patient care, as defined and documented in department standards.

Responsibilities

Assessment1. Assesses and collects health status data that is documented, retrievable, continuous and communicated to all health care team members, focusing on the emotional, physical, spiritual, educational, and pyschosocial needs of the patient/resident. a. Interviews the patient/resident/family/significant others on admission, and as needed, and completes an appropriate, documented detailed patient/resident history (admission Database.) b. Identifies actual and/or potential discharge needs and initiates a plan in collaboration with physician(s), case manager, and other health care team members. c. Prioritizes data collection as determined by the patient’s/resident’s immediate condition or needs. d. Correlates findings from all body systems to determine additional signs/symptoms that should be assessed. e. Recognizes deviations in development/age-specific behaviors and plans interventions, as appropriate, towards a return in normalcy of the patient/resident.

Consistently and proficiently performs accurate patient/resident physical assessment, incorporating bio-psychosocial, age-specific, and spiritual needs, which are based upon clinical and theoretical knowledge.3. Interprets messages and subtle cues in patient/resident/family movements, gestures, physical appearances, facial expressions, etc., and validates their meaning with the individuals in a supportive/professional manner. 4. Identifies variables and relationships in data to assist in developing an individualized plan of care.5. Identifies effectiveness of patient’s/resident’s support systems.

Nursing Diagnosis1. Uses analytical and critical thinking skills to assess data, symptomatology, and age-specific needs related to pathophysiologic processes to formulate nursing diagnostichypothesis. 2. Formulates a plan of care within the established time frame to specific unit, based on the identified problems as documented on the plan of care for continuous individualized care. 3. Nursing diagnoses are validated with patient/resident/significant others, and health care providers, when possible.

Planning1. Develops a written individualized patient/resident plan of care using nursing diagnosis and establishes measurable expected outcomes in behavioral terms for planned nursinginterventions consistent with current scientific knowledge of disease, entities and human behavior.2. Develops realistic short-term goals for each problem, involving patient/resident/family, significant others, and health care providers, when appropriate with understanding of the developmental (age-specific) needs of the patient/resident. 3. Establishes priorities for care based on multi-disciplinary, teaching, discharge planning and age-specific needs.4. Outcomes: a.Are realistic in relation to the patient’s/resident’s present and potential capabilities. b. Are attainable in relation to resources available to the patient/resident. c. Include a time estimate for attainment. d. Provide direction for continuing care. e. Are documented.

Interventions

Orients patients/residents/families to physical environment and routines, ensures the documentation and safety of belongings, sets basic care priorities accommodating to changing needs, provides physical care/comfort measures, and assists with activities of daily living. 2. Processes or ensures timely processing of physicians’ orders, protocols, prescribed tests, procedures and treatments.3. Schedules and coordinates patient/resident care services (i.e., tests, therapies, procedures, etc.) to avoid delays in hospitalization, waste of resources and duplication of services. 4. Organized and priorities care based on individual needs and the overall activity of the unit.5. Prescribes, implements, and/or delegates, appropriate interventions (actions) to achieve stated or written measurable, expected outcomes to the identified problems in the plan of care. Delegation is based on consideration of health care team members competency, skills and abilities. 6. Coordinates the activities of team members in completing their diagnostic and therapeutic interventions. 7. Utilizes a variety of available resources (i.e. physicians, peers, other employees and administrative leaders), effectively and efficiently in providing care. 8. Performs general and specific nursing technical skills to individuals and groups of patients/residents utilizing equipment safely and properly and to avoid complications leading to additional services and/or prolonged hospitalization.9. Proficiently performs all procedures related to the area of practice. 10. Applies the principles of counseling, therapeutic communication, and teaching/learning in patient/resident interactions – demonstrating caring and compassionate behaviors. 11. Creates relationships that acknowledge and support patients’/residents’ rights to self-determination. 12. Identifies strategies in creating and maintaining positive patient/resident interactions while respecting their social/cultural values in therapy.13. Assess patients’/residents’ condition on an ongoing basis for changes and the appropriateness of the plan of care.14. Communicates significant changes in the patients’/residents’ condition to the appropriate health team members in a timely manner. Patient/Resident/Family Teaching1. Assesses patient/resident (and family if appropriate) learning (age-specific) needs, abilities, and readiness to learn and gives consideration to the patients’/residents’ family, cultural, religious, emotional, motivational, psychosocial, physical, cognitive and language status. 2. Assesses patient/resident and family interpretations of health and illness, in order to develop and appropriate teaching plan aimed at facilitating adaptation to illness/injury/limitations. 3. Provides an interpretation of conditions and gives rationale for procedures to patients/resident including expected and/or potential changes. 4. Negotiates with patients/residents, families, and health care team members in planning patient/resident-teaching strategies and in formulating a realistic discharge plan.5. Collaborates with other health care team members to identify patient/resident and family needs for teaching to achieve expected outcomes.

Uses support services/resources to provide education and discharge planning. These include, but are not limited to: Social Services, Case Managers, Home Care, Wound Care, Diabetes Specialist, Dietician, Interpreters, Occupational Health, Physical Therapy, Infection Control Coordinator, Pharmacist, Community Resources, etc. 7. Records indicate that the patient’s/resident’s (and family’s if appropriate) learning needs concerning the following are identified and addressed: a. Safe use of medication b. Use of medical equipment c. Diet and nutrition d. Rehabilitation (if needed) e. Referral Services f. Follow-up care and how it’s obtained. g. The patient’s/resident’s and family’s responsibilities in the provision of care.8. Provides pre-operative/pre-procedure and post-operative/post-procedure teaching and documentsresponses and understanding of patient/resident and family.9. Assesses outcome data to determine effectiveness of education/counseling.10. Minimizes barriers to patient/resident education and/or health behavior changes by modifyingteaching methodologies based on ongoing assessment of patient/resident comprehension of material. Evaluation1. Evaluates the plan of care according to the current condition and changing needs of the patient/resident. Involves the patient/resident, family’s significant others and health care provider in the evaluation process. 2. Accurately and concisely documents on the appropriate medical record forms, the patients’/residents’ status and responses, including age-specific responses, to interventions given by all health care team members in reaching expected outcomes. 3. Evaluates the plan of care for patients/residents on a 24-hour basis or more often as indicated.4. Modifies the plan of care as needed based on changing patient/resident needs as determined by continuing assessment.Leadership, Professionalism, Self-Development, Teaching1. Teaches in accordance with established policies and procedures and serves as a preceptor/resource for new staff, orientees, and students.2. Provides formal/informal in-service programs to staff, students, and faculty, e.g., demonstratesrationale and use of complex/new equipment and/or procedures.3. Alerts faculty and students to educational opportunities and experiences that become available. 4. Readily acknowledges limitations of knowledge/skills and seeks assistance from appropriate resources in self-development including new equipment and products used in performance of job.5. Demonstrates awareness of legal implications in matters of patient/resident care and unit operations a. Documentation is legible, timely, comprehensive, and accurate. b. Follow established written policies and procedures.6. Consults others for validation and guidance in decision making, as necessary.7. Takes control of crisis situations, e.g., acting out, combativeness, withdrawn/suicidal patient/resident behaviors; internal disaster situation sin department, etc. Initiates appropriate actions and mobilizes others in situations of multiple and conflicting stimuli.8. Demonstrates appropriate leadership skills in the delegation of tasks and duties to other health care team members in order to promote quality patient/resident care.

Identifies problems, offers solutions and uses sound judgement and ethical principles in their resolution.10. Gives constructive feedback to co-workers regarding care policies.11. Actively participates in achieving patient/resident, unit and Nursing Department goals/objectives. 12. Develops/updates/revises general teaching plans (as needed) for different patient/resident populations served.13. Demonstrates knowledge of the RN Scope of Practice and that of other team members, including the LVN Scope of Practice.14. Actively participates in ongoing performance improvement processes on the unit as well as the Nursing Department. Participates in peer review where appropriate and in the development and/or revision of nursing standards.15. Uses CQIP process to document any all unusual occurrences appropriately (includes reporting of ADVERSE DRUG REACTIONS).

Interpersonal Relationships/Communication/Team Work1. Conveys ideas, concepts, and facts in a logical, understandable, and concise manner.2. Listens, comprehends and responds immediately to directions. 3. Uses oral and written skills to effectively communicate to others health care team members, patients/residents, and families, including speaking English, as per the Language policy, as appropriate. 4. Communicates verbally and non-verbally in a clear, caring and polite manner with all contacts; checks for understanding. 5. Recognizes and utilizes appropriate lines of communication and seeks guidance, direction and assistance when needed.6. Answers the telephone within 3 rings and patient/resident call system within 3 minutes courteously and relays calls or messages to the appropriate person in a timely manner.7. Initiates collaborative interchange with members of the health care team and chooses appropriate location and environment for verbalization of concerns.8. Facilitates the use of other professional/support roles in the delivery of patient/resident care. Adapts to changing workloads.9. Assigns and reassigns patient/resident care responsibilities considering skill/competency level of staff within the team in a timely, efficient manner to accommodate changes in patients’/residents’ needs. 10. Uses a problem-solving approach to resolving job-related issues.11. Directs and/or redirects criticisms to constructive discussion and minimizes role conflict andterritoriality.12. Fosters a cooperative effort in meeting the goals of the team and sharing the workload.13. Contributes to the team spirit of the department and positive interdepartmental relations.14. Participate sin physician rounds and encourage fellow staff to do the same, as appropriate. 15. Demonstrates awareness of unit (department) staff needs, provides feedback to Nurse Manager or designee and participates appropriately in providing staff.16. Delegates appropriately to team members, evaluates performance of tasks delegated and provides constructive feedback to team members. 17. Displays a caring, courteous attitude toward all patients, their families and visitors. 18. Responds quickly to the needs of patients, their families and visitors.19. Calls patients, their families and visitors by name, e.g., Mr. Or Mrs.20. Treats patients, their families and visitors with dignity and respect.21. Communicates effectively with angry or difficult patients, families, or visitors. 22. Resolves all patients’ questions and concerns quickly; if unable to do so, refers the issue to the appropriate individual.23. Demonstrates courtesy and respect for fellow employees, including volunteers and students.

Identifies self and department on the telephone.25. Speaks in a polite and courteous manner on the telephone.26. On the telephone, offers assistance or takes a message.

Accountability1. Demonstrates the ability to document pertinent information in the medical record using appropriate forms in an accurate, legible, timely, clear, and concise manner following established policy, for all assigned patients/residents. 2. Demonstrates competency in using the Nursing Process.3. Delivers care in a nonjudgmental and nondiscriminatory manner. In accordance with the mission, philosophy, and values of the organization, it provides patient/resident care consistent with the standards of Seton Medical Center, the community and regulatory agencies.4. Demonstrates competency as documented on the Nursing Skills/Competency Checklist, Standardized Procedures and other certifications on an annual basis.5. Identifies conflicting medical orders and nursing interventions and tasks appropriate actions to resolve them.6. Demonstrates poise and proficiency in managing emergency situations under established protocols. a. Demonstrates appropriate prompt action in “Code Blue.” b. Demonstrates appropriate prompt action in “Code Red.” c. Rapidly recognizes and acts upon conditions which threaten the patient's/resident’s physical and emotional well-being.7. Demonstrates safety-conscious behavior including using proper body mechanics and principles in moving objects, consistent with the hospital's safety program, infection control policies/procedures, including universal precautions, hazardous waste management program and all policies and procedures.8. Notifies Manager or designee or any injury (completes Employee/Volunteer Accident Report), unusual occurrence, situation or compliant; necessary repairs, etc., in a timely manner.9. Safeguards the patient’s/resident’s rights as delineated in the “Patient Bill of Rights.” a. Assists patient/resident/family in decision making process by making pertinent factual information available and assists them in comprehending data as necessary. b. Obtains documented consent for procedures requiring it. c. Maintains confidentiality of all patient/resident information and their records. d. Assists patients/residents in maintaining dignity and treats all patients/residents with respect. e. Properly applies and monitors safety restraints per policy. f. Utilizes the Ethics Committee as necessary.10. Accepts responsibility and accountability for assignment and the quality of care provided by self and health care team.11. Actively contributes to cost containment in supply usage, staff utilization, proper use of equipment, etc. Evaluates factors related to safety, effectiveness, and cost when two or more practice options would result in the same expected outcome. 12. Maintains a professional attitude and appearance; wears a picture ID badge. Follows departmental dress code.13. Takes appropriate amount of time for breaks and ensures coverage of patients/residents, by other health care team members while on break.14. Complies to the sick time policy and arrives punctually and ready to work.15. Checks with and obtains approval from Manager or designee before using overtime.16. Maintains proof of current license(s), certification(s), and special training, e.g., BCLS, ACLS, PALS, etc., as required per area of practice.17. Membership and participation in professional and/or specialty nursing organizations is highly encouraged.

Actively participates at staff meetings. Age-Specific1. Assesses for age-related physical limitations and common age-associated conditions.2. Assess for age-related safety needs.3. Considers age-related variances when analyzing vital signs and lab values.4. Provides for age-related nutritional, psychosocial and functional needs.5. Communicates verbally and non-verbally effectively with specific age-related or cultural populations served. 6. Varies communication technique and teaching style based on age-related and/or cultural background. 7. Develops a plan of care that incorporates identified pertinent age-related needs.8. Evaluates patient response to medications based on age-related pharmacokinetics and weights. 9. Evaluates patient response to treatment based on age-related physiological and/or psychosocial factors.

Qualifications

EDUCATION:

∙ Graduation from an accredited school of nursing.

EXPERIENCE:∙ Experience and training as a perioperative nurse.∙ 3-5 years of genral, cardiac, vascular, and thoracic operating room experience. ∙ Scrub tech preferred. Circulating Nurse preferred.

CERTIFICATIONS/LICENSURE:∙ Licensure as a Registered Nurse by the State of California required∙ AHA Provider BLS, ACLS∙ Membership in AORN desirable∙ Certification as a Perioperative Nurse encouraged

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Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Graduate from an accredited nursing program. BSN preferred. Experience: Minimum of 1 year recent Pediatric PACU RN experience or 2-years recent Pediatric ICU RN experience. Pediatric PACU experience strongly preferred. License/Certification RQI Healthcare Provider Pediatric Advanced Life Support or Pediatric Advanced Life Support by American Heart Association (AHA) within 90 days of hire Registered Nurse by California Board of Registered Nursing RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) Advanced Cardiovascular Life Support by American Heart Association (AHA) within 90 days of hire or RQI Healthcare Provider Advanced Life Support KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $96.35 to $111.14 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

Oncology

Full-time

5 days ago

Clinical Nurse II - Hematology and Oncology Center

Lucile Packard Children's Hospital Stanford Palo Alto, CA

$96.35 - $111.14 / hour

Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Department Description The Bass Cancer Center for Childhood Cancer and Blood Diseases is a comprehensive patient care area that encompasses both inpatient and outpatient services. The Bass Center - Inpatient area, is a total of 49 beds, which encompasses PCU 500 and PCU 520: PCU 500: A 25 bed inpatient Hematology and Oncology unit. Patients are admitted with a new diagnosis of any type of cancer and readmitted for ongoing therapy and treatment of side effects. PCU 520: A 24 bed inpatient Stem Cell Transplant unit. Patients with metabolic and genetic disorders, in addition to patients with cancer, are admitted for allogeneic bone marrow, autologous bone marrow and stem cell transplants. Job ID: LP_00019670-2658839 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Education: Graduate from an accredited nursing program. Experience Minimum of 1 year oncology experience in an acute care facility, required. Hematology/Oncology and/or Pediatric RN experience, preferred. License/Certification Chemo training by Association of Pediatric Hematology/Oncology Nurses within 180 days Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support Pediatric Advanced Life Support by American Heart Association (AHA) within 90 days of hire or RQI Healthcare Provider Pediatric Advanced Life Support Registered Nurse by California Board of Registered Nursing KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $96.35 to $111.14 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

Full-time

1 week ago

Clinical Nurse II, Neonatal Float Team

Lucile Packard Children's Hospital Stanford Palo Alto, CA

$96.35 - $111.14 / hour

Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Department Description This position floats to the following three units: Neonatal Intensive Care Unit, Intermediate Care Nursery and Lucile Packard Special Care Nursery The Neonatal Intensive Care Unit (NICU) is a 40-bed Level IV nursery specializing in care for newborns, which includes the tiniest premature babies and critically ill neonatal infants with a variety of diagnoses and conditions, such as congenital heart disease, pulmonary hypertension, metabolic disorders, and other congenital defects. Some of the interventions we do include ECMO, CVVH, Peritoneal Dialysis and Therapeutic Hypothermia. The Intermediate Care Nursery (ICN) is a 34-bed level II Neonatal Intensive Care Nursery designed to provide care to recovering newborns and those infants requiring level II care. The team cares for infants requiring direct admission from the Delivery Room, the Emergency Department, other hospitals, re-admissions from home, post-surgery cases, as well as more chronic conditions or premature infants from our Level IV NICU. The Lucile Packard Special Care Nursery is a 6-bed, Level II Neonatal Intensive Care Unit (NICU) located within Sequoia Hospital. The team includes Stanford University doctors and Lucile Packard Children's Hospital Stanford nurses. In addition to providing care to the SCN babies our team serves Sequoia Hospital with newborn nursery care and delivery attendance. Job ID: LP_00025727-2658936 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Graduate from an accredited nursing program. BSN preferred. Experience: Minimum 2 years of current neonatal nursing experience in a level III NICU. License/Certification Registered Nurse by California Board of Registered Nursing or Temporary Registered Nurse License by California Board of Registered Nursing NRP Provider Card by American Academy of Pediatrics (AAP) RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) Pediatric Advanced Life Support by American Heart Association (AHA) within 90 days of hire or RQI Healthcare Provider Pediatric Advanced Life Support Current American Heart Association (AHA) Certification for Basic Life Support (BLS) as a Healthcare Providers. KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $96.35 to $111.14 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.