Staff Charge Nurse II - Pediatrics

Kaiser Permanente Broadmoor, CA 94015, US

Job Summary:
As a leader of the health care team, directs shift-to-shift and/or departmental operations and provides professional nursing care, including utilizing the nursing process in accordance with established standards of care, policies, and procedures. Participates in effective resource allocation by assuring appropriate patient assignments, staffing, and scheduling. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats coworkers, patients, families, and al members of the health care team with dignity and respect.
Essential Responsibilities:

The Charge Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors:

Formulates a goal-directed plan of care when and where appropriate to do so.

Implements care in a thorough, skillful, consistent, and continuous manner.

Establishes patient care priorities based on essential patient needs and availability of unit resources (time, personnel, equipment, and supplies).

Identifies patient/family learning needs and acts to meet them.

Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs.

Establishes effective working relationships with members of the health care team, patients, and families.

Prioritizes, delegates, and supervises work assignments appropriately to ensure completion of patient care activities.

Evaluates effectiveness of care given by team members.

Utilizes effective communication methods and skills, following lines of authority, as appropriate.

Demonstrates knowledge of and applies safety principles as identified by the institution.

Performs efficiently in emergency situations following established protocols, remaining calm, informing appropriate persons, and documenting events.

Demonstrates responsibility and accountability for own professional practice.

Participates regularly in staff development activities for unit and department personnel.

Participates in unit and department Performance Improvement activities.

Identifies and solves problems effectively.

Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team.

Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information.

Leadership

Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws.

Provides professional leadership and direction of department personnel in order to maintain efficient delivery of effective patient care.

Demonstrates a professional, supportive attitude.

Champions new ideas.

Leads and directs others through the change process.

Mentors, orients, and coaches others in unit specific operations and patient care activities.

Shares responsibility and authority with subordinates and holds them accountable for performance.

Demonstrates ability to identify and resolve problems in collaboration with work team and with other departments.

Complies with regulatory requirements, policies, procedures, and standards of practice.

Customer Service

Practices customer service standards as defined by the Service Area, Medical Center, and specified department.

Assists members who are less than satisfied with their experience by listening and taking responsibility within their scope to ensure that the issue is resolved.

Makes appropriate referrals and facilitates the customers ability to utilize resources.

Maintains and protects patient confidentiality.

Assures a clean, orderly, and functional work environment.

Supervisory Responsibilities

The incumbent motivates and provides clinical direction to other employees, but does not have the authority to hire, fire, discipline, nor effective input into such.

Provides/coordinates care for patients/patient populations.

Acknowledges staff rights and cultural and ethical beliefs.

Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning.

Participates in nursing research activities as requested.

Provides data for staffing decisions and demonstrates flexibility in the resolution of staffing issues; demonstrates flexibility when floating to other units upon requests.

If practicing in a specialty/extended role, fulfills the expectations established for the particular role.

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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 day ago

Clinical Nurse Specialist, Acute Care

Lucile Packard Children's Hospital Stanford Palo Alto, CA

$90.19 - $112.73 / hour

Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. 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. Job ID: LP_00020517-2657795 Job Description Specialty Areas: PCU 300, PCU 350, PCU 360 – Patient populations include: Solid Organ Transplant, General Surgery, Ortho, Plastic Surgery, General Peds Job Summary This paragraph summarizes the general nature, level and purpose of the job. Clinical Nurse Specialists are Master's Degree prepared advanced practice Registered Nurses in roles characterized by the following responsibilities: Provide care for patients with multiple or complex health needs within a specific clinical area; Use advanced clinical skills in the assessment, diagnosis, treatment and evaluation of patients; Use theoretical and clinical expertise to assist health care providers and patients in promoting or achieving optimal health; Develop and implement standards of nursing practice; Serve as a consultant or expert resource person for other health providers; Facilitate an interdisciplinary and collaborative approach to meeting the needs of patients; Seek consultations and make referrals as needed; and Promote research to improve clinical nursing practice. Clinical Nurse Specialists assess, plan, provide and evaluate specialized nursing care of patients by advancing the quality and scope of nursing practice through clinical practice, education, research, consultation, and administrative roles in the area of clinical expertise (e.g., diabetes, cardiology, respiratory, pediatrics, etc.) for a specified patient population. 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. Analyzes unit patient care plans currently for evidence of documentation of standards of practice, shares findings with staff, and collaborates in developing a variety of valid and reliable assessment tools to assist staff with documentation records. Demonstrates expertise in the execution of daily patient care, providing collaboration, direction, and instruction to the staff in the application and utilization of the nursing process. Elects, implements, and evaluates comforting, therapeutic, restorative, and preventative nursing measures for selected patients; expertise in the planning and delivery of special patient care problems. In collaboration with nursing managers and other researchers, performs, assists with, and Initiates, evaluates and revises nursing plans of care that reflect a multidisciplinary approach to patient care; coordinates the nursing plan of care with the medical plan of care. Maintains and teaches others the specialized knowledge and skill necessary to perform techniques and routines in the specialty service area. Offers consultative services within nursing services and to other disciplines to provide or participates in planning, development, execution and evaluation of clinical research. Participates in the hospital's quality improvement program; collaborates in setting unit standards of care and monitors indicators of quality projects. Provides direct patient care using consistency in assessing current patient care situations, priorities, and needs. Provides safety, comfort care, and treatment of patients according to established legal, ethical, and institutional standards. Serves as a consultant to patients, families, and staff. 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: Master's degree in a work-related discipline/field from an accredited college or university. Experience: Three (3) years of progressively responsible and directly related work experience. License/Certification: CA Registered Nurse (RN) -AND- CNS - Clinical Nurse Specialist 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. Ability to communicate effectively, both orally and in writing. Ability to conduct research, document results, draw conclusions and make recommendations. Ability to develop and perform patient assessment and plan of care. Ability to identify competency-based education needs of and implement educational programs for staff. Ability to perform patient assessment and triage. Ability to provide consultation to physicians, nurses and other health care providers in meeting care needs of patients. Ability to provide direct evaluation and consultation to patients. Knowledge of advanced clinical practice education, consultation, research, and administration. Knowledge of clinical operations, workflow and procedures. Knowledge of principles and processes for providing customer and personal services including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. Knowledge of the principles, practices and objectives as well as issues and developments in the field of nursing, especially as applied to the area of nursing specialty. Skill: Advanced nursing skills in area of specialty. 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 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): $90.19 to $112.73 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

5 days ago

Clinical Nurse II, CVOR

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. Job ID: P141712-1950 Job Description Department Description The Cardiovascular operating room surgical Registered Nurse provides specialized patient care in a pediatric cardiovascular surgical setting in accordance with applicable scope and standards of practice according to the policies, values, and mission of the organization. The Cardiovascular operating room surgical Registered Nurse is committed to providing the highest level of care intraoperatively while maintaining a safe environment, optimizing outcomes, and maximizing available resources. 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: 2 year's experience as an Operating Room RN, Scrub and Circulate. Pediatric experience (Preferred). License/Certification Pediatric Advanced Life Support by American Heart Association (AHA) within 90 days or RQI Healthcare Provider Pediatric Advanced Life Support Registered Nurse by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic 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.