Registered Nurse Day Hospital -Outpatient Oncology Clinic

Chop; Worcester (MA); On-site; USD 85,000 - 110,000; Full time

Job summary

Children’s Hospital of Philadelphia (CHOP) is seeking a Clinical Nurse in the Oncology Clinic and Day Hospital. The RN will provide high-quality, patient-centered care in a fast-paced environment, with a focus on family-centered care and collaboration with physicians, fellows, and the care team.

The role requires 12 months of RN experience, PALS certification, and adherence to CHOP standards. 8:00 AM to 4:30 PM shift in a busy clinic and day hospital setting, with opportunities for professional

Qualifications

• 12 months of RN work experience required.
• PALS certification is required.

Responsibilities

• Follow nursing process to deliver safe and compassionate care.
• Collaborate with interdisciplinary care team to coordinate patient care.
• Develop and revise patient care plans on admission and during hospitalization.
• Document evaluation of nursing interventions and outcomes.
• Ensure safe hand-off practices and communicate clearly with patients and families.

Skills

RN experience

Job description

SHIFT:

Rotating (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 RN position requires 12 months of previous RN work experience. It is 8a-4:30pm

The Oncology Clinic and Day Hospital is in the Buerger Center for Advanced Pediatric Care. Outpatient Oncology sees an average 100 patients per day, Monday-Friday 0730am-9pm. The clinic is closed on weekends and holidays however there is a phone triage nurse staffed every day, including holidays. Nurses partner with attending physicians, fellows and APPS to provide care to the patient population. Other areas within the clinic include, the general anesthesia procedure and recovery area, as well as day hospital infusion area. Bone marrow aspirates and lumbar punctures are performed daily therefore all nurses are PALS certified. The day hospital cares for both hematology and oncology patients, administering blood products and chemotherapy. Oncology clinic also functions as the ER for the oncology population daily until 6pm. All staff are proficient in PIV placement and central line care. This is a fast-paced dynamic area to work in with opportunities for growth and professional development.

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