Minimum Education
- BSN Graduated from an approved school of nursing. (Preferred)
Minimum Work Experience
- 2 years PACU experience required or related clinical nursing experience in a comparable setting such as critical care, Peds ED, or inpatient cardiology. (Required)
- 2 years cardiac experience (Preferred)
Required Skills/Knowledge
- The licensed Registered Nurse will successfully complete the hospital and nursing orientation at Children’s National.
- Must have strong skills of airway management and knowledge of anesthetic agents.
- Excel in organizational skills, adjust for changes and be able to complete assignment on time.
- Role model critical thinking skills by problem-solving patient care and unit/system issues.
- Demonstrate a collegial and respectful relationship with peers, physicians and other departments.
- Care will incorporate best practices based on benchmarks and evidence within the literature.
Required Licenses and Certifications
- Registered Nurse in District of Columbia (Required)Cardio-Pulmonary Resuscitation (CPR) (Required)
- Pediatric Advanced Life Support (PALS) (Required)
- Certified Pediatric Nurse (CPN); Certified Post Anesthesia Nurse (CPAN) (Preferred)
Functional Accountabilities
Post-Anesthesia Clinical Care Activities
- Evaluate and manage patient's airway postoperatively including breakthrough laryngospasms; apply knowledge of the physiological changes to the airway postoperatively as a consequence of anesthesia and surgery .
- Perform manual intermittent positive pressure ventilation (IPPV).
- Be aware of the risk factors that contribute to the condition and make decisions when caring for patients and families.
- Monitor cardiopulmonary function, airway patency, and oxygen saturation; provide prompt care to minimize the incidence of emergence delirium; maintain safety environment while patient experiencing emergence delirium; monitor complications associated with administration of analgesics and act promptly to minimize adverse incidents.
- Manage patients with central neuraxial and peripheral nerve blocks.
- Manage epidural administration of local anesthetics and opioids; evaluate and treat post-operative pain in a timely manner with appropriate intervention.
Transformational Leadership
- Contribute to Magnet re-designation as evidenced by independent involvement or leadership in: committees, task force and/or community outreach.
- Communication reflects development of plan of care and ability to advocate to meet patients’ needs; make suggestions for resolution of system issues.
- Role model procedures for escalation of issues and utilize chain of command.
- Demonstrate proper use of identified hand off processes; follow up on inconsistent practice related to handoff.
- Take the lead in implementing change and support management decisions.
- Role model behavior reflecting empathy, concern and a desire to help others.
Structural Empowerment
- Independently maintain regulatory requirements e.g. license, BLS.
- Initiate professional activities to enhance nursing practice.
- Engage in active review of peers giving constructive feedback through timely participation in evaluations.
- Role model adherence to national safety standards and service excellence standards; champion advancement of education and certification.
- Orchestrate involvement of the healthcare team and role model professional behavior and teamwork with co-workers.
- Serve as a resource as needed and know when to escalate to next level.
Exemplary Professional Practice
- Analyze assessment data gathered from patient and family to ensure completion of database and plan of care within identified timeframes.
- Role model excellent clinical skills with complex patients; care will reflect analysis of patient status and appropriate interventions.
- Direct prioritization and organization for complex patient with rapidly changing needs.
- Documentation will exemplify adherence to the highest standards of practice.
- Anticipate and proactively plan for educational needs verify with patient and family throughout the hospital/outpatient stay and prior to discharge.
- Role Model care in all encounters with patient and family as evidenced by feedback from parents and an increase in patient satisfaction scores.
Professional Growth
- Initiate ways to improve operations through quality improvement and implement related solutions.
- Identify self-learning needs and take initiative to meet those needs.
- Serve as a resource for current, new information or changes in specialty area.
Organizational Accountabilities
Organizational Commitment/Identification
- Anticipate and responds to customer needs; follows up until needs are met
Teamwork/Communication
- Demonstrate collaborative and respectful behavior
- Partner with all team members to achieve goals
- Receptive to others’ ideas and opinions
Performance Improvement/Problem-solving
- Contribute to a positive work environment
- Demonstrate flexibility and willingness to change
- Identify opportunities to improve clinical and administrative processes
- Make appropriate decisions, using sound judgment
Cost Management/Financial Responsibility
- Use resources efficiently
- Search for less costly ways of doing things
Safety
- Speak up when team members appear to exhibit unsafe behavior or performance
- Continuously validate and verify information needed for decision making or documentation
- Stop in the face of uncertainty and takes time to resolve the situation
- Demonstrate accurate, clear and timely verbal and written communication
- Actively promote safety for patients, families, visitors and co-workers
- Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance