Limited Relief Clinical Nurse II - Med Trans-Neonatal Crit Care (0.001 FTE, Rotating)
0.001 FTE, 12 Hour Rotating Shifts
At Stanford Children’s Health, 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.
This paragraph summarizes the general nature, level and purpose of the job.
The Neonatal Transport RN Specialist (RNTS) is responsible for leading a 2-3 person specialty transport team in helping to stabilize and transport critically ill infants from referring hospitals to Lucile Packard Children's Hospital Stanford. The RNTS leads a team comprised of nursing and an occasion RCP under the supervision (and in collaboration) with an LPCH Neonatologist. This highly specialized role includes the following responsibilities:
The Clinical Nurse (CN) is an RN who provides hands-on care to patients, practicing in an evidence- based manner, within the Scope of Practice of the California Nursing Practice Act, regulatory requirements, standards of care, and hospital policies. Within that role, the CN performs all steps of the nursing process including assessing patients; interpreting data; planning, implementing, and evaluating care; coordinating care with other providers; and teaching the patient and family the knowledge and skills needed to manage their care and prevent complications . The CN partners with the patient’s family wherever possible, considering all aspects of care, to deliver family centered care. As a professional, monitors the quality of nursing care provided.
The Clinical Nurse is responsible for his/her own professional development, including licensure, Basic Life Support (BLS) certification, and maintaining current knowledge regarding the assigned patient population.
As a member of the nursing profession, the Clinical Nurse contributes to the profession of nursing through such activities as teaching others, sharing expertise in unit or hospital based committees, task forces, or councils; and/or professional publications and presentations.
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 Service Standards of the Hospital(s).
- Provide direct care and management in the transport environment (ground/rotor/fixed wing) during interfacility transport.
- Perform complex patient assessments and prioritize interventions during all phases of the transport process.
- Maintains positive relations with referring and receiving departments.
- Participates in ongoing training and education.
- Works autonomously to perform an expanded nursing scope including: PICC placement, intubation, umbilical line placement and needle thoracentesis.
- Assists with NICU vascular access needs and unit support when not on transport
• Creates and maintains a climate conducive to healing through being present to the patient and family, identifying and managing discomforts; providing emotional support and information; guiding the patient and family through phases of illness and recovery/passage to death and in accordance with the patient’s goals and culture.
•Mobilizes the patient’s strengths and abilities towards participation in recovery and control over plan of care
•Obtains accurate and relevant assessment data and interprets the data as normal vs abnormal. Determines nursing diagnosis. Monitors and evaluates data as frequently as needed based on stability.
• Collaborates with the patient, family and members of health care team to develop an individualized plan of care.
• Implements nursing and medical interventions safely.
• Evaluates effectiveness of interventions and monitors patient for adverse responses and side effects.
• Assesses a patient’s and family’s learning needs and readiness to learn. Teaches needed information for self-care and illness prevention. Adjusts information and expectations based on responses from patient, developmental levels, physiological and psychological condition, and cultural variations.
• Ability to rapidly grasp problem situations and respond quickly and appropriately. Identifies the need for and activates emergency protocols.
• Teaches other staff members both incidentally and/or through formal roles such as preceptor or super-user.
•Monitors own practices and assists in monitoring others for practices related to patient and employee safety and compliance to standards and policies. Looks for opportunities for continual improvement in patient care and the work environment.
• Integrates multiple requests and work expectations by setting priorities, delegating tasks appropriately, and seeking assistance as needed.
• Contributes to team building through participation in unit programs and meetings; contributes to positive morale, using constructive and effective conflict resolution skills.
• Learns and utilizes the available technology for communication, documentation, and locating information regarding unusual clinical situations, diagnosis, and treatments.
• Contributes to the knowledge and skill of other members of the nursing staff through one or more activities such as formal or informal teaching, participation on Shared Governance groups, professional publications and/or presentations.
• Attains knowledge and competence that reflects current nursing practice. Demonstrates commitment to lifelong learning.
• Communicates effectively in a variety of formats in all areas of practice.
• Demonstrates leadership in the professional practice setting and the profession.
• Evaluates own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations.
Tertiary Hospital Registered Nurses
Registered nurses (R.N.s) who are assigned direct patient care in a pediatric service(s)/department(s) shall:
• Be licensed in the State of California;
• Have education, training and demonstrated competency in the nursing care of infants, children, and adolescents; and
• Have evidence of current successful completion of the American Heart Association (AHA) Basic Life Support or equivalent/higher course.
R.N.s providing care in a pediatric service(s)/department(s) shall maintain the standards of competent performance.
R.N.s functioning in an expanded role shall do so under standardized procedures, in accordance with CCR, Title 16, Division 14, Article 7, Sections 1470 through 1474.
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: Neonatal RNTS Requirements
- Minimum of 3 years NICU level III experience
- Comprehensive knowledge and skills to assess and treat the acutely ill neonatal patient
- Excellent communication, leadership and critical thinking skills
- Ability to work well with staff, physicians, parents, and patients
- Reliable and flexible in work schedules
- Ability to meet physical requirements of performing role and tasks on transport
- Transport team experience
- NICU specialty certification
- Advanced degree
- Advanced practice skills and/or PICC insertion experience
- Recommended 5 years NICU level III experience
License/Certification: Current California RN License and NRP certification
License/Certification: Current American Heart Association Certification for Basic Life Support for Healthcare Providers.
Knowledge, Skills, and Abilities
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.
Physical Requirements and Working Conditions
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.
Equal Opportunity Employer