Clinical Nurse II - Pediatric ICU (0.9 FTE, Nights)
0.9 FTE, 12 Hour Night Shifts
Lucile Packard Children's Hospital Stanford is the heart and soul of Stanford Children’s Health. Nationally ranked and internationally recognized, our 311-bed hospital is devoted entirely to pediatrics and obstetrics. Our six centers of excellence provide comprehensive services and deep expertise in key obstetric and pediatric areas: brain & behavior, cancer, heart, pregnancy & newborn, pulmonary and transplant. We also provide an additional, wide range of services for babies, kids and pregnant moms.
The PICU is a 24 bed unit devoted to caring for the immediate needs of critically ill infants, children and adolescents and their families. The PICU serves an extremely diverse patient population; many of which derive from our established solid organ transplant and neurosurgical programs. The PICU also cares for trauma patients and critically ill children with sepsis, respiratory failure and multi-system organ failure. Therapies provided include high frequency oscillator ventilation (HFOV), continuous renal replacement therapy (CRRT) and extracorporeal membrane oxygenation (ECMO). The PICU is the primary Code Blue and Rapid Response Team as well as home to the Pediatric Critical Care Transport Team at Packard Children’s.
This paragraph summarizes the general nature, level and purpose of the job.
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).
• 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.
PICU Registered Nurses
• R.N.s who are assigned direct patient care responsibilities in the PICU shall:
• Be licensed in the State of California;
• Have education, training and demonstrated competency in pediatric critical care nursing;
• Have evidence of current successful completion of the AHA approved PALS or equivalent course.
The PICU Nurse shall participate in the PICU multi-disciplinary team conference.
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 or more years of pediatric acute care experience.
Licensure/Certification: Current California RN License, Current AHA Healthcare Provider BCLS and PALS certification. CCRN/TNCC preferred.
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.