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Description

SUBFUNCTION DEFINITION: Nurses who have graduated from a college level nursing program and have passed a national licensing exam.

CCHMC SALARY GRADE:13

SUPERVISOR'S TITLE: Senior Clinical Director; Clinical Director; Clinical Manager

COLLABORATIVE RELATIONSHIPS: All members of the interprofessional health care team

TITLES SUPERVISED: N/A

TOTAL NUMBER OF FTEs DIRECTLY OR INDIRECTLY SUPERVISED: 0

PURPOSE OF POSITION: To function as a professional nurse and to apply an extensive background of knowledge and experience with children; adolescent and some adult patients; allowing for an intuitive grasp of given situations. To meet patients'; clients' and family needs through utilization of interdepartmental and intradepartmental resources. To act as a leader in improving nursing practice through analytical and creative measures; to be accountable for high standards of nursing practice and to assist the development of accountability in others. To act as a leader who has earned the trust of peers and managers and has achieved recognition for nursing excellence.

REPRESENTATIVE RESPONSIBILITIES

Compliance - Patient Services Staff
Sustain a working understanding of regulatory requirements and accreditation standards. Support leadership in Compliance efforts to meet and sustain the regulatory compliance efforts of the department and hospital. Be mindful and judicious in monitoring safety and departmental policies and procedures. Ensure all individual certifications and Safety College requirements are fulfilled in a timely basis. Work with department managers, nurse council and magnet representatives to identify and share safety best practices. Be mindful of CCHMCs processes and compliance with CMS standards and freely communicate safety and compliance concerns to leadership team members.

Interprofessional Practice
Demonstrates consistent integration of the Interprofessional Practice Model (IPM) in all aspects of practice.

Patient Care - Age Specific and Culturally Diverse
Consistently integrates age specific and culturally diverse concepts into patient care, taking into consideration both the patient's chronological age and developmental functioning.

Clinical judgment when performing caring practices
Synthesizes and interprets multiple sources of data; uses past experiences to anticipate problems; seeks interprofessional collaboration; recognizes and responds to complex situations. Leads efforts to improve documentation of the plan of care, care delivered, and outcomes of care. Has innate awareness of the patient and family's current and future needs, and fully engages them in the plan of care. Collaborates with family, other health care providers and community resources to develop comprehensive plans of care. Caring practices follow the patient's and family's lead; orchestrates processes to ensure patient/family's comfort and concerns are addressed. Promotes a healing environment for all health outcomes, including death. Expertly integrates age specific concepts into patient care, considers both the patient's chronological age and developmental level. Using self-management strategies, develops care goals and actions in partnerships with patients and families. Creatively modifies or develops patient and family education programs. Integrates patient/family education throughout delivery of care; evaluates effectiveness using teach back methods and by observing behavioral changes related to learning. Integrates strategies in the plan of care that support the patient's and family's transition to home.

Clinical judgment when performing caring practices II
Collaborates with all healthcare providers and the patient and family to develop comprehensive plans of care. Integrates formal and informal patient and family education throughout delivery of care; evaluates effectiveness by using teach back strategies and by observing behavioral changes related to learning. Integrates strategies in the plan of care that support the patient's and family's adaptation to the home environment.

Exhibits advocacy, moral agency and response to diversity
Works on behalf of patient, family, and community; advocates from patient/family perspective, whether similar to or different from personal values; suspends rules - patient and family drive moral decision-making; empowers the patient and family to speak for/represent themselves; achieves mutuality within patient/professional relationships. Uses diversity resources available both internally and in the community to enhance the experience of care for the diverse patient populations. Appreciates and incorporates differences, including alternative therapies into care; tailors care to the extent possible. Demonstrates efforts to grow self and others in cultural competence.

Collaborates with team using shared decision making
Invites diverse resources when appropriate to optimize patient outcomes. Interacts confidently by promoting and expecting collaborative behavior in others. Mentors others to respect the contribution of the entire team. Is able to lead others to work collaboratively valuing the contributions of the various disciplines in patient/practice issues. Demonstrates leadership in the shared governance structure at the cluster or divisional level councils, committees, task forces or projects. Serves as chair for councils, committees, task forces or project work.

Clinical inquiry & performance review to improve practice
Improves, deviates from, or individualizes standards and guidelines for particular patient situations or populations; questions and/or evaluates current practice based on patients' responses, review of the literature, research and education/learning; acquires knowledge and skills needed to address questions arising in practice and improve patient care. Creates practice changes through research utilization and experiential learning. Assists with development of competence in peers; formally, by precepting new employees, and informally, by sharing knowledge at the point-of-care. Demonstrates awareness of unit competency needs, providing leadership to improve competence of staff. Uses self-appraisal performance review and peer review, including annual goal setting, for assurance of competence and professional development to promote safe and ethical practice using the nursing process. Precepts nursing peers and students. Facilitates learning for members of the healthcare team and the community. Takes a leadership role in working with department managers, nurse council and magnet representatives to identify, share, implement and evaluate safety best practices.

Uses systems thinking
Knows when and how to negotiate and navigate through the system on behalf of patients and families through care coordination. Intervenes and leads others to change systems and processes as appropriate to support optimal patient outcomes. Sustains an extensive understanding of regulatory requirements and accreditation standards. Works with managers to lead efforts to meet and sustain the regulatory compliance efforts of the department and hospital. Monitors and assists others to comply with safety and departmental policies and procedures. Ensures individual certifications and Safety College requirements are fulfilled in a timely basis. Is well-informed of CCHMCs processes and compliance with CMS standards and assertively communicates safety and compliance concerns to leadership team members. Effectively coordinates team care delivery while in the role of charge nurse; anticipating planning for and mitigating unexpected circumstances.

Qualifications

EDUCATION/EXPERIENCE

Required:

BSN from ACEN, CCNE or NLN CNEA accredited institution or MSN

Active Ohio RN License. May be required to obtain other state licensure.

Specialty certification may be required for some positions

5 years related experience

H-1B visa sponsorship is not available

Preferred:

Unique Skills:

Development - Advanced
Possess in-depth knowledge of growth and development

Family-centered care
Understands and support family-centered care

Improvement Orientation
Ability and motivation to promote continuing improvement and education

Diversity Appreciation
Understanding and showing respect and appreciation for the uniqueness of all individuals; leveraging differences in others' perspectives and ideas; appreciating cultural differences and adjusting one's approach to successfully integrate with others who are different from oneself

Decisive Leadership
Taking responsibility for guiding others' actions and providing direction to a group; stepping forward to take the lead in addressing difficult issues and making tough judgment calls

Professional Demeanor
Demonstrates an independent work initiative, sound judgment, diplomacy, tact and professional demeanor

Problem Solving
Ability to independently work through details of a problem to reach a positive solution

Research
Capable of utilizing research techniques in application to nursing practice and serving as a resource for educational opportunities in these areas.

Communication - Advanced
Excellent verbal, written and interpersonal communication skills.

Physical Capability
Capable of bending, lifting (up to 110 lbs) and standing; demonstrate physical ability to perform necessary tasks.

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About Cincinnati Children's Hospital Medical Center

At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better, and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s.

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