Advanced Practice Nurse Practitioner- Cardiac Cath Lab

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Advanced Practice Clinician
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Children's Hospital
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2000026R Requisition #
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Minimum Education
Master's Degree

Specific Requirements and Preferences
Nursing with National Board certification in one of four APRN roles. Continuing education credits necessary to maintain national
board certification, and state licensure. (Required)

Minimum Work Experience
1 year

Specific Requirements and Preferences
Experience in Pediatrics (Preferred)

Required Skills/Knowledge
High degree of expertise in nursing care and management of patients with pain including chronic non-cancer pain, cancer related pain conditions, and postoperative/traumatic pain.
Provides direct and indirect care with pediatric patients and family as well as assumes a major responsibility for assuring continuity of patient/family care between the ambulatory pain center, inpatient units, ambulatory settings, and the community.
Plans, implements, and evaluates clinical programs to advance patient/family care and nursing practice in the area of pain management, with a special focus on the pediatric population.

Required Licenses and Certifications
Advanced Practice Registered Nurse (APRN) District of Columbia 

Functional Accountabilities

Professional Practice/Research
1. Participates in developing and implementing research protocols as approved by the Department of Anesthesiology, Pain and Perioperative Medicine at Children’s National Hospital.
2. Collaborates with the Pain Center and Palliative Care interdisciplinary teams in research regarding patient care. Incorporates current research findings into clinical practice and teaching.
3. Encourages innovative approaches to patient care by supporting evidence-based practice and ideas by working with staff in developing, implementing, and evaluating novel strategies.

Clinical Practice
1. Ensures the delivery of high quality pain management to patients and families.
2. Develops and operationalizes a philosophy of pain management for patients and families.
3. Demonstrates in-depth knowledge and skills regarding pain management nursing practice.
4. Consults with staff concerning patient care issues. Evaluates practice and ensures clinical care reflects up-todate clinical practices and integration of practice standards as appropriate.
5. Establishes collaborative relationships with physician staff and other members of the health care team for effective interdisciplinary care. Role models leadership behaviors that demonstrate specific professional values and commitment to advance practice. Participates in the development of and evaluates the outcomes of educational programs for patients/families.
6. Provides expert nursing care in an expanded role to patients/families with pain.
7. Collaboration with physician and nursing leaders as well as other care providers to ensure well-coordinated, interdisciplinary programs of care. Work is performed independently with administrative direction and review from the Director of Chronic Pain.
8. Collaborates with the Acute Pain Nurse Practitioner to direct and coordinate care of chronic pain patients on the Inpatient Pain Service, providing consultation to nursing, pharmacy, medical staff, and others in inpatient units and ambulatory settings to develop, implement, and evaluate a comprehensive plan of care including a discharge plan, for patients with complex pain problems to achieve desired patient outcomes.
9. Evaluates current pain management nursing practices in relation to expected standards across the continuum of care. Collaborates with clinical department directors, nurse managers, case managers, physicians and other key staff in overall program evaluation. Identifies key benchmarks for use in evaluation.
1. Initiates and directs planning related to program development including the identification of program objectives, expected outcomes, resource requirements and evaluation strategies.
1. Contributes to the design and conduct of pain management evidence-based practice and quality improvement activities related to the care of patients and their families.
1. Possesses knowledge and skills necessary to meet the developmental/age-specific needs of patients. Incorporates expertise in clinical practice.
1. Possesses knowledge of the principles of growth and development.
1. Demonstrates the ability to assess data reflective of the patient’s status in relation to developmental level across age spectrum

Communication/Consultation
1. Model consultation skills as a professional member of the interdisciplinary team.
2. Demonstrate effective conflict management skills.
3. Collaborate with nursing and other health care professionals in the planning and implementation of system change.
4. Provide a point of contact for patients and families pre, post and throughout hospitalization.
5. Exhibit service excellence in all areas of practice.
6. In collaboration with the patient care team assess learning needs of patients, families, and staff, and provide education as necessary, including specialty specific education.

Safety
1. Speak up when team members appear to exhibit unsafe behavior or performance
2. Continuously validate and verify information needed for decision making or documentation
3. Stop in the face of uncertainty and takes time to resolve the situation
4. Demonstrate accurate, clear and timely verbal and written communication
5. Actively promote safety for patients, families, visitors and co-workers
6. Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Leadership
1. Develops an overall pain program to meet the needs of patients/families and staff in collaboration with other Pain Management Nurse Specialist(s).
2. Provides leadership for ongoing development and monitoring of the pain management program at Children’s National Hospital Provides leadership for the interdisciplinary Pain Patient Care Team.
3. Develops written policies and procedures and practice protocols pertinent to the patient care program. Evaluates/implements new technologies relevant to patient/family care. Evaluates impact on cost and quality outcomes. Identifies program development needs and collaborates with Medical Director of the Pain Center, nurses, other physicians, and administrators to systematically plan, budget, operationalize and evaluate new or restructured programs/services.
4. Participates on Nursing Department, Hospital and Medical Board Committees and provides leadership to committee work as requested.
5. Acts as a clinical resource to staff.
6. Establishes collaborative relationships with medical staff and other health professionals for effective interdisciplinary care of patients within the hospital, ambulatory, and community settings.
7. Works collaboratively with nursing peers to improve patient care and advance nursing practice. Maintains communication and serves as a clinical expert and liaison across inpatient, ambulatory, and community settings.

Professional Development/Effectiveness
1. Evaluates own professional practice to maintain self and pain program at a high level.
2. Identifies professional strengths and areas for growth and demonstrates professional development through formal and informal learning experiences. Maintains knowledge of current trends and practices in pain medicine and health care through networking and other resources. Participates in professional organizations in areas of specialization and interest.

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification
1. Anticipate and responds to customer needs; follows up until needs are met
Teamwork/Communication 1. Demonstrate collaborative and respectful behavior
2. Partner with all team members to achieve goals
3. Receptive to others’ ideas and opinions
Performance Improvement/Problem-solving 1. Contribute to a positive work environment
2. Demonstrate flexibility and willingness to change
3. Identify opportunities to improve clinical and administrative processes
4. Make appropriate decisions, using sound judgment
Cost Management/Financial Responsibility 1. Use resources efficiently
2. Search for less costly ways of doing things
Safety 1. Speak up when team members appear to exhibit unsafe behavior or performance
2. Continuously validate and verify information needed for decision making or documentation
3. Stop in the face of uncertainty and takes time to resolve the situation
4. Demonstrate accurate, clear and timely verbal and written communication
5. Actively promote safety for patients, families, visitors and co-workers
6. Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

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Children’s National Health System is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law.

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