Registered Nurse-Practice-Ambulatory Care Nemours Children's Hospital, Delaware

Job Description

The Registered Nurse is a clinically competent practitioner of pediatric and family centered nursing care. The nurse provides safe nursing care to the pediatric primary care and/or specialty care patients with minimal guidance and bases practice on identified principles and standards of care. The RN is responsible for daily patient care, assessment and treatment in collaboration with the clinical medical provider and interdisciplinary team.

The RN must be competent in caring for patients with moderate to complex health issues. The RN assists nurse manager or administrative manager with administrative issues that affect the clinical practices within the office as well as comply with the administrative policies and clinical protocols.

• Independently develops, implements, evaluates, and modifies clinical practice to meet individual patient and family needs.
• Collects and interprets complex patient data, focusing on key elements while sorting extraneous detail, and exercises clinical judgment based on an immediate grasp of the whole picture for the patient population of the assigned clinical area.
• Serves as a coach to new graduates and clinical students.
• Cares for patients in the office as well as through telephone triage utilizing pediatric protocols and clinical advice from the clinical provider.
• Safely administers medications as prescribed by the provider.

• Identifies clinical questions and seeks advice, resources, or information to improve patient care.
• Utilizes and contributes to evidence‑based practice.
• Participates in unit-based shared governance and/or committees to improve clinical practice.

• Determines and prioritizes patient nursing care needs and maintains responsibility for directing aspects of care delegated to patient care team members.
• Initiates, implements, and evaluates standards of care based on identified patient needs.
• Consistently demonstrates empathy, sensitivity, and insight, and is able to intervene in stressful situations.
• Individualizes both emotional and physical pain management and comfort measures specific to patient and family.
• Further develops therapeutic relationships with patients and families and maintains appropriate boundaries.
• Contributes to a nurturing environment that is supportive of colleagues in less than optimal situations.
• Anticipates and integrates cultural differences into patient and family care.

• Fosters a non‑discriminatory climate, recognizing, supporting, and including cultural diversity in organizational and nursing policy development.
• Recognizes unique differences of patients and families, incorporating them into patient plan of care.
• Provides alternative means of communication as required to meet patient and family needs.
• Tailors nursing care to meet age‑specific and developmentally appropriate needs of patient and family.
• Preserves and protects the confidentiality, autonomy, dignity, and rights of patient and families.

• Advocates on behalf of patients/families and personnel, promoting adherence to the ANA Code of Ethics for Nurses.
• Acts as a resource for patients and families working toward resolution of ethical issues, initiating ethics consult when appropriate.
• Effectively communicates and negotiates needed changes in a patient’s plan of care, seeking opportunities to learn and be mentored.

• Works as a team member to ensure optimal patient outcomes, supporting colleagues with an attitude of respect and interdependency.
• Develops problem‑solving strategies based on the unique needs and strengths of the patient and family.

• Participates in departmental and hospital programs for quality assessment and improvement, identifying opportunities to improve services, making recommendations and implementing actions consistent with the goals of the Nemours Foundation.
• Demonstrates leadership ability in responding to situations and efficiently uses existing resources.
• Provides care that meets professional standards of practice and regulatory requirements.
• Contributes toward the budget process, engaged in unit-based fiscal accountability.
• Individualizes…