Registered Nurse (RN) II - Pediatric Intensive Care Unit (PICU)

Children's National Hospital

full-time

Required skills

customer service

About the role

%3Cp class=%22default%22 style=%22-webkit-text-stroke-width:0px;background-color:white;color:rgb(0, 0, 0);font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0in 0in 9pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:16px;%22%3E%3Cstrong%3E%2425,000 Sign-on Bonus | Full-Time | Rotating Shifts%26nbsp;%3C/strong%3E%3C/span%3E%3C/p%3E%3Cp class=%22default%22 style=%22-webkit-text-stroke-width:0px;background-color:white;color:rgb(0, 0, 0);font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0in 0in 9pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22color:black;font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EThe American Association of Critical-Care Nurses (AACN) previously awarded the Children%27s National Pediatric Intensive Care Unit with a silver-level Beacon Award for Excellence. The three-year award marked an important milestone on the path to exceptional patient care and achieving a healthy work environment. The silver-level designation signifies continuous learning and effective systems to achieve optimal patient care and shows alignment practices with AACN%27s six Healthy Work Environment Standards.%26nbsp;%3C/span%3E%3C/p%3E%3Cp class=%22default%22 style=%22-webkit-text-stroke-width:0px;background-color:white;color:rgb(0, 0, 0);font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0in 0in 9pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22color:black;font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EThe Pediatric Intensive Care Unit (PICU) is a 46-bed unit. We will be expanding to 60 beds in 2027!%26nbsp;%26nbsp;%3C/span%3E%3C/p%3E%3Cp class=%22default%22 style=%22-webkit-text-stroke-width:0px;background-color:white;color:rgb(0, 0, 0);font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0in 0in 9pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22color:black;font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EThis unit serves as a regional referral center and is a designated Level I Trauma Center for comprehensive care to pediatric patients and their families. The PICU Patient Care Management Team coordinates interdisciplinary patient assessment and patient care and provided by pediatric intensivists and specialty nurses in conjunction with multiple specialty services within the Medical Center. Patients are admitted to the PICU from the ED, Trauma Services, the Operating Room, and transfers from in-house units as well as transports from other institutions via the Pediatric Transport team.%3Cu1:p%3E%3C/u1:p%3E%3C/span%3E%3C/p%3E%3Cp class=%22default%22 style=%22-webkit-text-stroke-width:0px;background-color:white;color:rgb(0, 0, 0);font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0in 0in 9pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22color:black;font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3ETrauma patients comprise about 10%-15% of patients in the PICU. These patients often have multiple injuries or severe head trauma. The PICU is also a Pediatric Burn Center and receives referrals from the region. Other complex patients requiring general surgery, ENT, craniofacial, neurosurgical and other surgical subspecialties are also cared for in the PICU. Medical patients comprise 50%-60% of patients and include children with respiratory failure, meningitis or seizures, sepsis, multi-system organ failure and chronically ill children. Children with cancer also require PICU care for complications that develop as part of the underlying disease, chemotherapy or following bone marrow transplantation. Services are provided daily, 24 hours per day.%3Cu1:p%3E%3C/u1:p%3E%3Cu1:p%3E%3C/u1:p%3E%3C/span%3E%3C/p%3E%3Cp class=%22default%22 style=%22-webkit-text-stroke-width:0px;background-color:white;color:rgb(0, 0, 0);font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0in 0in 9pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22color:black;font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EThe Division of Critical Care Medicine (CCM) provides services and care to all patients admitted to the Pediatric Intensive Care Unit (PICU). Specifically, care is provided for all patients in the PICU, patients within the hospital by request, patients within the hospital as part of all emergencies and resuscitations, and patients in the ED for “medical alerts” and “trauma stats”. The scope of services includes resuscitation, life support, monitoring and treatment for life threatening events and diagnostic issues related to these items. Patients may be admitted to and discharged from the PICU based on pre-established guidelines. See section on critical care units.%26nbsp;%3C/span%3E%3C/p%3E%3Cp class=%22default%22 style=%22-webkit-text-stroke-width:0px;background-color:white;color:rgb(0, 0, 0);font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0in 0in 9pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22color:black;font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EThe department utilizes a multi-disciplinary approach to care, utilizing the services of physicians, nurse practitioners, nurses, respiratory therapists, social services and other support services necessary to provide quality care. Attending physicians providing care are board eligible or certified in Pediatric Critical Care. The PICU provides CAT (Rapid Response Services) and Code Blue team leadership to support in house clinical emergencies. An attending or fellow along with an ICU nurse and Respiratory Therapist respond to assist in clinical rescues of in-house patients. This service can also be activated by a concerned parent.%26nbsp;%3C/span%3E%3C/p%3E%3Cp class=%22default%22 style=%22-webkit-text-stroke-width:0px;background-color:white;color:rgb(0, 0, 0);font-family:%26quot;Open Sans%26quot;, %26quot;Segoe UI%26quot;, Frutiger, %26quot;Frutiger Linotype%26quot;, %26quot;Dejavu Sans%26quot;, %26quot;Helvetica Neue%26quot;, Arial, sans-serif;font-size:13.02px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0in 0in 9pt;orphans:2;text-align:start;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;%22%3E%3Cspan style=%22font-family:Arial, Helvetica, sans-serif;font-size:14px;%22%3EAll nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children%27s National Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. Children%27s National supports the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large.%3C/span%3E%3C/p%3E

Minimum Education
ADN Required, BSN Preferred

Minimum Work Experience
1 year RN experience (Required)

Required Skills/Knowledge
The licensed Registered Nurse will successfully complete the hospital and nursing orientation at Children’s National.
Keep knowledge base current with new information or changes in specialty area.

Required Licenses and Certifications
Registered Nurse in District of Columbia Registered Nurse licensed in the District of Columbia, Maryland or Virginia dependent upon location of practice. (Required)Cardio-Pulmonary Resuscitation (CPR) .

Functional Accountabilities
Transformational Leadership

Contribute to Magnet re-designation as evidenced by independent updating of professional profile and initiation of council involvement, committees, task forces and /or community outreach.

Demonstrate critical thinking skills by problem solving appropriately during patient care.

Communicate to reflect development of plan of care and ability to advocate to meet patients’ needs.

Independently initiate escalation of issues utilizing chain of command.

Demonstrate proper use of the currently identified hand off processes.

Demonstrate a collegial and respectful relationship with ancillary staff.

Participate in implementing change and support management decisions.

Role model behavior that reflects empathy, concern and a desire to help others.

Structural Empowerment

Independently maintain regulatory requirements e.g. license, BLS.

Plan for attendance at mandatory education and professional activities to enhance nursing practice.

Demonstrate professional review of peers through timely participation in evaluations.

Seek out opportunities to participate in enhancing departmental goals by ensuring adherence to national safety standards and service excellence standards; support advancement of education and certification as well.

Collaborate with members of the healthcare team and role model professional behavior and teamwork with coworkers.

Utilize resources as needed and know when to escalate to next level.

Exemplary Professional Practice

Utilize assessment data gathered from patient and family to ensure completion of data base and plan of care within identified timeframes.

Demonstrate clinical skills with complex patients that reflect analysis of patient status and appropriate interventions.

Role model skill in prioritization and organization for complex patient with rapidly changing needs.

Documentation exemplifies adherence to the highest standards of practice.

Anticipate and proactively plan for educational needs verified with patient and family throughout the hospital/outpatient stay and prior to discharge.

Role model organizational skills, adjust for changes and is able to complete assignment on time.

Demonstrate caring in all encounters with patient and family as evidenced by feedback from parents and an increase in patient satisfaction scores.

Safety

Speak up when team members appear to exhibit unsafe behavior or performance

Continuously validate and verify information needed for decision making or documentation

Stop in the face of uncertainty and takes time to resolve the situation

Demonstrate accurate, clear and timely verbal and written communication

Actively promote safety for patients, families, visitors and co-workers

Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Organizational Accountabilities
New Knowledge, Innovations, and Improvements

Identify ways to improve operations through quality improvement and assist in implementation of solutions.

Identify self learning needs and take initiative to meet those needs.

Ensure care is based on evidence with the literature and benchmarking

Organizational Commitment/Identification

Partner in the mission and upholds the core principles of the organization

Committed to diversity and recognizes value of cultural ethnic differences

Demonstrate personal and professional integrity

Maintain confidentiality at all times

Customer Service

Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

Demonstrate collaborative and respectful behavior

Partner with all team members to achieve goals

Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

Contribute to a positive work environment

Demonstrate flexibility and willingness to change

About Children's National Hospital

Pediatric health system providing specialized medical care and research.

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