Location: LOC_MAIN-Main Hospital
Req ID: 161051
Employment Status: Regular – Full Time
We’re seeking breakthrough makers! Children’s Hospital of Philadelphia was built on the belief that we can change lives. Today, in every role throughout our hospital, research institute and care network, the 22,000 members of our workforce are finding new ways – big and small – to make a difference for the patients and families we serve.
If you are ready to challenge yourself, be inspired and grow – no matter what your role – you just may be the kind of breakthrough maker who will thrive at CHOP.
The Clinical Nurse practices at the level of an advanced beginner to expert practitioner of professional nursing in accordance with, and guided by the CHOP Nursing Professional Practice Model. The nurse at this level demonstrates competence in caring for patients and families and progresses to caring for those with the most complex problems/highest acuity in the designated clinical area. Provides age/developmentally appropriate care. Care is delivered through RN leadership for patient care within the framework of family-centered care.
The Clinical Nurse adheres to the organizational and nursing department mission, vision, and values. S/he practices in accordance with the ANA Code of Ethics; the ANA Standards of Clinical Nursing Practice; practice standards of applicable specialty nursing organizations; and CHOP developed standards of nursing practice. The professional nurse practices within the defined scope of practice designated by the Nurse Practice Acts of Pennsylvania and/or New Jersey, depending on the assigned work site.
Registered Respiratory Therapist (RRT)
The Registered Respiratory Therapist (RRT) practices at the level of a clinically competent to proficient practitioner of respiratory care. The RRT at this level demonstrates competence in caring for patients with emergency, acute, and intensive care needs with minimal guidance. The RRT demonstrates clinical leadership skills through contribution to standards of care and department goals. They serves as a role model for other staff, a preceptor for new employees and participates in endeavors to increase respiratory care knowledge. The RRT works under the direction of ordering physician/clinician, established organizational policies and procedures, and the American Association of Respiratory Care Clinical Practices Guidelines.
Provides direct and indirect care duties under the guidance and direction of the registered nurse and the medical command physician. Performs a variety of invasive and non-invasive technical skills and specialized patient care procedures as well as other duties to support the operations for a 24-hour Emergency Transport Service.
- Performs each of the following duties under the direction and supervision of the Intake Nurse and the Medical Command Physician.
- Obtains and evaluates pre-transport patient information.
- Performs patient assessment and prioritizes care based on assessment.
- Continuously reassesses patient and performs advanced role skills according to standard protocols or on line physician direction.
- Distinguishes between normal and abnormal findings, and recognizes clinical deterioration.
- Documents patient care, vital signs, weights and allergies as specified by department and hospital guidelines. Communicates all pertinent patient information in both written and verbal form in an organized and timely manner.
- Maintains proficiency in the following skills:
- Advanced airway management and endotracheal intubation
- Tracheostomy changes and replacement
- Peripheral IV insertion and fluid administration
- Intraosseous needle placement
- Needle thoracentesis
- Spine immobilization and splinting
- OG/NG placement
- Assists with respiratory care procedures.
- Nebulizer treatments
- Administers oxygen as ordered/needed
- Provides 1:1 observation
- Performs patient monitoring on transport patients.
- Place on monitor
- Troubleshoots monitor
- Performs EKGs as ordered
- Identifies abnormalities (apnea, bradycardia, tachycardia, asystole), notifies RN/MCP and takes emergency action
Job Responsibilities (Continued)
- Maintains proficiency with transport and patient care equipment including, but not limited to, monitors, infusion pumps, external pacer, defibrillator, and transport ventilators.
- Administers and monitors medications and IV fluids as outlined by transport service policies and procedures within scope of practice.
- Provides technical expertise with telephones and radios to ensure effective communication between transport team members and the medical command physician.
- Performs with transport, positioning, immobilization, lifting, transfer, and turning of patients.
- Assists with obtaining laboratory specimens.
- Performs bladder catheterization per CHOP procedure
- Performs venipuncture/phlebotomy according to CHOP standards
- Performs Point of Care Testing including blood glucose, pH and I-Stat Testing
- Promotes family centered care in the transport environment.
- Performs daily checklists in a timely manner correcting quality issues or following up on maintenance issues per department policy.
- Supports the maintenance of established supply levels.
- Participates in Professional Practice Model.
- Participates in precepting new staff as well as with the education and training of students in the ED.
- Provide staffing in the Transport Communications Center as needed.
- Complies with all CHOP and Transport Team policies and procedures.
- Maintains transport equipment readiness, including cleanliness, equipment and supplies.
- Actively participates in patient review and performance improvement projects.
- Participates in the transport data collection.
- Assists in marketing and public relation events.
- Assumes self-directed role during low periods of activity.
- Attends all required staff meetings and educational activities.
- Recognizes own limitations and seeks appropriate resources for continued professional development.
- Provides for own development and the development of the staff by attending and conducting educational activities.
- Serves as a contributing member of transport/hospital committees.
- Independently maintains required certifications.
- Must stay current with important communication. Frequent review of email and other forms of communication is necessary.
Job Responsibilities (Continued)
Required Licenses, Certifications, Registrations
National Registry Paramedic required
Certification as Paramedic by Commonwealth of Pennsylvania.
Current PALS certification required.
Current ACLS and NRP (Neonatal Resuscitation Program) certification preferred; certifications required within 6 months of employment.
Required Education and Experience
Required Education: High School/GED. According to the CMS (Centers for Medicaid and Medicare Services) a copy of diploma or transcript is required as proof of academic achievement for all non-laboratory personnel performing non-waived POC testing.
Preferred Education, Experience & Cert/Lic
- 2-3 years previous paramedic experience.
- A wide variety of clinical experience.
Additional Technical Requirements
Ability to perform clinical technical tasks, ability to communicate effectively with people of all ages.
Basic knowledge of growth and development.
- New hires will be given training, but must evidence these abilities by the end of probation to be retained.
To carry out its mission, it is of critical importance for the Children’s Hospital of Philadelphia (CHOP) to keep our patients, families and workforce safe and healthy and to support the health of our global community. In keeping with this, CHOP has mandated all workforce members on site at any CHOP location for any portion of their time be vaccinated for COVID-19. This mandate also applies to workforce members performing work for CHOP at non-CHOP locations. The CHOP COVID-19 vaccine mandate is in alignment with applicable local, state and federal mandates.
CHOP also requires all workforce members who work in patient care buildings or who provide patient care to receive an annual influenza vaccine. Employees may request exemption consideration for CHOP vaccine requirements for valid religious and medical reasons.
Please note start dates may be delayed until candidates are fully immunized or valid exemption requests are reviewed. In addition, candidates other than those in positions with regularly scheduled hours in New Jersey, must attest to not using tobacco products.
EEO / VEVRAA Federal Contractor