Registered Nurse II - 6EN Intestinal Rehab and Gastroenterlogy Unit

Location
Washington, District of Columbia
Salary
Competitive
Posted
Nov 28, 2017
Closes
Dec 08, 2017
Specialty
Rehabilitation
Contract Type
Permanent
Hours
Full Time
Nurses work with ostomies, central lines, G and J tubes, NG tubes, and total parental nutrition all in an effort to slowly rehabilitate the intestines. Psycho social components of this illness (and other GI illnesses) complicate the care. The Healthcare Team approach is particularly important in meeting all the complex needs of the patients and families. The nursing staff works very closely with the family and there is a large teaching component to their work. The Intestinal Rehab Team at CNMC has achieved a 98% survivability rate for Short Bowel Syndrome. The unit runs at a fast pace and the children are adorable!!

6EN is a 12 bed Intestinal Rehabilitation and Gastroenterology Unit. This unit provides inpatient services mainly to the intestinal rehab population but also to other gastrointestinal patients with diagnosis such as Ulcerative Colitis and Crohn’s disease and acute and chronic liver failure. Intestinal failure is characterized by the inability of the bowel to maintain adequate absorption of fluids and nutrients, and without treatment it is life threatening. This very complex condition requires a multidisciplinary approach from physicians, nursing, social work, surgeons, child life, and case management. Patients have ostomies, central lines, NG/NJ or GT tubes, are on multiple medications, and families require extensive teaching prior to discharge. The Intestinal Rehabilitation program at Children’s National provides children with intestinal failure the chance to receive comprehensive medical and surgical care, giving them the chance for improved long-term survival ( 98%) including weaning from parenteral nutrition and avoidance of the need for transplantation and long term immunosuppression.

All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children’s 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’s 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.

Qualifications
Minimum Education

Specific Requirements and Preferences
Graduated from an approved school of nursing. BSN preferred.

Minimum Work Experience
1 Year(s)

Specific Requirements and Preferences
At least one year of 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 licensed in the District of Columbia, Maryland or Virginia dependent upon location of practice.
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 (Staff)

    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

  • Identify opportunities to improve clinical and administrative processes

  • Make appropriate decisions, using sound judgment
  • Cost Management/Financial Responsibility

  • Use resources efficiently

  • Search for less costly ways of doing things