Location: Miami, Florida
Responsible for demonstrating expert clinical practice based upon evidence-based information that focuses on preventing and minimizing pediatric acute/chronic/procedural-related pain in both inpatient and outpatient areas. Serves as a consultant/leader/change agent for pediatric pain-related issues throughout NCHS. Provides formal/informal education of pain-related issues, including State regulations, to all levels of NCH providers, students, and community groups. Partners with patients and families to establish pain-related treatment goals and patient-specific multi-modal treatment plans. Collaborates as a member of the team through effective verbal and written communication methods.
Job Specific Duties
- Serves as a patient advocate and provides family support/community resources.
- Reviews inpatient patient list (including new consults) to determine priority of care during rounding based upon patient response to treatment plan and new consults.
- Conducts pain rounds as often as necessary based on patient and plan of care.
- Formulates a differential pain diagnosis based upon the assessment, history, physical exam and findings of diagnostic testing.
- Models expert pain management practice to interdisciplinary team and patients.
- Communicates with pain Attending throughout the day and provides hand off regarding admitted patients prior to daily departure.
- Completes clinical documentation (H&P, notes, results) accurately and in a timely manner of 24 hours.
- Performs procedures per competency checklist: epidural catheter removal, on-q-soaker catheter removal.
- Documents within the scope of practice, all electronic medical record (EMR) meaningful use required fields in an effort to optimize utilization.
- Identifies barriers to the effective provision of pain management (i.e. patient/family related, provider related, system related).
- Promotes pain management nursing through participation with American Society of Pain Management Nurses/APS listserv, Pediatric Pain list serve and ASPMN committees.
- Provides mentoring in precepting Advanced Practice Provider (APP)/Medical Students/Residents; actively provides feedback and detailed description of areas.
- Attends & ensures active pain participation/representation at assigned hospital-wide meetings and unit-based interdisciplinary patient specific meetings.
- Accountable for influencing quality, competent patient care. Evaluates role performance according to professional practice standards, relevant statutes & regulations, and institutional guidelines.
- Provides education to patient/families on the continuing plan of care to include medications and side effects. Updates patient/families daily on Plan of Care (POC).
- Generates, collects, & integrates data from a wide variety of evidence-based sources in order to make clinical judgments & decisions about appropriate orders, procedures, referrals, & treatments.
- Develops and implements an individualized pain plan of care (including diagnostic testing) to meet the needs of patients with acute, procedural, chronic and complex pain syndromes.
Minimum Job Requirements
- APRN State of Florida license - must maintain active and in good standing throughout employment.
- American Heart Association (AHA) BLS - must maintain active and in good standing throughout employment.
- American Heart Association (AHA) PALS - must maintain active in good standing throughout employment.
- Level II Background Check Successful completion of credentialing by NCHS Medical Administration required.
Knowledge, Skills, and Abilities
- Available for weekend call and weekend coverage required.
- Career Development: Actively involved in the American Society of Pain Management Nurses (ASPMN) within 3 years of hire preferred.
- Strong interpersonal, communication, collaboration, and conflict resolution skills.
- Able to relate cooperatively and constructively with patients, families, and co-workers.
- Able to communicate effectively verbally and in writing.
- Able to maintain confidentiality of sensitive information.
- Ability to problem solve to formulate a plan of care and evaluate the patient's response to care.
- Able to interpret, adapt, and react calmly under stressful conditions.
- Able to react quickly to new challenges (unanticipated events) and resolve issues and address requests in a timely fashion.
Primary Location :
Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus