Advanced Practice Registered Nurses / Physician Assistants
Provides comprehensive, coordinated, status-neutral primary and specialty medical care to adolescent youth (AY) vulnerable to HIV and AY living with HIV/AIDS (including but not limited to: specialty HIV/AIDS and PrEP care visits and related treatments, treatment adherence counseling and consultations, and risk reduction education). Collaborates with patient, family, and treatment team in developing coordinated plans of care. Conducts treatment readiness assessments for AY patients; provides education to newly identified patients. Contributes to development and implementation of new PrEP order set in the EMR. Supports coverage of the hotline/texting service for counseling services to AY and healthcare providers on PrEP, sexual reproductive health (SRH), and risk-reduction. Assists with handling of medications at home and through pharmacies; provides training to external caregivers on optimal adherence support. Submits data on services provided and participates in program evaluations.
All advanced 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 APRN relationships within the community; specifically those relationships associated with the health and well-being of the community at large. Credentialed by the medical staff and licensed to function in an expanded nursing role as an Advanced Practice Nurse to a group of patients. Acts in a collaborative and integrated practice with a physician and is responsible for the management of care to patients assigned including: diagnostic and therapeutic interventions, and the assessment, implementation and evaluation of an appropriate plan of care. All activities are performed within the guidelines of protocols agreed upon by the authority of licensure, the medical and nursing divisions, and the medical staff bylaws. Provides leadership and consultation within a specialty area through participation in division/department initiatives and mentorship of others. Participates in Divisional/Departmental and organizational wide initiatives to represent advanced practice nursing, and leverage the role of the advanced practice nurse.
1. Participate in Shared Leadership.
2. Contribute to the MAGNET Journey of Children’s National.
3. Ensure that advanced nursing practice is based on evidence of best practice through the use of scientific and theoretical foundation for practice and on-going education and research on evidence-based practice.
4. Provide nursing leadership in advancing evidence-based nursing practice.
5. Accountable for participating in Division’s Performance Improvement process (division or department level) to advance the efficient, appropriate and effective delivery of care.
6. Participate in community activities.
1. Effectively identify , evaluate, and address disease prevention and health promotion issues of the population in practice while administering quality patient care.
2. Work in an independent and interdependent relationship with members of the medical staff, allowing for consultation, collaboration, or referral.
3. Responsible for the diagnosis and treatment of acute, chronic, and long-term healthcare issues by area of practice.
4. Educate patients and/or families about preventive care, medical issues, and use of prescribed medical treatments and/or medications.
5. Maintain legible, accurate, and confidential medical records.
6. Document all medical evaluations, diagnosis, procedures, treatment, outcomes, education, referrals, and consultations consistent with federal and state regulatory standards.
7. Analyze new knowledge gained from conferences, workshops, professional literature, or training, and assimilate this new knowledge into clinical practice; inform and educate others regarding new learned knowledge from conferences and educational activities especially evidence-based best practices.
8. Practice within the Scope of Practice and Delineation of Privilege Credentialing Documents for role and Division.
9. Maintain clinical competency related to clinical area for privileged procedures.
10. Prescribe legend drugs according to Children’s National guidelines.
11. Participate in multidisciplinary patient care, discharge planning, and resource case management.
12. Demonstrate practice consistent with professional standards of care.
13. Plan, manage, and evaluate orientation process for new hires at department level.
14. Direct the clinical work of APRN students and new hires through precepting and evaluation of orientation process.
1. Model consultation skills as a professional member of the interdisciplinary team.
3. Collaborate with nursing and other health care professionals in the planning and implementation of system change.
4. Provide a point of contact for patients and families pre, post and throughout hospitalization.
5. Exhibit service excellence in all areas of practice.
6. In collaboration with the patient care team assess learning needs of patients, families, and staff, and provide education as necessary, including specialty specific education.
1. Speak up when team members appear to exhibit unsafe behavior or performance.
2. Continuously validate and verify information needed for decision making or documentation.
3. Stop in the face of uncertainty and takes time to resolve the situation.
4. Demonstrate accurate, clear and timely verbal and written communication.
5. Actively promote safety for patients, families, visitors and co-workers.
6. Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance.
1. Anticipate and responds to customer needs; follows up until needs are met.
1. Demonstrate collaborative and respectful behavior.
2. Partner with all team members to achieve goals.
3. Receptive to others’ ideas and opinions.
1. Contribute to a positive work environment.
2. Demonstrate flexibility and willingness to change.
3. Identify opportunities to improve clinical and administrative processes.
4. Make appropriate decisions, using sound judgment.
Cost Management/Financial Responsibility
1. Use resources efficiently.
2. Search for less costly ways of doing things.
Nursing with National Board certification in one of four APRN roles. Continuing education credits necessary to maintain national board certification, and state licensure. (Required)
Minimum Work Experience – 3 years (Required)
Related Experience in Pediatrics (Required)
Internal Number: 190002EF
About Children's National Hospital
Children’s National Hospital, based in Washington, D.C., has served the nation’s children since 1870. Children’s National is one of the nation’s Top 5 pediatric hospitals and, for a second straight year, is ranked No. 1 in newborn care, as well as ranked in all specialties evaluated by U.S. News & World Report. It has been designated two times as a Magnet® hospital, a designation given to hospitals that demonstrate the highest standards of nursing and patient care delivery. This pediatric academic health system offers expert care through a convenient, community-based primary care network and specialty outpatient centers in the D.C. Metropolitan area, including the Maryland suburbs and Northern Virginia. Home to the Children’s Research Institute and the Sheikh Zayed Institute for Pediatric Surgical Innovation, Children’s National is the seventh-highest NIH-funded pediatric institution in the nation. Children’s National is recognized for its expertise and innovation in pediatric care and as a strong voice for children through advocacy at the local, regional and national levels.