The RN Virtual Care Coordinator supports operations of the BOV Telehealth Command Center at Children's National Hospital. Provides virtual surveillance for patients with critical congenital or acquired heart disease in the CICU at Children's National Hospital, as well as others in remote institutions nationally or internationally. Monitors patient's vital signs, trends from multiple monitoring devices, and alerts bedside teams of concerning trends when appropriate. Coordinates nursing care and services for patients and family members in specific healthcare specialty encounters by telephonic, electronic, in person, and/or by mail. Consults with physicians, and other healthcare providers to resolve health concerns. Incorporates all members of the health care team in the planning and delivery of patient care. Deals successfully with complex clinical problems. Conduct quick assessment of patients through the command center and handle emergency situations appropriately. Demonstrate evidence-based practice through participation in unit projects and activities. Responsible to lead the activities of the patient care delivery team for specific patient population. Provide continuous accountability to assess, plan, implement and evaluate clinical care and ensure that continuity of care is maintained.

All nursing practice is based on the legal scope of practice, national and specialty nursing standards, CNMC 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. CNMC supports the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large.

Minimum Education
Bachelor's Degree in Nursing (Required)
Minimum Work Experience
5 years nursing experience with a minimum of two (2) years' recent pediatric experience in a CVICU or comparable ICU setting, and a minimum of one (1) year of demonstrated nursing leadership experience. for example as a charge nurse, educator, preceptor, council chair/member or comparable jobs (Required)
Required Skills/Knowledge
Successfully completes the hospital and nursing orientation at CNMC.
Knowledge of pediatric healthcare standards with related clinical skill competency.
Strong knowledge of JC and other regulatory agency requirements.
Demonstrated leadership and management skills.
Excellent written and verbal communication skills.
Proven capacity to make critical clinical decisions when appropriate
Required Licenses and Certifications
Registered Nurse (Required) Or
Registered Nurse licensure in the state of practice or supervision (Required)
Functional Accountabilities
Professional Practice/Research

• Participate in/support Shared Nursing Leadership.

• Contribute to the sustainability and advancement of nursing excellence which translates into on-going Magnet designation.

• Participate, contribute to internal/external committees, professional organizations, community activities.

• Accountable to support/participate in the Division of Nursing's performance improvement process.

• Identify, define, and report on measures consistent with Nurse Sensitive Indicators (NSIs) for Ambulatory Nursing Practice.

• Integrate evidence-based practice and research into practice.

• Assist physicians and other professional providers to maintain appropriate cost and desired patient outcomes.

Patient Family-Centered Care

• Plan to consult and collaborate with patients, families, physicians, nurse practitioners, physician assistants and other professional colleagues.

• Involve patients and families in shared decision making; advocate for patient and family; accessing relevant health services.

• Exercise authority and accountability for clinical care for specific patient population and area workflow.

• Develop pertinent goals based on patient response to illness, health promotion and program expected outcomes; implement suitable, evidence-based nursing interventions; provide careful and complete documentation of care provided.

• Use the nursing process in the clinic setting, at the bedside, and in telehealth services to assess patient problems and concerns; critically analyze and integrate subjective and objective data.

• Provide health education based on the patient /family learning preferences throughout a patient's disease trajectory or health promotion; utilize expertise in cultural competency to enhance relationships, processes, and outcomes for patients/families.

• Engage opportunities to act in the best interest of the patient/family, building trust and confidence, while upholding moral and legal standards of due care.

• Coordinate mechanisms across systems, institutions, and community to provide continuity of care for wellness needs or health concerns.

• Direct and participate in the development of patient care policies and protocols in order to advise and guide practice.

Resources and Work Environment

• Establish and maintain medical equipment and supplies, include a plan to promote safe and effective use of equipment.

• Ensure regulatory requirements are met and area is in a constant state of readiness in area of practice; keep update on the application of health informatics systems such as diagnosis and treatment technology linked to patient care.

• Apply knowledge of operations, financial principles, and resources to ensure quality and appropriate care services are delivered in a cost effective and safe manner.

• Responsible to enhance knowledge, skills and abilities in areas in clinical, legal, regulatory and cultural competence associated with patient population and community relevant care.

• Employ critical attributes of effective collaboration to create, promote, and maintain an environment that supports successful partnership and high-performance team outcomes.

Partners for Excellence

• Facilitate interdisciplinary patient care rounds/conferences to review treatment goals and optimize outcomes.

• Ensure time, schedule and alternate coverage accuracy in meeting patients/families care and personal needs; participate in cross coverage of other areas providing clinical care when the special needs arise.

• Direct the flow of patients and staff to assure patients are adequately managed and the care environment is running smoothly.

• Work in collaboration with professional staff including RNs, LPNs, PCTs and other unlicensed assistive personnel as manifested in the state practice act/guidelines and CNH job descriptions.

• Communicate and escalate clinical/administrative issues as appropriate to levels of individuals assigned for resolution.

• Participate in the peer review for staff.

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

Job Specific Responsibilities

• Responds to routine, urgent, and emergent patient issues at CNH Critical Care bedside. Provides follow-up to ensure problem resolution.

• Collects and analyses patient data from remote monitoring and multiple data sources from patients in the CICU at Children's National Hospital, and others in remote institutions nationally or internationally, as directed by Command Center leadership.

• Communicates with the members of the Command Center and bedside CICU teams to provide safe error-free care during routine and emergent conditions.

• Communicates to the healthcare team and documents patient physiologic health status, concerning trends as appropriate.

• Demonstrate thorough knowledge of the program's identified top 10 triage/ symptom guidelines and uses available decision support tools in determining evidence-based practices for clinical problems.

• Collaborates with bedside teams to solve clinical patient problems using virtual monitoring and AI tools. Communicates unresolved issues to medical staff or CICU nurse as appropriate.

• Applies existing basic and advanced features in the Command Center, including AI algorithms in use to enhance assessment and documentation during the virtual surveillance activities.

• Participates in expanding the command center care model to other inpatient, ambulatory, and emergency room care models and enhancing AI tools.

• Achieve telehealth and other applicable national certifications.

Organizational Accountabilities
Demonstrates

• Demonstrate awareness of cost containment strategies by efficiently planning staffing patterns, level and mix to meet patient care needs.

• Ensure staff adherence to unit/hospital policies.

• Participate in the performance appraisal process for all staff.

• Implement change with a positive impact.

• Display strong leadership in a team environment through example.

• Demonstrate initiatives and leadership through involvement in projects and committee work.

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/Collaboration

• 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

Organizational Accountabilities (Leader)
Deliver

• Set and clearly communicate team goals and priorities in alignment with departmental goals and budgets

• Develop the budget and assign resources to meet the team goals

• Provide the resources and guidance required for employees to perform effectively

• Develop procedures to ensure high safety and quality, and course-correct as needed

• Identify customers' needs and ensure service excellence in meeting those needs

Engage

• Be the link between the department and the team in defining the strategies to meet team goals

• Provide prompt and clear feedback to staff and support their performance

• Ensure team adherence to organizational regulations

• Manage the working environment to promote productivity and motivation

• Represent the team in clearing obstacles to high performance

• Hire staff and develop their capabilities

• Monitor and promote strong employee engagement

Grow

• Encourage and share new ways of making the right work easier to do

• Recognize and share incremental improvements in operations

• Promote the success of organizational and department initiatives by clearly aligning programs to the mission