CRONA

New Graduate RN Residency Program – Spring 2025 Cohort

CRONA - Clinical Nurse I (CNI)

Application open date: October 6, 2024
Application close date: October 11, 2024, at 12p/noon PDT
Program start date: March 17, 2024

FTE: 0.9FTE

Schedule: 12 Hour

Shift: Rotating *

If offered placement with the RN Residency program, shift assignment is determined by the hiring department. Finalists will be notified of shift assignment, at time of offer extension, and will consent to the offer in writing.

At Stanford Medicine Children’s Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.

At Lucile Packard Children's Hospital Stanford, the heart of Stanford Medicine Children's Health, we offer exceptional opportunities for current students and recent graduates to complete their residency. Our program greatly enhances your education through exposure to many of today’s top medical advancements and the individuals responsible for them. If you’re passionate about caring for babies, children and caregivers and want to begin your career learning from a world-class leader in pediatrics and obstetrics, then start with Stanford Medicine Children's Health.

We've partnered with Vizient/AACN Nurse Residency Program, a non-profit organization dedicated to advancing the nursing profession, to develop a comprehensive new graduate RN residency program. This unique one-year Residency is different from the traditional new graduate program because it provides an evidenced-based transition to prepare new graduate nurses for the highly complex and fast-paced acute care environment.

To qualify as an applicant, please note the following criteria:

Must be a Graduate of a Bachelor of Science in Nursing (BSN) or Master's - level practice program accredited by the Accreditation Commission for Education in Nursing (ACEN, former NLNAC) or CCNE (Commission on Collegiate Nursing Education).
- Note: Degree conferral date between January 1, 2024, and January 31, 2025, for our Spring 2025 Cohort
Must hold current unencumbered Registered Nurse licensure – issued by the State of California, by March 5. 2025, for our Spring 2025 Cohort.
- Note: Interim permits are not accepted
Must hold current Basic Life Support Certification - issued by the American Heart Association (AHA), by March 5, 2025, for our Spring 2025 Cohort.
May not have more than six (6) months of paid work experience as a Registered Nurse (RN) before program start, for our Spring 2025 Cohort.
Must have a 3.5 or above cumulative grade point average (G.P.A.) on a 4.0 grading scale.
Must be willing to commit to a one (1) year Residency Program

For consideration, the following documentation must be submitted with your application:

Current Resume.
Cover Letter which indicates your reason for applying to LPCHS New Graduate RN Residency and your first and second choice, among the participating units.
Nursing program transcripts. Unofficial copies are accepted.
- Provide a final transcript if your degree is complete or your most recent transcript if your degree remains in progress.
Clinical Hours Table.
- Linked Table Template must be populated and submitted as a standalone document.
One (1) signed letter of recommendation ("wet" or electronic signature) from a Clinical Preceptor, which speaks to one's performance in the clinical setting and potential for success as a nurse.
All supporting documentation must be submitted with the application by the close date, to regard your application as complete for consideration. **

Application Instructions

Submit the on-line application, uploading your Resume, Cover letter, and Supporting Documentation/'My Attachments', as prompted.
If necessary to log back into your applicant profile, to manage your application/upload supporting documentation, after submission:
- Option 1: From the ‘Application Confirmation’ Page
  - Select the three (3) dots located page upper right > Select ‘My Job Applications’ > Select '+' to 'Add Attachment'
- Option 2: Log back into your applicant profile via: http://applyjobs.lpch.org, using your username and password
  - Select ‘My Job Applications’ > 'My Cover Letters and Attachments’ > Select '+' to 'Add Attachment'

For additional information about LPCH Professional Practice Model, please click on the link below:

Professional Practice Model

For additional information about the New Graduate RN Residency Program, please click on the link below.

RN Residency Program

Should you have questions or experience issues with the on-line application, please email [email protected]. Please specify, 'RN Residency Application" in the subject line and include your name, applicant ID (if applicable), and contact information.

____________

Job Summary

This paragraph summarizes the general nature, level and purpose of the job.

The Clinical Nurse I is a newly licensed new-to-practice RN or RN with less than 12 months as a Registered Nurse that demonstrates basic safe practice within the organizational professional practice model. The Clinical Nurse I seeks guidance to integrate concepts, knowledge, skills and attitudes to meet standards for competent professional nursing practice as specified in the Clinical Nurse I job description addendum and exhibits core values which reflect its mission.

The Clinical Nurse I is accountable for the provision of direct care to patients who may range in age from infancy to adult and demonstrates within the competency domains of Evidence Based Practice and Research, Safety, Professionalism, Person and Family Centered Care, Leadership, Technology/ Informatics, Teamwork and Continuous Quality Improvement.

The Clinical Nurse I works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on developing the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients.

The Clinical Nurse I requires consultation with more experienced clinicians and benefits from feedback while demonstrating growth in the ability to care for increasingly complex patients. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies.

Essential Functions

The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.

Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.

Must perform all duties and responsibilities in accordance with the hospital’s policies and procedures, including its Service Standards and its Code of Conduct.

PATIENT AND FAMILY CENTERED CARE - Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs.
Seeks to develop and understand effective communication with patients and families regarding the clinical plan of care and care development process
Engages patients and families in active partnerships to plan and deliver care
Is aware of and is able to locate all advance care planning documentation, and knows the decision maker for their patients in the event that patients cannot speak for themselves
Fosters a healing environment for patients and families
Keeps the patient and family at the center of all decisions
Assesses patient's and family's ability and readiness to learn, and adapts the teaching plan considering patient level of comprehension, style of learning from the point of entry through discharge
Completes comprehensive systematic assessment relevant to practice setting
Integrates clinical reasoning and knowledge as the foundation for decision-making
Manages patient care assignments appropriate to skill level
Identifies cultural needs and perspectives in the relief of pain, discomfort, and suffering
Incorporates cultural competence, diversity, and inclusion into practice
Views each patient as a unique person
Balances patient's rights and organization's responsibilities in providing professional and ethical care
Utilizes ethical, legal, and regulatory principles in the provision of care
Assumes responsibility and authority for establishing a therapeutic relationship with the patient/ family and creating an individualized plan of care, and evaluates patient's response and intervenes to ensure optimal patient outcomes.
Promotes family presence and participation with care in accordance with patient preferences
EVIDENCE BASED PRACTICE AND RESEARCH - Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness.
Elicits and respects patient and family values when considering EBP decisions
Participates in data collection, research or both
Consults with experts when the basis for practice is questioned
SAFETY - Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance.
Recognizes and responds appropriately to unsafe situation, and to patient and family safety concerns
Is able to articulate the appropriate documentation of unsafe events and propose solutions to correct future occurrences
Communicates concerns related to safety risks to patients, families and the health care team
Integrates safety principles and National Patient Safety Goals into own practice
Uses available resources to prevent injury
Recognizes own limitations and seeks assistance when indicated
Utilizes and discusses policy, procedures, and guidelines to support practice.
Uses organizational error reporting systems for near miss and error reporting
Administers medications and executes regimens as authorized by the state licensure to ensure the best possible outcomes for patients
Applies use of technology and standardized practices that support safety and quality
Practices autonomously within their scope as defined by the CA State Board of Nursing and the American Nurses Association Scope and Standards of Practice, including standards for safe medication administration
Delegates work appropriately and provides direction and guidance to clinical support personnel
Acknowledges and discusses risks associated with transitions
Promotes active patient and family partnership and engagement in care to promote safety
Integrates appropriate training and processes for related point of care laboratory testing
CONTINUOUS QUALITY IMPROVEMENT - Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable.
Recognizes how data is used in QI efforts
Describes the use of PQMS/QI processes
Understands how unit quality affects system effectiveness
Participate as a team member on a performance improvement project
Describes and uses outcome data at the patient level to make care decisions.
TEAMWORK - Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams.
Interacts effectively with patients, families, nursing and inter-professional teams, fostering open communication, mutual respects, and shared decision- making to achieve quality patient care.
Initiates referrals
Functions as the coordinator of the patient’s plan of care and applies communication practices that minimize risks across transitions of care.
Recognizes the impact of his or her behavior on others
Embraces the cultural diversity and individuality of health care team members
Acknowledges own contributions to effective and ineffective team functioning
Uses respectful language appropriate for a given difficult situation, crucial conversation, or inter-professional conflict
Demonstrates active engagement in enhancing patient care and promoting a positive workplace environment
Solicits input from other team members to improve individual and team performance
TECHNOLOGY/INFORMATICS - Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum.
Demonstrates the ability to use clinical systems and technology to accomplish a specific task
Protects patient confidentiality
Documents and plans patient care in an EMR
Consistently provides accurate, timely and complete documentation in the EMR
Consistently utilizes the EMR to communicate with the care team and evaluate patient needs
Identifies and responds appropriately to clinical decision support notifications and alerts
Takes part in risk evaluation and understands the legal implications of late and inaccurate EMR documentation
PROFESSIONALISM - Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach.
Seeks to develop effective communication skills and actively contributes to a healthy work environment
Values recommendations of professional nursing organizations
Actively contributes to a healthy work environment (refer to AACN Standards for Establishing and Sustaining Healthy Work Environments)
Participates in shared decision-making and shared governance activities
Participates in activities that promote the development and practice of nursing
Uses appropriate channels of communication to voice concerns and identify solutions (such as shared governance) to maintain safety, quality and patient satisfaction
Adheres to the ANA's Code of Ethics for Nurses and professional nursing/ organizational standards
Articulates the application of and integrates high ethical standards and core values into everyday work activities
Displays sound moral and ethical character and judgment, and promotes accountability
Demonstrates willingness to learn and actively engage in personal, professional growth
Establishes and follows through with personal goals that support unit, organizational, and Lucile Packard/ Stanford Children's Health goals and imperatives
Participates in formal and informal peer review
Actively seeks and accepts constructive feedback through supervisor and peer review
Demonstrates responsibility for continued competency in nursing practice and develops insight through reflection, self-analysis, self-care, and life- long learning
Participates in community outreach
Uses appropriate channels of communication to voice concerns and identify solutions (such as shared governance)
Displays sound moral and ethical character and judgment, and promotes accountability
Supports decisions once they have been made and agreed upon, and adjusts practice accordingly
Understands and maintains a current working knowledge of scope of practice as outlined by state Board of Nursing.
LEADERSHIP - Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health.
Supervises nursing care that is provided by others and for which the nurse is responsible, by using best practices of management, leadership, and evaluation
Delegates and collaborates effectively to meet patient care needs
Listens objectively to all sides of an issue before making a judgment
Demonstrates engagement in unit and system initiatives
Communicates thoughts, feelings, and ideas to justify a position
Employs appropriate social skills
Demonstrates ability to learn on the fly
Develops conflict resolution skills for self and team members
Initiates actions to resolve conflict

Minimum Qualifications

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Education: Graduate from a accredited nursing program.

Experience: None required.

License/Certifications: Required: Current California RN license.

-AND-

Current BLS as a health care provider issued by the American Heart Association (department requirement).

Knowledge, Skills, & Abilities

These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.

SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level.
MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse’s practice setting.
FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care.
SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization’s policies and procedures.

Physical Requirements And Working Conditions

The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job

Additional Information

PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care.
EVIDENCE BASED PRACTICE AND RESEARCH: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness.
SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance.
CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable.
TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams.
TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum.
PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach.
LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health.
REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute.
Benner PE. From novice to expert: excellence and power in clinical nursing practice. Commemorative ed. Upper Saddle River, NJ: Prentice-Hall; 2001.
Board of Registered Nursing. Standards of competent performance. State of California, Department of Consumer affairs Retrieved from http://www.rn.ca.gov/regulations/title16.shtml#1443.5
Burke K. Johnson T, Site C, Barnsteiner J. Creating an Evidence-Based Progression for Clinical Advancement Programs. American Journal of Nursing (2017) 117(5): 22-35.
Committee on Quality Health Care in America, Institute of Medicine, editor. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001. Quality chasm series. https://www. nap.edu/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the.
Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, editor. The future of nursing: leading change, advancing health. Washington, DC: National Academies Press; 2011. https:// www.nap.edu/catalog/12956/the-future-of-nursing-leading-change-advancing-health.
Greiner AC, et al., editors. Health professions education: a bridge to quality. Washington, DC: National Academies Press; 2003. Quality chasm series. https://www.nap.edu/catalog/ 10681/health-professions-education-a-bridge-to-quality.
Cronenwett L, et al. Quality and safety education for nurses. Nurs Outlook 2007;55(3):122-31.
Cronenwett L, et al. Quality and safety education for advanced nursing practice. Nurs Outlook 2009;57(6):338-48.

Pay Range

Compensation is based on the level and requirements of the role.

Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data.

Typically, new team members join at the minimum to mid salary range.

Minimum to Midpoint Range (1.0 FTE): $178,401.60 to $178,401.60

Equal Opportunity Employer

Lucile Packard Children’s Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

Lucile Packard Children's Hospital Stanford jobs

New Graduate RN Residency Program - Spring 2025 Cohort: Clinical Nurse I (.9FTE, Rotating)