Our Nursing Programs
At Nemours, we know that how you do something is just as important as what you do. By establishing goals and continuously monitoring benchmarks — and then bringing that knowledge directly to the bedside — we are able to achieve ongoing success while raising the bar on patient care, safety, and service.
Nursing in the Delaware Valley
Whether it's on the floors of the Nemours/Alfred I. duPont Hospital for Children in Delaware, in an outpatient clinic in Pennsylvania or New Jersey, or as a community educator, our nurses have countless opportunities to make an impact in the lives of children. The units and care areas at duPont Hospital for Children include:
2 West is a 24-bed general, specialty and subspecialty surgical unit with a high population of patients requiring postoperative care for urologic, trauma and general surgery, as well as solid organ transplant surgery. In addition, acute and end-stage renal patients are admitted to this unit for nursing care and peritoneal dialysis, if indicated. Eight of the 24 beds on 2 West are designated intermediate care beds for admission of trach/vent-dependent patients. The unit is designed to provide single patient care rooms. Each patient room is equipped with oxygen, compressed air and suction as well as cardio-respiratory bedside monitors. Each room is also equipped with a computer to facilitate medication administration using barcode technology.
2B is a monitored, 18-bed cardiac care unit that provides an environment with a full range of treatment services and comprehensive care for infants, children and adolescents with all forms of cardiac, thoracic and vascular disease. The patients' physical, psychological, developmental and social needs are assessed, provided for and re-evaluated on a continual basis. Education and training in life support and patient care is provided for families who will assume or participate in the care of their infants and children. An interprofessional approach to patient care is used with research and education consistent with the mission, vision and values of Nemours. The Cardiac Inpatient Care area provides high-quality and cost-effective care with respect for life and dignity to patients requiring care as a result of cardiac, thoracic and vascular disease.
3 East is a 24-bed intermediate care unit that provides inpatient care for patients requiring services from the Hematology/Oncology, Bone Marrow Transplant and Endocrine subspecialties. Admitting diagnoses include leukemia, lymphoma, brain tumors, neuroblastomas, solid organ malignancies, sickle cell disease, bleeding disorders, diabetes and other types of genetic and immune disorders. In addition, stem cell and bone marrow donors are cared for on this unit. The type of patient care provided in this area is complex due to patient diagnosis, the intensity of therapy, the criticality of patient condition, and the extensive patient/family issues that necessitate nursing intervention. The unit was designed to provide single patient care rooms.
3 West is a 24-bed medical surgical unit for patients 0-21 years of age. This unit is designated for orthopedic patients, patients in need of comprehensive rehabilitation and acute rehabilitation of both traumatic brain injury and spinal cord injury, ventilator-dependent patients, and patients with tracheotomies. Additional patient populations include neurosurgical and nonsurgical neurology, and infants transitioning from the Neonatal Intensive Care Unit. Neurology and neurosurgical patients are also cared for on 3 West. This unit was designed to provide single patient care rooms to allow for privacy and family presence during the hospital stay.
4 East is a 24-bed general, specialty and subspecialty medical unit with a high population of patients requiring respiratory or gastrointestinal management. Each single patient room is equipped with oxygen, compressed air and suction, along with state-of-the-art cardio respiratory bedside monitors and computers that enable the healthcare team to access a patient’s electronic medical record. These computers are also used in the barcoding administration of medications which ensures patient safety by verifying that the correct medication is given to the appropriate child. This unit’s goals are to provide high-quality, cost-effective, family-centered care. Family-centered care rounds are performed daily to assure an interprofessional approach and partnership with the patient and family.
4 West is a 24-four-bed limited-stay unit that typically cares for general medical surgical patients whose care is driven by protocols. The unit consists of single patient care rooms, which can also be isolation rooms. The goal of the unit is to provide very high-quality, high-value patient care within a 72-hour time frame. Each patient room is equipped with oxygen, compressed air and suction, along with state-of-the-art cardiorespiratory bedside monitors and computers that enable the health care team to access a patient’s electronic medical record. These computers are also used in the barcoding administration of medications which ensures patient safety by verifying that the correct medication is given to the appropriate child. Family-centered care rounds are performed daily to assure an interprofessional approach and partnership with the patient and family.
The Cardiac Intensive Care Unit (CICU) is a monitored 14-bed unit that provides a full range of treatment services and comprehensive care for children with all forms of cardiac, pulmonary, thoracic and vascular disease. The patients' physical, psychological, developmental and social needs are assessed, provided for and re-evaluated on a continual basis. Education and training in life support and patient care is provided for families who will assume or participate in the care of their infants and children. An interprofessional approach to patient care is utilized with research and education consistent with the mission, vision and values of Nemours. The Cardiac Intensive Care Unit provides high-quality, cost-effective care with respect for life and dignity.
The Day Medicine Unit has 10 physical bays that can accommodate up to 10 patients. The Sedation Suite includes two anesthesia induction rooms, three sedation rooms and eight recovery bays. Hours of operation for Day Medicine are between 6 a.m. and 7:30 p.m. Monday through Friday, and 7 a.m. and 4:30 p.m. Saturdays for MRI sedations. The Day Medicine Department provides specialty care for children who may have been seen by physicians in our specialty clinics and/or referred by primary care community physicians to the unit for specific services. Day Medicine performs single or ongoing outpatient intravenous infusions for many medical conditions such as osteogenesis imperfecta, inflammatory bowel disease and juvenile rheumatoid arthritis. Day Medicine also performs complex testing for endocrine, allergy, gastroenterology, laboratory collection and various short procedures. The average length of stay varies by procedure from only minutes to eight or more hours.
This six-station hemodialysis unit provides care for both acutely and chronically ill renal failure patients. The unit also provides consultative/educative services for patients receiving peritoneal dialysis at home. In addition, this team provides hemodialysis at the bedside of an inpatient that cannot be moved to the hemodialysis unit. The goals of this area are to provide high-quality, high-value service. Governance occurs under the multidisciplinary guidance of the End Stage Renal Disease Program. Primary nursing is used as the service delivery model.
The Emergency Department (ED) is an American College of Surgeons (ACS) verified Level I Pediatric Trauma Center and a State of Delaware Level I Pediatric Emergency Care Center. We provide services on a 24-hour basis, caring for patients presenting with a variety of illness and injuries. Patients are admitted to the ED without regard to race, religion, place of national origin or ability to pay. The average monthly census is approximately 4,300 patients.
The ED is located on the first floor of the facility, providing access to both ambulatory and nonambulatory/ambulance patients. The department is comprised of a total of 44 patient care rooms. In addition to the triage area, there are two trauma/resuscitation rooms and 42 monitored emergency treatment rooms. There are also two satellite radiology suites, an internal multipatient decontamination shower and a disaster holding area. The physician director and nursing director function in a cooperative effort to assure adequate staffing and the provision of appropriate care. The ED is staffed by a team consisting of the following members:
- board-certified or board-eligible pediatric emergency physicians in the main ED
- board-certified pediatricians in the treatment area
- fellows training in pediatric emergency medicine
- residents from the emergency medicine, family practice and pediatric programs under the supervision of the ED attending physician or fellow
- advanced practice nurses
- physician assistants under the supervision of the ED attending physician or fellow
- registered nurses
- clerk/nursing assistants/registrars with various certifications and training consistent with their position
- ED techs with various certifications and training consistent with their position
- clinical liaisons with various backgrounds
- Child Life specialists
The Outpatient Hematology/Oncology Clinic of the Nemours Center for Cancer and Blood Disorders (NCCBD) provides comprehensive outpatient services to children and families with hematological and oncological diagnoses. Services in the Outpatient Hematology/Oncology Clinic and Day Therapy area include diagnostic workups, physical exams by physicians, peripheral IV insertion, central line access and care, medication administration, chemotherapy administration, blood product administration, emergency care, lumbar punctures, pheresis services including extracorporeal photopheresis by the American Red Cross, autologous blood collections for preoperative patients, pre, post and intrasedation monitoring, pre and postbone marrow transplant patients, and the initiation of the admission process to the hospital. Hours of operation are from 8:30 a.m. to 5 p.m., Monday through Friday. Nurses work collaboratively with providers to care for each patient’s needs during the clinic visit. Nurses in the Hematology/Oncology Clinic assess, plan and initiate care for a variety of patients, while collaborating with the interdisciplinary team.
The Neonatal Intensive Care Unit (NICU) is a Level IV referral NICU primarily for infants less than 30 days of age, but is capable of caring for infants of any age requiring intensive care. The NICU currently consists of 18 monitored beds, with 16 individual patient rooms, two two-bed rooms and two negative-pressure (on demand) rooms. Special equipment includes radiant warmer beds, cardiorespiratory monitors, incubators, ventilators, infusion pumps, phototherapy equipment and transport incubators. Each bedside is also equipped with compressed air, oxygen and vacuum outlets, along with state-of- the-art cardiorespiratory bedside monitors and computers that enable the healthcare team to access a patient’s electronic medical record. These computers are also used in the barcoding administration of medications to ensure patient safety by verifying that the correct medication is given to the appropriate patient. Procedures that may be performed include tracheal intubation, umbilical catheterization, arterial line placement, central venous line placement, chest tube placement and drainage, urinary catheterization, peritoneal dialysis, IV catheter placement, retinal laser surgery, wound care, total body cooling, PDA ligation, peritoneal drainage and extracorporeal membrane oxygenation (ECMO). The NICU team is committed to delivering the most comprehensive care possible. This includes educating and providing hands-on training to patients’ families to ensure that caregivers are able to comfortably and confidently handle any home medical care that may be necessary. At each patient bedside there is an entertainment and educational TV system that helps nurses provide this education.
The Pediatric Intensive Care Unit (PICU) is a 24-bed unit that provides an environment for surveillance and support of vital functions and therapeutic management for children with an age range from newborn through adolescence with life-threatening impairment of vital body systems. Patients requiring care and surveillance in the PICU have conditions and diagnoses which may include acute and reversible loss of consciousness, respiratory failure, compromised air exchange, cardiovascular dysfunction, hepatic failure, hemodynamic instability, renal dysfunction, and central nervous system injury or dysfunction. Treatments or interventions performed in the PICU include measures utilizing advanced life support technology, such as cardiopulmonary resuscitation, tracheal intubation, pharmacologic support of circulation, mechanical ventilation, sampling of arterial blood gases, thoracentesis, and hemodynamic, intracranial pressure, extracorporeal membrane oxygenation (ECMO) and intravascular monitoring. PICU services are integrated with other hospital departments and disciplines to achieve an interprofessional approach to the provision of patient care. Patient care is primarily provided by attending physicians and their designees, registered nurses, respiratory care practitioners, a clinical pharmacist, an occupational therapist, a physical therapist, a speech/hearing specialist, a nutrition specialist, social workers, a radiology technologist, a laboratory technologist and Child Life therapists.
Nursing in Jacksonville, Fla.
Nurses at Nemours Children Clinic, Jacksonville provide family-centered care to children that is evidence-based and tailored to the individual needs of each child and family. Our nursing team relies on a shared governance model of organization, which facilitates nursing participation and involvement in clinical decisions that affect patient care.
The Department of Anesthesiology and Critical Care Medicine at Nemours Children's Specialty Care, Jacksonville is anchored by board-certified anesthesiologists who have subspecialty training in pediatric anesthesia. The Department is complemented by a pediatric registered nurse who assists in coordinating presurgical consult clinic evaluations and pain service consults. All members are dedicated to the total care and treatment of the children and families we serve.
The Blood and Marrow Transplantation Program is a unique, collaborative effort of the Mayo Clinic, the Nemours Children’s Clinic and Wolfson Children’s Hospital. This allows for greater integration of physician and staff expertise, and a reliance on research and clinical protocols to ensure the best possible care for all patients.
Mayo Clinic maintains the program's adult transplant unit and cryopreservation laboratory, Nemours Children’s Clinic provides pretransplant and post transplant care for children, and Wolfson Children's Hospital maintains the pediatric inpatient transplant unit.
The transplant program has been awarded national accreditation by the Foundation for Accreditation of Cellular Therapy (FACT) and is recognized by the National Marrow Donor Program (NMDP) as an affiliated center for matched unrelated donor transplants.
The Division of Endocrinology at the Nemours Children's Specialty Care, Jacksonville provides diagnostic and treatment services to infants, children and teenagers with a variety of disorders related to hormones. The Division has six board-certified pediatric endocrinologists, as well as board-certified nurse practitioners, pediatric registered nurses, nutritionists and certified diabetes educators.
There is an on-site blood drawing station as well as convenient scheduling for X rays and diagnostic imaging. Our diabetes program, staffed by Certified Diabetes Educators, is American Diabetes Association–recognized for its education. We are able to schedule and evaluate patients independently for diabetic teaching as well as insulin pump starts.
The Division is also extensively involved in clinical research activities. Board-certified registered nurse practitioners and registered nurses assist in the conduct of these studies. We also participate in multicenter trials of new therapies and devices used to treat pediatric hormonal problems. This allows patients to participate in innovative, original treatment options potentially not available elsewhere.
The Division of Gastroenterology, Hepatology and Nutrition at Nemours Children's Specialty Care, Jacksonville provides evaluation and treatment services for infants, children and adolescents with diseases of the digestive tract, liver and pancreas.
The division is composed of:
- three board-certified pediatric gastroenterologists
- three board-certified pediatric registered nurse practitioners
- several pediatric registered nurses (who assist clinically, case manage and coordinate research protocols)
- two registered dietitians
The Division has significant expertise in the management of patients with inflammatory bowel disease and participates in several multicenter and national research protocols, coordinated by both pediatric registered nurses and a board-certified nurse practitioner.
The Hematology/Oncology Division at the Nemours Children's Specialty Care, Jacksonville offers services in a broad range of blood and cancer diagnoses and treatments. It is one of a select group of nationwide institutions with a bone marrow transplant program.
Members of the division are actively involved in the development of the new treatment protocols. The Oncology Division has partnered with St. Jude’s Children’s Hospital and the University of Florida Proton Therapy Institute to provide care to children both nationally and internationally.
Nurses in this division act as primary case managers and provide clinical support. They also serve as patient advocates as well as provide educational and emotional support to families.
The nursing staff is comprised of:
- 5 oncology nurses
- 3 hematology nurses
- 2 bone marrow transplant program nurses
- 2 research nurses
- 2 nurse practitioners who manage the Long Term Follow-Up and Proton Therapy programs
Together, the nurses in the hematology/oncology division are committed to defining the best practices for optimal patient outcomes, and are passionate about providing the highest standards in patient care. Nurses within the federally funded hemophilia treatment center located at Nemours Children's Specialty Care, Jacksonville provide comprehensive hemophilia care and education locally, as well as to the Orlando and Pensacola areas.
They also assist with the Sickle Cell Program, once housed in two locations in Jacksonville but now consolidated in one location at the Nemours Children's Specialty Care, Jacksonville.
The Division of Hospital Pediatrics of the Nemours Children's Specialty Care, Jacksonville consists of skilled pediatricians and registered nurses who specialize in hospital-based care at Wolfson Children’s Hospital.
The pediatric registered nurses in this division serve first and foremost as a liaison between hospitalists and primary care providers for hospitalized patients. This includes meeting each patient and his or her family, attending daily rounds with the medical team, and serving as a nursing resource for the patient, family, hospital staff and medical team. A critical part of this role is continually informing and updating the primary care providers as to the condition and status of their patient.
The goal is that no child will be discharged from the hospital without the ability to receive proper follow-up by a physician or medical care provider. Our nurses are also responsible for gathering any medical data, such as newborn screens, growth charts and labs, that is pertinent to the patient’s care. They play an important role in collaborating with the medical staff, staff nurses, social workers, pharmacists and others in developing a plan of care for the patient.
The Division of Neurology offers comprehensive services for children with neurological, developmental, learning and language disorders. Board-certified pediatric neurologists, psychologists, Advanced Registered Nurse Practitioners, and professional nurses provide a wide array of specialized services, including a comprehensive epilepsy program. The headache clinic provides comprehensive educational sessions with the nurse and a psychologist as well as neurological assessment and treatment.
Children from North Florida and South Georgia with eligible neuromuscular disorders are treated through the Muscular Dystrophy Association clinic at Nemours. The Neurocognitive Assessment program provides consultation and psychoeducational assessment for developmental and learning problems. The electrophysiology laboratory provides diagnostic electroencephalography, electromyography and nerve conduction velocity testing, and inpatient monitoring in support of the epilepsy surgery program.
The division is active in clinical research and training programs. Training opportunities are also available for resident physicians from the Mayo Clinic Neurology Program, the University of Florida General Pediatric Program, local undergraduate and graduate nursing programs, and graduate psychology programs.
The Division of Psychology and Psychiatry at the Nemours Children’s Clinic in Jacksonville consists of pediatric psychologists; child and adolescent psychiatrists; and a dually board-certified psychiatric nurse practitioner/family nurse practitioner who are all engaged in clinical, research, and educational activities related to emotional and behavioral issues. The division offers psychological and psychiatric evaluations, a wide range of individual and group therapy services, and medication management to children up to age 18 and their families.
A major emphasis of the division is enhancing the emotional adjustment of children, adolescents and families to serious or chronic medical conditions, addressing stress-related physical symptoms, and issues related to treatment adherence.
The division houses the Center for Pediatric Psychology Research, a program that not only conducts research but also provides supervised clinical training to postdoctoral fellows, medical residents and master’s level and doctoral level advanced practice nursing students specializing in pediatric psychiatry.
Members of the division staff are frequent speakers to a variety of audiences about topics related to child behavior and development, parenting and specific psychological disorders.
The Division of Pulmonology/Allergy and Immunology at the Nemours Children’s Clinic in Jacksonville sees patients referred for diagnosis and management of childhood respiratory, allergic and immunologic diseases. The Division is the nationally accredited Cystic Fibrosis Care Center for the Northeast Florida and Southeast Georgia regions.
The Division also houses the Nemours Children’s Clinic Asthma Center, the only asthma program for children that integrates patient and family teaching with patient programs developed by pediatric specialists in both pulmonology and allergy/immunology. A board-certified pediatric nurse practitioner, registered nurses and respiratory-care practitioners provide assessment and teaching.
Florida Clinical Research Registered Nurses, nine in number from the Jacksonville Research Program, are working together to ensure the highest level of customer service to patients and are continually seeking process improvements to better serve customers. Best practices in customer relationship management are used to ensure excellent service in research.
Research study participants are given the ability to have flexible schedules and access to the research team to help facilitate recruitment. This helps to ensure that our goals are achieved for grants and clinical trials while adhering to budgets.
Nursing research continues to increase at Nemours under the guidance of Laurie Duckworth, PhD, winner of the 2008 Doughty Award for Advanced Registered Nurse Practitioner. Dr. Duckworth is a member of the Nemours-wide Clinical Research Review Committee and works with the Department of Otolaryngology/ENT to develop their research program under the leadership of Drs. Josephson and Rine.
Additionally, Dr. Doreen Radjenovic, ARNP and clinical nursing instructor at the University of North Florida, is also currently conducting research related to diabetes education along with the Division of Endocrinology in Jacksonville. Their efforts will further expand nursing research, which in turn will help the Nursing department to achieve Magnet Status.
The Spinal Defects Clinic provides comprehensive, coordinated, long-term management for patients with various forms of spina bifida and other conditions of the spinal cord. The team consists of providers from the Nemours Children’s Clinic, the University of Florida and Wolfson Children’s Hospital.
Pediatric specialists in neurosurgery, urology, orthopedics, gastroenterology, nursing, social work, physical therapy and occupational therapy evaluate each patient and participate in a postclinic conference where recommendations for care are developed. Summaries of the visit and recommendations are compiled into a report that is sent to families and primary care providers.
The Division of Pediatric Surgery at the Nemours Children's Specialty Care, Jacksonville provides diagnosis and treatment of the surgical conditions of infancy, childhood and adolescence. The Division is staffed by board-certified surgeons who have demonstrated special competence in pediatric surgery.
Nursing services include case management, pre and postoperative teaching (both in the outpatient and inpatient setting at Wolfson Children’s Hospital), wound care and management, and assistance with minor outpatient procedures. A pediatric registered nurse-driven clinic treating gastrostomy, cecostomy and appendicostomy tube issues is available.
The Division of Urology at the Nemours Children's Specialty Care, Jacksonville provides particular expertise for urinary and genital reconstructive surgery, management of neurogenic bladder dysfunction, and operative treatment of genitourinary tumors and congenital anomalies. A complete urodynamic laboratory is available for evaluation of children with enuresis.
A team of board-certified, fellowship-trained pediatric urologists, assisted by pediatric registered nurses, evaluate and treat conditions including urinary tract obstructions, ureteral reflux, urinary infection, hematuria, kidney stones and more.
Led by nurse practitioner Kim Jarczyk, MSN, ARNP, this program will provide comprehensive, coordinated services for children with urinary and fecal incontinence, urinary frequency and urgency, recurring urinary tract infection, failure to toilet train and chronic constipation.
The impact of urinary and fecal incontinence on children can be devastating. Because the dynamics of the bowel, bladder and pelvic floor are closely interrelated, organic or functional disruption in one of these systems can create a dysfunctional pattern of elimination affecting all of them.
Dysfunctional elimination is further complicated by developmental, psychosocial and behavioral problems. This program will address these medical and psychological issues simultaneously to achieve better outcomes.
Nursing in Pensacola, Fla.
The professional nursing practice at Nemours Children’s Clinic in Pensacola strives for excellence in patient and family care, guided by a “whatever it takes” service philosophy. Our nurses understand that the care experience must be one that respects a patient’s background and beliefs, and involve family members in every level of decision making.
The units where you will find our nurses include:
- otolaryngology or ENT
We also have nurses who are nationally certified as pediatric oncology nurses and several who are certified diabetes educators.
Nursing in Orlando
With our patient-families at the center of everything we do, and quality and safety as top priorities, pediatric nurses at Nemours Children’s Hospital in Orlando and Nemours Children's Specialty Care, Orlando strive for excellence every day.
The units where you will find our nurses include:
Nemours Children's Hospital
- 4 South
- 5 South
- Neonatal Intensive Care (NICU)
- Pediatric Intensive Care (PICU)
- Advance Practice Nurses
- Infusion Center
- Emergency Department (ED)
- Nursing Education
- Clinical Tactical Operations (Clinical TOC)
- Utilization Management
- Perioperative Department
- Pediatric Transport Team
- Special Procedure RN’s in Radiology
- PICC Team
- Sedation Nurses
Nemours Children's Specialty Care, Orlando
- Behavior and Development
- Blood Disorders (Hematology): Hemophilia, Sickle Cell Disease
- Cancer Care (Oncology)
- Cystic Fibrosis
- Ear, Nose and Throat (ENT, Otolaryngology): Audiology
- Genetic Disorders
- Hormones and Growth (Endocrinology)
- Infectious Diseases: HUG ME Center for HIV/AIDS
- Kidney and Urinary Health (Nephrology and Urology)
- Lung and Respiratory Care (Pulmonology): Synagis
- Nutrition and Weight Management: Healthy Choices Clinic, Metabolism
- Orthopedic Services: Muscular Dystrophy, Spina Bifida Program
- Sleep Medicine
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