RN - CCDH (Congenital Diaphragmatic Hernia)
Johns Hopkins University

Baltimore, Maryland

Posted in Education and Training

Job Info

Requisition #:577703
Location:Johns Hopkins All Children's Hospital, St. Petersburg, FL 33701
Schedule:Night Shift

$5000 Sign-on bonus for qualified candidates.

Congenital diaphragmatic hernia (CDH) is a rare birth defect affecting approximately one in 3,000 fetuses. CDH occurs when the diaphragm (the muscle separating the chest from the abdomen) does not form properly during fetal development. This results in a hole in the diaphragm and allows the abdominal organs to migrate into the chest. This could mean having the intestines, stomach, spleen and sometimes liver in the chest. The presence of these abdominal organs in the chest compresses the lungs and prevents them from developing normally.

CDH is most often diagnosed before birth, around the 20-week ultrasound visit. There is a spectrum of severity in CDH patients, and the health risks and treatment often depend on the level of severity

The team treats each CDH patient differently and doesn't have a "one size fits all" protocol. Treatment includes:

  • Planned birth at Bayfront Baby Place, located on the third flood of Johns Hopkins All Children's Hospital with easy, quick access to the neonatal intensive care unit
  • Resuscitation and careful ventilation upon birth
  • Variable timing of CDH repair (from six hours to six days of life) based on a scientific evaluation of each baby's CDH severity, optimizing the benefits of repair, while minimizing the risks of surgery
  • "Gentle" pressure-limited ventilation that eliminates pressure-induced lung injury and strict protection of the underdeveloped lungs
  • Utilization of ECMO when needed. Duration of ECMO is not pre-determined and may last a few days to a few weeks
  • Extremely high continuity of care during the course of hospitalization
  • No routine paralysis, thus giving babies a chance to act as normal as possible in an abnormal environment
  • Slow and deliberate recovery
  • Discharge in one to three months

    Preferred experience in congenital diaphragmatic hernias, ECMO, Neonatal, and ICU.

  • Baccalaureate degree (BSN), in nursing from an accredited School of Nursing, preferred. Applicants with an Associate Degree in nursing will be considered and must obtain BSN within 36 months of hire
  • Active Florida or Compact RN license is required
  • BLS certification required: AHA
  • The ideal candidate will possess at least 1 year of experience as a Licensed RN

    Johns Hopkins Health System and its affiliates are drug-free workplace employers.

    We are committed to providing a healthy and safe environment for our patients, visitors and staff members. The Johns Hopkins Hospital has a tobacco-free at work policy. Employees must refrain from using any tobacco products during their work shifts — including while at lunch or on breaks, and whether they are on or off campus.

    Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
    To apply, visit https://jobs.hopkinsmedicine.org/job/rn-ccdh-congenital-diaphragmatic-hernia-nursing-johns-hopkins-all-childre-577703-07566/

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