Registered Nurse - Bridge to Higher Acuity II - PCU to ICU

Best Care•Omaha, NE

70d•Onsite

About The Position

This Bridge to Higher Acuity II Program – PCU to ICU offers a supportive pathway for new graduates or experienced Med-Surg RNs to build advanced skills and confidence needed to care for critically ill patients. You will begin on the night shift in one of our Progressive Care Units (PCUs), strengthening clinical judgment, sharpening critical thinking, and caring for higher-acuity patients in a collaborative, fast-paced environment. With support from leadership and clinical educators, you will develop an individualized plan to bridge into the ICU as your skills and confidence grow. Once fully trained in both areas, you will carry a dual role between the PCU and ICU, broadening your experience while supporting the evolving needs of the hospital and its patients. This flexible program allows you to grow at your own pace while receiving ongoing mentorship and clinical guidance every step of the way.

Requirements

Bachelors of Science in Nursing (BSN) or Master’s Degree in Nursing (MSN) from an accredited college of nursing required OR obtained within 5 years from date of hire for nurses with an Associate Degree in Nursing (ADN).
For MJE Progressive Care: Bachelor of Science in Nursing (BSN) from an accredited school of nursing preferred, graduate of an accredited school of nursing required.
Successful completion of annual mandatory education requirements.
For NMH Critical Care & MJE Progressive Care: NIH Stroke Scale training or proof of training required in the first 6 months of hire.
For MJE Progressive Care: Successful completion of Telemetry Cardiac Rhythm Course.
Current valid Nebraska Registered Nurse (RN) License, valid compact multistate license, or a temporary permit while awaiting licensure.
Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
Current American Heart Association Advanced Cardio Life Support (ACLS).
NMH Surgery Pre Op Services: ACLS required within 3 months of hire.
Surgery OP Support HW: ACLS required within 6 months of hire.
MJE Progressive Care: ACLS required within 1 year of hire.
MFH Radiology Diagnostics: ACLS required within 3 months of hire.
Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
Ability to multi-task and prioritize work assignments.
Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.

Nice To Haves

Certification(s) in area of specialty preferred from National Certification Corporation (NCC) within 1 year of eligibility.
NMH Cardiac Unit: Certified Critical Care Nurse (CCRN) or Progressive Care Certified Nurse (PCCN).
NMH Cardiovascular Surgery: Certified Critical Care Nurse (CCRN) or Progressive Care Certified Nurse (PCCN).
NMH Progressive Care Unit 4: Certified Critical Care Nurse (CCRN) or Progressive Care Certified Nurse (PCCN).
Surgery Outpatient HW: Certified Perioperative Nurse (CNOR).
NMH Progressive Care: Gerontological Nursing (GERO.BC) and Progressive Care Certified Nurse (PCCN).
NMH Surgery GI Lab: Certified Gastroenterology Registered Nurse (CGRN).
NMH PACU: Certified Post Anesthesia Nurse (CPAN)
NMH Cath Lab: Cardiovascular Registered Nurse (CV.BC) within 3 years of hire.
NMH Critical Care: Critical Care Registered Nurse (CCRN).

Responsibilities

Provide appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.
Demonstrate ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
Perform an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs.
Include data from the patient/significant other(s) in the assessment as appropriate.
Prioritize data collection according to patient's immediate needs.
Use assessment findings in discharge planning.
Develop/review/revise and individualize the plan of care to address the patient's nursing care needs for optimum patient care outcomes.
Collaborate with providers and other clinical disciplines as appropriate.
Provide teaching specific to the patient's health care problem.
Care plan reflects continuing care needs and/or referrals for discharge/transfer.
Implement interventions that are consistent with the established plan of care in a safe and appropriate manner.
Is familiar with, and follows, nursing protocols and standards of care for their unit.
Use current knowledge in nursing practice based on standards and research literature.
Evaluate patient care to determine response to care/interventions for optimal patient outcome.
Monitor outcomes and documents patient response to interventions.
Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions.
Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal.
Give a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements, to include SBAR (situation, background, assessment and recommendation) content, and is familiar with the overall plan of care.
Recognize and address patient and family capabilities and limitations (physical and mental).
Perform technical skills competently and independently to assure patient safety.
Able to competently perform technical skills independently.
Is accountable to learn new skills and equipment within areas' specifications and time frame.
Demonstrate correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.
Follow appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
Maintain a professional behavior in attitude, demeanor, interactions to achieve organization's mission.
Communicate effectively to solve problems at the personal and unit level.
Is approachable and professional in working with other health professionals, ancillary staff, patients and family.
Take pride in the unit by active participation in restocking and maintaining a clean environment.
Maintain a professional appearance, behavior, and work environment.
Maintain competence in area of experience.
Participate in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.
Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns).
Complete appropriate report form for any risk (e.g., variance/incident report, patient concern report, maintenance request).
Communicate to appropriate personnel regarding unresolved issues.
Work within the scope of practice as defined by State Nurse Practice Act.
Observes appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
Review, delegate and evaluate plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.
Fiscally accountable.
Act professionally responsible for human and other resources.
Charge accurately for use of supplies and equipment according to policy.