Nights

Children's Hospital & Medical Center•Omaha, NE

About The Position

Functions as a member of the interdisciplinary team, with primary responsibility for caring for patients with behavioral health needs. Uses the nursing process to provide comprehensive, developmentally appropriate care to high-risk behavioral patients and their families. Serves as a psychiatric resource for the team by providing clinical support, monitoring compliance with system policies, guidelines, and documentation, and helping maintain a safe environment. Responds to behavioral emergencies throughout the building and collaborates with the interdisciplinary team to promote patient and staff safety. Maintains knowledge of regulatory standards related to hospitalized patients with behavioral health needs and supports compliance with those standards. The role conducts individualized, age-specific patient and family assessments; develops, implements, evaluates, and revises plans of care in collaboration with the Behavioral Health Team; provides and coordinates patient and family education; and documents assessments, interventions, changes in condition, and responses to treatment. It also supports staff caring for high-risk behavioral patients, assists with de-escalation and physical intervention when needed, and contributes to quality improvement and performance activities. Schedule: Friday, Saturday, and Sunday, 7 p.m.–7 a.m., 36 hours. Extra weekend pay: $15 per hour.

Requirements

Associate's degree or bachelor's degree from an accredited school of nursing.
Registered Nurse state licensure and/or compact state licensure in Nebraska, required upon hire.
Basic Life Support certification from the American Heart Association, required upon hire.
Able to shift between duties of different natures without loss of efficiency or composure and perform under stressful conditions while prioritizing multiple requests.

Nice To Haves

Two years of psychiatric nursing experience.
Experience with pediatric patients.
Previous experience with EPIC.
Certification as a Psychiatric Mental Health Nurse (PMH-BC) is preferred upon hire; certification is expected after two years and/or 2,000 mental health care hours.

Responsibilities

Conduct individualized, age-specific patient and family assessments, including admission and shift assessments or reassessments.
Identify nursing diagnoses, collaborative problems, and protocols based on assessment findings and patient needs.
Develop, implement, evaluate, and revise individualized patient and family plans of care in collaboration with the Behavioral Health Team, family, and healthcare team.
Prioritize nursing interventions and communicate changes in patient condition to appropriate people, including physicians, the charge nurse, and family as indicated.
Coordinate nursing and interdisciplinary care, identify the need for outside resources, and use appropriate clinical resources to support patient outcomes.
Provide or coordinate patient and family education according to identified needs and readiness to learn.
Document assessments, evaluations, care-plan changes, patient responses, interventions, procedures, and discharge needs accurately and within established timeframes.
Use clinical judgment and critical thinking when assessing patient situations and responses to orders, tests, laboratory work, medications, and treatments.
Support a safe environment by inspecting rooms, identifying potential hazards, and removing at-risk items.
Provide clinical expertise, education, and timely support to staff caring for high-risk behavioral patients.
Review documentation and orders in EPIC and collaborate with staff to ensure appropriate observation levels and accurate, complete documentation.
Identify patient-care concerns in real time and collaborate or escalate concerns as needed.
Educate the patient care team on constant visual observation guidelines, therapeutic interactions, and patient safety; support consistent application of policies and guidelines.
Identify and present opportunities for performance and quality improvement.
Assist with patient de-escalation and physical intervention when needed; complete documentation and participate in debriefing afterward.
Audit physical intervention documentation and assist in collecting, entering, and sharing related data in real time.
Advocate for patients and families, help resolve concerns, protect patient health information, and follow infection-prevention initiatives.