Nights

Children's Nebraska•Omaha, NE

3d•Onsite

About The Position

The RN Behavioral Health / BH Crisis Assessment functions as a member of the interdisciplinary team and primarily cares for patients with behavioral health needs. The nurse uses the nursing process to provide comprehensive, developmentally appropriate care to high-risk behavioral patients and their families. The role provides psychiatric expertise and clinical support to the team, monitors compliance with system policies, guidelines, and documentation, and helps maintain a safe environment. The nurse responds to behavioral emergencies throughout the building and collaborates with the interdisciplinary team to support patient and staff safety. The role also requires knowledge of regulatory standards for hospitalized patients with behavioral health needs and responsibility for supporting compliance with those standards. The nurse assesses patients and families, develops and revises individualized plans of care, implements and evaluates nursing interventions, and documents assessments, care, and patient responses in accordance with hospital policies and established timeframes. The role supports staff caring for high-risk patients, provides education and real-time clinical resources, reviews observation levels and documentation in EPIC, assists with de-escalation and physical interventions when needed, and participates in post-event debriefings. The nurse advocates for patients and families, protects patient health information, and follows infection-prevention initiatives. The position is scheduled Friday, Saturday, and Sunday from 7 p.m. to 7 a.m., totaling 36 hours. Extra weekend pay is $15 per hour.

Requirements

Associate's degree or bachelor's degree from an accredited school of nursing.
Registered Nurse state or compact-state licensure in Nebraska upon hire.
Basic Life Support certification from the American Heart Association upon hire.
Ability to perform varied duties while maintaining efficiency and composure, work under stressful conditions with multiple requests, and prioritize effectively.

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); the posting lists this as preferred and references certification after two years and/or 2,000 mental health care hours.

Responsibilities

Conduct individualized, age-specific patient and family assessments, including admission and shift reassessments, and communicate changes in condition to appropriate team members.
Assess patient and family education needs, expectations, and involvement in care and treatment.
Identify nursing diagnoses, collaborative problems, and protocols based on assessment findings.
Develop, implement, evaluate, and revise individualized patient and family plans of care in collaboration with the Behavioral Health Team, family, and healthcare team.
Prioritize interventions and coordinate interdisciplinary care, goals, education, discharge needs, and outside resources as needed.
Provide competent, age-appropriate nursing interventions and use critical thinking to evaluate patient responses to orders, tests, labs, medications, and treatments.
Document assessments, interventions, patient responses, changes in condition, and discharge needs accurately and within established timeframes; maintain computerized care plans and related records.
Support a safe environment for high-risk patients by inspecting rooms, identifying hazards, and removing at-risk items.
Provide behavioral health expertise, education, and just-in-time clinical support to nursing staff, administrative supervisors, and physicians.
Review EPIC documentation and orders with staff to ensure appropriate observation levels and complete, accurate documentation.
Identify care concerns in real time and collaborate or escalate concerns to promote resolution.
Educate care teams about constant visual observation guidelines, therapeutic interactions, patient safety, and consistent application of hospital policies.
Identify and present opportunities for performance and quality improvement.
Assist with patient de-escalation and physical intervention when needed, document interventions thoroughly, participate in debriefings, and audit physical-intervention documentation and related data.
Advocate for patients and families and help resolve their concerns.
Protect patient health information and follow infection-prevention initiatives.