RN Behavioral Health / BH Inpatient - Nights

Children's Hospital & Medical Center•Omaha, NE

About The Position

The RN Behavioral Health functions as a member of the interdisciplinary team and provides comprehensive, developmentally appropriate nursing care to high-risk pediatric patients with behavioral health needs and their families. The nurse uses the nursing process to assess patients, identify needs, develop and revise individualized plans of care, implement and evaluate interventions, and document care in accordance with hospital policies and applicable regulatory standards. The role also serves as a psychiatric resource for the care team, supporting compliance with policies and guidelines and helping maintain a safe environment. The nurse responds to behavioral emergencies throughout the building, supports de-escalation and physical intervention when needed, and collaborates with the interdisciplinary team to promote patient and staff safety. This position is scheduled for nights, Monday through Wednesday, 7 p.m. to 7 a.m., for 36 hours per week.

Requirements

Associate's degree or bachelor's degree from an accredited school of nursing.
Registered Nurse licensure in Nebraska or compact state licensure valid in Nebraska, required upon hire.
Basic Life Support certification from the American Heart Association, required upon hire.
Ability to change tasks efficiently, remain composed under stressful conditions, manage multiple requests, and prioritize effectively.

Nice To Haves

Two years of psychiatric nursing experience.
Experience with pediatric patients.
Previous experience with EPIC.
Psychiatric-Mental Health Nursing Certification (PMH-BC); preferred upon hire, with certification 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 patient assessment and condition.
Develop, implement, evaluate, and revise individualized patient and family plans of care in collaboration with the Behavioral Health Team and other disciplines.
Prioritize and provide nursing interventions based on assessments, patient needs, clinical judgment, and evidence-based guidelines.
Coordinate nursing and interdisciplinary care, identify the need for additional resources, and follow through to support clinical outcomes.
Provide patient and family education, considering their needs and readiness to learn.
Document assessments, care, patient responses, orders, and discharge instructions accurately and within established timeframes; maintain computerized care plans and records in EPIC.
Support a safe environment for patients with high-risk behaviors by inspecting rooms, identifying hazards, and removing at-risk items.
Provide clinical expertise and timely support to staff, administrative supervisors, and physicians caring for high-risk behavioral health patients.
Review EPIC documentation and orders with staff to help ensure appropriate observation levels and complete, accurate documentation.
Identify patient care concerns in real time and collaborate or escalate as needed.
Educate the patient care team on constant visual observation guidelines, therapeutic interactions, and patient safety policies.
Assist with consistent application of behavioral health guidelines and policies across the hospital.
Identify and present opportunities for performance and quality improvement.
Assist with patient de-escalation and physical intervention when needed; document interventions and participate in debriefings.
Audit physical intervention documentation and assist with collecting, entering, and sharing data in real time.
Advocate for patients and families and help resolve their concerns.
Protect patient health information and follow infection prevention initiatives.