Staff RN - Bedside - Cardiac Care Unit - Nurse Resident

Children's Nebraska•Omaha, NE

About The Position

The Staff RN in the Cardiac Care Unit coordinates professional nursing and individualized, family-centered care for pediatric patients and their families. Using the nursing process and clinical skills, the RN works in accordance with nursing standards and hospital policies and procedures, develops the skills needed to care for cardiac patients across ages and acuity levels, and collaborates with the interdisciplinary team to provide high-quality care. The Cardiac Care Unit is a 32-bed adaptable-acuity unit providing care across the continuum from admission to discharge. Patients range from newborns to young adults and have congenital or acquired heart disease. Care includes patients undergoing pre- and post-surgical repair or heart catheterization, as well as patients with heart failure, transplant, shock, pulmonary hypertension, or a need for ECMO support. Most patients are less than one year old. The unit has 24/7 in-house critical care physicians and advanced practice providers, as well as dedicated pharmacists, social workers, nurse navigators, and dietitians. The schedule is rotating during the first year, followed by night shifts, with weekend and holiday rotation; the position is 36 hours. Start dates are open for February 2027 or July 2027.

Requirements

Diploma, associate degree, or bachelor's degree from an accredited school of nursing.
Minimum one year of RN experience.
Current valid Nebraska RN license or RN Compact license.
Current valid Basic Life Support (BLS) certification through the American Heart Association.
Current valid Advanced Cardiac Life Support (ACLS) certification required within six months of hire.
Current valid Pediatric Advanced Life Support (PALS) certification required within six months of hire.
Ability to perform varied duties, shift between tasks without losing efficiency or composure, work under stressful conditions with multiple requests, and prioritize effectively.

Nice To Haves

Experience with pediatric patients.
Previous experience with EPIC.
Current valid certification as a Certified Pediatric Nurse or Certified Critical Care Nurse.

Responsibilities

Conduct individualized, age-specific patient and family assessments according to unit scope and nursing practice standards, collaborative problems, nursing diagnoses, or protocols.
Collect and document admission data, assess patient and family education needs and expectations, and identify nursing diagnoses, collaborative problems, or protocols at admission.
Reassess patients according to unit standards, guidelines, protocols, and changes in condition, and communicate changes to appropriate providers, the charge RN, and family.
Develop, implement, evaluate, and revise individualized patient and family plans of care using assessment data, clinical guidelines, protocols, interdisciplinary input, and family needs.
Set patient goals and outcomes, prioritize interventions, and delegate appropriate care tasks to Certified Nursing Assistants.
Coordinate nursing and interdisciplinary care, identify the need for interdisciplinary involvement or outside resources, and follow through using appropriate clinical and organizational resources.
Apply critical thinking when delivering clinical skills and analyzing patient responses to orders, tests, laboratory results, medications, and treatments.
Administer interventions competently according to standards and age-specific needs.
Provide or coordinate patient and family education based on care needs and readiness to learn.
Complete accurate and timely electronic medical record documentation, including assessments, care plans, daily cares and safety, lines, education, medication administration, allergies, and patient information.
Serve as a final line of defense for patient safety, including medication administration, procedures, and discharge planning.
Participate in transplant program functions when required by departmental or organizational need.
Perform other assigned duties and float to other units as assigned, using appropriate clinical skills and resources.
Mentor student nurse observation experiences, provide clinical support, or precept new staff when assigned.
Support teammates and assigned units professionally; complete additional competencies when designated as a relief Charge Nurse or compensated preceptor.