Staff RN - Bedside - 5 Med-Surg - Experienced Nights

Children's Nebraska•Omaha, NE

About The Position

Coordinates professional nursing and individualized, family-centered care for patients and families through the nursing process and clinical skills, in accordance with nursing standards and hospital policies and procedures. The role involves a 7 p.m.–7:30 a.m. schedule for 36 hours, with weekend and holiday rotation. On-call responsibilities vary by department, and schedules may include weekend and holiday patterns. The 23-bed 5 Med-Surg unit primarily cares for patients with neurological diseases and patients with general medical-surgical needs. A 6-bed epilepsy monitoring unit is located on the unit. The nurse assesses patients and families, develops and updates individualized plans of care, implements and evaluates nursing interventions, coordinates with the healthcare team, provides education, and documents care and patient responses. Some duties described in the posting are specific to the cardiac catheterization lab and may vary by department.

Requirements

Associate's degree or bachelor's degree from an accredited school of nursing.
At least 1 year of RN experience.
Current, valid Registered Nurse state or compact-state licensure in Nebraska upon hire.
American Heart Association Basic Life Support upon hire.
Pediatric Advanced Life Support within 180 days, except for NICU roles.
For ED roles, Trauma Nursing Core Course or Advanced Trauma Care for Nurses within 1 year.
Ability to perform varied duties and move between tasks without loss of efficiency or composure, work under stressful conditions with multiple requests, and demonstrate prioritization skills.

Nice To Haves

Experience with pediatric patients.
Previous experience with EPIC.
Basic Life Support – Resuscitation Quality Improvement upon hire (listed as preferred for ED and generally).

Responsibilities

Conduct individualized, age-specific patient and family assessments, including admission assessments and reassessments based on unit standards, protocols, and changes in patient condition.
Collect and document patient assessment data; evaluate patient needs, growth and development, treatment needs, and family education needs and involvement.
Identify nursing diagnoses, collaborative problems, and applicable protocols based on assessment findings.
Communicate changes in patient condition to appropriate people, including the physician, charge nurse, and family, as indicated.
Develop and revise individualized patient and family plans of care using assessment data, practice guidelines, protocols, interdisciplinary input, and family needs.
Establish goals and outcomes and prioritize interventions based on assessments and reassessments.
Coordinate, implement, evaluate, and revise nursing and interdisciplinary care plans; identify the need for interdisciplinary involvement or outside resources and follow through.
Use critical thinking when delivering clinical skills and analyzing patient responses to orders, tests, laboratory results, medications, and treatments.
Administer interventions in accordance with identified standards and age-specific needs.
Provide or coordinate patient and family education based on care needs and readiness to learn.
Document assessments, evaluations, modifications, changes in condition, therapeutic interventions, and patient responses accurately and within established timeframes.
Review and update computerized care plans, complete computerized documentation, verify order entry, and ensure discharge instructions clearly describe post-discharge care needs.
For applicable catheterization lab duties: coordinate and schedule catheterization and electrophysiology procedures with families and relevant personnel; obtain permits after educating patients and families; circulate in procedures following AORN standards; prepare patients; document responses and condition changes; prioritize care during procedures; coordinate with physicians; and accompany patients and families to rooms to facilitate patient flow.
Use appropriate telephone etiquette.