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

Children's Hospital & Medical Center•Omaha, NE

About The Position

Coordinates professional nursing and individualized, family-centered care for patients and families using the nursing process and clinical skills, in accordance with standards and hospital policies and procedures. On-call responsibilities vary by department. Schedules may include weekend and holiday rotations. The nurse performs age-specific patient and family assessments, identifies nursing diagnoses and collaborative problems, develops and revises individualized plans of care, and implements and evaluates nursing interventions. The role includes assessing education needs and family involvement, coordinating interdisciplinary care and resources, and communicating changes in patient condition to appropriate people. Documentation must accurately reflect assessments, care, patient responses, and changes in condition and be completed within established timeframes. Cath lab-specific duties include scheduling cardiac catheterization and electrophysiology procedures, coordinating with affected personnel and physicians, obtaining procedure permits after teaching patients and families, preparing patients, circulating in procedures according to AORN guidelines, and monitoring responses to medications and treatment. The nurse also supports patient flow and coordinates patient and family education and care needs.

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.
Basic Life Support certification from the American Heart Association upon hire.
Pediatric Advanced Life Support certification within 180 days, except for NICU.
Must be able to shift between different duties efficiently and maintain composure under stressful conditions while prioritizing multiple requests.
For ED roles, Trauma Nursing Core Course or Advanced Trauma Care for Nurses certification within 1 year is required.

Nice To Haves

Experience with pediatric patients.
Previous experience with EPIC.
For ED roles, Basic Life Support – Resuscitation Quality Improvement upon hire is preferred.

Responsibilities

Conduct individualized, age-specific patient and family assessments according to unit standards and nursing practice standards.
Collect and document admission assessment information, including patient-specific care needs and education needs.
Reassess patients according to unit standards, protocols, and changes in condition, and communicate changes to appropriate people.
Identify nursing diagnoses, collaborative problems, and protocols based on patient assessments.
Develop, implement, evaluate, and revise individualized patient and family plans of care in collaboration with families and the healthcare team.
Prioritize patient interventions based on assessments and reassessments.
Coordinate nursing and interdisciplinary care, identify the need for additional resources, and follow through on referrals or involvement.
Provide or coordinate patient and family education based on care needs and readiness to learn.
Administer nursing interventions according to identified standards and age-specific needs, using critical thinking to evaluate patient responses to orders, tests, laboratory results, medications, and treatments.
Maintain accurate medical-record documentation within established timeframes, including care plans, medication records, patient information, and discharge instructions.
For cath lab duties, schedule catheterization and electrophysiology procedures and coordinate with families, physicians, and affected personnel.
For cath lab duties, obtain procedure permits after educating patients and families, prepare patients, circulate in procedures according to AORN guidelines, and document responses and changes in condition.
For cath lab duties, coordinate with referring and operating physicians and accompany patients and families to procedure rooms to facilitate patient flow.