Staff RN - Bedside - Emergency - Experienced

Children's Hospital & Medical Center•Omaha, NE

4d•Onsite

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 nursing standards and hospital policies and procedures. The role includes patient assessment, care planning, implementation and evaluation of nursing interventions, patient and family education, documentation, and coordination with the healthcare team. On-call responsibilities vary by department, and schedules may include weekend and holiday patterns. The position assesses patients according to age-specific needs and unit standards, identifies nursing diagnoses and collaborative problems, and develops and revises individualized plans of care with patients, families, and interdisciplinary team members. It monitors patient responses and changes in condition, communicates changes to appropriate staff and family members, and documents assessments, interventions, outcomes, and care plans in the medical record within established timeframes. The nurse also coordinates resources and education, supports discharge planning, and helps ensure that nursing and interdisciplinary goals are implemented and evaluated. The posting includes cardiac catheterization lab duties where applicable, such as coordinating and scheduling procedures, obtaining permits after educating patients and families, preparing patients, circulating according to AORN guidelines, assisting during procedures, and monitoring patient responses to medications and treatment. Additional duties may include arranging appointments before delivery, mentoring student nurses, serving as a relief preceptor, supporting teammates, and completing other assigned tasks. The stated schedule is 3:00 p.m.–3:30 a.m., 36 hours, with weekend and holiday rotation. The employer is Children’s, a pediatric healthcare center, and describes its workplace as committed to diversity and inclusion.

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 licensure and/or compact state licensure in Nebraska upon hire.
American Heart Association Basic Life Support certification upon hire.
Pediatric Advanced Life Support certification within 180 days, except for NICU.
Advanced Cardiac Life Support certification within 180 days for Cath Lab, CARES, and ED roles.
For ED roles, Trauma Nursing Core Course or Advanced Trauma Care for Nurses certification within 1 year.
Ability to perform varied duties, shift between tasks without losing efficiency or composure, work under stressful conditions with multiple requests, and prioritize.

Nice To Haves

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

Responsibilities

Conduct individualized, age-specific patient and family assessments according to unit scope and nursing practice standards.
Collect and document admission assessment data, evaluate patient and family education needs, and identify nursing diagnoses, collaborative problems, or protocols.
Reassess patients according to unit standards and changes in condition, and communicate changes to appropriate people.
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 ongoing assessment and patient condition.
Coordinate nursing and interdisciplinary care goals and identify and follow up on the need for interdisciplinary involvement or outside resources.
Provide or coordinate patient and family education based on care needs and readiness to learn.
Administer clinical interventions according to applicable standards and age-specific needs, and evaluate patient responses to orders, tests, laboratory results, medications, and treatments.
Maintain accurate medical-record documentation within established timeframes, including assessments, care plans, medication records, allergies, patient information, education, and discharge instructions.
For cath lab assignments, coordinate and schedule cardiac catheterization and electrophysiology procedures with patients, families, physicians, and affected personnel.
For cath lab assignments, obtain procedure permits after educating patients and families about procedures and related complications.
For cath lab assignments, prepare patients, circulate according to AORN guidelines, assist during procedures, and document patient responses and changes in condition.
For cath lab assignments, accompany patients and families to rooms to facilitate patient flow.
Assist the FCC Coordinator in arranging and coordinating appointments before the delivery process.
Accept assignments to mentor student nurse observation experiences and provide clinical support as a relief preceptor for new staff.
Help teammates during shifts as needed and complete other assigned tasks professionally.
Maintain regular attendance and meet the physical requirements of the job.