Staff RN - Bedside - PICU - 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. The role includes age-specific assessment, care planning, implementation and evaluation of nursing actions, patient and family education, interdisciplinary coordination, and timely, accurate documentation. On-call responsibilities vary by department, and schedules may include weekend and holiday patterns. The position requires assessing patient and family needs, identifying nursing diagnoses and collaborative problems, revising plans of care as patient conditions and family needs change, prioritizing interventions, and communicating changes to appropriate team members. Nurses use clinical judgment to evaluate patient responses to orders, tests, laboratory results, medications, and treatments, and coordinate resources to support clinical outcomes. The posting also includes Cath Lab-specific duties: coordinating and scheduling cardiac catheterization and electrophysiology procedures, obtaining permits after teaching patients and families, coordinating with physicians and other affected personnel, preparing and accompanying patients, circulating in procedures according to AORN guidelines, and documenting patient responses and changes in condition.

Requirements

Associate's Degree or Bachelor's Degree from an accredited school of nursing.
At least 1 year of RN experience.
Current and valid Registered Nurse state licensure and/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.
Ability to shift among different duties without loss of efficiency or composure, perform under stressful conditions with multiple requests, and demonstrate prioritization skills.

Nice To Haves

Experience with pediatric patients.
Previous experience with EPIC.

Responsibilities

Conduct individualized, age-specific patient and family assessments, including admission assessments and reassessments based on unit standards, protocols, and changes in condition.
Identify nursing diagnoses, collaborative problems, and protocols based on assessment findings.
Assess patient and family education needs, readiness to learn, expectations, and involvement in care.
Develop, implement, evaluate, and revise individualized patient and family plans of care in collaboration with families and the healthcare team.
Prioritize nursing interventions based on assessments, reassessments, patient condition, and identified needs.
Coordinate nursing and interdisciplinary plans of care and identify and follow through on interdisciplinary or external resource needs.
Administer clinical interventions according to standards and age-specific needs, and evaluate patient responses to orders, tests, labs, medications, and treatments.
Provide or coordinate patient and family education according to identified care needs.
Communicate changes in patient condition to appropriate people, such as physicians, charge nurses, and families.
Document assessments, evaluations, modifications, patient responses, and interventions accurately and within established timeframes and hospital policy.
Review and update computerized care plans, complete computerized documentation, and verify accurate order entry.
Ensure discharge instructions clearly describe patient care needs after discharge.
For Cath Lab duties, schedule cardiac catheterization and electrophysiology procedures and coordinate with families, physicians, OR personnel, HCL staff, and anesthesia leadership.
For Cath Lab duties, obtain procedure permits after educating patients and families about procedures and related complications.
For Cath Lab duties, circulate in procedures following AORN guidelines and assist with bedside preparation.
For Cath Lab duties, accompany patients and families to rooms to facilitate patient flow and document responses to procedures and changes in condition.