Staff RN Experienced Float Inpatient Full timeNights

Schedule: 7p-7a 3 days a week including holiday and weekend rotation -36hrs

At Childrens Nebraska our mission is to improve the life of every child through exceptional care advocacy research and education. As the states only full-service pediatric healthcare center we provide comprehensive holistic care to our patients and familiesfrom primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture we foster an environment with joy belonging wellbeing learning and growth. Turn your passion into purpose and make a difference where it matters most. Childrens is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.

A Brief Overview
Coordinates professional nursing and individualized family centered care to NICU/PICU/Med-Surg pediatric patients/families through the use of the nursing process and clinical skills in accordance with standards and hospital policies and procedures. Varied schedules to include weekend and holiday patterns.

Essential Functions

• Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards appropriate collaborative problems (CPGs)/nursing diagnoses (NDs) or protocols. (Individualized refers to the patients developmental cognitive cultural psychosocial spiritual and educational/family influences and physical/medical care needs.) Admission Assessment:
• Collects and documents data related to patients individualized care.
• Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs knowledge of growth and development and understanding of the range of treatment needed by these patients.
• Assesses patient/family need for education and uses an individualized approach in delivery style.
• Assesses family expectations for and involvement in the assessment and continuous care or treatment of the patient.
• Identifies nursing diagnoses collaborative problems and/or protocols for each patient based on assessment at the time of admission.
• Assess and interprets patient data upon arrival at the referring hospital. Shift Assessment/Reassessment:
• Performs reassessment based on unit standards CPGs/NDs protocols and changes in patient condition. Communicates changes to appropriate persons (MD CNC family) as indicated.
• Develops individualized patient/family plan of care using CPG/NDs and practice guidelines/protocols to meet identified needs. (Plan of Care includes current and anticipated actions focused on care education discharge needs.)
• Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient including collaboration with the family and the healthcare team.
• Utilizes individualized assessment data to develop the patient/familys plan of care.
• Formulates goals and outcomes based on assessment data.
• Revises plan of care based on patients condition interdisciplinary input and family needs.
• Demonstrates ability to prioritize patient interventions based on assessments/reassessments. Uses available child care partners to support patient care needs as appropriate.
• Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs.
• Oversees that the nursing and interdisciplinary plan of care/goals are coordinated implemented evaluated and revised as needed. Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (CNC CNS/Educator PCM MD etc) to ensure that clinical outcomes are achieved.
• Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders tests labs medications and treatments.
• Demonstrates clinical competence in administering interventions according to identified standards and age specific needs.
• Provides and/or coordinates with other disciplines patient/family education according to identified care needs considering assessment of patient/familys readiness to learn.
• Documentation reflects accurate assessment/evaluation modification and patients response to therapy changes in condition and therapeutic interventions/procedures.
• Entries in the medical record follow hospital policy (i.e. date time use of appropriate abbreviations and legibility).
• Documentation is completed within established timeframes including but not limited to: Admission Assessment form daily Patient Flowsheet Peripheral IV Flowsheet Family Education Record and Interdisciplinary Goals.
• Reviews and updates computerized care plan to accurately reflect the plan of care.
• Completes computerized documentation within established timeframes including but not limited to: Medication Administration Record Allergies Patient Information etc.
• Completes and verifies accurate order entry in the computerized care plan.
• Ensures that discharge instructions clearly state patient care needs after discharge.
• Regular attendance at work is an essential function of the job.
• Perform physical requirements as described in the Physical Requirements section
• Equally committed to patient care units (NICU PICU Med-Surg CCU) utilizing clinical skill sets and appropriate resources delegating when appropriate. Professionally supports the assigned unit as seen through interactions with patients families area staff colleagues and others.
• Accepts assignment to mentor student nurse observation experience in unit.
• Accepts assignments to share/teach knowledge and provide clinical support as a relief preceptor for new staff.
• Professionally seeks opportunities to help teammates during shift as needed.
• Accepts and completes other assigned tasks in a professional manner.
• If designated compensated preceptor add competencies Addendum B.

Education Qualifications

• Associates Degree from an accredited school of nursing required Required or
• Bachelors Degree from an accredited school of nursing required Required

Experience Qualifications

• Minimum 1 year of RN experience Required and
• Experience with pediatric patients Preferred and
• Minimum of 1 year experience working in a float pool Preferred and
• Previous experience with EPIC Preferred

Skills and Abilities

• Must be able to perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure and be able to perform under stressful conditions when confronted with multiple requests demonstrating prioritizing skills.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and
• Health ServicesBCLS - Basic Life Support through the American Heart Association Required and
• PALS - Pediatric Advanced Life Support within 180 Days Required and
• NRP - Neonatal Resuscitation Preferred and
• Current and valid certification in nursing specialty Preferred

Childrens is an equal opportunity employer embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race ethnicity age gender identity religion disability veteran status or any other protected characteristic.

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