Registered Nurse - Critical Care ICU Weekender - 24 or 36 Hours/Week - Days

About the role

Nebraska Methodist Health System focuses on providing exceptional care to the communities they serve and the people they employ. This includes helping families grow through special deliveries, offering compassionate care for difficult diagnoses, exceeding patient needs, and celebrating victories over diseases or personal health challenges.

Responsibilities

• Provide appropriate care specific to the age of the patient/customer, ensuring understanding and comfort level of treatment as outlined in the Population Specific Criteria.
• Demonstrate ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
• Perform an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs. Include data from the patient/significant other(s) in the assessment as appropriate. Prioritize data collection according to patient's immediate needs.
• Develop/review/revise and individualize the plan of care to address the patient's nursing care needs for optimum patient care outcomes. (Consultation and resources, nurses as teachers).
• Collaborate with providers and other clinical disciplines as appropriate. Provide teaching specific to the patient's health care problem.
• Implement interventions that are consistent with the established plan of care in a safe and appropriate manner (Professional Models of Care).
• Use current knowledge in nursing practice based on standards and research literature. Evaluate patient care to determine response to care/interventions for optimal patient outcome. Monitor outcomes and document patient response to interventions.
• Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions. Continually monitor the patient and/or significant other(s) ability to manage care needs after dismissal.
• Give a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements, to include SBAR (situation, background, assessment and recommendation), and is familiar with the overall plan of care.
• Recognize and address patient and family capabilities and limitations (physical and mental).
• Perform technical skills competently and independently to assure patient safety (autonomy).
• Able to competently perform technical skills independently. Demonstrate correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals. Follow appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
• Maintain a professional behavior in attitude, demeanor, interactions to achieve organization's mission. (Quality Improvement, Image of Nursing, Interdisciplinary Relationships, Professional Development, community and the healthcare organization).
• Communicate effectively to solve problems at the personal and unit level. Take pride in the unit by actively participating in restocking and maintaining a clean environment. Maintain a professional appearance, behavior, and work environment. Maintain competence in area of experience. Participate in meetings and/or committees as needed to assist in decisions affecting area/unit or organization.
• Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns).
• Complete appropriate report form for any risk (e.g., variance/incident report, patient concern report, maintenance request). Communicate to appropriate personnel regarding unresolved issues.
• Work within the scope of practice as defined by State Nurse Practice Act. Observe appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
• Review, delegate and evaluate plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.
• Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome). Right person (assess competency by: certification/licensure, job description, skills checklist, demonstrated skill). Right communication (clear, concise, correct, complete). Right feedback: the Reciprocal Process (ask teammates' input first, recognize effort, get teammates' solution to problem, check off points).
• Fiscally accountable. Act professionally responsible for human and other resources. Charge accurately for use of supplies and equipment according to policy.

Requirements

• Education: BSN or MSN from an accredited college of nursing required OR obtained within 5 years from date of hire for nurses with an ADN. For MJE Progressive Care: BSN from an accredited school of nursing preferred, graduate of an accredited school of nursing required. Successful completion of annual mandatory education requirements. NIH Stroke Scale training or proof of training required in the first 6 months of hire. For MJE Progressive Care: Successful completion of Telemetry Cardiac Rhythm Course.
• Experience: NMH CT Scan: 1 to 3 years’ experience in direct patient care and proficient in intravenous (IV) start skills. NMH MRI: 1 to 3 years’ experience in direct patient care and proficient in intravenous (IV) start skills. NMH Nuclear Medicine: 5 years’ experience in nursing clinical settings and general experience in all areas of nursing practice. MJE Neurodiagnostics: Minimum 2 years of nursing experience in cardiac/ICU. MWH PACU: Critical Care or Post Anesthesia Care Unit (PACU) experience. NMH PACU: 1 to 2 years nursing experience. NMH Surgery GI Lab: 1 to 2 years experience. NMH Cath Lab: 1 year experience in Cardiac Cath Lab, Cardiac Unit, Emergency Room, Post-Anesthesia Care Unit (PACU), Intensive Care Unit (ICU) or Progressive Care unit. NMH Surgery Pre Op Services: 1 to 2 years nursing experience. Surgery OP Support HW: Minimum 2 years related experience in RN role. MFH Radiology Diagnostics: 3 years experience in direct patient care and proficient in IV start skills.
• License/Certifications: Current valid Nebraska Registered Nurse (RN) License, valid compact multistate license, or a temporary permit while awaiting licensure. Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire. Current American Heart Association Advanced Cardio Life Support (ACLS). NMH Surgery Pre Op Services: ACLS required within 3 months of hire. Surgery OP Support HW: ACLS required within 6 months of hire. MJE Progressive Care: ACLS required within 1 year of hire. MFH Radiology Diagnostics: ACLS required within 3 months of hire. Preferred: Certification(s) in area of specialty preferred from National Certification Corporation (NCC) within 1 year of eligibility.

Qualifications

• Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
• Ability to multi-task and prioritize work assignments.
• Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.

Skills/Knowledge/Abilities

• Interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
• Ability to multi-task and prioritize work assignments.
• Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.