Staff RN - Bedside - NICU 7 - Experienced - Nights

About the role

Coordinates professional nursing and individualized, family centered care to patients/families through the use of the nursing process and clinical skills in accordance with standards and hospital policies and procedures. On call responsibilities vary depending on department. Varied schedules to include weekend and holiday patterns.

Responsibilities

• Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards, appropriate collaborative problems (CPG's)/nursing diagnoses(ND's), or protocols — including developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.
• Admission Assessment: Collects and documents data related to patient’s individualized care; demonstrates age-specific competency; assesses patient/family need for education and family expectations for involvement; identifies nursing diagnoses, collaborative problems, and/or protocols at time of admission.
• Shift Assessment/Reassessment: Performs reassessment based on unit standards, CPG's/ND's, protocols and changes in patient condition; communicates changes to appropriate persons (MD, Charge RN, family) as indicated.
• Cath Lab: Schedules cardiac catheterization and electrophysiology procedures with patient family; works closely with OR supervisors, OR Manager, HCL staff and Director of Anesthesia; obtains permits after teaching patient/family about procedure and complications; collects and documents data related to patient’s response to procedure; circulates in procedures following AORN guidelines; assists at bedside in preparing patient; applies critical thinking during procedures in delivery of direct patient care and analyzing response to medications and treatment; utilizes appropriate telephone etiquette.
• Develops individualized patient/family plan of care using CPG/ND’s and practice guidelines/protocols to meet identified needs (including current and anticipated actions focused on care, education, discharge needs).
• Utilizes assessment data from healthcare team to individualize goals and actions, including collaboration with family and healthcare team; formulates goals and outcomes based on assessment data; revises plan of care based on patient’s condition, interdisciplinary input, and family needs; demonstrates ability to prioritize patient interventions.
• Implements and evaluates nursing actions in accordance with the individualized plan of care and patient condition/needs; oversees coordination, implementation, evaluation, and revision of nursing and interdisciplinary plan of care/goals; identifies need for interdisciplinary involvement/outside resources and follows through; uses appropriate resources (CNS/Educator, Director, MD, etc.) to ensure clinical outcomes are achieved.
• Incorporates critical thinking into 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/family’s readiness to learn.
• Cath lab: Coordinates with referring physician and other operating physician, assessing patient/family care issues in scheduling procedures; accompanies patients/family to room to help facilitate patient flow.
• Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures; entries follow hospital policy (date, time, appropriate abbreviations, legibility); completed within established timeframes including Admission Assessment form, daily Patient Flowsheet, Peripheral IV Flowsheet, Family Education Record, Interdisciplinary Goals; reviews and updates computerized careplan; completes computerized documentation within established timeframes (Medication Administration Record, Allergies, Patient Information, etc.); completes and verifies accurate order entry; ensures 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.
• Assists FCC Coordinator in arranging and coordinating appointments prior to the delivery process.
• 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.

Qualifications

Education

• Associate's Degree from an accredited school of nursing — Required
• Bachelor's Degree from an accredited school of nursing — Required

Experience

• Minimum 1 year of RN experience — Required
• Experience with pediatric patients — Preferred
• 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.
• Must 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 current and valid in the state of Nebraska — Upon Hire Required
• BLS - Basic Life Support through the American Heart Association — Upon Hire Required
• PALS - Pediatric Advanced Life Support (except NICU) — within 180 Days Required
• NRP - Neonatal Resuscitation (NICU only) — within 180 Days Required
• ACLS — within 6 months of hire (Cath Lab only) Required
• ENPC - Emergency Nursing Pediatric Certification (ED only) — within 1 Year Required
• TNCC - Trauma Nursing Core Course (ED only) — within 1 Year Required
• For RNs working in the Radiology Nursing area: RNs will be trained in all areas of Radiology Nursing and will complete all required competencies — Required

Schedule

7pm–7am with patterned weekends/holidays — 36 hours per week.