Staff RN - Experienced Bedside CC - Cardiac Care Unit - Full time/Nights

About the role

The Staff RN Cardiac Care position involves coordinating professional nursing and individualized, family-centered care to pediatric patients/families through the use of the nursing process and clinical skills in accordance with standards and hospital policies and procedures. This role requires obtaining skills necessary to care for cardiac patients regardless of acuity and age, and working collaboratively with the interdisciplinary team.

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.
• Admits patients and collects and documents data related to patient’s individualized care.
• Absorbs and interprets information in terms of patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients.
• Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission.
• Performs reassessment based on unit standards, CPG's/ND's, protocols and changes in patient condition.
• Communicates changes to appropriate persons (Provider, Charge RN, and family) as indicated.
• Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified 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.
• Formulates goals and outcomes based on assessment data.
• Demonstrates ability to prioritize patient interventions based on assessments/reassessments.
• Delegates to Certified Nursing Assistants 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 (CN, Supervisor, Manager, CNS/Educator, Director, MD, etc.) to ensure that clinical outcomes are achieved.
• Uses appropriate resources (CN, Supervisor, Manager, CNS/Educator, Director, MD, etc.) to ensure that clinical outcomes are achieved.
• Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn.
• Documents accurately assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures.
• Completes computerized documentation within established timeframes.
• Provides the last line of defense for patient safety including medication administration, procedures, and discharge planning.
• Based on departmental/organizational need may be required to participate in Transplant program function.

Secondary Functions

• Performs other duties assigned.
• Floats to other units utilizing clinical skill sets and appropriate resources, delegating when appropriate.
• Mentors student nurse observation experience in unit.
• Shares/teaches knowledge and provides clinical support to serve as a preceptor for new staff.
• Serves as a resource for other team members during shifts.
• Completes other assigned tasks in a professional manner.

Knowledge, Skills and Abilities

• 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.

Education and Experience

• Diploma, Associates, or Bachelor’s degree from an accredited school of nursing required.
• Minimum 1 year of RN experience required.
• Previous experience with EPIC preferred.

Certifications/Licenses

• Current and valid Nebraska RN license/RN Compact license required.
• Current and valid Basic Life Support (BLS) through the American Heart Association is required.
• Current and valid Advanced Cardiac Life Support (ACLS) required within 6-months of hire.
• Current and valid Pediatric Life Advanced Life Support (PALS) required, within 6 months of hire.

About The Team

The Cardiac Care Unit is a brand new 32 bed, adaptable acuity model, providing high quality care to all cardiac patients across the continuum from admission to discharge. The CCU nurse cares for patients with a primary cardiac diagnosis and varying acuity levels, majority less than one year of age. With 24/7 in-house critical care physicians and advanced practice providers, as well as dedicated pharmacists, social workers, nurse navigators, and dietitians, the Cardiac Care Unit offers a multidisciplinary, family-centered approach to care. Patients cared for in the Cardiac Care Unit are newborn to young adult with congenital and acquired heart disease undergoing pre and post-surgical repair and/or heart catheterization and patients with heart failure, transplant, shock, pulmonary hypertension, and patients needing ECMO support.