Staff RN - Experienced - Bedside - Emergency

A Brief Overview

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 the department.

Schedule

• 1500–0330 with weekend and holiday rotation
• 36 hours per week

Responsibilities

• 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.
  • Admission Assessment:
    • Collects and documents data related to patient’s individualized care.
    • Demonstrates age-specific competency in assessment by obtaining and interpreting information in terms of patient needs, growth and development, and treatment requirements.
    • 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 at the time of admission.
  • Shift Assessment/Reassessment:
    • Performs reassessment based on unit standards, CPGs/NDs, protocols, and changes in patient condition.
    • Communicates changes to appropriate persons (MD, Charge RN, family) as indicated.
• Cath Lab Specific Duties:
  • Schedules cardiac catheterization and electrophysiology procedures with patient/family.
  • Works closely with OR supervisors, OR Manager, HCL staff, and Director of Anesthesia.
  • Obtains permits for catheterization procedures after teaching patient/family about procedure and related complications.
  • Collects and documents data related to patient’s response to procedure and changes in condition according to hospital policy.
  • Demonstrates age-specific competency in assessment of patients.
  • Circulates in procedures following AORN guidelines/standards and assists at bedside in preparing patients.
  • Applies critical thinking during catheterization procedures in delivering direct patient care and analyzing response to medications and treatment.
  • Coordinates with referring and operating physicians to assess patient/family care issues in scheduling procedures.
  • Accompanies patients/family to room to facilitate patient flow.
• Develops individualized patient/family plan of care using CPGs/NDs and practice guidelines/protocols to meet identified needs.
  • Utilizes assessment data from the healthcare team to individualize goals and actions for the patient, 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 based on assessments/reassessments.
• 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 (CNS/Educator, Director, MD, etc.) to ensure clinical outcomes are achieved.
  • Incorporates critical thinking into the delivery of clinical skills and 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 patient/family education according to identified care needs, considering readiness to learn.
• Documentation:
  • Reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures.
  • Entries in the medical record follow hospital policy (e.g., date, time, use of appropriate abbreviations, legibility).
  • Documentation is completed within established timeframes, including 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 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.
• Performs 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.

Requirements

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

Qualifications

• 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.
• Able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills.

Licenses and Certifications

• Registered Nurse - State Licensure and/or Compact State Licensure current and valid in the state of Nebraska Upon Hire Required
• Basic Life Support from the American Heart Association Upon Hire Required
• Pediatric Advanced Life Support (except NICU) within 180 Days Required
• Neonatal Resuscitation Program (NICU only) within 180 Days Required
• Advanced Cardiac Life Support (Cath Lab, CARES, and ED only) within 180 Days Required
• Emergency Nursing Pediatric Course (ED only) within 1 Year Required
• Trauma Nursing Core Course (ED only) within 1 Year Required
• Advanced Trauma Care for Nurses (ED only) within 1 Year Required
• For RNs working in Radiology Nursing, training and completion of all required competencies in all areas of Radiology Nursing Required

About the Team

In the Emergency Department, our goal is to quickly and calmly get children the help they need. This job requires a cool head and quick decision-making skills, plus a friendly smile and a calm demeanor to help children and parents during a stressful time. If you do well in a fast-paced environment and you're a strong problem-solver, please apply to be part of the Emergency Department team today.