RN Jobs in Blair, NE

Nebraska Medicine Omaha, NE

4 days ago

Clinic Nurse - Pain Clinic at Village Pointe

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: First Shift (United States of America) Clinic Nurse - Pain Clinic at Village Pointe ***$5,000 Sign On Bonus - Must Meet Eligibility*** Shift Details: 40 hrs/wk Monday - Friday 8am - 4:30pm Why Work with Nebraska Medicine? Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration. Leading Health Network Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care. Diversity and Inclusion We value diverse backgrounds and experiences, reflecting the communities we serve. Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Enjoy support for your personal growth within the organization, from those just starting their healthcare careers to those who are years down the path. Be part of something extraordinary with Nebraska Medicine! Job Description: Provide and coordinate delivery of clinical resources to assure safe, high quality patient care and ensure continuity of care. Perform duties in an environment of care where the needs of a patient are short term, non-acute, and non-life threatening. Required Qualifications: • Associate's in nursing (ADN) or Nursing Diploma required. • Demonstrated effective communication skills required. • Ability to demonstrate initiative, teamwork, and flexibility required. • Currently licensed as a Registered Nurse in the state of Nebraska or current compact state license required. • Basic Life Support (BLS) certification endorsed by the American Heart Association (AHA) required. • Pediatric Advanced Life Support (PALS) department dependent required. Preferred Qualifications: • Based on position, prior experience in patient nursing, specialty/primary care clinic and/or telephonics preferred. • Bachelor's degree in nursing (BSN) or Master's of Science in Nursing (MSN) degree preferred. • Experience with Microsoft Office applications including Word, PowerPoint, and Excel preferred. • Proficient with use of email applications preferred. • Experience with EPIC or other electronic medical records preferred. • Specific to the Medical Call Center department; multi-state license preferred. Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status.

DaVita Kidney Care Council Bluffs, IA

4 days ago

Registered Nurse

Posting Date 04/21/2026 300 West BroadwaySuite 150, Council Bluffs, Iowa, 515039045, United States of America DaVita is seeking a Registered Nurse to join our outpatient dialysis team. In this role, you'll provide life-saving care to patients with end-stage renal disease or chronic kidney conditions. No dialysis experience required—just a commitment to compassionate, high-quality care. . Responsibilities: Deliver direct patient care in an outpatient dialysis setting Monitor patients, manage treatment plans, and respond to health changes Collaborate with a supportive clinical team, including Patient Care Technicians Educate patients and families on kidney health and treatment options Float to nearby clinics as needed; flexible schedule required What to Expect: Fast-paced, hands-on environment Long-term patient relationships Broad nursing skill application with medically complex patients Paid training provided Schedule: Flexible shifts including mornings, evenings, weekends, and holidays Training may occur at a clinic other than your home location Qualifications: RN license in the state of practice ADN required; BSN preferred Basic computer proficiency Reliable transportation for potential floating Preferred (Not Required): Experience in ICU, CCU, ER, or Med Surg CNN/CDN certification Benefits: Medical, dental, vision, and 401(k) match Paid time off and PTO cash-out Family support: EAP, Headspace, parental leave, backup child/elder care Career growth and tuition support Join DaVita and help patients live better, healthier lives. Apply today. #LI-WJ1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

DaVita Kidney Care Omaha, NE

4 days ago

Registered Nurse

Posting Date 04/21/2026 13014 W Dodge Rd, Omaha, Nebraska, 68154, United States of America DaVita is seeking a Registered Nurse to join our outpatient dialysis team. In this role, you'll provide life-saving care to patients with end-stage renal disease or chronic kidney conditions. No dialysis experience required—just a commitment to compassionate, high-quality care. . Responsibilities: Deliver direct patient care in an outpatient dialysis setting Monitor patients, manage treatment plans, and respond to health changes Collaborate with a supportive clinical team, including Patient Care Technicians Educate patients and families on kidney health and treatment options Float to nearby clinics as needed; flexible schedule required What to Expect: Fast-paced, hands-on environment Long-term patient relationships Broad nursing skill application with medically complex patients Paid training provided Schedule: Flexible shifts including mornings, evenings, weekends, and holidays Training may occur at a clinic other than your home location Qualifications: RN license in the state of practice ADN required; BSN preferred Basic computer proficiency Reliable transportation for potential floating Preferred (Not Required): Experience in ICU, CCU, ER, or Med Surg CNN/CDN certification Benefits: Medical, dental, vision, and 401(k) match Paid time off and PTO cash-out Family support: EAP, Headspace, parental leave, backup child/elder care Career growth and tuition support Join DaVita and help patients live better, healthier lives. Apply today. #LI-WJ1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Cardiology Ambulatory Nurse-Nurse Resident

Schedule: Monday - Friday 8-430 Regional travel to our outreach locations (South Dakota, Des Moines, Lincoln, and Western Nebraska) by car and plane throughout the year. Average of 6 days per year. At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from 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. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Prescribes, delegates and coordinates professional nursing care to pediatric and adult congenital heart patients through the use of nursing process and in accordance with hospital policy/procedure. Demonstrates competency in identified skills for area. Expands knowledge of pediatric practice in clinic specific area and contributes to the professional development of peers, colleagues and others. Education Qualifications Bachelor's Degree from an accredited college or university in nursing Required Experience Qualifications Minimum 2 years experience in nursing with pediatric patients Required and Experience in a cardiac environment Preferred Skills And Abilities Strong leadership and organizational skills. Prefer knowledge of insurance authorization. Other certifications/education as defined by area specific job competencies. Licenses and Certifications Health Services\RN - Registered Nurse - State Licensure and/or Compact State Licensure Current and valid Nebraska RN license/RN Compact license Required Health Services\BCLS - Basic Life Support through the American Heart Association is Required Occasional driving may be required for the position Required Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child!

Outpatient

Nebraska Medicine Omaha, NE

5 days ago

Clinic Nurse - General Neurology

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: First Shift (United States of America) Clinic Nurse - General Neurology ***$5,000 Sign On Bonus - Must Meet Eligibility*** Shift Details: 40 hrs/wk Monday - Friday 8am - 5pm Clinic Highlight: The Neurosciences Clinic is a premier facility dedicated to the comprehensive care of patients with neurological conditions. Our multidisciplinary team of neurologists, neurosurgeons, and specialized healthcare professionals provides advanced diagnostic and therapeutic services for a wide range of disorders, including epilepsy, multiple sclerosis, stroke, and neurodegenerative diseases. Utilizing cutting-edge technology and the latest research, we develop individualized treatment plans that prioritize patient well-being and recovery. The clinic is committed to excellence in patient care, offering support services and educational resources to empower patients and their families. Our holistic approach ensures that every aspect of a patient's health is addressed, fostering improved outcomes and enhanced quality of life. Why Work at Nebraska Medicine? Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration. Leading Health Network Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care. Diversity and Inclusion We value diverse backgrounds and experiences, reflecting the communities we serve. Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Enjoy support for your personal growth within the organization, from those just starting their healthcare careers to those who are years down the path. Be part of something extraordinary at Nebraska Medicine! Job Description: Provide and coordinate delivery of clinical resources to assure safe, high quality patient care and ensure continuity of care. Perform duties in an environment of care where the needs of a patient are short term, non-acute, and non-life threatening. Required Qualifications: • Associate's in Nursing (ADN) or Nursing Diploma required. • Demonstrated effective communication skills required. • Ability to demonstrate initiative, teamwork, and flexibility required. • Currently licensed as a Registered Nurse in the state of Nebraska or current compact state license required. • Basic Life Support (BLS) certification endorsed by the American Heart Association (AHA) required. • Pediatric Advanced Life Support (PALS) department dependent required. Preferred Qualifications : • Based on position, prior experience in patient nursing, specialty/primary care clinic and/or telephonics preferred. • Bachelor's degree in nursing (BSN) or Master's of Science in Nursing (MSN) degree preferred. • Experience with Microsoft Office applications including Word, PowerPoint, and Excel preferred. • Proficient with use of email applications preferred. • Experience with EPIC or other electronic medical records preferred. • Specific to the Medical Call Center department; multi-state license preferred. Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status.

RN Behavioral Health / BH Crisis Assessment

Job Description Schedule available for Crisis Assessment BHWC: Monday - Friday 3p-11:30pm - 40hrs Sat&Sun 3p-11:30pm - 16hrs casual At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from 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. A Brief Overview Functions as a member of the interdisciplinary team. Primary responsibility to care for patients with behavioral health needs. Utilizes the nursing process in the delivery of comprehensive and developmentally appropriate care to high-risk behavioral patients and their families. Acts as a psychiatric resource for the team by providing clinical support, monitoring compliance with system policies, guidelines, documentation, and by maintaining a safe environment for patients with behavioral health needs. Responds to behavioral emergencies throughout the building and collaborates with the interdisciplinary team to ensure patient and staff safety. Is knowledgeable of the regulatory standards related to the care of hospitalized patients with behavioral health needs and ensures compliance with those standards. Essential Functions 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. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Admission/Initial Assessment: Collects and documents data related to patient’s 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. 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 Utilizes appropriate telephone etiquette. Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs in collaboration with Behavioral Health Team. (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/family’s plan of care. 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 (Charge Nurse, CNS/Educator, Director, 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/family’s 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 (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, Family Education Record, and Interdisciplinary Goals. Reviews and updates computerized careplan 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 careplan. Ensures that discharge instructions clearly state patient care needs after discharge. Uses clinical judgment based on nursing skills acquired through formal and informal experiential knowledge and evidence-based guidelines to globally assess the patient's situation Supports staff in providing a safe environment for patients with high-risk behaviors by inspecting rooms, proactively identifying potential safety hazards, and removing at-risk items. Delivers competent and skilled nursing care to patients and families according to their identified needs. Provides content expertise and education to staff caring for high-risk patients and assists staff in finding available resources related to behavioral health patients. Provides a just in time resource to nursing, administrative supervisors and physicians caring for high-risk behavioral patients. Assists staff in finding available resources related to behavioral health patients. Reviews documentation and orders in EPIC and collaborates with staff to ensure that the patient’s level of observation is appropriate, and documentation is accurate and complete. Identifies patient care concerns in real time and collaborates and escalates as needed to promote resolution. Provides education and facilitates learning for the patient care team related to constant visual observation guidelines and policies, therapeutic interactions, and patient safety. Assists with consistent application of guidelines and policies across the hospital. Identifies and presents opportunities for performance/quality improvement activities to improve clinical outcomes. Assists with patient de-escalation, provides physical intervention if needed, thorough and accurate documentation, and participates in the debriefing afterwards Audits Physical Intervention documentation and assists in collecting, inputting, and sharing data in real time Delivers care with a team-oriented approach, an emphasis on good customer relations, sound clinical judgment, and appropriate decision-making abilities that take into consideration evidence-based practice. Advocates for the patient, represents the concerns of the patient/family and identifies and assists in resolving concerns. Ensures that Patient Health Information (PHI) is protected and secured at all times. Adheres to all infection prevention initiatives (i.e., hand hygiene, proper disposal of waste, etc.) Education Qualifications Associate's Degree from an accredited school of nursing Required or Bachelor's Degree from an accredited school of nursing Required Experience Qualifications 2 years of psychiatric nursing experience Preferred and Experience with pediatric patients 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 in the state of Nebraska Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required and Certification as a Psychiatric Mental Health Nurse (PMH-BC) after 2 years and/or 2000 mental health care hours Preferred Team members currently ineligible for advanced certification are strongly encouraged to pursue them upon eligibility. Children’s 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.

5 days ago

Staff RN - Experienced Float - Inpatient - Full time/Nights

Job Description Schedule: 7p-7a, 3 days a week including holiday and weekend rotation -36hrs At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from 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. Children's 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 (CPG’s)/nursing diagnoses (ND’s), or protocols. (Individualized refers to the patient’s 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 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, CPG’s/ND’s, 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/ND’s, 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/family’s plan of care. 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. 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/family’s 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 (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 Associate's Degree from an accredited school of nursing required Required or Bachelor's 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 Services\BCLS - 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 Children’s 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. INDNUR About The Team Are you passionate about providing care to diverse patient populations and utilizing a range of skills? Join our dynamic team! As a member, you'll have the opportunity to work across all our inpatient areas, including general medical-surgical care, our Pediatric Intensive Care Unit, Cardiac Care, and our Level IV Neonatal Intensive Care Unit. Our team is known for its expertise and collaborative approach to patient care across all areas. If you thrive in a supportive and knowledgeable environment, this is the team for you.

RN Behavioral Health / BH Inpatient

Job Description Schedule available for Inpatient BHWC: Weekend/Days - Fri/Sat/Sun - 36hrs (weekend incentive) Mon/Thur/Fri - Nights - 36hrs Saturday and Sunday - 3p-11:30pm - 16hrs (weekend incentive) casual At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from 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. A Brief Overview Functions as a member of the interdisciplinary team. Primary responsibility to care for patients with behavioral health needs. Utilizes the nursing process in the delivery of comprehensive and developmentally appropriate care to high-risk behavioral patients and their families. Acts as a psychiatric resource for the team by providing clinical support, monitoring compliance with system policies, guidelines, documentation, and by maintaining a safe environment for patients with behavioral health needs. Responds to behavioral emergencies throughout the building and collaborates with the interdisciplinary team to ensure patient and staff safety. Is knowledgeable of the regulatory standards related to the care of hospitalized patients with behavioral health needs and ensures compliance with those standards. Essential Functions 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. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Admission/Initial Assessment: Collects and documents data related to patient’s 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. 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 Utilizes appropriate telephone etiquette. Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs in collaboration with Behavioral Health Team. (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/family’s plan of care. 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 (Charge Nurse, CNS/Educator, Director, 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/family’s 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 (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, Family Education Record, and Interdisciplinary Goals. Reviews and updates computerized careplan 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 careplan. Ensures that discharge instructions clearly state patient care needs after discharge. Uses clinical judgment based on nursing skills acquired through formal and informal experiential knowledge and evidence-based guidelines to globally assess the patient's situation Supports staff in providing a safe environment for patients with high-risk behaviors by inspecting rooms, proactively identifying potential safety hazards, and removing at-risk items. Delivers competent and skilled nursing care to patients and families according to their identified needs. Provides content expertise and education to staff caring for high-risk patients and assists staff in finding available resources related to behavioral health patients. Provides a just in time resource to nursing, administrative supervisors and physicians caring for high-risk behavioral patients. Assists staff in finding available resources related to behavioral health patients. Reviews documentation and orders in EPIC and collaborates with staff to ensure that the patient’s level of observation is appropriate, and documentation is accurate and complete. Identifies patient care concerns in real time and collaborates and escalates as needed to promote resolution. Provides education and facilitates learning for the patient care team related to constant visual observation guidelines and policies, therapeutic interactions, and patient safety. Assists with consistent application of guidelines and policies across the hospital. Identifies and presents opportunities for performance/quality improvement activities to improve clinical outcomes. Assists with patient de-escalation, provides physical intervention if needed, thorough and accurate documentation, and participates in the debriefing afterwards Audits Physical Intervention documentation and assists in collecting, inputting, and sharing data in real time Delivers care with a team-oriented approach, an emphasis on good customer relations, sound clinical judgment, and appropriate decision-making abilities that take into consideration evidence-based practice. Advocates for the patient, represents the concerns of the patient/family and identifies and assists in resolving concerns. Ensures that Patient Health Information (PHI) is protected and secured at all times. Adheres to all infection prevention initiatives (i.e., hand hygiene, proper disposal of waste, etc.) Education Qualifications Associate's Degree from an accredited school of nursing Required or Bachelor's Degree from an accredited school of nursing Required Experience Qualifications 2 years of psychiatric nursing experience Preferred and Experience with pediatric patients 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 in the state of Nebraska Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required and Certification as a Psychiatric Mental Health Nurse (PMH-BC) after 2 years and/or 2000 mental health care hours Preferred Team members currently ineligible for advanced certification are strongly encouraged to pursue them upon eligibility. Children’s 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.

Staff RN - ECMO Spec / FT, nights - seasonal

Job Description Schedule: FT, Seasonal 9 months on 3 months off 7p-730 am with weekend and holiday rotation At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's 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 pediatric patients/families through the use of the nursing process and clinical skills in accordance with standards and hospital policies and procedures. As an ECMO Specialist who has completed specialized training in the operation, maintenance and application of circulatory technology (perform neonatal, pediatric and adult ECMO at Children's) requiring extracorporeal membrane support. Demonstrates expanded knowledge base through participation in ECMO program projects and activities. Flexible schedule to cover the needs of the ECMO patient during an ECMO run. Varied schedules to include weekend and holiday patterns, 7am-7pm or 7pm-7am. Essential Functions 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. (Individualized refers to the patient’s 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 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. 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, CNC, family) as indicated Manages the ongoing process of healthcare delivery to ECMO patients and families: Assessment and Planning: Participates in the evaluation of patients as potential ECMO candidates. Works in collaboration with Perfusion to manage ECMO cannulation, decannulation and stabilization procedures. Prepares and operates clinical equipment and circuitry per ECMO procedures/policies. Accurately assess and review with physician and ECMO team, pathophysiological changes within the patient and ECMO circuit. Differentiates patient versus circuit problems and intervenes appropriately. Based on clinical assessments, contributes to the development of individualized age and developmental appropriate plan of care with patient and family. Participates in ECMO case review and assists team members in defining learning outcomes. Participates in the collection/review of quality improvement initiatives and data for the ECMO program and ELSO data. Develops individualized patient/family plan of care using CPG/ND’s, 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/family’s plan of care. 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. Uses available child care partners to support patient care needs as appropriate. (A) 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/family’s readiness to learn (B) Implements Plan of Care to ECMO patients and families: Works in collaboration with ECMO Team to assess clinical status and related lab results (ACT levels, blood gases and metabolic status). Notifies ECMO physician of clinical status/lab values, performing appropriate interventions and implementing physician orders within established guidelines/ECMO policy and procedures. Manages ECMO flow in relationship to established clinical parameters. Reviews daily parameters with the ECMO Team. Demonstrate proper blood sampling techniques from the ECMO circuit. Perform, manage and troubleshoot activated clotting times (ACT) as per ECMO protocol including management and administration of heparin drip per ECMO protocol. Administers all blood products/medications appropriately when ordered to be given through the ECMO circuit. Maintains and effectively assesses ECMO circuit function. Performs all circulatory technical skill with efficiency, accuracy and safety while anticipating, troubleshooting, intervening and managing crises/emergency situations according to policy and procedure maintaining professional composure. Role models proficiency in documenting appropriately by assimilating information related to interventions, plan of care and anticipated outcomes accurately into all ECMO records and teaching documents. Participates in patient management discussions to include: communicating anticipated patient needs/plan of care, suggesting clinical management options and providing feedback for interventions that improve patient outcomes. 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 (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. Based on departmental/organizational need may be required to participate in Transplant program functions Accepts assignments to float to other units 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. Education Qualifications Graduate of an accredited school of nursing. Required Experience Qualifications Experience with pediatric patients Preferred and Previous experience with EPIC Preferred and Previous ECMO experience Preferred and Minimum of two years recent (in the past year) Level III NICU or PICU experience required or with equivalent critical care experience or minimum of two years’ experience in critical care Required 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. Excellent communication, assessment and patient care skills, as well as flexibility and ability to function in a high stress environment. Flexibility to work full time day/night shifts with possible over time during ECMO run. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and Specialty pediatric certification Preferred and Current and valid Basic Life Support (BLS) through the American Heart Association Required and PALS - Pediatric Advanced Life Support within 180 Days Required Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! Show more Show less

Staff RN - Experienced Bedside - Emergency - Full time/Weekends/Nights

Job Description Schedule:Weekends - 30hrs Extra Weekend Pay!! Hiring Bonus: $10,000 At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's 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 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. Essential Functions 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. (Individualized refers to the patient’s 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 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. 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 all affected personnel: 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. Documentation of data is entered in appropriate medical records. Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient’s needs, knowledge of growth and development, and understanding of the treatment needed. Circulates in procedures following AORN guidelines/standards. Assists at bedside in preparing patient for each procedure. Applies critical thinking during catheterization procedures in the delivery of direct patient care and in analyzing response to medications and treatment, prioritizing intervention based on continual assessment. Utilizes appropriate telephone etiquette. Develops individualized patient/family plan of care using CPG/ND’s, 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/family’s plan of care. 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 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/family’s readiness to learn Cath lab: Coordinates with referring physician and other operating physician, assessing patient/family care issues in scheduling procedures Cath lab: 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 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 careplan 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 careplan. 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 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. Education Qualifications Associate's Degree from an accredited school of nursing Required or Bachelor's Degree from an accredited school of nursing Required Experience Qualifications Minimum 1 year of RN experience Required and Experience with pediatric patients 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 current and valid in the state of Nebraska Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required and PALS - Pediatric Advanced Life Support (except NICU) within 180 Days Required and NRP - Neonatal Resuscitation (NICU only) within 180 Days Required and ACLS within 9 months of hire (Cath Lab only) Required and ENPC - Emergency Nursing Pediatric Certification (ED only) within 1 Year Required and 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 Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! INDNUR 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.

Wound Ostomy and Continence RN Plastic Surgery

Job Description Schedule: M-F 8 - 430 At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Provides acute and rehabilitative care for patients with wound, ostomy, and continence care needs. Coordinates professional nursing and individualized, family centered care to patients with skin, wound, or ostomy issues to prevent and manage infections, reduce cost and simplify the workload of the bedside nurse using evidence based strategies for care. Essential Functions Conducts individualized wound/ostomy specific patient assessments based on consultations received from hospital staff. Assessment: ▪ Maintains expert knowledge in wound vac dressing changes and management of wound/ostomy care. ▪ Assists staff in recognizing Stage I and Suspected Deep Tissue Injuries ▪ Collects and documents data related to patient’s individualized care. ▪ Demonstrates wound/ostomy specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, 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. ▪ Assess and interprets patient data upon receipt of consultation. Reassessment: ▪ Performs reassessment based on team standards, CPG’s/ND’s, protocols and changes in patient condition. Communicates changes to appropriate persons (MD, Management, family) as indicated. ▪ Adjusts plan of care and treatment based on reassessment findings. 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 includes skin, wound and ostomy care. Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to treatments. Demonstrates clinical competence in interventions for skin, wound and ostomy care. Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn. Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures. Develops wound/ostomy educational materials for health care team, patient and family: Develop and revise clinical pathways for wound care. Revise teaching sheets, policies, and CPG’s related to skin integrity, wounds, wound vacs and ostomies. Provide educational materials for patients and staff in regards to common skin, wound and ostomy problems. Provide educational offerings/presentations for staff regarding skin, wound, and ostomy care. Revise the wound and ostomy formularies to assure the organization is providing excellence in wound and ostomy care in the most cost effective manner Provides leadership in the monitoring of prevalence and incidence of pressure ulcers within the organization. Develops, enters data, and compiles reports from skin, wound, ostomy data base. Promotes pediatric research by implementing research findings into practice. Accepts assignments to share/teach knowledge and provide clinical support. Education Qualifications Bachelor's Degree From an accredited college or university in nursing Required Experience Qualifications Minimum 3 years of experience in nursing required, preferably in pediatrics Required 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. Strong interpersonal and communication skills with the ability to work effectively with multiple disciplines. Legible handwriting skills. Ability to be self-directed, with minimum supervision, and detail oriented. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and Current and valid Basic Life Support (BLS) through the American Heart Association Required and PALS - Pediatric Advanced Life Support Required and CWOCN - Certified Wound Ostomy Continence Nurse within 1 Year Required Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! INDNUR About Us At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from 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.

Children's Physicians - RN - Spring Valley

Job Description At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Provides direct and indirect nursing care based on established patient care protocol and the nursing process. Coordinates with team members to provide a team-based approached to care. Hours and location may vary based on patient needs. Essential Functions Performs treatments, procedures, and medication / immunization administration in a professional and compassionate manner according to organization policy and procedures. Completes an accurate assessment of physical, mental, emotional, developmental and social conditions when interviewing all patients and families in the office and on the telephone. Coordinates the scheduling of diagnostic tests and procedures with the patient /family, other physicians/hospitals and insurance providers as determined by the needs of the patient. Coordinates, provides, and appropriately documents patient and family education. Demonstrates knowledge of and provides care based on age-specific or developmental milestones for infants, toddlers, preschool, school age, and adolescents according to organization protocols Completes all required patient care documentation in an accurate and timely manner within the electronic medical record according to organization's policy and procedures. Responds appropriately in crisis situations or life-threatening emergencies Directs other team members in the delivery of nursing care as determined by the needs of the office and the direction of the office manager or physicians. Demonstrates proficiency and use of critical thinking skills when performing phone triage. Fulfills expectation of complete and accurate phone documentation by utilizing EMR workflows as directed. Returns phone calls within determined response time ranges. Maintain up to date knowledge and compliance with laboratory standards and guidelines as directed. Promotes and encourages use of Children’s Connect by communicating with parents via online portal whenever feasible. Takes ownership of quality metrics as a reflection of our commitment to continuously improving the quality of care for all patients. Works quality reports as directed, utilizing appropriate established workflows. Maintains clean and professional appearance of exam rooms at all times. Maintains supply and linen levels appropriately. Attends required meetings and educational sessions as directed. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Education Qualifications Graduate from an accredited school of nursing Required and Bachelor's Degree from an accredited college or university in nursing Preferred Experience Qualifications Minimum 1 year of RN experience. If incumbent has less than 1 year of RN experience, must commit to work full time in a Nurse Residency Program. Required and Previous pediatric nursing experience Preferred and Previous experience with EPIC Preferred Skills And Abilities Excellent skills in communication, listening, customer service, organization. Excellent clinical skills providing direct and indirect nursing care in an office setting. Intermediate to advanced computer skills. Ability to type, navigate an electronic system, and adapt to changes in workflows as they occur. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of Nebraska Upon Hire Required or RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of Iowa (if the incumbent works in Iowa) Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required Bilingual (English-Spanish) preferred based on clinic location Required and Travel to other Children’s Physician clinics, may be Required Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! About Us At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from 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.

Staff RN - Experienced Bedside Behavioral Health / Emergency - Full time/Nights

Job Description Schedule: 7p-7:30a with weekend and holiday rotation - 36hrs Hiring Bonus: $10,000 At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Functions as a member of the interdisciplinary team. Primary responsibility to care for patients with behavioral health needs. Utilizes the nursing process in the delivery of comprehensive and developmentally appropriate care to high-risk behavioral patients and their families. Acts as a psychiatric resource to the bedside teams by providing clinical support, monitoring compliance with system policies, guidelines, and documentation, and by maintaining a safe environment for patients with mental health needs. Responds to behavioral emergencies throughout the hospital and collaborates with the interdisciplinary BERT team to ensure patient and staff safety. Is knowledgeable of the regulatory standards related to the care of hospitalized patients with mental health needs and ensures compliance with those standards. Essential Functions 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. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Admission/Initial Assessment: Collects and documents data related to patient’s 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. 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 Utilizes appropriate telephone etiquette. Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs in collaboration with Behavioral Health Team. (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/family’s plan of care. 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 (Charge Nurse, CNS/Educator, Director, 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/family’s 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 (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 careplan 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 careplan. Ensures that discharge instructions clearly state patient care needs after discharge. Uses clinical judgment based on nursing skills acquired through formal and informal experiential knowledge and evidence-based guidelines to globally assess the patient's situation Supports bedside staff in providing a safe environment for patients with high-risk behaviors by inspecting rooms, proactively identifying potential safety hazards, and removing at-risk items. Delivers competent and skilled nursing care to patients and families according to their identified needs. Provides content expertise and education to staff caring for high-risk patients and assists staff in finding available resources related to behavioral health patients. Provides a just in time resource to bedside nursing, administrative supervisors and physicians caring for high-risk behavioral patients. Assists staff in finding available resources related to behavioral health patients. Reviews documentation and orders in EPIC and collaborates with the safety attendant and bedside RN to ensure that the patient’s level of observation is appropriate, and documentation is accurate and complete. Identifies patient care concerns in real time and collaborates and escalates as needed to promote resolution. Provides education and facilitates learning for the patient care team related to constant visual observation guidelines and policies, therapeutic interactions, and patient safety. Assists with consistent application of guidelines and policies across the hospital. Identifies and presents opportunities for performance/quality improvement activities to improve clinical outcomes. Attends BERT events in the role of the Psychiatry RN. Assists with patient de-escalation, restraints application if needed, thorough and accurate documentation, and participates in the debriefing afterwards Audits BERT documentation and assists in collecting, inputting, and sharing BERT data in real time Delivers care with a team-oriented approach, an emphasis on good customer relations, sound clinical judgment, and appropriate decision-making abilities that take into consideration evidence-based practice. Advocates for the patient, represents the concerns of the patient/family and identifies and assists in resolving concerns. Ensures that Patient Health Information (PHI) is protected and secured at all times. Adheres to all infection prevention initiatives (i.e., hand hygiene, proper disposal of waste, etc.) Education Qualifications Associate's Degree from an accredited school of nursing Required or Bachelor's Degree from an accredited school of nursing Required Experience Qualifications 2 years of psychiatric nursing experience Required and Experience with pediatric patients 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 in the state of Nebraska Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required and PALS - Pediatric Advanced Life Support within 180 Days Required and ENPC - Emergency Nursing Pediatric Certification (ED only) within 1 Year Required Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! INDNUR 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. Show more Show less

Staff RN - Experienced Bedside - PICU - Full time/Nights

Job Description Schedule: 7p-7a with holiday and weekend rotation - 36hrs At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's 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 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. Essential Functions 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. (Individualized refers to the patient’s 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 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. 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 all affected personnel: 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. Documentation of data is entered in appropriate medical records. Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient’s needs, knowledge of growth and development, and understanding of the treatment needed. Circulates in procedures following AORN guidelines/standards. Assists at bedside in preparing patient for each procedure. Applies critical thinking during catheterization procedures in the delivery of direct patient care and in analyzing response to medications and treatment, prioritizing intervention based on continual assessment. Utilizes appropriate telephone etiquette. Develops individualized patient/family plan of care using CPG/ND’s, 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/family’s plan of care. 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 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/family’s readiness to learn Cath lab: Coordinates with referring physician and other operating physician, assessing patient/family care issues in scheduling procedures Cath lab: 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 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 careplan 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 careplan. 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 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. Education Qualifications Associate's Degree from an accredited school of nursing Required or Bachelor's Degree from an accredited school of nursing Required Experience Qualifications Minimum 1 year of RN experience Required and Experience with pediatric patients 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 current and valid in the state of Nebraska Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required and PALS - Pediatric Advanced Life Support (except NICU) within 180 Days Required and NRP - Neonatal Resuscitation (NICU only) within 180 Days Required and ACLS within 9 months of hire (Cath Lab and ED only) Required and ENPC - Emergency Nursing Pediatric Certification (ED only) within 1 Year Required and 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 Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child!

Staff RN - Bedside CC - Cardiac ICU LIFESTYLE SEASONAL Nights

Job Description LIFESTYLE SEASONAL Nights 3:1 Night shift 7:00pm - 7:00am with weekend rotation Work 3 months take 1 month off! OR Work 9 months take 3 months off! $10,000. HIRING Bonus available! We’re searching for a Staff RN Cardiac Care to coordinate 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. Obtains skills necessary to care for cardiac patients regardless of acuity and age. Works collaboratively with the interdisciplinary team regardless of location to provide care excellence to patients and families of the cardiac population. Essential Functions 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. (Individualized refers to the patient’s 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 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. Shift Assessment/Reassessment: 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. (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/family’s plan of care. 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. 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. 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/family’s 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 electronic 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 the following in the EMR: Admission Assessment, Patient Daily Assessment, Daily Cares and Safety, Lines, Education Record, and Care Plan Goals. Reviews and updates patient 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. 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. Accepts assignments to float to other units 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 to serve as a 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 relief Charge Nurse, add competencies Addendum A. If designated compensated preceptor, add competencies Addendum B KNOWLEDGE, 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. EDUCATION AND EXPERIENCE: Diploma, Associates, or Bachelor’s degree from an accredited school of nursing required Minimum 1 year of RN experience required Experience with pediatric patients preferred. Previous experience with EPIC preferred. CERTIFICATIONS/LICENSURE REQUIREMENTS: Must possess a current 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 6months of hire. Current and valid certification preferred; Certified Pediatric Nurse or Certified Critical Care Nurse EOE/Vets/Disabled INDNUR About Us At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from 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. 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 care s 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. Show more Show less

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

Job Description Schedule: 7P-7A with weekend and holiday rotation - 36hrs Hiring Bonus: $10,000 We’re searching for a Staff RN Cardiac Care to coordinate 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. Obtains skills necessary to care for cardiac patients regardless of acuity and age. Works collaboratively with the interdisciplinary team regardless of location to provide care excellence to patients and families of the cardiac population. Essential Functions 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. (Individualized refers to the patient’s 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 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. Shift Assessment/Reassessment: 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. (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/family’s plan of care. 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. 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. 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/family’s 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 electronic 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 the following in the EMR: Admission Assessment, Patient Daily Assessment, Daily Cares and Safety, Lines, Education Record, and Care Plan Goals. Reviews and updates patient 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. 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. Accepts assignments to float to other units 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 to serve as a 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 relief Charge Nurse, add competencies Addendum A. If designated compensated preceptor, add competencies Addendum B KNOWLEDGE, 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. EDUCATION AND EXPERIENCE: Diploma, Associates, or Bachelor’s degree from an accredited school of nursing required Minimum 1 year of RN experience required Experience with pediatric patients preferred. Previous experience with EPIC preferred. CERTIFICATIONS/LICENSURE REQUIREMENTS: Must possess a current 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 6months of hire. Current and valid certification preferred; Certified Pediatric Nurse or Certified Critical Care Nurse Children’s 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. INDNUR 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 care s 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. Show more Show less

Neonate Transport RN - Overnights

Job Description 1900-0700 At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's 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 neonatal patients under 4 months of age or any NICU transfer in the critical care transport environment. Care and transport of the critically ill patient is supported using the nursing process and clinical skills in accordance with Commission on Accreditation of Medical Transport Systems (CAMTS) 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. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Initial Assessment: ▪ Collects and documents data related to patient’s 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. ▪ Assess and interprets patient data upon arrival at the referring hospital. Reassessment: ▪ Performs reassessment based on unit standards, and changes in patient condition. Communicates changes to appropriate persons (MCP, transport partner, family) as indicated. ▪ Performs reassessments on transports after interventions and as needed. Communicates changes to medical control physician. Develops individualized patient/family plan of care using clinical practice guidelines to meet identified needs. (Plan of Care includes current and anticipated actions focused on stabilization, care, and transport needs.) Utilizes assessment data from the referral hospital or team as well as transport assessment data to individualize patient care and transport needs. Utilizes individualized assessment data to develop the patient/family’s plan of care. Revises plan of care based on patient’s condition and transport conditions (weather, distance, mode.) Demonstrates ability to prioritize patient care or interventions based on assessments/reassessments. While on transport, develops and initiates a plan of care incorporating current and potential problems requiring intervention, expected response and the medical plan of care in collaboration with the medical control physician. Communicates the plan to the receiving nurse prior to arrival at Children’s Hospital or receiving facility. Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs. 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. During the transport process, prioritizes and organizes care based on patient acuity, time limitations and consultation with medical control physician. Initiates action to prevent current or potential risk to a patient in an emergent situation. Documentation reflects accurate assessment/evaluation, modification, and patients’ response to therapy, changes in condition, and therapeutic interventions/procedures. Entries into the electronic medical record follow transport documentation policy. Documentation is completed within established timeframes. Demonstrates responsiveness to the organizational functions of the transport process. Response times are within targeted benchmarks set by the program. Complies with ambulance, helicopter, and fixed wing operational safety in accordance with current guidelines. Checks, cleans, and stocks transport bags and equipment. Ensures equipment is in good working order. Maintains all transport equipment in a state of mission readiness by checking all equipment at the beginning of each shift, noting any discrepancies, and ensuring steps toward resolution. Cleans equipment and restocks bags after a transport. Demonstrates knowledge of transport equipment location, function, and restocking procedures. Demonstrates the ability to troubleshoot all equipment and ensures that all malfunctions are promptly reported. Completes daily, weekly, monthly, and ongoing equipment checklists. Completes quarterly competencies, monthly education, aircrew training, and other educational and professional development requirements when assigned. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Adherence to Transport Fit for Duty policy. Education Qualifications Bachelor's Degree from an accredited school of nursing Preferred and Must be enrolled in a Bachelor of Nursing program Required Experience Qualifications Minimum 3-year experience critical care Required and Minimum 1 year of experience with pediatric patients 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. Must be able to work in an environment which includes the use of ambulance, helicopter, and airplane patient transport vehicles that results in exposure to non-conventional motions, noise, vibration, fumes and extreme heat/cold. Must be able to perform multiple physical activities at the same time (i.e., carrying equipment while pushing a cot or incubator) Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and BCLS - Basic Life Support Required and PALS - Pediatric Advanced Life Support within 180 Days Required and NRP - Neonatal Resuscitation within 180 Days Required and CAMTS approved trauma certification course within 1 Year Preferred and Specialty Certification required within 2 years of hire Required Must have valid driver’s license with an acceptable motor vehicle driving record Required and Due to the aircraft the Organization utilizes for both rotary and fixed wing, all Transport applicants must be 225 lbs or under Upon Hire Required Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! Show more Show less

Staff RN - Experienced Bedside - NICU 7 - Full time/Nights

Job Description Schedule: 7pm-7am with patterned weekends/holidays - 36hrs At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's 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 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. Essential Functions 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. (Individualized refers to the patient’s 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 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. 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 all affected personnel: 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. Documentation of data is entered in appropriate medical records. Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient’s needs, knowledge of growth and development, and understanding of the treatment needed. Circulates in procedures following AORN guidelines/standards. Assists at bedside in preparing patient for each procedure. Applies critical thinking during catheterization procedures in the delivery of direct patient care and in analyzing response to medications and treatment, prioritizing intervention based on continual assessment. Utilizes appropriate telephone etiquette. Develops individualized patient/family plan of care using CPG/ND’s, 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/family’s plan of care. 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 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/family’s readiness to learn Cath lab: Coordinates with referring physician and other operating physician, assessing patient/family care issues in scheduling procedures Cath lab: 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 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 careplan 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 careplan. 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 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. Education Qualifications Associate's Degree from an accredited school of nursing Required or Bachelor's Degree from an accredited school of nursing Required Experience Qualifications Minimum 1 year of RN experience Required and Experience with pediatric patients 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 current and valid in the state of Nebraska Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required and PALS - Pediatric Advanced Life Support (except NICU) within 180 Days Required and NRP - Neonatal Resuscitation (NICU only) within 180 Days Required and ACLS within 6 months of hire (Cath Lab only) Required and ENPC - Emergency Nursing Pediatric Certification (ED only) within 1 Year Required and 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 Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! INDNUR

Staff RN - ECMO Spec / FT, nights

Job Description Schedule: FT, 7:00 pm- 7:30 am, rotating weekends/holidays At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's 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 pediatric patients/families through the use of the nursing process and clinical skills in accordance with standards and hospital policies and procedures. As an ECMO Specialist who has completed specialized training in the operation, maintenance and application of circulatory technology (perform neonatal, pediatric and adult ECMO at Children's) requiring extracorporeal membrane support. Demonstrates expanded knowledge base through participation in ECMO program projects and activities. Flexible schedule to cover the needs of the ECMO patient during an ECMO run. Varied schedules to include weekend and holiday patterns, 7am-7pm or 7pm-7am. Essential Functions 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. (Individualized refers to the patient’s 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 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. 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, CNC, family) as indicated Manages the ongoing process of healthcare delivery to ECMO patients and families: Assessment and Planning: Participates in the evaluation of patients as potential ECMO candidates. Works in collaboration with Perfusion to manage ECMO cannulation, decannulation and stabilization procedures. Prepares and operates clinical equipment and circuitry per ECMO procedures/policies. Accurately assess and review with physician and ECMO team, pathophysiological changes within the patient and ECMO circuit. Differentiates patient versus circuit problems and intervenes appropriately. Based on clinical assessments, contributes to the development of individualized age and developmental appropriate plan of care with patient and family. Participates in ECMO case review and assists team members in defining learning outcomes. Participates in the collection/review of quality improvement initiatives and data for the ECMO program and ELSO data. Develops individualized patient/family plan of care using CPG/ND’s, 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/family’s plan of care. 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. Uses available child care partners to support patient care needs as appropriate. (A) 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/family’s readiness to learn (B) Implements Plan of Care to ECMO patients and families: Works in collaboration with ECMO Team to assess clinical status and related lab results (ACT levels, blood gases and metabolic status). Notifies ECMO physician of clinical status/lab values, performing appropriate interventions and implementing physician orders within established guidelines/ECMO policy and procedures. Manages ECMO flow in relationship to established clinical parameters. Reviews daily parameters with the ECMO Team. Demonstrate proper blood sampling techniques from the ECMO circuit. Perform, manage and troubleshoot activated clotting times (ACT) as per ECMO protocol including management and administration of heparin drip per ECMO protocol. Administers all blood products/medications appropriately when ordered to be given through the ECMO circuit. Maintains and effectively assesses ECMO circuit function. Performs all circulatory technical skill with efficiency, accuracy and safety while anticipating, troubleshooting, intervening and managing crises/emergency situations according to policy and procedure maintaining professional composure. Role models proficiency in documenting appropriately by assimilating information related to interventions, plan of care and anticipated outcomes accurately into all ECMO records and teaching documents. Participates in patient management discussions to include: communicating anticipated patient needs/plan of care, suggesting clinical management options and providing feedback for interventions that improve patient outcomes. 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 (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. Based on departmental/organizational need may be required to participate in Transplant program functions Accepts assignments to float to other units 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. Education Qualifications Graduate of an accredited school of nursing. Required Experience Qualifications Experience with pediatric patients Preferred and Previous experience with EPIC Preferred and Previous ECMO experience Preferred and Minimum of two years recent (in the past year) Level III NICU or PICU experience required or with equivalent critical care experience or minimum of two years’ experience in critical care Required 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. Excellent communication, assessment and patient care skills, as well as flexibility and ability to function in a high stress environment. Flexibility to work full time day/night shifts with possible over time during ECMO run. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and Specialty pediatric certification Preferred and Current and valid Basic Life Support (BLS) through the American Heart Association Required and PALS - Pediatric Advanced Life Support within 180 Days Required Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child!

NICU

Nebraska Medicine Omaha, NE

RN-Neonatal ICU

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: Third Shift (United States of America) Neonatal ICU Staff Nurse Shift Details: Third Shift Full-Time Why Nebraska Medicine : Our shared values reflect who we are and why we’re here and include, Innovation, Teamwork, Excellence, Accountability, Courage and Healing. Competitive Benefits including retirement match contribution, PTO accrual, tuition reimbursement Lead the world in transforming lives to create a healthy future for all individuals and communities through premier educational programs, innovative research and extraordinary patient care Forbes Magazine recognizes us in their list of American’s top employers and the best employer in Nebraska Provide, prescribe, delegate, and coordinate nursing care with other health care providers to meet holistic care needs of a designated group of patients. Environment of care may be long term, emergent, critical, acute, interventional, or procedural driven. Provide, prescribe, delegate, and coordinate nursing care with other health care providers to meet holistic care needs of a designated group of patients. Environment of care may be long term, emergent, critical, acute, interventional, or procedural driven. Required Qualifications: •Associate’s degree in nursing (ADN) or Nursing Diploma required. • Effective communication skills required. • Ability to demonstrate initiative, teamwork and flexibility required. • Currently licensed as a Registered Nurse in the state of Nebraska or current compact state license required. •Basic Life Support (BLS) certification required, must be from an American Heart Association (AHA) endorsed program (effective for new hires starting January 1, 2023 or later). • Pediatric Advanced Life Support (PALS) certification department dependent required. • For Emergency Department, Pediatric Advanced Life Support (PALS) certification within 6 months of hire or transfer date required. • Advanced Cardiac Life Support (ACLS) certification within 6 months of hire or transfer date department dependent required. • Trauma Nursing Core Course (TNCC) OR Advanced Trauma Care for Nurses (ATCN) within one year or hire or transfer date department dependent required. Preferred Qualifications: • Direct patient care experience preferred. • Based on position, prior experience in one or more of the following areas including cardiology, cardiac drip management, critical care, emergency department, medical-surgical, obstetrics, cardiovascular rehabilitation, telemetry, oncology, neonatal intensive care, pediatric acute care, solid organ transplant, cath lab, EP lab, quality assurance related to health care, perioperative and special procedures in applicable nursing specialty area preferred. •Bachelor's degree in nursing (BSN) or Master's of Science in Nursing (MSN) degree preferred. • Based on position, one or more of the following courses including STABLE, smoking cessation counseling, basic critical care, or other specialty training courses preferred. • Experience with Microsoft Office applications including Word, PowerPoint, and Excel preferred. • Proficient with use of email applications preferred. • Proficient with use of departmental equipment and systems such as patient care equipment, telecommunication systems, information systems, pneumatic tube system, general patient care supplies, and transport equipment preferred. Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status.

Staff RN - Experienced Bedside - Emergency - Full time/Days

Job Description Schedule: 0700-1930 with weekend and holiday rotation - 36hrs At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's 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 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. Essential Functions 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. (Individualized refers to the patient’s 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 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. 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 all affected personnel: 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. Documentation of data is entered in appropriate medical records. Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient’s needs, knowledge of growth and development, and understanding of the treatment needed. Circulates in procedures following AORN guidelines/standards. Assists at bedside in preparing patient for each procedure. Applies critical thinking during catheterization procedures in the delivery of direct patient care and in analyzing response to medications and treatment, prioritizing intervention based on continual assessment. Utilizes appropriate telephone etiquette. Develops individualized patient/family plan of care using CPG/ND’s, 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/family’s plan of care. 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 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/family’s readiness to learn Cath lab: Coordinates with referring physician and other operating physician, assessing patient/family care issues in scheduling procedures Cath lab: 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 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 careplan 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 careplan. 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 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. Education Qualifications Associate's Degree from an accredited school of nursing Required or Bachelor's Degree from an accredited school of nursing Required Experience Qualifications Minimum 1 year of RN experience Required and Experience with pediatric patients 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 Registered Nurse - State Licensure and/or Compact State Licensure current and valid in the state of Nebraska Upon Hire Required and Basic Life Support from the American Heart Association Upon Hire Required and Pediatric Advanced Life Support (except NICU) within 180 Days Required and Neonatal Resuscitation Program (NICU only) within 180 Days Required and Advanced Cardiac Life Support (Cath Lab, CARES and ED only) within 180 Days Required and Emergency Nursing Pediatric Course (ED only) within 1 Year Required and Trauma Nursing Core Course (ED only) within 1 Year Required or Advanced Trauma Care for Nurses (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 Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! 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.

Part-time

Registered Nurse (RN) - Emergency Department (Nights) (Part-Time)

OrthoNebraska Omaha, NE

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today! Position Summary: Emergency Department Registered Nurse (RN) . Provides patient-centered, specialized, evidence-based nursing care across the continuum through an interprofessional approach to provide the highest quality of care and clinical outcomes. This job description is not designed to cover or contain a comprehensive list of activities, duties, or responsibilities that are required of the employee. They may change, or new ones may be assigned at any time with or without notice. Position details Status Part-Time Shift Nights FTE / Hours 0.6 / 24 hrs Schedule Two (2) 12-Hour Shifts per week, 7:00pm - 7:00am + built in weekends and holidays Position Requirements Education : Associates degree required. Graduate from an accredited school/college of nursing required. Bachelors preferred. Licensure : Registered Nursing licensed in the State of Nebraska or eligible compact state required. Certification : Required: Basic Life Support (BLS), Pediatric Advanced Life Support (PALS) and Advanced Cardiac Life Support (ACLS) required or completed by end of orientation. Preferred: Certification in Emergency Nursing (CEN), Critical Care Nursing (CCRN), Trauma Nursing Core Course (TNCC), and/or Emergency Nursing Pediatric Course (ENPC) Experience : 1+ years of higher acuity RN Experience required. Required Knowledge/Skills/Abilities Ability to rapidly assess patients and prioritize treatment based on severity of condition and provide life-saving interventions when needed Critical thinking skills used to make quick decisions and adapt treatment plans based on changing patient conditions Effective communication and collaboration with patients and their family, team members, and other healthcare professionals to ensure coordinated patient care Capability to work effectively under pressure while maintaining a compassionate approach to patient care Perform technical skills competently and independently to assure patient safety Detailed oriented Essential Job Functions Formulate clinical decisions and implement multi-dimensional plans of care that demonstrate independent judgment and critical thinking consistent with private, state, and federal regulations. Documentation reflects accurate assessment/evaluation, modification, and patient's response to therapy, changes in condition, and therapeutic interventions/procedures. Promote and enhance collaborative practice within the health care team to meet the physical and psychosocial needs of patients. Demonstrate continued professional growth by participating in opportunities to assure continued adherence to professional standards and provision of quality patient care. Identifies ways to improve the patient's experience of care, streamline care processes, and lower costs while promoting quality to improve patient, family, and team member satisfaction. Demonstrates the knowledge and skills necessary to provide care appropriate to the age /weight of the patients served. Comply with safety activities, policies and procedures, and regulatory requirements such as OSHA and The Joint Commission. Attend team meetings, yearly competencies, and any other meetings deemed mandatory Employee is responsible for all other duties as assigned for which competency has been demonstrated. Physical requirements: This position is classified as Medium Work in the Dictionary of Occupational Titles, requiring the exertion of 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. Must be able to pass background check. We also conduct pre-employment physical and drug testing. Any job offer will be contingent upon successful completion of a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements.

Other

Dialysis Clinic, Inc. Omaha, NE

Dialysis Hospital Services Nurse (Acute RN)

$39 - $46 / hour

Overview Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for hospitalized patients facing acute kidney injury and chronic kidney disease. Our mission states “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits and a positive, mission-driven culture. Join DCI today to build relationships and gain fulfillment caring for dialysis patients in an acute care environment. The Dialysis Hospital Services Nurse (Acute RN) provides specialized dialysis, renal nursing care, and if contractually required, plasmapheresis treatments in our Methodist acute hemodialysis unit. The Acute RN collaborates with hospital and outpatient care team members to ensure patients receive the safest care with the highest-quality outcomes. Schedule: Full-time, three 12-hour shifts starting at 7am. Some positions are on call 24/7, and rotating call may be required at some locations. Compensation: Pay range from $39-$46 per hour, depending on nursing and dialysis experience; experience preferred Benefits: Up to 12 weeks paid training with preceptor Comprehensive medical, dental and vision benefits Life and long-term disability insurance provided at no additional expense to employee Paid time off (PTO) including holidays Extended Sick Bank (ESB) in addition to PTO – paid time for doctor appointments, sickness or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Prepare and monitor equipment used for intermittent or continuous dialysis and water treatment in the acute setting, including quality control checks Perform and document pre-, intra- and post-dialysis assessments Initiate, monitor and terminate dialysis treatments per established policies and procedures Dispense medication as ordered and document per policy and procedure in hospital medical record Administer blood and blood products per hospital policy and procedure Accurately receive, transcribe and implement written and verbal orders from physicians Access lab reports, interpret and report necessary information to nephrologist Provide renal education to patients and family members and document appropriately Serve as primary dialysis contact for nephrologists and hospital staff and liaison to outpatient dialysis center Adhere to DCI and hospital policies and procedures including proper completion of occurrence reports as necessary Additional tasks as necessary Qualifications Successful Candidates Bring: Excellent communication skills Demonstrated clinical proficiency Desire to collaborate with care teams Ability to problem solve Customer service mindset in communicating with patients, team members and partner hospital Education/Training: Current NE RN license required Six months’ dialysis and/or critical care nursing experience preferred, job shadow opportunities available Current CPR and BLS certifications DCI’s Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation’s largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we’re hiring in a clinic near you! www.dciinc.jobs DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or 615-327-3061. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf; https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf; https://www.dol.gov/ofccp/pdf/pay-transp_formattedESQA508c.pdf; and https://www.nlrb.gov/sites/default/files/attachments/basic-page/node-3788/employeerightsposter-8-5x11.pdf. Security Roles and Responsibilities can be reviewed at: https://www.dciinc.org/security-roles