RN Jobs in Blair, NE

KVC Health Systems Omaha, NE

ON Call Registered Nurse (CONTRACTOR)

On Call Registered Nurse – Developmental Disabilities Indeed Work Wellbeing Score: 82 KVC is seeking a compassionate and experienced On Call Registered Nurse to support our Developmental Disabilities Department. This contracted role provides clinical guidance to team members and Shared Living providers who support individuals with disabilities in home settings. The position is primarily on-call, offering direction on medications, medical concerns, and urgent situations while also assisting with intakes and provider education. Education & Licensure Registered Nurse Licensure through the State of Nebraska Valid driver’s license and auto insurance Hybrid; Mostly remote Experience Two or more years practicing under an RN license required Two or more years of experience with Developmental Disabilities preferred Position Summary The On Call RN serves as a clinical resource for KVC staff and subcontracted providers. Responsibilities include responding to on-call needs related to medication questions, medication errors, and urgent medical concerns; completing initial in-home assessments; and supporting ongoing training and medical coordination for individuals served. KVC employees and contractors partner with children, families, and community stakeholders guided by our core values: helping people is the heart of our work; authenticity and compassion define our character; family connection drives our culture; collaboration fuels improvement; urgency and innovation shape our approach; and diverse perspectives strengthen our progress. Staff are expected to model professionalism, remain solutions focused, and build upon the strengths of those we serve while adhering to all company policies and procedures. Essential Duties and Responsibilities Provide on-call support to providers with response within 30 minutes Guide participants regarding PRN medications and recommend urgent or emergency care when needed Complete in-person assessments of individuals with disabilities within 7 days of placement, primarily in the Omaha area with occasional travel to Lincoln and surrounding communities Teach a 2-hour Medication Aide course at the KVC office once per month Assist with development of medical protocols and collaborate with medical professionals as needed Participate in the Human and Legal Rights Committee to approve interim medication or restriction changes Hours vary based on need, typically 10–20 hours per month Behavioral Expectations Demonstrate professionalism, accountability, and sound clinical judgment Foster a supportive and respectful environment for individuals receiving services Remain flexible and adaptable to changing priorities Uphold strict confidentiality and ethical standards Join a mission-driven organization where your expertise directly improves the health and quality of life for individuals with developmental disabilities. At KVC, you will be part of a team that values collaboration, innovation, and compassionate care.

Staff RN - ECMO Spec / FT, 7:00 am -7:30 pm Fri, Sat, Sun

Job Description FT, 7:00 am -7:30 pm Fri, Sat, Sun 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!

Clinic Registered Nurse (RN) - Nephrology

Job Description Schedule: Monday-Friday 8AM-430PM, NO HOLIDAYS/WEEKENDS 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 Prescribes, delegates and coordinates professional nursing care to pediatric patients through the use of nursing process and in accordance with hospital policy/procedure and Clinical practice guidelines. Meets job specific standards. Demonstrates competency in identified skills for area. Essential Functions Conducts holistic age-specific patient/family assessments upon visit according to defined standards. Ongoing patient/family Assessments/reassessments are completed according to the appropriate CPG or protocols and unit standard of care. Collects and documents data related to patient’s physical, mental, developmental, emotional and social condition. Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patients’ needs, knowledge of growth and development, and understanding the range of treatment needed by these patients. Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient. Able to meet families’ expectations during their visit to the clinic. Communicates plan of care to the patient/family so they can understand. Able to identify/assess the need for MD involvement or a potential change in plan of care. Ongoing patient/family assessments are completed according to the appropriate CPG, protocol and unit standard of care. Documentation and evaluation of nursing actions Chart audits conducted meets JCAHO and organizational expectations. Must meet overall goal of 95% (FER, Clinic problem list, signatures, pain assessment etc). Facilitates timely communication to/from patient/family and other healthcare disciplines; answers patient care related questions, requests etc. Phone calls are returned in the same business day received. Reviews patient charts as assigned to facilitate coordination of care by assuring completion of tests, consultations and procedures, interdisciplinary follow-up and referrals as needed for the clinic visit. Follows up on tests, lab results, thoroughly and within established time frames. Lab tests are followed up on within 48 hours after test results obtained. Considers cultural, cognitive, emotional, and social influences on the patient/families ability and readiness to learn. All teaching is documented on the FER to include understanding of topics taught. Provider Support Gathers patient information in a timely, concise, thorough manner and conveys this to the MD. Assists MD in clinic to maintain a good workflow and meet expectations of customers in relation to being on time. Demonstrates effective delegation techniques. Performs special tasks, procedures within the scope of practice for an RN that is unique to Ambulatory Care clinics i.e. (database entry, scheduling of special procedures, as well as assisting in special procedures, inpatient role, case management, and education/teaching). Completes with expertise, timely, organized and with detail. Communicates effectively through written documentation or verbally to appropriate individuals. Coordinates patient care to ensure continuity of care. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Education Qualifications Bachelor's Degree from an accredited school of nursing Required or Associate's Degree from an accredited school of nursing Required Experience Qualifications Minimum 1 year of RN experience. Incumbents with less than 1 year of RN experience must commit to work full time in a Nurse Residency Program. Required and Experience with pediatric patients Preferred and Previous experience with EPIC Preferred Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure valid in the state of Nebraska Upon Hire Required and BLS - Basic Life Support through the American Heart Association 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! INDNUR

Hospice

Suncrest Hospice Omaha, NE

Registered Nurse (RN)

$78,000 - $90,000 / year

Why Suncrest At Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health Accreditation Partner (CHAP) certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you! Benefits Actual Work/Life Balance Pay range is $78,000-$90,000 per year + monthly bonus opportunities Competitive Pay Benefits Package including Medical, Dental, and Vision insurance Paid Time Off 401k plan with employer match and 100% vesting after 90 days of employment A culture with an emphasis on appreciating and valuing the team member The opportunity to be part of a rapidly growing national company, with possible position upgrades Details The Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients where they reside, which could include private homes, Skilled Nursing Facilities, and assisted living facilities. This position is a contributing member of the interdisciplinary team, providing expertise regarding psych-social assessments, interventions, and knowledge of community sources. The Registered Nurse (RN) will work in either a Case Management, Admissions, or Resource role. Qualifications Current Registered Nurse (RN) licensure (in good standing) in the state(s) of practice Works well within a team environment to collaborate daily with nurses, social workers, chaplains, volunteers, and CNA leadership. Work closely with patients on a 1-1 level but get strong support from a patient care team. Can work independently and on your own from a day-to-day basis with activities which include: phone, email and written communication, meetings with a variety of healthcare professionals, and an understanding of hospice rules and regulations. Time management skills to manage visits, documentation, meetings (i.e.: to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns) Ability to learn an electronic medical records system. Must be willing to drive with reliable transportation, valid driver’s license, and auto insurance, to be able to travel across the service area RNOMA

Registered Nurse (RN) - Emergency Department (PRN/Casual) (Days/Mids)

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 PRN/Casual Shift Days/Mids FTE / Hours 0 / As Needed Schedule 12 Hour Shifts, varies between Days/Mids availability 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.

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

Job Description Schedule: 7p-7a Weekend Position (Friday, Saturday, Sunday) -36hrs Weekend Incentive: $15/hr 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 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.

Staff RN - Experienced Cardiac / Operating Room - Train as a Cardiac Scrub Nurse

Job Description Schedule: Full-time, 6:30AM start. 12hr shifts. Call required. 2 holidays/year 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 Prescribes, delegates and coordinates professional nursing care to pediatric patients through the use of nursing process and in accordance with hospital policy/procedure. Meets job specific standards. Demonstrates competency in identified skills for area. Performs surgical functions with specialty fields (e.g., Cardiology) in the operating room. On call responsibilities vary depending on department. Essential Functions Conducts individualized age-specific patient/family preoperative assessments upon admission according to defined standards. Ongoing patient/family assessments/reassessments are completed according to the appropriate CPG, PNDS or protocols and unit standard of care. Collects and documents data related to patient’s physical, mental, developmental, emotional and social condition. Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patients needs, knowledge of growth and development, and understanding of the treatment or procedure needed. Circulates and scrubs procedures following AORN guidelines/standards.(OR staff only) Assesses patient/family need for education and uses an individualized approach in delivery style. Performs ongoing reassessment based on unit standards, CPG’s, PNDS goals and changes in patient condition. Reports changes to the appropriate persons (MD, supervisor, family) as indicated. Prepare surgical room including gathering equipment and supplies based on assessment needs and physician’s preferences. Develops individualized patient/family plans of care using CPG’s, PNDS goals or protocols to meet physical, psychosocial, developmental and educational needs. Revises plan of care based on patient condition and in collaboration with appropriate disciplines. Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient. Utilizes individualized surgical and medical assessment data to develop 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 surgical nursing actions in accordance with the patient/family plan of care and patient condition/needs. Participates in pre-approved specialty surgeries and maintains up-to-date knowledge and skills on specialty processes and procedures Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to tests, labs, medication, treatments and procedures. Demonstrates surgical and clinical competences for designated specialties by administering interventions and performing surgical assessment on behalf of the according to identified standards and age specific needs. Uses appropriate resources (policy/procedures, supervisor) when unsure of skill/task to be performed or analyzing patient responses. Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn. Accompanies patients/family to room to help facilitate patient flow. Evaluates nursing actions to include patient/parent response and progression toward goal/ outcome, revising as necessary. Maintain active participation on the cardiac specialty service team Ensure documentation reflects assessment /evaluation, modification, and patient’s response to therapeutic interventions, procedures, and changes in condition. Enter patient information into medical record follow hospital policy.(date, time, use of appropriate abbreviations, and legibility) Completes computerized documentation prior to OR/ in the OR or in the PACU depending on area the assigned area,(procedure time(emergency med sheet, allergies, immunizations, etc) Completes and verifies order entry, including surgical consents. All documentation is accurate and completed within a timely manner. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Accepts assignment to mentor student nurse observation in unit. Accepts assignments to share knowledge and provide clinical support as a preceptor for new staff. Professionally seeks out opportunities to help teammates during shift as needed. Accepts and completes other assigned tasks in a professional manner. Answers phone in a timely and courteous 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 and Previous Cardiac scrub experience Preferred Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and BCLS - Basic Life Support through the American Heart Association Required and PALS - Pediatric Advanced Life Support within 180 Days Required and CNOR - Certified Operating Room Nurse Preferred Frequent call-back 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 - Cardiac Care Unit - Full time/Weekend/Days

Job Description Schedule: 7a-7p Weekend Position (Friday, Saturday, Sunday) - 36hrs Weekend Incentive: $10/hr 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 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.

Staff RN - Bedside - PICU - Full time/Weekends/Days

Job Description Schedule: 7a-7:30pm, Friday, Saturday and Sunday with holiday rotation - 36hrs Weekend Incentive: $10/hr 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! About The Team In the Pediatric Intensive Care Unit (PICU), we have one goal: to help sick children get better. When children and families are dealing with life-threatening illness, every moment, gesture and word counts. Our PICU team members are fully dedicated to doing everything they can to help kids survive and thrive. If you have a caring heart and a calm disposition, even in high-stress situations, we encourage you to join the PICU team.

Staff RN - Bedside - Cardiac Care Unit - Full time/Weekend/Nights

PACU

Registered Nurse (RN) - Extended Recovery (Days) (Full-Time) (36hrs)

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: The Extended Recovery RN, s responsible for providing high-quality patient-centered care to post-operative orthopedic patients requiring extended recovery or overnight care. This role involves monitoring patient conditions, managing pain, preventing complications, encouraging early mobility, preparing patients for their discharge home, and ensuring a safe recovery process. The Extended Recovery nurse will work closely with surgeons, anesthesiologists, hospitalists, nurse navigators, and other healthcare professionals to optimize patient outcomes and maintain safety standards. Position details Status Full Time Shift Days FTE / Hours 0.9 / 36 Schedule Three (3) 12-hour shifts per week 6:45a - 7:15p + built in weekend and holiday rotation Position Requirements Education: Graduate of an accredited school/college of nursing required. Bachelor's degree preferred. Licensure: Registered Nursing licensed in the State of Nebraska or eligible compact state required. Certification: Basic Life Support (BLS) and Advanced Cardiac Life Support Certification (ACLS) to be acquired within 90 days of hire or transfer date required. Experience: 1+ Years of RN (Registered Nurse) Experience preferred. Required Knowledge/Skills/Abilities Strong knowledge of post-operative orthopedic care, including pain management and mobility assistance Proficiency in IV therapy, wound care, patient assessment, and vital sign monitoring Ability to recognize and respond to complications including respiratory distress and infection Excellent communication and patient education skills Ability to work collaboratively in a fast-paced environment Proficiency in electronic medical records (EMR) and documentation of patient assessments and interventions Strong critical thinking and problem-solving skills Essential Job Functions Patient Care and Monitoring Conduct comprehensive nursing assessments post-surgery Monitor vital signs, pain levels, and overall patient condition Administer medications including pain management protocols Assist patients with mobility ensuring safety and adherence to post op restrictions Clinical Support and Emergency Response Identify signs of post operative complications and intervene appropriately Provide wound care, monitor for infections, and manage post anesthesia side effects Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (i.e., falls, needle sticks, patient concerns). Communication and Documentation Maintain accurate and timely medical records Communicate effectively with patients and families, addressing concerns and providing education about recovery expectations. Operational Responsibilities Maintains a professional behavior in attitudes, demeanor, interactions across departments to achieve the organizations mission of providing efficient, high-quality patient centered care Comply with safety activities, policies and procedures and regulatory requirements such as OSHA and The Joint Commission Adheres to HIPAA regulations and maintains patient confidentiality Follow established guidelines as stated in hospital and departmental policies and procedures Assist in onboarding and training new nursing staff 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.

PACU

Registered Nurse (RN) - Extended Recovery (Nights) (Full-Time) (36hrs)

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: The Extended Recovery RN, i s responsible for providing high-quality patient-centered care to post-operative orthopedic patients requiring extended recovery or overnight care. This role involves monitoring patient conditions, managing pain, preventing complications, encouraging early mobility, preparing patients for their discharge home, and ensuring a safe recovery process. The Extended Recovery nurse will work closely with surgeons, anesthesiologists, hospitalists, nurse navigators, and other healthcare professionals to optimize patient outcomes and maintain safety standards. Position details Status Full-Time Shift Nights FTE / Hours 0.9 / 36 Schedule Three (3) 12-Hour Shifts + Weekend/Holiday Rotation; 6:45pm - 7:15am Position Requirements Education: Graduate of an accredited school/college of nursing required. Bachelor's degree preferred. Licensure: Registered Nursing licensed in the State of Nebraska or eligible compact state required. Certification: Basic Life Support (BLS) and Advanced Cardiac Life Support Certification (ACLS) to be acquired within 90 days of hire or transfer date required. Experience: 1+ Years of RN (Registered Nurse) Experience preferred. Required Knowledge/Skills/Abilities Strong knowledge of post-operative orthopedic care, including pain management and mobility assistance Proficiency in IV therapy, wound care, patient assessment, and vital sign monitoring Ability to recognize and respond to complications including respiratory distress and infection Excellent communication and patient education skills Ability to work collaboratively in a fast-paced environment Proficiency in electronic medical records (EMR) and documentation of patient assessments and interventions Strong critical thinking and problem-solving skills Essential Job Functions Patient Care and Monitoring Conduct comprehensive nursing assessments post-surgery Monitor vital signs, pain levels, and overall patient condition Administer medications including pain management protocols Assist patients with mobility ensuring safety and adherence to post op restrictions Clinical Support and Emergency Response Identify signs of post operative complications and intervene appropriately Provide wound care, monitor for infections, and manage post anesthesia side effects Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (i.e., falls, needle sticks, patient concerns). Communication and Documentation Maintain accurate and timely medical records Communicate effectively with patients and families, addressing concerns and providing education about recovery expectations. Operational Responsibilities Maintains a professional behavior in attitudes, demeanor, interactions across departments to achieve the organizations mission of providing efficient, high-quality patient centered care Comply with safety activities, policies and procedures and regulatory requirements such as OSHA and The Joint Commission Adheres to HIPPA regulations and maintains patient confidentiality Follow established guidelines as stated in hospital and departmental policies and procedures Assist in onboarding and training new nursing staff 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.

Registered Nurse (RN) - Per Diem Days and Nights

Overview Position: Registered Nurse (RN) Location: Omaha, NE Schedule: PRN / 12-Hour Shifts / Days and Nights Available Compensation: $49.50 per hour Sign-on bonus: Up to $5,000 for PRN Select Specialty Hospital - Omaha is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and Registered Nurses (RNs) play a central role in providing compassionate, excellent treatment every step of the way. At our company, we support your career growth and personal well-being. Start Strong : Extensive and thorough Registered Nurse (RN) orientation program to ensure a smooth transition into our setting. Flexible Scheduling : Minimum per diem requirement of 4 shifts in a 6-week period. Opportunity for Advancement : Demonstrate your skills and dedication which could lead to potential full-time opportunities. Your Impact Matters: Join a team of over 44,000 nationwide committed to providing exceptional care. Responsibilities Responsibilities Receive admissions and/or transfers to the unit Initial and ongoing systematic patient assessment Timely and accurate documentation using appropriate systems Interpret assessment/diagnostic data including labs and telemetry Ensure medical orders are transcribed and processed accurately Competence in Rapid Response and code events Instruct and counsel patients/families Performs other duties as assigned Qualifications Minimum Qualifications: Valid State RN License BLS is required at hire. ACLS is required at hire. Preferred Qualifications: Clinical experience Additional Data Equal Opportunity Employer/including Disabled/Veterans

New Grad

Registered Nurse (RN) - New Graduate

Overview Position: Registered Nurse (RN) - New Graduate Location: Omaha, NE Schedule: Fulltime / 12-Hour Shifts / Days & Nights Available Compensation: $38.26 Sign-on bonus: Up to $10,000 Select Specialty Hospital - Omaha is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and Registered Nurses (RNs) play a central role in providing compassionate, excellent treatment every step of the way. We support your career growth and personal well-being: Start Strong : Extensive 10- 13-week structured new graduate orientation program with a dedicated preceptor. Invest in Your Future : 100% company-paid scholarship (BSN), tuition reimbursement, and continuing education. Elevate Your Skills : Clinical ladder programs and certifications such as PCCN and CCRN. Ease the Burden : Student debt benefit program. Recharge & Refresh : Generous PTO for full-time team members to maintain a healthy work-life balance Your Health Matters : Comprehensive medical/RX, health, vision, and dental plan offerings for full-time team members Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care Applicants may apply before being licensed however must have license upon start date. Responsibilities In collaboration with the physician and their preceptor, you will assure implementation of the assessment plan, evaluation, and follow-up of the plan of care for the patient population. Initiating an ongoing systematic assessment of the physical, emotional, social, educational and functional needs of the patients/families. Interpreting assessment data and information to develop a nursing care plan which contains problem identification, nursing diagnosis, nursing orders, approaches, interventions, short/long term goals and discharge planning. Participating as a productive member of the interdisciplinary team in assessment, planning, implementation and evaluation of rehabilitation goals. Assuring that documents in the medical record are complete, factual, accurate and timely. Qualifications Minimum Qualifications: Graduate of accredited program for registered nursing. Valid State RN License required. BLS required at hire. Must have flexibility of scheduling to complete the requirements of the program Additional Data Equal Opportunity Employer/including Disabled/Veterans

Registered Nurse (RN) - Full-time Days - Sign On Bonus!

Overview Position: Registered Nurse (RN) Location: Omaha, NE Schedule: Fulltime / 12-Hour Shifts / Days Compensation: $38.26-51.50 per hour (based on years of experience) with shift diff Sign-on bonus: Up to $10,000 for Fulltime Days Select Specialty Hospital - Omaha is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and Registered Nurses (RNs) play a central role in providing compassionate, excellent treatment every step of the way. At our company, we support your career growth and personal well-being. Start Strong : Extensive and thorough Registered Nurse (RN) orientation program to ensure a smooth transition into our setting. Advance Your Career :100% company-paid scholarship (BSN), tuition reimbursement, and continuing education. Elevate Your Skills : Clinical ladder program and certifications such as PCCN and CCRN. Ease the Burden : Student Debt benefit program. Recharge & Refresh : Generous PTO for full-time team members to maintain a healthy work-life balance Your Health Matters : Comprehensive medical/RX, health, vision, and dental plan offerings for full-time team members Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care Responsibilities Receive admissions and/or transfers to the unit Initial and ongoing systematic patient assessment Timely and accurate documentation using appropriate systems Interpret assessment/diagnostic data including labs and telemetry Ensure medical orders are transcribed and processed accurately Competence in Rapid Response and code events Instruct and counsel patients/families Performs other duties as assigned Qualifications Minimum Qualifications: Valid State Registered Nurse (RN) License BLS is required at hire. ACLS is required within 6 months of hire Preferred Qualifications: Clinical experience Additional Data Equal Opportunity Employer/including Disabled/Veterans

Registered Nurse (RN) - Full-time Nights - Sign On Bonus!

Overview Position: Registered Nurse (RN) Location: Omaha, NE Schedule: Fulltime / 12-Hour Shifts / Nights Compensation: $38.26 - $51.50 per hour (based on years of experience) with shift diff Sign-on bonus: Up to $15,000 for Fulltime Nights Select Specialty Hospital - Omaha is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended healing and recovery. We help patients during some of the most vulnerable, painful moments of their lives – and Registered Nurses (RNs) play a central role in providing compassionate, excellent treatment every step of the way. At our company, we support your career growth and personal well-being. Start Strong : Extensive and thorough Registered Nurse (RN) orientation program to ensure a smooth transition into our setting. Advance Your Career :100% company-paid scholarship (BSN), tuition reimbursement, and continuing education. Elevate Your Skills : Clinical ladder program and certifications such as PCCN and CCRN. Ease the Burden : Student Debt benefit program. Recharge & Refresh : Generous PTO for full-time team members to maintain a healthy work-life balance Your Health Matters : Comprehensive medical/RX, health, vision, and dental plan offerings for full-time team members Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care Responsibilities Receive admissions and/or transfers to the unit Initial and ongoing systematic patient assessment Timely and accurate documentation using appropriate systems Interpret assessment/diagnostic data including labs and telemetry Ensure medical orders are transcribed and processed accurately Competence in Rapid Response and code events Instruct and counsel patients/families Performs other duties as assigned Qualifications Minimum Qualifications: Valid State Registered Nurse (RN) License BLS is required at hire. ACLS is required within 6 months of hire Preferred Qualifications: Clinical experience Additional Data Equal Opportunity Employer/including Disabled/Veterans

PACU

Part-time

Registered Nurse (RN) Extended Recovery - Nights (Part-Time 24hrs)

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: The Extended Recovery RN, i s responsible for providing high-quality patient-centered care to post-operative orthopedic patients requiring extended recovery or overnight care. This role involves monitoring patient conditions, managing pain, preventing complications, encouraging early mobility, preparing patients for their discharge home, and ensuring a safe recovery process. The Extended Recovery nurse will work closely with surgeons, anesthesiologists, hospitalists, nurse navigators, and other healthcare professionals to optimize patient outcomes and maintain safety standards. Position details Status Part-Time Shift Days FTE / Hours 0.6 / 24 Schedule Two (2) 12-Hour Shifts 6:45am - 7:15pm + Weekend & Holiday Rotation Position Requirements Education: Graduate of an accredited school/college of nursing required. Bachelor's degree preferred. Licensure: Registered Nursing licensed in the State of Nebraska or eligible compact state required. Certification: Basic Life Support (BLS) and Advanced Cardiac Life Support Certification (ACLS) to be acquired within 90 days of hire or transfer date required. Experience: 1+ Years of RN (Registered Nurse) Experience preferred. Required Knowledge/Skills/Abilities Strong knowledge of post-operative orthopedic care, including pain management and mobility assistance Proficiency in IV therapy, wound care, patient assessment, and vital sign monitoring Ability to recognize and respond to complications including respiratory distress and infection Excellent communication and patient education skills Ability to work collaboratively in a fast-paced environment Proficiency in electronic medical records (EMR) and documentation of patient assessments and interventions Strong critical thinking and problem-solving skills Essential Job Functions Patient Care and Monitoring Conduct comprehensive nursing assessments post-surgery Monitor vital signs, pain levels, and overall patient condition Administer medications including pain management protocols Assist patients with mobility ensuring safety and adherence to post op restrictions Clinical Support and Emergency Response Identify signs of post operative complications and intervene appropriately Provide wound care, monitor for infections, and manage post anesthesia side effects Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (i.e., falls, needle sticks, patient concerns). Communication and Documentation Maintain accurate and timely medical records Communicate effectively with patients and families, addressing concerns and providing education about recovery expectations. Operational Responsibilities Maintains a professional behavior in attitudes, demeanor, interactions across departments to achieve the organizations mission of providing efficient, high-quality patient centered care Comply with safety activities, policies and procedures and regulatory requirements such as OSHA and The Joint Commission Adheres to HIPPA regulations and maintains patient confidentiality Follow established guidelines as stated in hospital and departmental policies and procedures Assist in onboarding and training new nursing staff 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.

Registered Nurse (RN) - Pre/Post (Full-Time)(36 Hrs)

OrthoNebraska is adding a Registered Nurse (RN) to our Pre/Post-Op team! The Pre/Post-Op team environment is fast paced and well organized in taking care of the needs of our orthopaedic community. Our top priorities are focusing on patient safety as well as patient satisfaction. Teamwork is paramount as we are dedicated to Always True in promoting trust, respect, understanding and engagement with all team members. If this sounds like the type of team and environment you want to be a part of apply today! Position Full-Time Shift Days FTE / Hours 0.9 / 36 Schedule Mon - Fri: Four (4) 9-Hour Shifts w/ 4-Varied Hours between 5:30am - 8:30pm 1 - 2 weeks of call per year Department/Position Details/Duties: Performs an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs Develop/reviews/revises and individualizes the plan of care to address the patient's nursing care needs for optimum patient. Evaluates patient care to determine response to care/interventions for optimal patient outcome Performs technical skills competently and independently to assure patient safety Maintains a professional behavior in attitudes, demeanor, interactions to achieve organizations mission 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. Participate in performance improvement activities. Attend and participate in department meetings. Attend mandatory educational programs. Follow established guidelines as stated in hospital and departmental policies and procedures. Position Requirements: Education: Graduate of an accredited school/college of nursing. Currently licensed as a Registered Nurse in Nebraska and other states as required. Basic Life Support (BLS), Advanced Cardiac Life Support Certification (ACLS) and Pediatric Advanced Cardiac Life Support (PALS) required. Experience: 1-2 Years perioperative, medical-surgical or PACU experience preferred. Physical: 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.

Outpatient

Boys Town National Research Hospital Boys Town, NE

Registered Nurse (RN)- Clinic

Career Starts Here – Become a Registered Nurse –Clinic in Omaha, NE! Up to $10,000 Hiring Bonus! Schedule: Full-Time and part-time openings available Shifts: Day Openings available: General Pediatrics GI Internal Medicine New grads welcome! Join a workplace where your work is seen, your name is known, and your impact is felt. At Boys Town, we pride ourselves on being a smaller, close-knit organization where nurses are valued as individuals—not numbers. You'll enjoy a more manageable patient load, stronger team support, and a chance to truly connect with the families you care for. Benefits You’ll Enjoy: • Medical, Dental, and Vision Insurance – includes free services at Boys Town Clinics • 401(k) Retirement Plan with 100% Employer Match – up to 6%, fully vested after 5 years • Paid Vacation, Sick Time, and Paid Holidays – start earning immediately • Tuition Assistance – grow your nursing career with support • Employee Assistance Program – confidential care for you and your family • Life Insurance and Long-Term Disability – fully paid for your peace of mind What You’ll Be Doing: • Assess patients and provide appropriate care and education • Perform treatments, immunizations, and phone triage using clinical protocols • Support providers and families through each stage of care • Float to satellite clinics as needed and contribute to a collaborative care team Who We’re Looking For: • RN with current state license (new grads encouraged!) • BLS certification required • A caring, adaptable nurse with strong communication and critical thinking skills Physical & Safety Requirements: • Able to perform physical tasks and respond to emergencies in a clinical setting Care and respect for others is more than a commitment at Boys Town – it is the foundation of who we are and what we do. At Boys Town, we cultivate a culture of belonging for all employees that respects their individual strengths, views, and experiences. We believe that our differences enable us to be a better team – one that makes better decisions, drives innovation, and delivers better business results. About Boys Town: Boys Town has been changing the way America cares for children and families since 1917. With over a century of service, our employees have helped us grow from a small boardinghouse in downtown Omaha, Nebraska, into one of the largest national child and family care organizations in the country. With the addition of Boys Town National Research Hospital in 1977, our services branched out into the health care and research fields, offering even more career opportunities to those looking to make a real difference. Our employees are our #1 supporters when it comes to achieving Boys Town's mission, which is why we are proud of their commitment to making the world a better place for children, families, patients, and communities . A unique feature for employees and their dependents enrolled in medical benefits are reduced to no cost visits for services performed by a Boys Town provider at a Boys Town location. Additional costs savings for the employee and their dependents are found in our pharmacy benefits with low to zero-dollar co-pays on certain maintenance drugs. Boys Town takes your mental health seriously with no cost mental health visits to an in-network provider. We help our employees prepare for retirement with a generous match on their 401K or 401K Roth account. Additional benefits include tuition assistance, parenting resources from our experts and professional development opportunities within the organization, just to name a few. Working at Boys Town is more than just a job, it is a way of life. This advertisement describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Boys Town is an equal employment opportunity employer and participates in the E-Verify program. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and/or expression, national origin, age, disability, or veteran status. To request a disability-related accommodation in the application process, contact us at 1-877-639-6003.

Nebraska Medicine Omaha, NE

Staff RN - Innovation Design Unit (Nights)

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) Staff RN - Innovation Design Unit Shift Details: Full or Part Time (24 or 36 hours) Nights (1930-0700) Calling all Nurses! Join our Innovation Design Unit as a Staff Nurse and be at the forefront of nursing innovation. Engage in meaningful projects, pilots, and processes aimed at achieving optimal patient outcomes AND enhancing colleague well-being. Work in a collaborative, adaptable environment across various patient acuities, and use cutting-edge healthcare technology to advance practice. Bring your skills and passion to a role that shapes the future of healthcare. Apply now and make a difference! General Information about the IDU: Opening in January 2025, the Innovation Design Unit (IDU) is an active patient care environment intended to design, test, and validate new models of care, innovative technology, and facility design. The IDU will have 17 patient rooms that are divided into zones. Each zone is intended to test various room designs or equipment. The primary patient population will be adult medical-surgical. The levels of care include Medical-Surgical, Progressive, and Intensive Care (acuity adaptable). Planned innovations: Virtual Nursing/Virtual Sitter This unit also has a Clinical Quality Nurse Lead (CQNL) who provides bedside support to the nursing staff on the unit with a focus on patient safety and quality. Interactive Patient Experience Platform featuring digital displays for patient engagement and staff efficiencies. Real Time Location Systems- to enhance safety and efficiency And much more! The IDU Staff Nurse will drive innovation through active involvement in projects, pilots and processes that support achieving optimal patient outcomes, colleague well-being and support organizational initiatives. Provide, prescribe, delegate, and coordinate nursing care with other health care providers to meet holistic care needs of a designated group of patients. Required Qualifications: •Associate’s degree in nursing (ADN) or Nursing Diploma required. • Effective communication skills required. • Ability to demonstrate interprofessional collaboration, flexibility, patient-centered care, continuous learning, professionalism, accountability, perseverance, and drive for improvement 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). • Advanced Cardiac Life Support (ACLS) certification within 6 months of 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 evidence-based practice, process improvement, facility or project implementation preferred • Relationship-building skills to collaborate effectively with key stakeholders preferred • Curiosity to continuously seek out and explore new ideas and approaches to patient care preferred • Excellent interpersonal skills to inspire and influence staff and stakeholders preferred • Ability to quickly adopt new technology and utilize resources related to technology 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.

Part-time

Registered Nurse (RN) - Pre/Post (Part-Time) (20 hrs)

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: The Pre/Post RN , is responsible for providing high-quality patient-centered care throughout the perioperative process in an orthopedic surgical center. This role involves preparing patients for surgery, monitoring them in the post-anesthesia care unit (PACU) and ensuring a smooth recovery process before discharge. The nurse will work closely with surgeons, anesthesiologists, and other healthcare professionals to optimize patient outcomes and maintain safety standards. Position details Status Part-Time Shift Days FTE / Hours 0.5 / 20 Schedule Mon - Fri: Two (2) 10-Hour Shifts 1 - 2 weeks of call per year Position Requirements Education : Graduate of an accredited school/college of nursing required. Bachelor's degree preferred. Licensure : Registered Nursing licensed in the State of Nebraska or eligible compact state required Certification : Basic Life Support (BLS), Advanced Cardiac Life Support Certification (ACLS) and Pediatric Advanced Cardiac Life Support (PALS) required or acquired within 90 days of hire or transfer date. Experience : 1+ years perioperative, medical-surgical or PACU experience preferred. Required Knowledge/Skills/Abilities Strong understanding of preoperative, intraoperative, and postoperative nursing care Knowledge of anesthesia recovery protocols, pain management techniques, and potential complications Ability to assess patient condition quickly and respond to emergencies appropriately Excellent communication skills to educate patients and their families about surgical procedures and post-op care Proficiency in electronic medical records (EMR) and documentation of patient assessments and interventions Ability to multitask, manage time, and adapt in a fast-paced surgical environment Essential Job Functions Pre-Op Conduct perioperative assessments, including medical history, allergies, and medication reconciliation Prepare patients for surgery by starting IV's, administering prescribed preoperative medication, and ensuring informed consent Collaborate with the surgical team to ensure proper patient preparation Assist anesthesia team with nerve blocks and spinal anesthetic if appropriate PACU Monitor patients' vital signs, respiratory status, and level of consciousness during post-anesthesia recovery Manage pain, nausea and other post-surgical symptoms using prescribed interventions and protocols Identify and respond to adverse reactions or complications, escalating care when necessary Provide emotional support and reassurance to patients recovering from anesthesia Maintain accurate and timely documentation of patient assessments and interventions Post Op Evaluate patients for readiness to transition to discharge Provide thorough discharge instructions, including pain management, wound care, and activity restrictions Educate patients and their caregivers on signs of complications and when to seek medical attention Ensure patient's leave with appropriate prescriptions, medical equipment, and follow up appointments. Maintains a professional behavior in attitudes, demeanor, interactions across departments to achieve the organizations mission of providing efficient, high-quality patient centered care 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 Adheres to HIPPA regulations and maintains patient confidentiality Follow established guidelines as stated in hospital and departmental policies and procedures Responsible for all other duties as assigned. 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.

Staff RN - ECMO Spec / FT, 7:00 pm -7:30 am Fri, Sat, Sun

Job Description FT, 7:00 pm -7:30 am Fri, Sat, Sun 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!

Dialysis Clinic, Inc. Omaha, NE

5 months ago

Dialysis Hospital Services Nurse (Acute RN)

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 Omah 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, four 10-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 $40-$51 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