NP ICU Pediatric Full-time
Children's Nebraska

Pediatric Nurse Practitioner Critical Care - Transport

Children's Nebraska Omaha, NE
Job Description $15,000 hiring bonus and relocation available to those who qualify! Schedule: Full Time, 12-hour shifts / 7a-7p, 10a-10p, 7p-7a (rotating) Straight 12-hour nights OR 12-hour afternoon shifts (10a-10p) may be considered. Children’s Nebraska has an exciting opportunity to join our Nurse Practitioner Critical Care Transport team! Our Pediatric Nurse Practitioners work collaboratively with flight nurses and paramedics to provide state-of-the-art critical care to pediatric patients, utilizing fixed-wing aircraft, helicopters, and critical care ground ambulances throughout Nebraska and surrounding states. As a stand-alone transport team, we often operate in multiple states within a single shift. Transporting pediatric patients demands critical thinking and places personnel in diverse situations with unique logistical challenges. Are you up for the challenge? As a free-standing hospital with over 75 years of service, we provide exceptional care to children nationwide, including our 52-bed Level 4 NICU. Our CAMTS-accredited transport team, comprised of NPs, Flight Nurses, Critical Care Paramedics, and Emergency Medical Technicians, works collaboratively to deliver outstanding patient care. We operate four ground ambulances and often utilize Children’s Hospital dedicated air assets such as an EC130 helicopter and a Pilatus PC-12 fixed-wing aircraft. The Pediatric Nurse Practitioner Transport Provider is responsible for managing the care and transport of children from referring facilities. This role requires proficiency in flight and ambulance treatment modalities, altitude physiology, and emergency procedures. Utilizing an advanced nursing process, the provider will assess, diagnose, plan, implement, and evaluate patient care, while accurately documenting patient responses and outcomes. This position requires proficiency in pediatric pathophysiology, assessment skills, emergency and critical care medical decision making, lab and radiology results interpretation, and procedural skills, including: intubation, surgical and needle cricothyrotomy, central and arterial line placement, finger and tube thoracostomy, UAC/UVC placement, intraosseous access, and lumbar puncture. In collaboration with physicians and referral teams, the provider must demonstrate strong leadership through nursing judgment, decision-making, and problem-solving abilities. As an advocate for patients and families, the provider must maintain professional conduct and communication. Additionally, knowledge of healthcare economics is necessary to ensure cost-effective resource utilization. Children’s Nebraska Pediatric & Neonatal Transport team was awarded accreditation by The Commission on Accreditation of Medical Transport Systems on April 9, 2019. We offer a comprehensive benefits package: Competitive pay Medical, dental, vision, health savings account and flexible spending accounts 403(b) Retirement Plan Wellness programs Paid time off Professional Business Expense Reimbursement Tuition loan repayment Plus, more! With a population of more than 925,000, Omaha offers all the amenities of a big city with the warmth of the Midwest. The area is rich in arts and cultural activities and is home to a world-class zoo that appeals to children and adults alike. Greater Omaha has an outstanding educational system of public and private schools and is home to numerous universities and colleges. In addition to the many collegiate sports, Omaha hosts the Olympic Curling Trials and the College World Series. All of this, combined with a diverse economy with multiple Fortune 500 companies, makes for an extraordinary quality of life. Come visit the #1 Best City to Move To in 2024 awarded by Forbes. Education Qualifications Education as required by Department of Health and Human Services-Regulation and Licensure Credentialing Division as represented by APRN licensure in the State of Nebraska Required Experience Qualifications Minimum 3 years’ experience Critical Care Required and Experience can be satisfied as a Critical Care RN, Critical Care APRN, or combination of both Required and Previous Advanced Practice Provider experience in pediatrics Preferred Skills And Abilities Satisfy all relevant criteria and qualifications outlined in the Medical Staff Policy on Allied Health Professional, required to be credentialed. Maintains practice agreement with service of specialty, and practices within framework of respective scope of practice. Must be knowledgeable in billing regulation practices to include documentation requirements/CPT coding regulations. Knowledge of physical, mental, developmental, emotional and social needs of the neonate, infant, toddler, pre-school, school age and adolescent patients Maintains current knowledge and skill level in field through reading appropriate journals, networking, and attendance at conferences or seminars. Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills. Strong interpersonal and communication skills with the ability to work effectively with multiple disciplines. Ability to be self-directed, with minimum supervision, and detail oriented. Licenses and Certifications CPNP-AC - Certified Pediatric Nurse Practitioner - Acute Care Upon Hire Required or NNP-BC - Neonatal Nurse Practitioner Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required and PALS - Pediatric Advanced Life Support within 180 Days Required and ACLS within 1 Year Required and NRP - Neonatal Resuscitation within 180 Days Required and DEA License within 30 Days Required Satisfy all relevant criteria and qualifications outlined in the Medical Staff Policy on Allied Health Professional, required to be credentialed. Required and Must have valid driver’s license with an acceptable motor vehicle driving record Required and Must be able to work in an environment which includes the use of ambulance, helicopter, and airplane patient transport vehicles that results in exposure to non-conventional motions, noise, vibration, fumes and extreme heat/cold. Required and Due to the aircraft the Organization utilizes for both rotary and fixed wing, all Transport applicants must be 225 lbs or under at time of hire. 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! Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. INDAPP About Us At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most.
RN ER Pediatric Full-time
Children's Nebraska

Staff RN - Experienced Bedside - Emergency

Children's Nebraska Omaha, NE
Job Description Schedule: 3p-3:30a with rotating weekend and holidays, 30hrs 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!
NP Pediatric Full-time
Children's Nebraska

Nurse Practitioner BH / BH Crisis Assessment

Children's Nebraska Omaha, NE
Job Description At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview The Advanced Practice Registered Nurse (APRN)/Nurse Practitioner (NP) provides comprehensive care for pediatric patients through direct medical/nursing care to include: health promotion, health supervision, illness prevention and diagnosis, treatment and management of various health problems and conditions. The APRN/NP is a clinical expert, mentor and educator, leader, collaborator, and researcher. On-call responsibilities vary depending upon the clinic assignment. Essential Functions Assesses patient, synthesizes and analyzes data, orders diagnostic tests and therapeutic treatments, and evaluates clinical outcomes. Completes an accurate assessment (history and physical examination) of the pediatric patient. Syntheses and analyses data obtained through assessment to develop a comprehensive plan of care that is individualized and reflects patient care needs and includes interventions and treatments to attain expected outcomes. Implements plan by writing appropriate medical orders. Uses jointly approved protocols appropriately, if required. Evaluates and revises plan as indicated by changes in patient condition or needs. Communicates medical plan to caregivers, staff members and physicians. Demonstrates proper use of laboratory and x-ray to assist in diagnosis and interprets results correctly. Demonstrates understanding of caregiver dynamics involved in the ill pediatric patient. Utilizes the nursing process to meet the development and psychosocial needs of the pediatric patient/caregiver. Assesses the educational needs of patients/caregivers and develops/implements the educational plan in collaboration with other healthcare professionals. Uses sound medical/clinical judgment during care for the pediatric patient. Consults/collaborates with physicians as indicated. Uses jointly approved protocols to guide decision making, if required. Stays within Scope of Practice. Documents assessments, plan of care, interventions and patient response to treatment. Prescribes therapeutic measures and medications according to the State of Nebraska APRN/NP Statutes. Prescribes therapeutic measures and medications, related to health conditions within scope of practice. Assumes leadership role to establish and monitor standards of practice to improve patient care including recommending ways to improve clinical practice, participation in related educational activities, utilizes and/or participates in research, participation in professional organizations and performance improvement teams, and incorporation of new clinical information into practice. Serves as a role model for staff by facilitating, supporting, mentoring, taking initiative, and practicing proactive problem solving. Serves as a reliable and visible resource for staff. Conducts or utilizes research and new clinical information to recommend ways to improve clinical practice. Participates in educational activities and networking related to practice. Seeks experiences and learning opportunities related to practice. Participates in professional organizations. Serves on Performance Improvement teams as needed. Assures that clinical practice meets national standards of pediatric healthcare. Coordinates project or program development and effective implementation. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Education Qualifications Education as required by Department of Health and Human Services-Regulation and Licensure Credentialing Division as represented by APRN licensure in the state of Nebraska Required Experience Qualifications Minimum of 2 years experience as a Registered Nurse, APRN, or NP in Psychiatric Patient Care Required Skills And Abilities Knowledge of psychological principles, child and adolescent development, inter-relational dynamics, individual and group behavior, and behavior modification techniques. Interpersonal skills necessary to communicate effectively with patients and families, physicians, and other clinical professionals to gather and exchange patient information. Ability to concentrate and pay close attention to detail for up to 90% of work time when providing therapy, observing patient response, scoring tests, and documenting patient progress. Demonstrates knowledge and skill in providing age-appropriate care to children, adolescents, adults and families. Licenses and Certifications Advanced Practice Registered Nurse license in state of Nebraska Upon Hire Required and Health Services\BCLS - Basic Life Support through the American Heart Association Upon Hire Required and DEA License within 30 Days Required and Current certification as a Behavioral Health Nurse Practitioner from the American Nurses Association or another nationally recognized certifying body Upon Hire Required and Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! About Us At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most. About The Team The Behavioral Health & Wellness Center at Children’s Nebraska will be a world-class facility providing the full spectrum of pediatric behavioral and mental health services for children and their families. Located on our main hospital campus to provide a convenient continuum of care, the center will offer a crisis assessment center, behavioral health urgent care, 40 single-occupancy inpatient beds, a partial hospitalization program and outpatient services – all guided by our innovative, trauma-informed model of care.
NP Pediatric Part-time
Children's Nebraska

Nurse Practitioner BH / BH Inpatient

Children's Nebraska Omaha, NE
Job Description At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most. A Brief Overview The Advanced Practice Registered Nurse (APRN)/Nurse Practitioner (NP) provides comprehensive care for pediatric patients through direct medical/nursing care to include: health promotion, health supervision, illness prevention and diagnosis, treatment and management of various health problems and conditions. The APRN/NP is a clinical expert, mentor and educator, leader, collaborator, and researcher. On-call responsibilities vary depending upon the clinic assignment. Essential Functions Assesses patient, synthesizes and analyzes data, orders diagnostic tests and therapeutic treatments, and evaluates clinical outcomes. Completes an accurate assessment (history and physical examination) of the pediatric patient. Syntheses and analyses data obtained through assessment to develop a comprehensive plan of care that is individualized and reflects patient care needs and includes interventions and treatments to attain expected outcomes. Implements plan by writing appropriate medical orders. Uses jointly approved protocols appropriately, if required. Evaluates and revises plan as indicated by changes in patient condition or needs. Communicates medical plan to caregivers, staff members and physicians. Demonstrates proper use of laboratory and x-ray to assist in diagnosis and interprets results correctly. Demonstrates understanding of caregiver dynamics involved in the ill pediatric patient. Utilizes the nursing process to meet the development and psychosocial needs of the pediatric patient/caregiver. Assesses the educational needs of patients/caregivers and develops/implements the educational plan in collaboration with other healthcare professionals. Uses sound medical/clinical judgment during care for the pediatric patient. Consults/collaborates with physicians as indicated. Uses jointly approved protocols to guide decision making, if required. Stays within Scope of Practice. Documents assessments, plan of care, interventions and patient response to treatment. Prescribes therapeutic measures and medications according to the State of Nebraska APRN/NP Statutes. Prescribes therapeutic measures and medications, related to health conditions within scope of practice. Assumes leadership role to establish and monitor standards of practice to improve patient care including recommending ways to improve clinical practice, participation in related educational activities, utilizes and/or participates in research, participation in professional organizations and performance improvement teams, and incorporation of new clinical information into practice. Serves as a role model for staff by facilitating, supporting, mentoring, taking initiative, and practicing proactive problem solving. Serves as a reliable and visible resource for staff. Conducts or utilizes research and new clinical information to recommend ways to improve clinical practice. Participates in educational activities and networking related to practice. Seeks experiences and learning opportunities related to practice. Participates in professional organizations. Serves on Performance Improvement teams as needed. Assures that clinical practice meets national standards of pediatric healthcare. Coordinates project or program development and effective implementation. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Education Qualifications Education as required by Department of Health and Human Services-Regulation and Licensure Credentialing Division as represented by APRN licensure in the state of Nebraska Required Experience Qualifications Minimum of 2 years experience as a Registered Nurse, APRN, or NP in Psychiatric Patient Care Required Skills And Abilities Knowledge of psychological principles, child and adolescent development, inter-relational dynamics, individual and group behavior, and behavior modification techniques. Interpersonal skills necessary to communicate effectively with patients and families, physicians, and other clinical professionals to gather and exchange patient information. Ability to concentrate and pay close attention to detail for up to 90% of work time when providing therapy, observing patient response, scoring tests, and documenting patient progress. Demonstrates knowledge and skill in providing age-appropriate care to children, adolescents, adults and families. Licenses and Certifications Advanced Practice Registered Nurse license in state of Nebraska Upon Hire Required and Health Services\BCLS - Basic Life Support through the American Heart Association Upon Hire Required and DEA License within 30 Days Required and Current certification as a Behavioral Health Nurse Practitioner from the American Nurses Association or another nationally recognized certifying body Upon Hire Required and Children’s is an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic. About Us At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most. About The Team The Behavioral Health & Wellness Center at Children’s Nebraska will be a world-class facility providing the full spectrum of pediatric behavioral and mental health services for children and their families. Located on our main hospital campus to provide a convenient continuum of care, the center will offer a crisis assessment center, behavioral health urgent care, 40 single-occupancy inpatient beds, a partial hospitalization program and outpatient services – all guided by our innovative, trauma-informed model of care.
RN Pediatric Full-time
Children's Nebraska

Neonate Transport Staff RN - Overnights

Children's Nebraska Omaha, NE
Job Description 1900-0700 At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Coordinates professional nursing and individualized, family centered care to neonatal patients under 4 months of age or any NICU transfer in the critical care transport environment. Care and transport of the critically ill patient is supported using the nursing process and clinical skills in accordance with Commission on Accreditation of Medical Transport Systems (CAMTS) standards and hospital policies and procedures. Varied schedules to include weekend and holiday patterns. Essential Functions Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Initial Assessment: ▪ Collects and documents data related to patient’s individualized care. ▪ Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients. ▪ Assesses patient/family need for education and uses an individualized approach in delivery style. ▪ Assess and interprets patient data upon arrival at the referring hospital. Reassessment: ▪ Performs reassessment based on unit standards, and changes in patient condition. Communicates changes to appropriate persons (MCP, transport partner, family) as indicated. ▪ Performs reassessments on transports after interventions and as needed. Communicates changes to medical control physician. Develops individualized patient/family plan of care using clinical practice guidelines to meet identified needs. (Plan of Care includes current and anticipated actions focused on stabilization, care, and transport needs.) Utilizes assessment data from the referral hospital or team as well as transport assessment data to individualize patient care and transport needs. Utilizes individualized assessment data to develop the patient/family’s plan of care. Revises plan of care based on patient’s condition and transport conditions (weather, distance, mode.) Demonstrates ability to prioritize patient care or interventions based on assessments/reassessments. While on transport, develops and initiates a plan of care incorporating current and potential problems requiring intervention, expected response and the medical plan of care in collaboration with the medical control physician. Communicates the plan to the receiving nurse prior to arrival at Children’s Hospital or receiving facility. Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs. Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments. Demonstrates clinical competence in administering interventions according to identified standards and age specific needs. During the transport process, prioritizes and organizes care based on patient acuity, time limitations and consultation with medical control physician. Initiates action to prevent current or potential risk to a patient in an emergent situation. Documentation reflects accurate assessment/evaluation, modification, and patients’ response to therapy, changes in condition, and therapeutic interventions/procedures. Entries into the electronic medical record follow transport documentation policy. Documentation is completed within established timeframes. Demonstrates responsiveness to the organizational functions of the transport process. Response times are within targeted benchmarks set by the program. Complies with ambulance, helicopter, and fixed wing operational safety in accordance with current guidelines. Checks, cleans, and stocks transport bags and equipment. Ensures equipment is in good working order. Maintains all transport equipment in a state of mission readiness by checking all equipment at the beginning of each shift, noting any discrepancies, and ensuring steps toward resolution. Cleans equipment and restocks bags after a transport. Demonstrates knowledge of transport equipment location, function, and restocking procedures. Demonstrates the ability to troubleshoot all equipment and ensures that all malfunctions are promptly reported. Completes daily, weekly, monthly, and ongoing equipment checklists. Completes quarterly competencies, monthly education, aircrew training, and other educational and professional development requirements when assigned. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Adherence to Transport Fit for Duty policy. Education Qualifications Bachelor's Degree from an accredited school of nursing Preferred and Must be enrolled in a Bachelor of Nursing program Required Experience Qualifications Minimum 3-year experience critical care Required and Minimum 1 year of experience with pediatric patients Preferred Skills And Abilities Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills. Must be able to work in an environment which includes the use of ambulance, helicopter, and airplane patient transport vehicles that results in exposure to non-conventional motions, noise, vibration, fumes and extreme heat/cold. Must be able to perform multiple physical activities at the same time (i.e., carrying equipment while pushing a cot or incubator) Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and BCLS - Basic Life Support Required and PALS - Pediatric Advanced Life Support within 180 Days Required and NRP - Neonatal Resuscitation within 180 Days Required and CAMTS approved trauma certification course within 1 Year Preferred and Specialty Certification required within 2 years of hire Required Must have valid driver’s license with an acceptable motor vehicle driving record Required and Due to the aircraft the Organization utilizes for both rotary and fixed wing, all Transport applicants must be 225 lbs or under Upon Hire Required Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child!
RN Director of Nursing Educator Pediatric Full-time
Children's Nebraska

Director Nursing Education, Informatics, Innovation, Research & Simulation

Children's Nebraska Omaha, NE
Job Description We’re searching for an executive nursing leader with a proven record of advancing nursing excellence, clinical innovation, and professional practice across our growing complex health system. Provide enterprise-wide strategic leadership for nursing informatics, shared governance, clinical education, and simulation programs that will strengthen our workforce capability and elevate standards of care. Champion evidence-based practice, clinical inquiry, and nursing research to accelerate professional development, support regulatory readiness, and drive continuous improvement in patient outcomes. The ideal candidate will be known for leading large-scale, system-wide initiatives that align clinical strategy with operational performance, while building a culture of accountability, innovation, and professional empowerment Essential Functions Strategic Vision, Program Leadership, & Performance Oversight Sets vision, direction, and strategic oversight for the Center for Nursing Excellence, simulation, and education programs. Leads the design, execution, and evaluation of clinically sound and fiscally responsible strategies in partnership with the Chief Nursing Officer and enterprise leaders across HR, IT, Innovation, and Research. Establishes performance standards aligned with professional benchmarks, organization priorities, and performance excellence goals. Positions the simulation program as an enterprise strategic asset, aligning simulation priorities with organizational risk, quality, workforce and innovation goals. Enterprise Nursing Practice & Professional Governance Provides enterprise-wide leadership and advocacy for nursing professional practice, informatics, innovation, clinical education and simulation program. Establishes integrated governance structures, standards, and processes that promote nursing excellence, consistency, and shared accountability across the enterprise. Advances professional governance, strengthens nursing voice and leadership, and embeds Magnet principles into clinical professional practice. Integrates nursing informatics/innovation into professional practice standards, governance structures, and clinical workflows to promote consistency, evidence-based decision-making, and nursing engagement across the enterprise. Clinical Education, Workforce Development & Academic Partnerships Oversees clinical education (i.e. nursing, RT, support) and workforce development strategies, including transition-to-practice, competency-based orientation, simulation, resuscitation, continuing education, and learning technologies. Ensures nursing informatics competencies are embedded across orientation, continuing education, simulation, and transition-to-practice programs, preparing the workforce to effectively use digital tools, clinical decision support, and data-driven practice models. Leverages simulation as a core education modality. Ensures compliance with accreditation and licensure standards while driving adaptive change in response to evolving care models and regulatory requirements. Serves as the clinical liaison to academic partners and schools of nursing, strengthening academic-practice partnerships that prepare nurses for current and emerging roles across the continuum of care. Evidence-Based Practice, Research & Clinical Inquiry Leads enterprise systems and infrastructure supporting evidence-based practice, nursing research, and clinical inquiry. Promotes rigorous evaluation, reduces unwarranted practice variation, and translates evidence into high-quality, high-value, patient-centered care. Advances the visibility and reputation of nursing through dissemination, external recognition, and engagement at state, national, and international levels. Leverages nursing informatics, data analytics, and digital platforms, to support evidence-based practice, outcomes evaluation, research dissemination, and reduction of unwarranted practice variation. Uses simulation as a method for inquiry and translation such as pilot testing of evidence, workflows, devises, and care models. Quality, Innovation, Financial Stewardship & Thought Leadership Provides director-level oversight for clinical education, nursing informatics, professional practice, and simulation, advancing quality, safety, workforce, and patient experience outcomes. Partners with quality and interprofessional leaders to drive system-level improvement, leverage technology and simulation to improve outcomes and efficiency, and ensure fiscally responsible budgets, resource allocation, and return on investment through effective delivery models and innovation. Education Qualifications Doctoral degree is required.(DNP or PhD in nursing is preferred). Will accept a graduate degree from an accredited institution in nursing or a related field, provided the candidate holds an undergraduate degree in nursing required Bachelor's in nursing is required Proven experience in the design, implementation, and scaling of enterprise-wide nursing initiatives that advance nursing excellence and workforce readiness with programs such as: clinical education, professional practice, nursing informatics , simulation, magnet, and innovation required Experience Qualifications 8 years of progressive leadership experience in nursing practice or clinical education, with demonstrated enterprise- or system-level oversight across multiple service lines, campuses, or regions, aligned with organizational priorities and Magnet standards. Required Skills And Abilities Magnet Standard of Transformational Leadership (TL): Demonstrated knowledge of contemporary nursing leadership, change management, and systems thinking to lead large-scale transformation aligned with organizational mission and strategy. Ability to articulate and operationalize a compelling vision for nursing professional practice and clinical education, influence executive and interdisciplinary stakeholders, and inspire nursing leaders and staff to embrace innovation, continuous improvement, and shared accountability as a strategic nursing partner and thought leader. Magnet Standard of Structural Empowerment (SE): Demonstrated knowledge of professional governance and shared decision-making structures that promote nursing autonomy and accountability. Ability to design and sustain infrastructures that support workforce development, succession planning, role clarity, professional growth, education, certification, and leadership development, while fostering an inclusive, empowering professional environment that strengthens nurse engagement, recruitment, retention, and academic-practice partnerships. Magnet Standard of Exemplary Professional Practice (EPP): Expert knowledge of evidence-based nursing practice, interprofessional collaboration, and standards of clinical excellence to ensure outcomes-driven care aligned with professional standards and organizational goals. Ability to standardize professional practice models and integrate clinical education, competency validation, and practice standards across the continuum of care, while partnering with quality and interdisciplinary teams to advance safety, quality, and the patient and family experience. Magnet Standard of New Knowledge, Innovations, and Improvements (NKII): Demonstrated knowledge of nursing research methodologies, clinical inquiry, and innovation science to translate evidence into practice and evaluate impact. Ability to build and sustain infrastructures that support nursing research, evidence-based practice, and innovation, while fostering a culture of inquiry and disseminating nursing knowledge through presentations, publications, and external forums that position nurses and the organization as contributors to national and international nursing practice. Magnet Standard of Empirical Outcomes (EO): Demonstrated knowledge of performance measurement, outcome evaluation, and data-driven decision-making to guide nursing practice and education. Ability to analyze clinical, workforce, educational, and financial data to establish benchmarks, evaluate return on investment, monitor outcomes, and lead corrective action, ensuring sustained, measurable improvement in nursing-sensitive indicators, workforce outcomes, and patient experience in alignment with Magnet expectations. Magnet Program Integration: Comprehensive knowledge of Magnet standards, Sources of Evidence, and documentation requirements, with the ability to embed Magnet principles into daily practice, professional governance, education, and leadership development. Demonstrated skill in collaborating with Magnet Program leadership to ensure organizational readiness, alignment, and sustained excellence in support of Magnet designation. Licenses and Certifications Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire Required and ANCC-recognized board certification in nursing or healthcare in a clinical specialty or leadership focus within 2 years of hire Required 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. IND123
RN Pediatric Part-time
Children's Nebraska

Staff RN - CP - La Vista Care Today

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

Staff RN - CP - Council Bluffs

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

RN Behavioral Health / BH Crisis Assessment

Children's Nebraska Omaha, NE
Job Description Schedule available for Crisis Assessment BHWC: Monday - Friday 3p-11:30pm - 40hrs Sat&Sun 3p-11:30pm - 16hrs casual At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most. A Brief Overview Functions as a member of the interdisciplinary team. Primary responsibility to care for patients with behavioral health needs. Utilizes the nursing process in the delivery of comprehensive and developmentally appropriate care to high-risk behavioral patients and their families. Acts as a psychiatric resource for the team by providing clinical support, monitoring compliance with system policies, guidelines, documentation, and by maintaining a safe environment for patients with behavioral health needs. Responds to behavioral emergencies throughout the building and collaborates with the interdisciplinary team to ensure patient and staff safety. Is knowledgeable of the regulatory standards related to the care of hospitalized patients with behavioral health needs and ensures compliance with those standards. Essential Functions Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards, appropriate collaborative problems (CPG's)/nursing diagnoses (ND's), or protocols. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Admission/Initial Assessment: Collects and documents data related to patient’s individualized care. Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients. Assesses patient/family need for education and uses an individualized approach in delivery style. Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient. Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission. Shift Assessment/Reassessment Performs reassessment based on unit standards, CPG's/ND's, protocols and changes in patient condition. Communicates changes to appropriate persons (MD, Charge RN, family) as indicated Utilizes appropriate telephone etiquette. Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs in collaboration with Behavioral Health Team. (Plan of Care includes current and anticipated actions focused on care, education, discharge needs.) Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare team. Utilizes individualized assessment data to develop the patient/family’s plan of care. Formulates goals and outcomes based on assessment data. Revises plan of care based on patient’s condition, interdisciplinary input, and family needs. Demonstrates ability to prioritize patient interventions based on assessments/reassessments Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs. Oversees that the nursing and interdisciplinary plan of care/goals are coordinated, implemented, evaluated, and revised as needed. Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (Charge Nurse, CNS/Educator, Director, MD, etc.) to ensure that clinical outcomes are achieved. Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments. Demonstrates clinical competence in administering interventions according to identified standards and age specific needs. Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures. Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility). Documentation is completed within established timeframes including, but not limited to: Admission Assessment form, daily Patient Flowsheet, Family Education Record, and Interdisciplinary Goals. Reviews and updates computerized careplan to accurately reflect the plan of care. Completes computerized documentation within established timeframes, including, but not limited to: Medication Administration Record, Allergies, Patient Information, etc. Completes and verifies accurate order entry in the computerized careplan. Ensures that discharge instructions clearly state patient care needs after discharge. Uses clinical judgment based on nursing skills acquired through formal and informal experiential knowledge and evidence-based guidelines to globally assess the patient's situation Supports staff in providing a safe environment for patients with high-risk behaviors by inspecting rooms, proactively identifying potential safety hazards, and removing at-risk items. Delivers competent and skilled nursing care to patients and families according to their identified needs. Provides content expertise and education to staff caring for high-risk patients and assists staff in finding available resources related to behavioral health patients. Provides a just in time resource to nursing, administrative supervisors and physicians caring for high-risk behavioral patients. Assists staff in finding available resources related to behavioral health patients. Reviews documentation and orders in EPIC and collaborates with staff to ensure that the patient’s level of observation is appropriate, and documentation is accurate and complete. Identifies patient care concerns in real time and collaborates and escalates as needed to promote resolution. Provides education and facilitates learning for the patient care team related to constant visual observation guidelines and policies, therapeutic interactions, and patient safety. Assists with consistent application of guidelines and policies across the hospital. Identifies and presents opportunities for performance/quality improvement activities to improve clinical outcomes. Assists with patient de-escalation, provides physical intervention if needed, thorough and accurate documentation, and participates in the debriefing afterwards Audits Physical Intervention documentation and assists in collecting, inputting, and sharing data in real time Delivers care with a team-oriented approach, an emphasis on good customer relations, sound clinical judgment, and appropriate decision-making abilities that take into consideration evidence-based practice. Advocates for the patient, represents the concerns of the patient/family and identifies and assists in resolving concerns. Ensures that Patient Health Information (PHI) is protected and secured at all times. Adheres to all infection prevention initiatives (i.e., hand hygiene, proper disposal of waste, etc.) Education Qualifications Associate's Degree from an accredited school of nursing Required or Bachelor's Degree from an accredited school of nursing Required Experience Qualifications 2 years of psychiatric nursing experience Preferred and Experience with pediatric patients Preferred and Previous experience with EPIC Preferred Skills And Abilities Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of Nebraska Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required and Certification as a Psychiatric Mental Health Nurse (PMH-BC) after 2 years and/or 2000 mental health care hours Preferred Team members currently ineligible for advanced certification are strongly encouraged to pursue them upon eligibility. Children’s is an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic.
RN Pediatric Psych Full-time
Children's Nebraska

RN Behavioral Health / BH Inpatient

Children's Nebraska Omaha, NE
Job Description Schedule available for Inpatient BHWC: Weekend/Days - Fri/Sat/Sun - 36hrs (weekend incentive) Mon/Thur/Fri - Nights - 36hrs Saturday and Sunday - 3p-11:30pm - 16hrs (weekend incentive) casual At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most. A Brief Overview Functions as a member of the interdisciplinary team. Primary responsibility to care for patients with behavioral health needs. Utilizes the nursing process in the delivery of comprehensive and developmentally appropriate care to high-risk behavioral patients and their families. Acts as a psychiatric resource for the team by providing clinical support, monitoring compliance with system policies, guidelines, documentation, and by maintaining a safe environment for patients with behavioral health needs. Responds to behavioral emergencies throughout the building and collaborates with the interdisciplinary team to ensure patient and staff safety. Is knowledgeable of the regulatory standards related to the care of hospitalized patients with behavioral health needs and ensures compliance with those standards. Essential Functions Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards, appropriate collaborative problems (CPG's)/nursing diagnoses (ND's), or protocols. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Admission/Initial Assessment: Collects and documents data related to patient’s individualized care. Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients. Assesses patient/family need for education and uses an individualized approach in delivery style. Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient. Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission. Shift Assessment/Reassessment Performs reassessment based on unit standards, CPG's/ND's, protocols and changes in patient condition. Communicates changes to appropriate persons (MD, Charge RN, family) as indicated Utilizes appropriate telephone etiquette. Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs in collaboration with Behavioral Health Team. (Plan of Care includes current and anticipated actions focused on care, education, discharge needs.) Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare team. Utilizes individualized assessment data to develop the patient/family’s plan of care. Formulates goals and outcomes based on assessment data. Revises plan of care based on patient’s condition, interdisciplinary input, and family needs. Demonstrates ability to prioritize patient interventions based on assessments/reassessments Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs. Oversees that the nursing and interdisciplinary plan of care/goals are coordinated, implemented, evaluated, and revised as needed. Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (Charge Nurse, CNS/Educator, Director, MD, etc.) to ensure that clinical outcomes are achieved. Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments. Demonstrates clinical competence in administering interventions according to identified standards and age specific needs. Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures. Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility). Documentation is completed within established timeframes including, but not limited to: Admission Assessment form, daily Patient Flowsheet, Family Education Record, and Interdisciplinary Goals. Reviews and updates computerized careplan to accurately reflect the plan of care. Completes computerized documentation within established timeframes, including, but not limited to: Medication Administration Record, Allergies, Patient Information, etc. Completes and verifies accurate order entry in the computerized careplan. Ensures that discharge instructions clearly state patient care needs after discharge. Uses clinical judgment based on nursing skills acquired through formal and informal experiential knowledge and evidence-based guidelines to globally assess the patient's situation Supports staff in providing a safe environment for patients with high-risk behaviors by inspecting rooms, proactively identifying potential safety hazards, and removing at-risk items. Delivers competent and skilled nursing care to patients and families according to their identified needs. Provides content expertise and education to staff caring for high-risk patients and assists staff in finding available resources related to behavioral health patients. Provides a just in time resource to nursing, administrative supervisors and physicians caring for high-risk behavioral patients. Assists staff in finding available resources related to behavioral health patients. Reviews documentation and orders in EPIC and collaborates with staff to ensure that the patient’s level of observation is appropriate, and documentation is accurate and complete. Identifies patient care concerns in real time and collaborates and escalates as needed to promote resolution. Provides education and facilitates learning for the patient care team related to constant visual observation guidelines and policies, therapeutic interactions, and patient safety. Assists with consistent application of guidelines and policies across the hospital. Identifies and presents opportunities for performance/quality improvement activities to improve clinical outcomes. Assists with patient de-escalation, provides physical intervention if needed, thorough and accurate documentation, and participates in the debriefing afterwards Audits Physical Intervention documentation and assists in collecting, inputting, and sharing data in real time Delivers care with a team-oriented approach, an emphasis on good customer relations, sound clinical judgment, and appropriate decision-making abilities that take into consideration evidence-based practice. Advocates for the patient, represents the concerns of the patient/family and identifies and assists in resolving concerns. Ensures that Patient Health Information (PHI) is protected and secured at all times. Adheres to all infection prevention initiatives (i.e., hand hygiene, proper disposal of waste, etc.) Education Qualifications Associate's Degree from an accredited school of nursing Required or Bachelor's Degree from an accredited school of nursing Required Experience Qualifications 2 years of psychiatric nursing experience Preferred and Experience with pediatric patients Preferred and Previous experience with EPIC Preferred Skills And Abilities Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of Nebraska Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required and Certification as a Psychiatric Mental Health Nurse (PMH-BC) after 2 years and/or 2000 mental health care hours Preferred Team members currently ineligible for advanced certification are strongly encouraged to pursue them upon eligibility. Children’s is an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic.
NP Outpatient Pediatric Psych Full-time
Children's Nebraska

Nurse Practitioner BH / Behavioral Health Outpatient

Children's Nebraska Omaha, NE
Job Description At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview The Advanced Practice Registered Nurse (APRN)/Nurse Practitioner (NP) provides comprehensive care for pediatric patients through direct medical/nursing care to include: health promotion, health supervision, illness prevention and diagnosis, treatment and management of various health problems and conditions. The APRN/NP is a clinical expert, mentor and educator, leader, collaborator, and researcher. On-call responsibilities vary depending upon the clinic assignment. Essential Functions Assesses patient, synthesizes and analyzes data, orders diagnostic tests and therapeutic treatments, and evaluates clinical outcomes. Completes an accurate assessment (history and physical examination) of the pediatric patient. Syntheses and analyses data obtained through assessment to develop a comprehensive plan of care that is individualized and reflects patient care needs and includes interventions and treatments to attain expected outcomes. Implements plan by writing appropriate medical orders. Uses jointly approved protocols appropriately, if required. Evaluates and revises plan as indicated by changes in patient condition or needs. Communicates medical plan to caregivers, staff members and physicians. Demonstrates proper use of laboratory and x-ray to assist in diagnosis and interprets results correctly. Demonstrates understanding of caregiver dynamics involved in the ill pediatric patient. Utilizes the nursing process to meet the development and psychosocial needs of the pediatric patient/caregiver. Assesses the educational needs of patients/caregivers and develops/implements the educational plan in collaboration with other healthcare professionals. Uses sound medical/clinical judgment during care for the pediatric patient. Consults/collaborates with physicians as indicated. Uses jointly approved protocols to guide decision making, if required. Stays within Scope of Practice. Documents assessments, plan of care, interventions and patient response to treatment. Prescribes therapeutic measures and medications according to the State of Nebraska APRN/NP Statutes. Prescribes therapeutic measures and medications, related to health conditions within scope of practice. Assumes leadership role to establish and monitor standards of practice to improve patient care including recommending ways to improve clinical practice, participation in related educational activities, utilizes and/or participates in research, participation in professional organizations and performance improvement teams, and incorporation of new clinical information into practice. Serves as a role model for staff by facilitating, supporting, mentoring, taking initiative, and practicing proactive problem solving. Serves as a reliable and visible resource for staff. Conducts or utilizes research and new clinical information to recommend ways to improve clinical practice. Participates in educational activities and networking related to practice. Seeks experiences and learning opportunities related to practice. Participates in professional organizations. Serves on Performance Improvement teams as needed. Assures that clinical practice meets national standards of pediatric healthcare. Coordinates project or program development and effective implementation. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Education Qualifications Education as required by Department of Health and Human Services-Regulation and Licensure Credentialing Division as represented by APRN licensure in the state of Nebraska Required Experience Qualifications Minimum of 2 years experience as a Registered Nurse, APRN, or NP in Psychiatric Patient Care Required Skills And Abilities Knowledge of psychological principles, child and adolescent development, inter-relational dynamics, individual and group behavior, and behavior modification techniques. Interpersonal skills necessary to communicate effectively with patients and families, physicians, and other clinical professionals to gather and exchange patient information. Ability to concentrate and pay close attention to detail for up to 90% of work time when providing therapy, observing patient response, scoring tests, and documenting patient progress. Demonstrates knowledge and skill in providing age-appropriate care to children, adolescents, adults and families. Licenses and Certifications Advanced Practice Registered Nurse license in state of Nebraska Upon Hire Required and Health Services\BCLS - Basic Life Support through the American Heart Association Upon Hire Required and DEA License Required and Current certification as a Behavioral Health Nurse Practitioner from the American Nurses Association or another nationally recognized certifying body Upon Hire Required and Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! About Us At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most.
NP Pediatric Psych Full-time
Children's Nebraska

Nurse Practitioner BH / Behavioral Health

Children's Nebraska Omaha, NE
Job Description At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview The Advanced Practice Registered Nurse (APRN)/Nurse Practitioner (NP) provides comprehensive care for pediatric patients through direct medical/nursing care to include: health promotion, health supervision, illness prevention and diagnosis, treatment and management of various health problems and conditions. The APRN/NP is a clinical expert, mentor and educator, leader, collaborator, and researcher. On-call responsibilities vary depending upon the clinic assignment. Essential Functions Assesses patient, synthesizes and analyzes data, orders diagnostic tests and therapeutic treatments, and evaluates clinical outcomes. Completes an accurate assessment (history and physical examination) of the pediatric patient. Syntheses and analyses data obtained through assessment to develop a comprehensive plan of care that is individualized and reflects patient care needs and includes interventions and treatments to attain expected outcomes. Implements plan by writing appropriate medical orders. Uses jointly approved protocols appropriately, if required. Evaluates and revises plan as indicated by changes in patient condition or needs. Communicates medical plan to caregivers, staff members and physicians. Demonstrates proper use of laboratory and x-ray to assist in diagnosis and interprets results correctly. Demonstrates understanding of caregiver dynamics involved in the ill pediatric patient. Utilizes the nursing process to meet the development and psychosocial needs of the pediatric patient/caregiver. Assesses the educational needs of patients/caregivers and develops/implements the educational plan in collaboration with other healthcare professionals. Uses sound medical/clinical judgment during care for the pediatric patient. Consults/collaborates with physicians as indicated. Uses jointly approved protocols to guide decision making, if required. Stays within Scope of Practice. Documents assessments, plan of care, interventions and patient response to treatment. Prescribes therapeutic measures and medications according to the State of Nebraska APRN/NP Statutes. Prescribes therapeutic measures and medications, related to health conditions within scope of practice. Assumes leadership role to establish and monitor standards of practice to improve patient care including recommending ways to improve clinical practice, participation in related educational activities, utilizes and/or participates in research, participation in professional organizations and performance improvement teams, and incorporation of new clinical information into practice. Serves as a role model for staff by facilitating, supporting, mentoring, taking initiative, and practicing proactive problem solving. Serves as a reliable and visible resource for staff. Conducts or utilizes research and new clinical information to recommend ways to improve clinical practice. Participates in educational activities and networking related to practice. Seeks experiences and learning opportunities related to practice. Participates in professional organizations. Serves on Performance Improvement teams as needed. Assures that clinical practice meets national standards of pediatric healthcare. Coordinates project or program development and effective implementation. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Education Qualifications Education as required by Department of Health and Human Services-Regulation and Licensure Credentialing Division as represented by APRN licensure in the state of Nebraska Required Experience Qualifications Minimum of 2 years experience as a Registered Nurse, APRN, or NP in Psychiatric Patient Care Required Skills And Abilities Knowledge of psychological principles, child and adolescent development, inter-relational dynamics, individual and group behavior, and behavior modification techniques. Interpersonal skills necessary to communicate effectively with patients and families, physicians, and other clinical professionals to gather and exchange patient information. Ability to concentrate and pay close attention to detail for up to 90% of work time when providing therapy, observing patient response, scoring tests, and documenting patient progress. Demonstrates knowledge and skill in providing age-appropriate care to children, adolescents, adults and families. Licenses and Certifications Advanced Practice Registered Nurse license in state of Nebraska Upon Hire Required and Health Services\BCLS - Basic Life Support through the American Heart Association Upon Hire Required and DEA License Required and Current certification as a Behavioral Health Nurse Practitioner from the American Nurses Association or another nationally recognized certifying body Upon Hire Required and Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! About Us At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most.
NP Med-Surg Pediatric Full-time
Children's Nebraska

Nurse Practitioner Med-Surg Mix / Nephrology - Dialysis

Children's Nebraska Omaha, NE
Job Description At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview The advanced practice provider (APP) provides patient centered, specialized, evidence based care across the continuum through an interprofessional approach to treatment, research, education and advocacy. APP's are board-certified providers that assume responsibility and accountability for health stabilization, promotion, and maintenance of acute and chronic illness or injury. This role contributes to the mission and vision of the organization by being accountable for the delivery of compassionate and safe care within the scope of practice as defined by the Nebraska state statues, administrative code and organization bylaws. The APP is committed to a culture of clinical excellence, respect, innovation, and academic inquiry through collaborative practice with all members of the care delivery team. Essential Functions Responsible for providing safe, comprehensive and compassionate clinical care. Assesses patient, synthesizes and analyzes data, orders diagnostic tests and therapeutic treatments, and evaluates clinical outcomes. Seeks and integrates the perspectives of interprofessional team members in developing and implementing the plan of care. Preforms diagnostic and therapeutic procedures; prescribes medications and complex medical regimes while monitoring for desired and adverse outcomes, specific to the infant/child with high risk, complex acute, critical, or chronic conditions. Applies evidence based medicine pertinent to neonatal/pediatric populations. Continuously evaluates the relationships among access, cost, quality, safety and their influence on healthcare outcomes and sustainability. Assumes leadership role to establish and monitor standards of practice and to improve patient care through sharing knowledge, leading teams and developing programs. Constant consideration of child’s development, family’s readiness and resources when translating health information, education and support. Demonstrate understanding of internal and external rules, regulations and legislation as it relates to APP practice, licensure, certification and billing compliance. Maintains accurate log of credentialed procedures performed. Demonstrates competency and expertise when performing credentialed procedures/specialty skills. Serves as an advocate for the needs of the children and their families across the health care continuum ensuring the best patient/family experience possible. Care coordination per CMS and/or program guidelines and completes all required program education per CMS guidelines Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Education Qualifications Education as required by Department of Health and Human Services-Regulation and Licensure Credentialing Division as represented by APRN licensure in the State of Nebraska. Required Experience Qualifications Previous Advanced Practice Provider experience in pediatrics Preferred Skills And Abilities Satisfy all relevant criteria and qualifications outlined in the Medical Staff Policy on Allied Health Professional, required to be credentialed. Maintains practice agreement with service of specialty, and practices within framework of respective scope of practice. Must be knowledgeable in billing regulation practices to include documentation requirements/CPT coding regulations. Knowledge of physical, mental, developmental, emotional and social needs of the neonate, infant, toddler, pre-school, school age and adolescent patients Maintains current knowledge and skill level in field through reading appropriate journals, networking, and attendance at conferences or seminars. Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills. Strong interpersonal and communication skills with the ability to work effectively with multiple disciplines. Ability to be self-directed, with minimum supervision, and detail oriented. Licenses and Certifications CPNP-AC - Certified Pediatric Nurse Practitioner - Acute Care Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required and PALS - Pediatric Advanced Life Support within 180 Days Required and DEA License within 30 Days Required and ATLS - Advanced Trauma Life Support (only required if working in Gen Surg) within 1 Year Required and ACLS (only required if working in Cardiology or CT Surgery) within 180 Days Required and Satisfy all relevant criteria and qualifications outlined in the Medical Staff Policy on Allied Health Professional, required to be credentialed. Required and Takes call per division requirements 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!
RN Pediatric Wound Care Full-time
Children's Nebraska

Wound Ostomy and Continence RN Plastic Surgery

Children's Nebraska Omaha, NE
Job Description Schedule: M-F 8 - 430 At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Provides acute and rehabilitative care for patients with wound, ostomy, and continence care needs. Coordinates professional nursing and individualized, family centered care to patients with skin, wound, or ostomy issues to prevent and manage infections, reduce cost and simplify the workload of the bedside nurse using evidence based strategies for care. Essential Functions Conducts individualized wound/ostomy specific patient assessments based on consultations received from hospital staff. Assessment: ▪ Maintains expert knowledge in wound vac dressing changes and management of wound/ostomy care. ▪ Assists staff in recognizing Stage I and Suspected Deep Tissue Injuries ▪ Collects and documents data related to patient’s individualized care. ▪ Demonstrates wound/ostomy specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, and understanding of the range of treatment needed by these patients. ▪ Assesses patient/family need for education and uses an individualized approach in delivery style. ▪ Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient. ▪ Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment. ▪ Assess and interprets patient data upon receipt of consultation. Reassessment: ▪ Performs reassessment based on team standards, CPG’s/ND’s, protocols and changes in patient condition. Communicates changes to appropriate persons (MD, Management, family) as indicated. ▪ Adjusts plan of care and treatment based on reassessment findings. Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs. Oversees that the nursing and interdisciplinary plan of care/goals includes skin, wound and ostomy care. Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to treatments. Demonstrates clinical competence in interventions for skin, wound and ostomy care. Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn. Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures. Develops wound/ostomy educational materials for health care team, patient and family: Develop and revise clinical pathways for wound care. Revise teaching sheets, policies, and CPG’s related to skin integrity, wounds, wound vacs and ostomies. Provide educational materials for patients and staff in regards to common skin, wound and ostomy problems. Provide educational offerings/presentations for staff regarding skin, wound, and ostomy care. Revise the wound and ostomy formularies to assure the organization is providing excellence in wound and ostomy care in the most cost effective manner Provides leadership in the monitoring of prevalence and incidence of pressure ulcers within the organization. Develops, enters data, and compiles reports from skin, wound, ostomy data base. Promotes pediatric research by implementing research findings into practice. Accepts assignments to share/teach knowledge and provide clinical support. Education Qualifications Bachelor's Degree From an accredited college or university in nursing Required Experience Qualifications Minimum 3 years of experience in nursing required, preferably in pediatrics Required Skills And Abilities Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills. Strong interpersonal and communication skills with the ability to work effectively with multiple disciplines. Legible handwriting skills. Ability to be self-directed, with minimum supervision, and detail oriented. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and Current and valid Basic Life Support (BLS) through the American Heart Association Required and PALS - Pediatric Advanced Life Support Required and CWOCN - Certified Wound Ostomy Continence Nurse within 1 Year Required Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! INDNUR About Us At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most.
RN Pediatric Full-time
Children's Nebraska

Staff RN - ECMO Spec / FT,

Children's Nebraska Omaha, NE
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!
RN Pediatric Full-time
Children's Nebraska

Staff RN - Experienced Float - Part Time/Nights

Children's Nebraska Omaha, NE
Job Description Schedule: 7p-7a, 2 shifts a week including holiday and weekend rotation - 24hrs At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Coordinates professional nursing and individualized, family centered care to NICU/PICU/Med-Surg pediatric patients/families, through the use of the nursing process and clinical skills in accordance with standards and hospital policies and procedures. Varied schedules to include weekend and holiday patterns. Essential Functions Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards, appropriate collaborative problems (CPG’s)/nursing diagnoses (ND’s), or protocols. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Admission Assessment: Collects and documents data related to patient’s individualized care. Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients. Assesses patient/family need for education and uses an individualized approach in delivery style. Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient. Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission. Assess and interprets patient data upon arrival at the referring hospital. Shift Assessment/Reassessment: Performs reassessment based on unit standards, CPG’s/ND’s, protocols and changes in patient condition. Communicates changes to appropriate persons (MD, CNC, family) as indicated. Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs. (Plan of Care includes current and anticipated actions focused on care, education, discharge needs.) Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare team. Utilizes individualized assessment data to develop the patient/family’s plan of care. Formulates goals and outcomes based on assessment data. Revises plan of care based on patient’s condition, interdisciplinary input, and family needs. Demonstrates ability to prioritize patient interventions based on assessments/reassessments. Uses available child care partners to support patient care needs as appropriate. Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs. Oversees that the nursing and interdisciplinary plan of care/goals are coordinated, implemented, evaluated, and revised as needed. Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (CNC, CNS/Educator, PCM, MD, etc) to ensure that clinical outcomes are achieved. Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments. Demonstrates clinical competence in administering interventions according to identified standards and age specific needs. Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn. Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures. Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility). Documentation is completed within established timeframes including, but not limited to: Admission Assessment form, daily Patient Flowsheet, Peripheral IV Flowsheet, Family Education Record, and Interdisciplinary Goals. Reviews and updates computerized care plan to accurately reflect the plan of care. Completes computerized documentation within established timeframes, including, but not limited to: Medication Administration Record, Allergies, Patient Information, etc. Completes and verifies accurate order entry in the computerized care plan. Ensures that discharge instructions clearly state patient care needs after discharge. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Equally committed to patient care units (NICU, PICU, Med-Surg, CCU), utilizing clinical skill sets and appropriate resources, delegating when appropriate. Professionally supports the assigned unit, as seen through interactions with patients, families, area staff, colleagues and others. Accepts assignment to mentor student nurse observation experience in unit. Accepts assignments to share/teach knowledge and provide clinical support as a relief preceptor for new staff. Professionally seeks opportunities to help teammates during shift as needed. Accepts and completes other assigned tasks in a professional manner. If designated compensated preceptor, add competencies Addendum B. Education Qualifications Associate's Degree from an accredited school of nursing required Required or Bachelor's Degree from an accredited school of nursing required Required Experience Qualifications Minimum 1 year of RN experience Required and Experience with pediatric patients Preferred and Minimum of 1 year experience working in a float pool Preferred and Previous experience with EPIC Preferred Skills And Abilities Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and Health Services\BCLS - Basic Life Support through the American Heart Association Required and PALS - Pediatric Advanced Life Support within 180 Days Required and NRP - Neonatal Resuscitation Preferred and Current and valid certification in nursing specialty Preferred Children’s is an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic. About The Team Are you passionate about providing care to diverse patient populations and utilizing a range of skills? Join our dynamic team! As a member, you'll have the opportunity to work across all our inpatient areas, including general medical-surgical care, our Pediatric Intensive Care Unit, Cardiac Care, and our Level IV Neonatal Intensive Care Unit. Our team is known for its expertise and collaborative approach to patient care across all areas. If you thrive in a supportive and knowledgeable environment, this is the team for you.
RN Outpatient Pediatric Full-time
Children's Nebraska

Cardiology Clinic Nurse

Children's Nebraska Omaha, NE
Job Description Schedule: Monday - Friday 8-4:30 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 and adult congenital heart patients through the use of nursing process and in accordance with hospital policy/procedure. Demonstrates competency in identified skills for area. Expands knowledge of pediatric practice in clinic specific area and contributes to the professional development of peers, colleagues and others. Essential Functions Implements a comprehensive plan of care for the cardiology patient/family: Teaches the patient/family about all aspects of congenital heart disease such as anatomy/physiology, medications, blood work, activities, and follow -up. Communicates the medical plan and related nursing care implementations to PCP and other medical resources involved in patient's care. Monitors outpatient lab work and reports findings to cardiologist as needed. Authorizes prescription refills under provider supervision. Provides outpatient cardiology clinic nursing coverage Reviews patient chart to assure outpatient testing is correct and appropriate. Staffs outreach clinics with cardiologists as assigned, traveling required. Acts as liaison between pediatric cardiology, patients and their families and other health care team members: Communicates the cardiologist plan of care to the patient/family. Schedules diagnostic tests and procedures when necessary, including prior authorizations. Coordinates necessary lab work, follow-up testing, and communicates any medical changes to the patient/family. Refers patient needs/concerns to the cardiologist for medical follow-up. Acts as patient advocate to address the patient’s needs and concerns. Serves as the resource for answering patient/family questions or concerns regarding medical plan of care. Works with referring physicians in coordinating and implementing patient care issues and scheduling of cardiology procedures. Attends weekly cardiac catheterization conferences in person or via zoom, attends cardiac educational offerings when appropriate Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Develops talks, in-services, pamphlets and other educational information as requested. Education Qualifications Bachelor's Degree from an accredited college or university in nursing Preferred Experience Qualifications Minimum 2 years experience in nursing with pediatric patients Preferred and Experience in a cardiac environment Preferred Skills And Abilities Strong leadership and organizational skills. Prefer knowledge of insurance authorization. Other certifications/education as defined by area specific job competencies. Licenses and Certifications Health Services\RN - Registered Nurse - State Licensure and/or Compact State Licensure Current and valid Nebraska RN license/RN Compact license Required Health Services\BCLS - Basic Life Support through the American Heart Association Required Occasional driving may be required for the position Required Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! INDNUR
RN Outpatient Pediatric Full-time
Children's Nebraska

Clinic Registered Nurse (RN) - Genetics/Metabolic

Children's Nebraska Omaha, NE
Job Description Schedule: Monday-Friday-varied days/hours between 8:00 am-4:30 pm (average 32 hours per week) *full time benefits eligible 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
RN Pediatric Full-time
Children's Nebraska

Staff RN - Dialysis

Children's Nebraska Omaha, NE
Job Description Schedule: Full time,12 Hour Shifts, Days with rotating weekend, holiday and call requirement 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 As part of our professional team of clinicians, you will ensure the compassionate, professional delivery of all dialysis-related nursing services in both outpatient and inpatient settings. As a nurse at Children's you will constantly be working in a fast-paced, constantly evolving environment with new challenges to trouble-shoot and overcome. Make the most of your nursing skills to provide the highest level of care to our patients and ensure their safety, comfort, and wellbeing. Responsibilities include coordination of 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 in relation to dialysis care. Varied 12 hour shifts to include weekend and holiday patterns, includes night time call schedule. 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 as it pertains to dialysis care. (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 as it pertains to dialysis care. Communicates changes to appropriate persons (MD, CNC, family) as indicated Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs in relation to dialysis care. (Plan of Care includes current and anticipated actions focused on care, education, discharge needs.) Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare team. Utilizes individualized assessment data to develop the patient/family’s plan of care. Formulates goals and outcomes based on assessment data. Revises plan of care based on patient’s condition, interdisciplinary input, and family needs. Demonstrates ability to prioritize patient interventions based on assessments/reassessments. Uses available child care partners to support patient care needs as appropriate. Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs in relation to dialysis care. Oversees that the nursing and interdisciplinary plan of care/goals are coordinated, implemented, evaluated, and revised as needed. Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (CNC, CNS/Educator, PCM, MD, etc) to ensure that clinical outcomes are achieved. Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments. Demonstrates clinical competence in administering interventions according to identified standards and age specific needs. Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures during dialysis treatments. Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility). Documentation is completed within established timeframes including, but not limited to: Admission Assessment form, daily Patient Flowsheet, Peripheral IV Flowsheet, Family Education Record, and Interdisciplinary Goals. Reviews and updates computerized care plan to accurately reflect the plan of care. Completes computerized documentation within established timeframes, including, but not limited to: Medication Administration Record, Allergies, Patient Information, etc. Completes and verifies accurate order entry in the computerized care plan. Ensures that discharge instructions clearly state patient care needs after discharge. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section 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. Accepts and completes other assigned tasks in a professional manner. If designated relief CNC, add competencies Addendum A. If designated compensated preceptor, add competencies Addendum B 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 Must possess a current valid Nebraska RN license Required and BCLS - Basic Life Support 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! INDNUR
RN Pediatric Full-time
Children's Nebraska

Staff RN - ECMO Spec / FT, nights

Children's Nebraska Omaha, NE
Job Description Schedule: FT, 7:00 pm- 7:30 am, rotating weekends/holidays At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Coordinates professional nursing and individualized, family centered care to pediatric patients/families through the use of the nursing process and clinical skills in accordance with standards and hospital policies and procedures. As an ECMO Specialist who has completed specialized training in the operation, maintenance and application of circulatory technology (perform neonatal, pediatric and adult ECMO at Children's) requiring extracorporeal membrane support. Demonstrates expanded knowledge base through participation in ECMO program projects and activities. Flexible schedule to cover the needs of the ECMO patient during an ECMO run. Varied schedules to include weekend and holiday patterns, 7am-7pm or 7pm-7am. Essential Functions Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards, appropriate collaborative problems (CPG's)/nursing diagnoses(ND's), or protocols. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Admission Assessment: Collects and documents data related to patient’s individualized care. Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients. Assesses patient/family need for education and uses an individualized approach in delivery style. Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient. Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission. Shift Assessment/Reassessment: Performs reassessment based on unit standards, CPG's/ND's, protocols and changes in patient condition. Communicates changes to appropriate persons (MD, CNC, family) as indicated Manages the ongoing process of healthcare delivery to ECMO patients and families: Assessment and Planning: Participates in the evaluation of patients as potential ECMO candidates. Works in collaboration with Perfusion to manage ECMO cannulation, decannulation and stabilization procedures. Prepares and operates clinical equipment and circuitry per ECMO procedures/policies. Accurately assess and review with physician and ECMO team, pathophysiological changes within the patient and ECMO circuit. Differentiates patient versus circuit problems and intervenes appropriately. Based on clinical assessments, contributes to the development of individualized age and developmental appropriate plan of care with patient and family. Participates in ECMO case review and assists team members in defining learning outcomes. Participates in the collection/review of quality improvement initiatives and data for the ECMO program and ELSO data. Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs. (Plan of Care includes current and anticipated actions focused on care, education, discharge needs.) Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare team. Utilizes individualized assessment data to develop the patient/family’s plan of care. Formulates goals and outcomes based on assessment data. Revises plan of care based on patient’s condition, interdisciplinary input, and family needs. Demonstrates ability to prioritize patient interventions based on assessments/reassessments. Uses available child care partners to support patient care needs as appropriate. (A) Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs. Oversees that the nursing and interdisciplinary plan of care/goals are coordinated, implemented, evaluated, and revised as needed. Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (CNC, CNS/Educator, PCM, MD, etc) to ensure that clinical outcomes are achieved. Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments. Demonstrates clinical competence in administering interventions according to identified standards and age specific needs. Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn (B) Implements Plan of Care to ECMO patients and families: Works in collaboration with ECMO Team to assess clinical status and related lab results (ACT levels, blood gases and metabolic status). Notifies ECMO physician of clinical status/lab values, performing appropriate interventions and implementing physician orders within established guidelines/ECMO policy and procedures. Manages ECMO flow in relationship to established clinical parameters. Reviews daily parameters with the ECMO Team. Demonstrate proper blood sampling techniques from the ECMO circuit. Perform, manage and troubleshoot activated clotting times (ACT) as per ECMO protocol including management and administration of heparin drip per ECMO protocol. Administers all blood products/medications appropriately when ordered to be given through the ECMO circuit. Maintains and effectively assesses ECMO circuit function. Performs all circulatory technical skill with efficiency, accuracy and safety while anticipating, troubleshooting, intervening and managing crises/emergency situations according to policy and procedure maintaining professional composure. Role models proficiency in documenting appropriately by assimilating information related to interventions, plan of care and anticipated outcomes accurately into all ECMO records and teaching documents. Participates in patient management discussions to include: communicating anticipated patient needs/plan of care, suggesting clinical management options and providing feedback for interventions that improve patient outcomes. Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures. Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility). Documentation is completed within established timeframes including, but not limited to: Admission Assessment form, daily Patient Flowsheet, Peripheral IV Flowsheet, Family Education Record, and Interdisciplinary Goals. Reviews and updates computerized care plan to accurately reflect the plan of care. Completes computerized documentation within established timeframes, including, but not limited to: Medication Administration Record, Allergies, Patient Information, etc. Completes and verifies accurate order entry in the computerized care plan. Ensures that discharge instructions clearly state patient care needs after discharge. Based on departmental/organizational need may be required to participate in Transplant program functions Accepts assignments to float to other units utilizing clinical skill sets and appropriate resources, delegating when appropriate. Professionally supports the assigned unit, as seen through interactions with patients, families, area staff, colleagues and others. Accepts assignment to mentor student nurse observation experience in unit. Accepts assignments to share/teach knowledge and provide clinical support as a relief preceptor for new staff. Professionally seeks opportunities to help teammates during shift as needed. Education Qualifications Graduate of an accredited school of nursing. Required Experience Qualifications Experience with pediatric patients Preferred and Previous experience with EPIC Preferred and Previous ECMO experience Preferred and Minimum of two years recent (in the past year) Level III NICU or PICU experience required or with equivalent critical care experience or minimum of two years’ experience in critical care Required Skills And Abilities Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills. Excellent communication, assessment and patient care skills, as well as flexibility and ability to function in a high stress environment. Flexibility to work full time day/night shifts with possible over time during ECMO run. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and Specialty pediatric certification Preferred and Current and valid Basic Life Support (BLS) through the American Heart Association Required and PALS - Pediatric Advanced Life Support within 180 Days Required Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child!
RN Pediatric Full-time
Children's Nebraska

Nurse Navigator - Dialysis

Children's Nebraska Omaha, NE
Job Description Schedule: M-F 8 AM-5 PM NO HOLIDAYS NO 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 Maintains a central role in coordination, communication, education, and care management for timely, efficient, and cost-effective care across multiple healthcare settings (providers, departmental leaders, etc.). Acts as the point of contact for patients and families, guiding them through the health care system to promote a positive patient and family experience. Leads program development through process improvement to ensure the delivery of high quality, evidence-based patient care practice in workflow design, protocol and pathway development, and educational material related to disease process. Essential Functions Patient Care and Coordination Actively engages with the patient/family and medical team utilizing evidence-based practice to assess needs as it relates to diagnoses, care coordination, follow up, and to establish expectations of care delivery with family Reassesses needs and provides appropriate interventions. Monitors and evaluates patient status Maintains up to date information regarding the patient-specific plan of care and status Leads and participates in multidisciplinary conferences ensuring communication amongst all team members and families to access appropriate healthcare resources Communication between inpatient, outpatient and home setting including internal and external healthcare providers, personnel, and/or community agencies to coordinate services and assist with continuity of care Completes follow up on patients/families post medical care and as needed to decrease re-admissions, ED utilization, and adherence to medical care Understands, communicates, and collaborates with team members regarding reimbursement strategies as necessary to coordinate care relating to regulatory requirements and benefits management (Utilization management, authorizations team etc) Identifies and implements plans for high-risk patients who are not meeting goals or are high risk for not meeting goals. Acts as clinic RN for patient population Education Leads in area of expertise, patient support groups, community resources, programs, events, and activities for families to participate in and receive additional support from in the community. Works in conjunction with the care team to provide education to patients and families to meet goals of care Acts as the family liaison to ensure understanding of plan of care and to provide support in the decision-making process by empowering parents to learn and care for their child at home Responsible for developing and maintaining patient-family education resources related to the patient population Serves as a resource for the clinical care team. Program Development, Accreditation and Leadership Serves as the subject matter expert for the patient population Identifies and implements best practices, innovations, research, relevant trends, and performance improvement opportunities. Must complete one performance improvement project annually Participates in development, translation, and implementation of patient population specific activities to achieve optimum service delivery/systems/care processes Responsible for evidence-based care and participating in creating new policies, protocols, and educational resources Monitors and meets patient population specific metrics (registry, dashboard, and KPIs) Reports metrics quarterly to division leadership and establishes goals to meet and improve outcomes Ensures program meets or exceeds requirements that are defined by accreditation, US News and World Report, and/or other relevant metrics (i.e. DHHS, TJC, CMS, etc.). Responsible for leading accreditation process and meeting requirements Executes educational opportunities via newsletter article, annual conference, CME/CNE opportunities Participates in community outreach or marketing projects to develop a strong relationship with community and referring physicians Collaborates with leadership and key stakeholders to develop, implement, and evaluate clinical services with an emphasis on coordination across the continuum of care and a goal of aligning healthcare services around the needs of the patient population Performs other duties as assigned including covering additional clinic needs as identified by department leadership Perform physical requirements as described in the Physical Requirements section Education Qualifications Bachelor's Degree from an accredited college or university in Nursing Required Experience Qualifications Minimum 5 years in nursing, preferably in pediatric setting Required Skills And Abilities Demonstrated written and verbal communication skills. Ability to apply the nursing process to acute patient care to achieve outcomes. Current knowledge of the healthcare environment, including community resources and financial systems. Working knowledge of basic computer programs such as word, excel. Knowledge of smart phone use. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the State of Nebraska Required and Health Services\BCLS - Basic Life Support through the American Heart Association 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
RN Outpatient Pediatric Full-time
Children's Nebraska

Clinic Registered Nurse (RN) - Urology

Children's Nebraska Omaha, NE
Job Description Schedule: Monday-Friday 8AM-4:30PM, NO WEEKENDS, NO HOLIDAYS At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview 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
RN Outpatient Pediatric Full-time
Children's Nebraska

Clinic Registered Nurse (RN) - Nephrology

Children's Nebraska Omaha, NE
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
RN Pediatric Full-time
Children's Nebraska

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

Children's Nebraska Omaha, NE
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!
RN Pediatric PICU Full-time
Children's Nebraska

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

Children's Nebraska Omaha, NE
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.