Children's Physicians - Kearney - Staff RN

Neonate Transport Staff RN - Overnights

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

apartment Children's Nebraska location_onCouncil Bluffs, IA

Staff RN - CP - Council Bluffs

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.

New Grad

Staff RN - Operating Room - Train as a Scrub Nurse - New Grad or Experienced

Job Description Schedule: Full-time, 6:30AM start. Final shift (8, 10, or 12 hr; DAY/NIGHT or DAY/WKND) determined post-orientation. Call required. 2 holidays/year This individual will train as a scrub nurse with opportunities to circulate and scrub. 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! INDNUR

Psych

RN Behavioral Health / BH Crisis Assessment

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

Psych

RN Behavioral Health / BH Inpatient