RN Pediatric Psych Full-time
Children's Nebraska

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.
RN Pediatric Psych Full-time
Children's Nebraska

RN Behavioral Health / BH Inpatient

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

Nurse Practitioner BH / Behavioral Health

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.
Children's Nebraska

Nurse Practitioner Med-Surg Mix / Nephrology - Dialysis

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!
Children's Nebraska

Wound Ostomy and Continence RN Plastic Surgery

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

Certified Nursing Assistant (CNA) - Med/Surg 5 - FT Nights

Job Description NIGHTS; 1900-0730; 36 hours per week; rotating weekend and holiday 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 Provides direct care for the comfort, safety and personal needs of pediatric patients under the direction and supervision of the RN, and provides for indirect unit support needs related to supplies and equipment. Varied schedules to include weekend and holiday patterns. Essential Functions Provides individualized* age-specific patient/family care, performing and/or assisting with area tests and patient care procedures as delegated by the RN, and under the supervision of the Charge Nurse. These tasks to include: performing phlebotomy blood draws and the fitting and placing of orthopedic devices. Adhering to hospital policies and procedures, provides individual patient cares according to the plan of care, delegated tasks and physician orders. (*Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual and education/family influences and physician/ medical care needs.) Demonstrates knowledge of appropriate care for infant, toddler, preschool, school age and adolescent patients. Utilizes patient/family input in delivering individualized patient care. Completes delegated tasks in an appropriate time frame, based on patient needs such as vital signs, intake/output, height/weight/head circumference measurements, ADL’s, preparing for patient arrival/discharge, transports, tests and assists RN/MD with procedures. Participates with the multidisciplinary team in providing feedback/input into the patient/family care needs. Sets and revises priorities based on patient care urgency, patient/family/staff requests, other department demands/schedules, utilizing available resources as necessary. Documentation reflects patient care provided. Documentation is completed within the established time frames. Documentation is accurately completed in appropriate EPIC flowsheets. Maintains environment of care for patient/family and unit. Ensures patient room environment provides for the comfort, cleanliness, safety of the patient/family, at the beginning and end of shift, and throughout the shift as needed. Prepares room environment for next admission and throughout patient stay with supplies/linens, including bedside/unit supply carts. Performs cleaning tasks in patient rooms to include countertops, beds, phone, etc., as appropriate/needed throughout the shift. Ensures that patients are provided with age-appropriate toys, games, infant equipment, and assists with routine cleaning of these items, as needed. Ensures upon transfer or discharge, extra patient supplies are removed and/or credited, and the hospital equipment is returned to it’s proper place. Oversees equipment and supplies availability in patient rooms and on the unit by ensuring equipment and supplies are properly stored, taking initiative to clean equipment and follow up on equipment maintenance needs. Communicates equipment needs to Charge Nurse/Supervisor/Clinical Manager. Maintains unit environment, i.e. keeping hallways clear of equipment/ obstructions, maintaining patient medical records by placing patient reports in charts, keeping work areas clear of clutter. Communicates unit environment needs to Charge Nurse/Supervisor/Clinical Manager. Performs clerical and receptionist duties as needed. Utilizes professional etiquette in answering, screening and directing phone calls. Takes initiative to greet, assist and guide patients and visitors in a pleasant and professional manner. Orders area supplies, including forms, as directed, to ensure adequate inventory by anticipating area usage and needs. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Accepts assignments to share/teach knowledge, and provide support as a preceptor for new certified nursing assistant staff. Willingly seeks opportunities to help teammates during shift, as needed. Accepts and completes other assigned tasks in a professional manner. Education Qualifications High School Diploma or GED equivalent Required Experience Qualifications Experience as a nursing assistant with pediatric patients Preferred Skills And Abilities Knowledge and experience in basic computer skills preferred. 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 prioritization skills. Must have effective verbal, written communication skills and interpersonal skills. Licenses and Certifications BLS - Basic Life Support through American Heart Association Required and Current and valid Nurse Aide registry in the State of NE or IA depending on state of residence. Required or If incumbent holds an LPN or RN License, this will satisfy the requirement for the Nurse Aide registry 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

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.
CMA Pediatric Full-time
Children's Nebraska

Medical Assistant / General Surgery

Job Description 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 Responsible for assisting the physician in caring for the patient and family in accordance with organization protocols, policies and procedures. Essential Functions Assists in the assessment of the health status of individuals including the delivery of patient care to patients and families under the direction of RN or LPN. Performs treatments, procedures, diagnostic testing and medication/immunization administration in a compassionate manner under the direction of a licensed practitioner. Collects data regarding patient’s vital signs and growth and development when interviewing patients/families in the office. Coordinates the scheduling of diagnostic tests and procedures with the patient/family, physicians/hospitals and the insurance companies as directed by the provider. Assists the physician or nurse practitioner in patient teaching as directed or according to clinic protocol. Demonstrates knowledge and delivers suitable care tailored to the corresponding stage of the life cycle. Completes all required patient care documentation and reporting in accurate and timely manner within the electronic medical record. Responds appropriately in crisis situations or life threatening emergencies. Takes direction from the physician or nurse practitioner in the delivery on patient care. Assists with clerical duties as directed by the office manager. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Education Qualifications Completion of a Medical Assistant Program or current and valid national certification as a Medical Assistant (NCMA) Required Skills And Abilities Excellent oral and written communication skills Licenses and Certifications Current and valid Medication Aide Registration with the Nebraska State Medication Aide Registry if working in Nebraska Upon Hire Required and BLS - Basic Life Support through the American Heart Association Required and Certified Medical Assistant (CMA)-AAMA Preferred Travel to other CP or Specialty Clinics (or other Ambulatory clinics) as needed 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 Nebraska

Cardiology Clinic Nurse

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
Children's Nebraska

Certified Nursing Assistant (CNA) - Med/Surg 5 - PT Days

Job Description PT Days - 7:00am to 7:30pm with weekend and holiday rotation At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Provides direct care for the comfort, safety and personal needs of pediatric patients under the direction and supervision of the RN, and provides for indirect unit support needs related to supplies and equipment. Varied schedules to include weekend and holiday patterns. Essential Functions Provides individualized* age-specific patient/family care, performing and/or assisting with area tests and patient care procedures as delegated by the RN, and under the supervision of the Charge Nurse. These tasks to include: performing phlebotomy blood draws and the fitting and placing of orthopedic devices. Adhering to hospital policies and procedures, provides individual patient cares according to the plan of care, delegated tasks and physician orders. (*Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual and education/family influences and physician/ medical care needs.) Demonstrates knowledge of appropriate care for infant, toddler, preschool, school age and adolescent patients. Utilizes patient/family input in delivering individualized patient care. Completes delegated tasks in an appropriate time frame, based on patient needs such as vital signs, intake/output, height/weight/head circumference measurements, ADL’s, preparing for patient arrival/discharge, transports, tests and assists RN/MD with procedures. Participates with the multidisciplinary team in providing feedback/input into the patient/family care needs. Sets and revises priorities based on patient care urgency, patient/family/staff requests, other department demands/schedules, utilizing available resources as necessary. Documentation reflects patient care provided. Documentation is completed within the established time frames. Documentation is accurately completed in appropriate EPIC flowsheets. Maintains environment of care for patient/family and unit. Ensures patient room environment provides for the comfort, cleanliness, safety of the patient/family, at the beginning and end of shift, and throughout the shift as needed. Prepares room environment for next admission and throughout patient stay with supplies/linens, including bedside/unit supply carts. Performs cleaning tasks in patient rooms to include countertops, beds, phone, etc., as appropriate/needed throughout the shift. Ensures that patients are provided with age-appropriate toys, games, infant equipment, and assists with routine cleaning of these items, as needed. Ensures upon transfer or discharge, extra patient supplies are removed and/or credited, and the hospital equipment is returned to it’s proper place. Oversees equipment and supplies availability in patient rooms and on the unit by ensuring equipment and supplies are properly stored, taking initiative to clean equipment and follow up on equipment maintenance needs. Communicates equipment needs to Charge Nurse/Supervisor/Clinical Manager. Maintains unit environment, i.e. keeping hallways clear of equipment/ obstructions, maintaining patient medical records by placing patient reports in charts, keeping work areas clear of clutter. Communicates unit environment needs to Charge Nurse/Supervisor/Clinical Manager. Performs clerical and receptionist duties as needed. Utilizes professional etiquette in answering, screening and directing phone calls. Takes initiative to greet, assist and guide patients and visitors in a pleasant and professional manner. Orders area supplies, including forms, as directed, to ensure adequate inventory by anticipating area usage and needs. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Accepts assignments to share/teach knowledge, and provide support as a preceptor for new certified nursing assistant staff. Willingly seeks opportunities to help teammates during shift, as needed. Accepts and completes other assigned tasks in a professional manner. Education Qualifications High School Diploma or GED equivalent Required Experience Qualifications Experience as a nursing assistant with pediatric patients Preferred Skills And Abilities Knowledge and experience in basic computer skills preferred. 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 prioritization skills. Must have effective verbal, written communication skills and interpersonal skills. Licenses and Certifications BLS - Basic Life Support through American Heart Association Required and Current and valid Nurse Aide registry in the State of NE or IA depending on state of residence. Required or If incumbent holds an LPN or RN License, this will satisfy the requirement for the Nurse Aide registry 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 Nebraska

Clinic Registered Nurse (RN) - Genetics/Metabolic

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
Children's Nebraska

Clinic Registered Nurse (RN) - Chronic Pain Clinic

Job Description Schedule: Tuesday, Wednesday, and Thursday (average 20 hours per week) Location: Primary at West Omaha (204th and Harrison) location. 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 Psych Full-time
Children's Nebraska

RN Behavioral Health-Partial / BH Partial Hospitalization

Job Description Schedule: Monday-Friday 8am-4:30pm - 40hrs At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Functions as a member of the interdisciplinary team. Primary responsibility to care for patients with behavioral health needs in the Partial Care Department. 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.) Initial Assessment: Collects and documents data related to patient’s individualized care. Demonstrates age-specific competency in assessment of patients in the partial care unit 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 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 BLS - Basic Life Support through the American Heart Association Upon Hire Required Certification as a Psychiatric Mental Health Nurse (PMH-BC) after 2 years and/or 2000 mental health care hours Preferred 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 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.
Children's Nebraska

Clinic RN Endocrinology

Job Description Schedule: Mon, Tu, Thus, Friday, 10 hr shifts with rotating weekend call 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 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 This role will require weekend call from 8am- 4:30pm for inpatient diabetes education. The frequency of On Call assignments are based on Endo Clinic RN FTE. Education Qualifications Associate's Degree from an accredited school of nursing Required or Bachelor's Degree from an accredited school of nursing Required and Experience Qualifications Incumbents with less than 1 year of RN experience must commit to work full time in a Nurse Residency Program. Required and Minimum 1 year of RN experience 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 Current valid Nebraska Required and Health Services\BCLS - Basic Life Support through the American Heart Association Required and Other certifications/education as defined by area specific job competencies Required Children’s is an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic. INDNUR
RN Pediatric Full-time
Children's Nebraska

Staff RN - Dialysis

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 Part-time
Children's Nebraska

Children's Physicians - RN - Eagle Run - Part Time

Job Description Three days 8:30am-5pm; Rotating Saturdays 8:30am-12pm 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!
RN Pediatric Full-time
Children's Nebraska

Staff RN - ECMO Spec / FT, nights

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

Clinic Support Assistant/CNA - Cardiology - Lincoln Clinic

Job Description 0800-1630 Located at Lincoln Clinic 50% CNA, 50% CSA 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 Performs a variety of duties in support of assigned department including coordinating clinic schedules, accurately taking and entering of messages into EPIC. Responsible to ensure requests for records are completed, receives and mails correspondence. Schedules appointments accurately through obtaining appropriate demographics and soliciting information necessary to schedule appropriately. Ensures a positive interaction in each patient and family encounter. Essential Functions Act as a focus of communication and resource person for callers/guests/staff requiring information or direction. Maintains the daily provider appointment templates at the direction and approval of the Administrative Supervisor. Answers phone calls in an acceptable amount of time, accurately entering staff message into EPIC. Pulls and processes all fax transmittals as directed and provides outreach fax support as needed. Schedule appointments accurately, registering patients with complete and accurate demographic information according to procedure. Makes appointments from calls. Reschedules and cancels appointments and communicating as needed with patients/families and departments/clinics. Schedules interpretation services as needed for appointments. Demonstrates positive customer service when greeting patients, care providers and others. Providers patient/family service instructions prior to appointment as directed by service department. Providers appointment, directions and parking instructions as needed. Ensures physician orders are linked to appropriate appointment within system. Assist with clinic reminder calls. Ensures recalls are inputted for future patient appointments. Tracks and communicates scheduling concerns to the appropriate individuals. Completes appointment re-scheduling requests according to policy. Requests and distributes patient medical records. Responsible for all outreach reservations including flight, car rentals and hotel. Ensure crash cart checklist is completed daily. Responsible for inputting fetal conference data. Assist nurses with Synagis orders and issues. Assists with IT and clinic equipment issues. Asist nurses with pre-clinic preparation work. Responsible for nurse meeting minutes and reservations. Completes miscellaneous reports and letters as needed. Supports patient care quality initiatives as directed. Set up Webex meetings for cardiology and other departments within the organization. Works with Administrative staff with communicating schedule changes to third party answering service. Assist nurses with pacer check scheduling. Completes outreach expense report submissions in Oracle. Assists in the orientation and training of new employees as requested. Coordinates and manages office supply needs. Provides teleheatlh technical support to families in collaboration with department RNs. Completes visit coordination as requested from clinical team; communicating lab/imaging directions to families (arrival time, way finding, visit preparation). Regular attendance at work is an essential function of the job Perform physical requirements as described in the Physical Requirements section Education Qualifications High School Diploma or GED equivalent Required Experience Qualifications Minimum 1 year of secretarial experience Required Skills And Abilities Skill in typing and usage of Microsoft Word, Excel and PowerPoint. Ability to pay close attention to detail. Ability to work with minimal supervision. Licenses and Certifications BCLS - Basic Life Support (only required if working in the OR department) Required CNA - Certified Nursing Assistant 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 Part-time
Children's Nebraska

Staff RN - Float - Inpatient Nursing Float - Part Time/Nights

Job Description Schedule: 2 - 10hr shifts with weekend and holiday rotation - 20hrs 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 NICU/PICU/CCU/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), 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 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 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 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 Pediatric Full-time
Children's Nebraska

Nurse Navigator - Dialysis

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 Pediatric Full-time
Children's Nebraska

Nurse Navigator - Nephrology

Job Description Schedule: Monday-Friday 8AM-430PM ( 4 eight hour shifts a week)- No Holidays or Weekends 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 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 an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic. INDNUR
Children's Nebraska

Clinic Registered Nurse (RN) - Urology

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
Children's Nebraska

Clinic Registered Nurse (RN) - Nephrology

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

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

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

Staff RN - Float - Inpatient - Full time/Nights - New Grad

Job Description Schedule: 7p-7:30am with weekend and holiday rotation - 36hrs Hiring Bonus: Nurse Resident - $10,000 At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Coordinates professional nursing and individualized, family centered care to NICU/PICU/Med-Surg pediatric patients/families, through the use of the nursing process and clinical skills in accordance with standards and hospital policies and procedures. Varied schedules to include weekend and holiday patterns. Essential Functions Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards, appropriate collaborative problems (CPG’s)/nursing diagnoses (ND’s), or protocols. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.) Admission Assessment: Collects and documents data related to patient’s individualized care. Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients. Assesses patient/family need for education and uses an individualized approach in delivery style. Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient. Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission. Assess and interprets patient data upon arrival at the referring hospital. Shift Assessment/Reassessment: Performs reassessment based on unit standards, CPG’s/ND’s, protocols and changes in patient condition. Communicates changes to appropriate persons (MD, CNC, family) as indicated. Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs. (Plan of Care includes current and anticipated actions focused on care, education, discharge needs.) Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare team. Utilizes individualized assessment data to develop the patient/family’s plan of care. Formulates goals and outcomes based on assessment data. * Revises plan of care based on patient’s condition, interdisciplinary input, and family needs. Demonstrates ability to prioritize patient interventions based on assessments/reassessments. Uses available child care partners to support patient care needs as appropriate. Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs. Oversees that the nursing and interdisciplinary plan of care/goals are coordinated, implemented, evaluated, and revised as needed. Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (CNC, CNS/Educator, PCM, MD, etc) to ensure that clinical outcomes are achieved. Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments. Demonstrates clinical competence in administering interventions according to identified standards and age specific needs. Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn. Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures. Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility). Documentation is completed within established timeframes including, but not limited to: Admission Assessment form, daily Patient Flowsheet, Peripheral IV Flowsheet, Family Education Record, and Interdisciplinary Goals. Reviews and updates computerized care plan to accurately reflect the plan of care. Completes computerized documentation within established timeframes, including, but not limited to: Medication Administration Record, Allergies, Patient Information, etc. Completes and verifies accurate order entry in the computerized care plan. Ensures that discharge instructions clearly state patient care needs after discharge. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Equally committed to patient care units (NICU, PICU, Med-Surg, CCU), utilizing clinical skill sets and appropriate resources, delegating when appropriate. Professionally supports the assigned unit, as seen through interactions with patients, families, area staff, colleagues and others. Accepts assignment to mentor student nurse observation experience in unit. Accepts assignments to share/teach knowledge and provide clinical support as a relief preceptor for new staff. Professionally seeks opportunities to help teammates during shift as needed. Accepts and completes other assigned tasks in a professional manner. If designated compensated preceptor, add competencies Addendum B. Education Qualifications Associate's Degree from an accredited school of nursing required Required or Bachelor's Degree from an accredited school of nursing required Required Experience Qualifications Minimum 1 year of RN experience Required and Experience with pediatric patients Preferred and Minimum of 1 year experience working in a float pool Preferred and Previous experience with EPIC Preferred Skills And Abilities Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and Health Services\BCLS - Basic Life Support through the American Heart Association Required and PALS - Pediatric Advanced Life Support within 180 Days Required and NRP - Neonatal Resuscitation Preferred and Current and valid certification in nursing specialty Preferred Children’s is an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic. INDNUR About The Team Are you passionate about providing care to diverse patient populations and utilizing a range of skills? Join our dynamic team! As a member, you'll have the opportunity to work across all our inpatient areas, including general medical-surgical care, our Pediatric Intensive Care Unit, Cardiac Care, and our Level IV Neonatal Intensive Care Unit. Our team is known for its expertise and collaborative approach to patient care across all areas. If you thrive in a supportive and knowledgeable environment, this is the team for you.