Why become a registered nurse in Children's NICU? Because we are the region's only Level 4 NICU, and we just keep growing!
As the first dedicated neuro NICU in our area, there's no better place for registered nurses who want to care for babies that need the most help. At Children's, our RNs work closely with physicians, enjoying both their trust and collaboration with experts. The new Hubbard Center for Children will expand our NICU to 52 beds; join us in shaping this new state-of-the-art facility.
We offer a Transition to Pediatric Nursing: Adult to Pediatric Nursing program for RNs who have worked a minimum of one year with adults. The program is designed to teach you everything you need to know about pediatric nursing and culminates in eligibility for national certification as a pediatric RN.
% of Time
1. 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 patients developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.)
Collects and documents data related to patients 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.
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
2. Develops individualized patient/family plan of care using CPG/NDs, 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/familys plan of care.
Formulates goals and outcomes based on assessment data.
Revises plan of care based on patients 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.
3. 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/familys readiness to learn
4. Documentation reflects accurate assessment/evaluation, modification, and patients response to therapy, changes in condition, and therapeutic interventions/procedures.
Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility).
Documentation is completed within established timeframes including, but not limited to: Admission Assessment form, daily Patient Flowsheet, Peripheral IV Flowsheet, Family Education Record, and Interdisciplinary Goals.
Reviews and updates computerized careplan to accurately reflect the plan of care.
Completes computerized documentation within established timeframes, including, but not limited to: Medication Administration Record, Allergies, Patient Information, etc.
Completes and verifies accurate order entry in the computerized careplan.
Ensures that discharge instructions clearly state patient care needs after discharge.
Regular attendance at work is an essential function of the job.
Perform physical requirements as described in the Physical Requirements section
Performs other duties assigned.
Accepts assignments to float to other units utilizing clinical skill sets and appropriate resources, delegating when appropriate. Professionally supports the assigned unit, as seen through interactions with patients, families, area staff, colleagues and others.
Accepts assignment to mentor student nurse observation experience in unit.
Accepts assignments to share/teach knowledge and provide clinical support 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 AND EXPERIENCE:
Diploma, Associates, or Bachelor's degree from an accredited school of nursing required
Minimum one year of RN experience required
Experience with pediatric patients preferred
Previous experience with EPIC preferred
Current and valid Nebraska RN license/RN Compact license required.
Current and valid Basic Life Support (BLS) required.
Current and valid Pediatric Advanced Life Support (PALS) required, within 6 months of hire.
Certification as a Neonatal Nurse required, after 2 years and/or 2000 critical care hours required.
Current and valid Neonatal Resuscitation Program (NRP) certification required, to work
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Internal Number: 1933908
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