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Staff RN - Cardiac Care Unit CICU Full Time Day shift 7A-7P UP TO $10,000 SIGN ON BONUS FOR EXPERIENCED RNs (6941)

Children's Hospital & Medical Center - Omaha Omaha, NE
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Job Description

Children’s is growing and expanding with the addition of the Hubbard Center for Children in 2021.  A new department within the Hubbard Center for Children is the Cardiac Care Unit, a 32-bed unit with an adaptable acuity care model. The Cardiac Care Unit (CCU) will care for all patients with a primary cardiac diagnosis  from 34 weeks gestation to 21 years of age, including those that need intensive care level monitoring or just an overnight observation stay. The Cardiac Care Unit patient population includes patients requiring pre and post-surgical repair and/or heart catheterization, medical patients with heart failure, transplant, shock, pulmonary hypertension, and patients needing ECMO support. The Cardiac Care Unit is currently hiring registered nurses who are have a desire to work with the cardiac population regardless of acuity level. Children’s is a three-time magnet designated facility and our Cardiac Center has recently been ranked by US News and World report as a top 15 Cardiac Center throughout the United States.  If you are passionate about providing premier pediatric cardiac care, there is no better place than Children’s. 

 

Essential Functions/Competencies

% of Time

 

23%

  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 patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.)

Admission Assessment:

  • Collects and documents data related to patient’s individualized care.
  • Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients.
  • Assesses patient/family need for education and uses an individualized approach in delivery style.
  • Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient.
  • Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission.

Shift Assessment/Reassessment:

  • Performs reassessment based on unit standards, CPG's/ND's, protocols and changes in patient condition. Communicates changes to appropriate persons (Provider, Charge RN, and family) as indicated

24%

  1. Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs. (Plan of Care includes current and anticipated actions focused on care, education, discharge needs.)
  • Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare team.
  • Utilizes individualized assessment data to develop the patient/family’s plan of care.
  • Formulates goals and outcomes based on assessment data.
  • Revises plan of care based on patient’s condition, interdisciplinary input, and family needs.
  • Demonstrates ability to prioritize patient interventions based on assessments/reassessments. Delegates to Certified Nursing Assistants to support patient care needs as appropriate. 

24%

  1. Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs.
  • Oversees that the nursing and interdisciplinary plan of care/goals are coordinated, implemented, evaluated, and revised as needed.  Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (CN, Supervisor, Manager, CNS/Educator, Director, MD, etc.) to ensure that clinical outcomes are achieved.
  • Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments.
  • Demonstrates clinical competence in administering interventions according to identified standards and age specific needs.
  • Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn

24%

  1. Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures.
  • Entries in the electronic medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility).
  • Documentation is completed within established timeframes including, but not limited to the following in the EMR: Admission Assessment, Patient Daily Assessment, Daily Cares and Safety, Lines, Education Record, and Care Plan Goals.
  • Reviews and updates patient care plan to accurately reflect the plan of care.
  • Completes computerized documentation within established timeframes, including, but not limited to: Medication Administration Record, Allergies, Patient Information, etc.
  • Provides the last line of defense for patient safety including medication administration, procedures, and discharge planning.

 

Based on departmental/organizational need may be required to participate in Transplant program functions

 

Regular attendance at work is an essential function of the job.

 

Perform physical requirements as described in the Physical Requirements section

SECONDARY FUNCTIONS/COMPETENCIES

5%

  • Performs other duties assigned.
  • Accepts assignments to float to other units utilizing clinical skill sets and appropriate resources, delegating when appropriate. Professionally supports the assigned unit, as seen through interactions with patients, families, area staff, colleagues and others.
  • Accepts assignment to mentor student nurse observation experience in unit.
  • Accepts assignments to share/teach knowledge and provide clinical support to serve as a preceptor for new staff.
  • Professionally seeks opportunities to help teammates during shift as needed.
  • Accepts and completes other assigned tasks in a professional manner.
  • If designated relief Charge Nurse, add competencies Addendum A.
  • If designated compensated preceptor, add competencies Addendum B

100%

 

 

 

JOB STANDARDS 

 

Achieves department/organization Outcomes

All

Patient/Customer Satisfaction

  • Provides prompt, timely service that meets or exceeds expectations. 
  • Understands and anticipates the needs of patients, families, and/or customers and utilizes feedback to improve and reinforce satisfaction.
  • Responds promptly and effectively to reverse negative service situations (service recovery).
  • Takes positive action to meet department and organization satisfaction goals.

Financial

  • Recommends and implements process improvements that improve quality, efficiency, safety, time and/or reduce cost.
  • Makes appropriate use of own time. 
  • Anticipates and adjusts to changes in workload by organizing and prioritizing own work.

Quality

  • Utilizes performance measurements to improve work quality and patient/customer outcomes.
  • Performs work accurately and professionally. 
  • Uses quality review processes to identify and correct potential errors.
  • Takes positive action to meet department/organization quality goals.

Dept.

Specific

Patient/Customer Satisfaction

  • Assesses parent/patient questions and concerns and develops a plan to address needs. Communicates information to appropriate person(s) in appropriate time frames to meet parent/patient questions, concerns, and/or expectations. (Validation through feedback from supervisors, peers, personal knowledge, or family interview regarding the nurse’s work performance.)
  • Initiates patient/parent concern reports, as appropriate, when issues arise.
  • Incorporates key concepts into communication with parents:
  • Introduces self to parent/patient when enters room.
  • Explains purpose of activity before touches the patient.
  • Before leaves the room, asks “Is there anything else that I can do for you?”
  • Exhibits teamwork by helping others complete assigned tasks, sharing knowledge and experience, follow through on requests.
  • Treat everyone with respect by actively listening without judgment, maintain confidentiality, and practice empathy in all interactions.
  • Displays positive attitude, promotes first party communication, and anticipates needs of team and patient.

 

Financial

  • Follows department process for capturing patient charges.
  • Participates in unit specific cost saving activities.  

 

Quality

  • Participates in regular unit specific chart audits to validate practice.
  • Provides input into opportunities for system improvements.
  • Describe active unit specific performance improvement projects.

 

 

Adherence to Policies, Procedures, Safety, and Compliance/Regulatory Requirements

All

  • Understands and performs role in emergency situations (i.e., disruptive individuals, internal/external disaster, CPR for direct patient care providers, Code Adam).
  • Understands and practices regulatory standards and department/organization policies and procedures as appropriate to employee’s position (e.g., Joint Commission, HIPAA, OSHA, Infection Control, Environment of Care, National Patient Safety Goals, Wage and Hour).
  • Maintains confidentiality of patient/customer information. 
  • Addresses non-compliance with regulatory, department and organization standards.
  • Meets mandatory department and organization job requirements within established time frames (i.e., physicals, annual mandatory reviews, licensure/certifications, PALS, and BLS).
  • Participates in 75% of staff meetings.
  • Understands, supports, and practices staff, visitor, patient, and vendor identification policy.

Dept.

Specific

Operationalizes the fundamental values of nursing as defined in the nine ANA Code of Ethics into daily practice and teaching activities at Children’s including:

          1-3: Establishing professional relationships   with compassion and respect for human dignity, worth, and the uniqueness of individuals, while demonstrating a privacy commitment to the patient in advocating for patient privacy, health, safety, and rights.

         4-6: Identifying the boundaries of the profession by accepting responsibility and accountability for own action, delegating tasks appropriately to optimize patient care, Maintenance of competence with continued pursuit of activities for personal/professional growth. Influencing the patient care/work environment with the values of nursing to promote respectful interactions, the promotion of safe practices, and creating a care setting that expects high quality, compassionate nursing care.

 7-9: Collaborates with all disciplines/ the community in promoting nursing excellence in meeting health care. Seeks  opportunities beyond patient care to advance profession by involvement in developing, maintaining, implementing professional standards through practice/education i.e. involvement with internship/preceptor programs, committees, awareness of broader healthcare issues such as The Joint Commission National Patient Safety Goals, integrating nursing values into daily practice (articulates and practices).

 

 

Communication, Team Work and Leadership.

All

  • Actively listens to others with attentiveness and concern for what they are saying.  Does not interrupt others while they are speaking.
  • Tailors communications to the level and understanding of the audience.
  • Organizes and expresses ideas clearly both orally and in writing.
  • Practices first party face-to-face communication to address issues and concerns.
  • Proactively keeps patients, families, customers, managers and coworkers informed—what to expect, status, changes, outcomes and time frames.
  • Willingly participates in group work activities. 
  • Takes a lead role in challenging others to work collaboratively both within and outside of work group.
  • Shares knowledge and offers assistance to others.

Dept.

Specific

  • Demonstrates personal ownership of the unit scheduling process, individual contribution, and staffing needs.
  • Communicates plan of care to the patient/family.
  • Communicates comprehensive picture of patient health concerns when reporting issues to physician/nurse practitioner.
  • Promptly initiates the chain of command appropriately as a patient advocate for patient care and system issues.
  • Facilitates medical orders; written, verbal or telephone orders when appropriate.
  • Communicates picture of patient care and health issues at change of shift, change of assignment, or when leaving the unit. Report is comprehensive and utilizes ISHAPE method to include:
  • Individualized plan of care;
  • a review of specific patient lines, tubes, IVs, dressings, special needs, etc. at the bedside;
  • a review of Patient Care Plan Goals and status of completion;
  • a review of Education Record and status of teaching needs/completion.
  • Ensures that emergency equipment is present and verified on admission and at the start of each shift, by completing unit specific safety checks.
  • Utilizes policies/procedures, resources, and nursing practice to ensure safe medication delivery including offering feedback regarding systems that could be strengthened to support safe medication administration.
  • Uses a systematic decision making process for delegation based upon nursing education, body of nursing knowledge, and nursing judgement to delegate in a manner that allows for safe, accountable, and responsible provision for nursing care.
  • Incorporates Joint Commission National Patient Safety Goals into patient care practices.
  • Supports Shared Governance philosophy within and between units.
  • Gives suggestions to Area Action Council for unit improvement.
  • Actively participates in the development of updated pathways/protocols/standards for new care model.

 

Competencies

 

Quality Improvement – Constantly pursuing ways to improve our work.

Communication – Exchanging understandable and actionable information.

Teamwork and Collaboration – Working cooperatively with others to achieve group goals.

Adaptability – Openness to change and considerable variety.

Self-Development – Enhancing one’s capabilities and performance contributions through a variety of ongoing learning experiences.

 

 

KNOWLEDGE, SKILLS AND ABILITIES:
  • Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills

     

EDUCATION AND EXPERIENCE:
  • Diploma, Associates, or Bachelor’s degree from an accredited school of nursing required
  • Minimum 1 year of RN experience required
  • Experience with pediatric patients preferred
  • Previous experience with EPIC preferred


CERTIFICATIONS/LICENSURE REQUIREMENTS:

  • Must possess a current valid Nebraska RN license/RN Compact license required
  • Must be certified in Basic Cardiac Life Support required
  • Current and valid Pediatric Life Advanced Life Support (PALS) required, within 6months of hire
  • Current and valid certification preferred; Certified Pediatric Nurse or Certified Critical Care Nurse

 

Glassdoor  Ind123

Job Details

Date Posted November 13, 2018
Date Closes February 11, 2019
Requisition 918675-13120
Address 8200 Dodge St
Located In Omaha, NE
Work At Hospital
Department CARDIAC CARE UNIT
Function CICU
Job Type Full-time Employee
Shift
Daytime
7:00a-7:00p with weekend rotation
Hours 36 hours per week; DAYS
SOC Category 29-1141.00 Registered Nurses
Zipcode 68114

This job offers the following benefits

  • 403(b) Retirement Savings Plan
  • Dependent-Care Spending Accounts
  • Flexible Spending Accounts
  • Health-Care Spending Accounts
  • Accidental Death and Dismemberment
  • Business Travel Accident Insurance
  • Dental
  • Dependent Life Insurance
  • Employee Assistance Program (EAP)
  • Group Homeowners and Auto
  • Group Legal
  • Life Insurance
  • Long-Term Disability
  • Maternity / Paternity / Family Leave
  • Medical
  • Prescription Drug Plan
  • Short-Term Disability
  • Supplemental Insurance
  • Vision
  • Voluntary Life Insurance
  • Bereavement Pay
  • Cafeteria / Food
  • Continuing Education Program
  • Credit Union
  • Discounts on Employer Merchandise & Services
  • Employee Referral Program
  • Financial Planning
  • Free Parking
  • Health Fair
  • Nursing Facilities
  • Paid Holidays
  • Paid Vacations
  • Tuition Reimbursement
  • Wellness Program
  • Workout Facilities
  • Achievement Awards
  • Bonus Plan
  • Merit Increases

This job requires the following skills

  • Excellent Communications
  • Basic Life Support (BLS)
  • Nursing
  • Nursing Care
  • Patient Evaluations
  • Registered Nurse (RN)
  • Pediatric Care

This job is related other jobs in these career categories

At a Glance
Enjoy these benefits
  • 403(b) Retirement Savings Plan
  • Dependent-Care Spending Accounts
  • Flexible Spending Accounts
  • Health-Care Spending Accounts
  • Accidental Death and Dismemberment
  • And More ...
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