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Nurse Practitioner - Inpatient - Cardiothoracic Surgery, FT; 40 hours/week 12 hour shifts (7660)

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

Job Description

Just like the children we serve, Children's is growing quickly and hiring a Nurse Practitioner for Cardiothoracic.The Advanced Practice Registered Nurse (APRN)/Nurse Practitioner (NP) is responsible and accountable for the comprehensive direct medical and nursing care of the pediatric patient for delegated aspects of care, under the practice agreement with collaborating physician(s) 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. Schedule varies according to area of accountability needs.


Essential Functions/Competencies

% of Time



1. In collaboration with physicians, assesses patient, synthesizes and analyzes data, develops plan of care, orders diagnostic tests and therapeutic treatments and evaluates clinical outcomes according to individualized* patient needs/age specific standards.

(*Individualized refers to the patients developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.)

         Completes an accurate assessment of patients within assigned specialty.

         Identifies appropriate medical diagnoses, and documents plan of care in progress notes.

         Utilizes appropriate diagnostic tests related to patient condition, and demonstrates ability to interpret the diagnostic tests.

         Synthesizes and analyzes data obtained through assessment to develop a comprehensive plan of care that is individualized and reflects patient care needs including interventions and treatments to attain expected outcomes.

         Implements plan by writing appropriate medical orders in accordance with medical practice standards and/or jointly approved protocols.

         Evaluates and revises plan as indicated by changes in patient condition or needs.

         Communicates daily medical plan/updates to patients/parents, medical team involved, and other interdisciplinary team members.

         Demonstrates understanding of caregiver dynamics involved in providing care to the pediatric patient.

         Works in collaboration with nursing staff to integrate individualized nursing plans/ interdisciplinary goals in support of the medical plan of care.

         Assesses the educational needs of patients/caregivers and develops/implements the educational plan in collaboration with other healthcare professionals.


2. Prescribes therapeutic measures and medications according to the State of Nebraska APRN statutes and Childrens Hospital Policies. Performs select invasive procedures, as approved in his/her individual Scope of Service, according to Childrens Hospital policies.

         Demonstrates competency in principles of medication dosing and mechanism of action as it relates to specific diagnosis.

         Orders/administers medication according to Childrens Hospital policy, procedure and scope of practice.

         Maintains accurate log of credentialed procedures performed. Demonstrates knowledge and expertise when performing credentialed procedures/specialty skills, independently or with a physician to include: Chest Tube removal, Pacemaker Wire Removal and specialty skills such as Emergent Airway Management, Drain Removal, Suture Removal, and Infiltration/extravasation Antidote Administration.



3. Documentation reflects 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).

       Facilitates written medical orders vs verbal orders, when appropriate.

       Documentation reflects timely notification of collaborating physician and/or appropriate health care team members.

       Documentation reflects communication with families/caregivers as appropriate (i.e., update on plan of care, teaching, etc.).

       Documentation notes are individualized to the clinical area and reflect assessment, plan of care, rationale for plan of care, care changes, and collaborative discussions, contains necessary components per hospital policy and standards. Notes include but are not limited to:

o      History and Physical

o      Consultation Notes

o      Discharge/Transfer Summary

o      Progress Note plan of Care and Procedure Notes

o      Unplanned changes in patient condition which may/may not result in changes of plan of care

o      Time Out process completed

o      Documentation accurately reflects services provided in order to appropriately code for billing



4. Assumes leadership role in implementing and reinforcing medical/nursing standards of practice to promote quality patient care.

         Performs as a clinical content expert in integrating medical/nursing practice into unit/organizational systems under development/review.

         Collaborates with identified groups in the organization to define/clarify/improve practice while incorporating research findings, new knowledge and national standards to advance patient care throughout the organization.

         Proactively identifies educational needs related to patient care specialty and provides formal/informal professional education.

         Coordinates/participates in clinical project planning and program development for effective implementation and monitoring of outcomes.

         Identifies opportunities to acknowledge unit/organization for patient care best practices as seen through support of publication/research participation.


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.

         Participates in preceptorship/internship of nurse practitioner students, as assigned.

         Promotes professionalism and leadership within service team, and through interactions with patients, families, staff, colleagues, others.

         Professionally seeks opportunities to help unit team members/department, as needed.

         Accepts assignments to share/teach knowledge and provide clinical support.



  •          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
  •          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


  •          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
  •          An Advanced Practice Registered Nurse who does not have a masters degree or two-thousand (2,000) hours of supervised practice will be required to furnish proof of jointly approved protocols with a collaborating physician, which shall guide the nurse practitioners practice
  •          Prefer APRN/nursing experience in specialty assigned



  •          Current and valid Basic Life Support (BLS) certification required.
  •          Current and valid Pediatric Advanced Life Support (PALS) required, within 6 months of hire.
  •          Current and valid PALS Instructor certification preferred.
  •          Possess an unrestricted license as a registered nurse, and as an Advanced Practice Registered Nurse/Nurse Practitioner in the State of Nebraska required.

Job Details

Date Posted February 13, 2019
Date Closes May 14, 2019
Requisition 1052-3141
Address 8200 Dodge Street
Located In Omaha, NE
Work At Hospital
Department Cardiothoracic Surgery
Job Type Full-time Employee
Compensation Salary, Based on Experience
Shift Custom
Hours 40 hours per week
Positions Available 1
SOC Category 29-1171.00 Nurse Practitioners
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

  • Computer Usage
  • Excellent Communications
  • Excellent Logic and Reasoning
  • Excellent Team Member
  • Positive Attitude
  • Problem Resolution
  • Basic Life Support (BLS)
  • Nurse Practitioner
  • 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 ...