At Childrens, the regions 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 teamand 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 Nurse Practitioner Intern, under the direct supervision and in collaboration with a Physician and/or Nurse Practitioner may identify the comprehensive 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. Schedule varies according to area of accountability needs.
- Under the direct supervision and in collaboration with a Physician and/or Nurse Practitioner, assesses patient, synthesizes and analyzes data, develops plan of care, identifies the appropriate orders for 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. Identifies appropriate medical diagnoses, and documents plan of care in progress notes. Identifies 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. Can recommend an appropriate plan for medical orders in accordance with medical practice standards and/or jointly approved protocols. Evaluates and can articulate revised 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.
- Under the direct supervision of and in collaboration with a Physician and/or Nurse Practitioner, can identify appropriate therapeutic measures and medications in accordance with the State of Nebraska APRN statutes and Childrens Hospital & Medical Center Policies. Under the direct supervision of a Physician and/or Nurse Practitioner, performs select invasive procedures, as approved in his/her individual Scope of Service, according to Childrens Hospital & Medical Center policies. Demonstrates competency in principles of medication dosing and mechanism of action as it relates to specific diagnosis. Demonstrates the ability to identify/administer medication according to Childrens Hospital policy, procedure and scope of practice. Maintains accurate log of procedures performed that are appropriate for Nurse Practitioner interns. Demonstrates knowledge and expertise when performing procedures/specialty skills, always with a physician/NNP which may include: Arterial catheter placement, arterial puncture, lumbar puncture, peripherally inserted central catheter placement, moderate sedation.
- Demonstrates documentation that reflects assessment/evaluation, modification, and patients response to therapy, changes in condition, and therapeutic interventions/procedures. Entries that would go into the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility). Demonstrates documentation that reflects timely notification of appropriate health care team members. Demonstrates documentation which reflects communication with families/caregivers as appropriate (i.e., update on plan of care, teaching, etc.). Demonstrates documentation notes that 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.
- Under the direct supervision of a Physician and/or Nurse Practitioner, assumes leadership role in implementing and reinforcing medical/nursing standards of practice to promote quality patient care. Demonstrates expertise in clinical content when 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
- 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 knowledge and provide clinical support.
- Enrolled in a Master of Science or Doctorate of Nursing Practice in nursing graduate program in pediatric acute care Required and
- Maintains an advanced practice student and preceptor clinical practicum agreement. Required
- Minimum of 2 years of nursing experience in an acute care setting Required
Skills and Abilities
- Requires independent judgment to develop, implement, and monitor nursing care practices in pediatric care, in order to ensure quality care and cost effective services.
- A high level of analytical ability to resolve complex patient care problems, administrative problems and research issues.
- 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 Upon Hire Required
- BCLS - Basic Life Support through the American Heart Association Upon Hire Required and
- PALS - Pediatric Advanced Life Support within 180 Days Required and
Childrens is the very best for kids and the very best for your career! At Childrens, we put YOU first so together, we can improve the life of every child!
Make a meaningful difference improving the lives of children!
At Childrens, the regions 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 teamand join us in providing brighter, healthier tomorrows for the children we serve.