PICU RN, Exp. required, PRN, Four 12-Hr Shifts in 6 Weeks
Children's Hospital & Medical Center
June 25, 2018
Just like the children we serve, Children's is growing quickly and hiring experienced Registered Nurses for the PICU, a 19-bed nationally recognized Gold Level Beacon Pediatric Intensive Care Unit caring for acutely ill patients of all ages. If you are passionate about providing premier pediatric care, there's no better place than Children's. Our magnet-designated facility is growing and hiring registered nurses who will enjoy autonomy, the respect of our world-class physicians and career advancement opportunities.
% of Time
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.)
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.
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 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.
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
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
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 one year of ICU RN experience
Experience with pediatric patients (PICU) preferred.
Previous experience with EPIC preferred.
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 6 months of hire.