RN (Experienced Only) - Pediatric Intensive Care Unit
Location: Omaha Nebraska
Description: Children's Hospital & Medical Center is employing RN (Experienced Only) - Pediatric Intensive Care Unit right now, this position will be placed in Nebraska. More complete informations about this position opportunity kindly read the description below. Coordinates professional nursing and individualized, family centered care to pediatric patients/families through the us! e of the nursing process and clinical skills in accordance with standards and hospital policies and procedures. Varied schedules to include weekend and holiday patterns, 7am-7pm or 7pm-7am.
Essential Functions/Competencies
% of Time
23%
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.
Asse! sses 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 (MD, CNC, family) as indicated
24%
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.
24%
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 outcome! s are achieved.
Incorporates critical thinking into the delive! ry 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%
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.
Re! views 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
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 assign! ment to mentor student nurse observation experience in unit.
A! ccepts 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
100%
JOB STANDARDS
Achieves department/organization Outcomes
All
Patient/Customer Satisfaction
Interacts with patients/families/customers and utilizes feedback to improve and reinforce satisfaction
Meets department/organization satisfaction goals
Financial
Identifies and implements systems and processes to improve efficiency and reduce expenses that do not compromise quality of services/mission.
Meets department/organization financial goals
Quality
Utilizes perfor! mance measurement to improve patient/customer outcomes
Meets 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?â€
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
PICU: Completes PRISM form accurately and in a timely manner.
Takes personal responsibility to adhere to department/organization policies and procedures, compliance and regulatory agency requirements
All
Understands and performs role in emergency situations (i.e. disruptive individuals, internal/! external disaster, CPR, Code Adam)
Understands and practices regulatory agency standards and department/organization policies/procedures including: Joint Commission, OSHA, HIPAA, Infection Control, Environment of Care, National Patient Safety Goals
Addresses non-compliance with department/organization standards
Meets mandatory department/organization job requirements within established time frames (i.e. physicals, annual mandatory reviews, participates and physically attends 75% of required staff meetings, licensure/certification, CPR for direct care providers)
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 commitm! ent to the patient in advocating for patient privacy, health, safety, a! nd 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 JCAHO National Patient Safety Goals, integrating nursing values! into daily practice (articulates and practices).
Supports a work environment that focuses on staff, customer, patient/families through safe practices and effective communication.
All
Demonstrates and supports staff/visitor/patient/vendor identification policy
Utilizes variance reporting system to enhance safety and identify changes for best practice
Protects Patient Privacy
Incorporates department/organization communication into work practices
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 written ! medical orders vs verbal orders when appropriate.
Communicates! a comprehensive picture of patient care and health issues at change of shift, change of assignment, or when leaving the unit. Report includes:
Individualized plan of care;
a review of specific patient lines, tubes, IVs, dressings, special needs, etc at the bedside;
a review of Interdisciplinary Goals and status of completion;
a review of FER 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.
BEHAVIORS
Excellence in Service to Children, Families, Colleagues and Other Customers
Anticipates customer needs, understands their expectations and responds appropriately.
Respect for Human Dignity
Treats others with compassion, fairness, courtesy and respect while honoring their uniqueness.
Cooperative Work Relationships
Willingly works with others to identify and achieve common goals.
Positive Attitudes and Behaviors
Enthusiastically approaches their role and displays pride in the organization
Honesty and Integrity
Takes personal responsibility for doing the right thing.
Optimizes the talents of self and othe! rs and the use of time, materials and equipment.
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:
Graduate of an accredited school of nursing.
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) preferred.
SPECIAL REQUIREMENTS:
REQUIRED TRAINING & EMPLOYEE HEALTH REQUIREMENTS
Annual Physical
Annua! l Mandatory Review
Color Blind Test
Hepatitis B
TB Mask Fit
PHYSICAL REQUIREMENTS/WORKING CONDITIONS:
Physical Requirements
N/A
Less than 10%
11% to 49%
Greater than 50%
Work Environment
N/A
Less than 10%
11% to 49%
Greater than 50%
Stand
X
Blood and body fluid exposure*
X
Walk
X
Sharps, needles, etc.
X
Sit
X
Wet, humid conditions (non-weather)
X
Talk or hear
X
Work near moving mechanical parts
X
Displays manual dexterity
X
Fumes or airborne particles
X
Climb or balance
X
Toxic or caustic chemicals
X
Stoop, kneel, crouch or crawl
X
Outdoor weather conditions
X
Reach with hands and arms
Extreme cold (non-weather)
X
Taste or s! mell
X
Extreme hot (non-weather)
X
Lifting/pulling/pushing
X
Risk of electrical shock
X
Visual: Looking at computer screen
X
Medical Equipment
X
Other:
X
Risk of radiation
X
Weight Demands:
Vibration
X
Up to 10 lbs.
X
Loud noise
X
Up to 20 lbs.
X
Quiet environment
X
Up to 40 lbs.
X
Environmental noise
X
Up to 100 lbs.
X
Other:
More than 100 pounds
X
- .
If you were eligible to this position, please email us your resume, with salary requirements and a resume to Children's Hospital & Medical ! Center.
If you interested on this position just click on the Apply button, you will be redirected to the official website
This position starts available on: Mon, 18 Nov 2013 18:07:47 GMT
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