Registered Nurse - Medical Observation - Nights

CO125 Nebraska Methodist Hospital; United States; On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Shift Differentials

Free parking

Tuition assistance

Job summary

Nebraska Methodist Health System is seeking a dedicated Registered Nurse for the 28-bed Medical Unit (5N) at Methodist Hospital in Omaha. You will provide patient-centered care on nights (7pm–7am), with self-scheduling every 3rd weekend and rotating holidays, to a diverse surgical and medical patient mix.

Join a culture focused on mentorship, teamwork, and professional growth, with ample training, paid certifications, and shift differentials to support work-life balance.

Qualifications

• BSN or MSN required, or ADN with time-bound exception.
• Active Nebraska RN license or compact-state license required.
• BLS certification preferred; ACLS and specialty certifications encouraged.

Responsibilities

• Provide age-appropriate nursing care and assess patient needs.
• Perform initial and ongoing patient assessments to guide care.
• Develop and revise individualized care plans with interdisciplinary team.
• Implement safe interventions per care plan and nursing protocols.
• Evaluate patient responses and update care plan; handoff SBAR.
• Perform technical skills competently with equipment safety in mind.
• Maintain professional behavior and teamwork; participate in meetings.
• Identify and report risks; document appropriately.
• Coordinate staffing and task delegation per state nurse practice act.
• Ensure cost-conscious care and proper use of supplies.

Skills

RN

Patient care

Teamwork

Education

BSN/MSN preferred or ADN with 5-year window

Job description

Why work for Nebraska Methodist Health System?

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Location: Methodist Hospital Address: 8303 Dodge St. Omaha, NE Work Schedule: Nights 7pm to 7am, 24 or 36 hours per week

Join our 28-bed Medical Unit (5N) at Methodist Hospital, where a collaborative and supportive culture sets us apart. Our team values mentorship, teamwork, and a positive work environment, making this an excellent opportunity for both new graduate and experienced RNs to learn and grow. You’ll care for a diverse mix of medical and surgical patients, including those with transient ischemic attacks/strokes, pancreatitis, gastrointestinal disorders/bleeds, wounds needing debridement, detox/alcohol withdrawal, pneumonia, and post-op patients recovering from laparoscopic procedures and cystoscopies. Enjoy self-scheduling with every 3rd weekend and rotating holidays, giving you the flexibility to balance work and life. If you're looking for a unit where teamwork and support are a priority, this is the place for you!

What sets Methodist Apart?

• A culture rooted in compassion, empathy, and excellence
• Extensive training and paid certifications to support your professional growth
• A collaborative and hands‑on learning environment where you’re empowered to succeed
• Shift Differentials
• Free parking
• Tuition assistance to help advance your career

Responsibilities:

1. 1. Provide appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria. Demonstrate ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
2. 2. Perform an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs. Include data from the patient/significant other(s) in the assessment as appropriate. Prioritize data collection according to patient's immediate needs. Use assessment findings in discharge planning.
3. 3. Develop/review/revise and individualize the plan of care to address the patient's nursing care needs for optimum patient care outcomes. (Consultation and resources, nurses as teachers.) Collaborate with providers and other clinical disciplines as appropriate. Provide teaching specific to the patient's health care problem. Care plan reflects continuing care needs and/or referrals for discharge/transfer.
4. 4. Implement interventions that are consistent with the established plan of care in a safe and appropriate manner (Professional Models of Care). Is familiar with, and follows, nursing protocols and standards of care for their unit. Use current knowledge in nursing practice based on standards and research literature.
5. 5. Evaluate patient care to determine response to care/interventions for optimal patient outcome. Monitor outcomes and documents patient response to interventions. Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions. Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal. Give a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements, to include SBAR (situation, background, assessment and recommendation) content, and is familiar with the overall plan of care. Recognize and address patient and family capabilities and limitations (physical and mental).
6. 6. Perform technical skills competently and independently to assure patient safety (autonomy). Able to competently perform technical skills independently. Is accountable to learn new skills and equipment within areas' specifications and time frame. Demonstrate correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals. Follow appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
7. 7. Maintain a professional behavior in attitude, demeanor, interactions to achieve organization's mission. (Quality Improvement, Image of Nursing, Interdisciplinary Relationships, Professional Development, community and the healthcare organization.) Communicate effectively to solve problems at the personal and unit level. Is approachable and professional in working with other health professionals, ancillary staff, patients and family. Take pride in the unit by active participation in restocking and maintaining a clean environment. Maintain a professional appearance, behavior, and work environment. Maintain competence in area of experience. Participate in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.
8. 8. Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns). (Quality of Care) Complete appropriate report form for any risk (e.g., variance/incident report, patient concern report, maintenance request). Communicate to appropriate personnel regarding unresolved issues. Work within the scope of practice as defined by State Nurse Practice Act. Observes appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
9. 9. Review, delegate and evaluate plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice. Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome). Right person (assess competency by: certification/licensure, job description, skills checklist, demonstrated skill). Right communication (clear, concise, correct, complete). Right feedback: the Reciprocal Process (ask teammates' input first, recognize effort, get teammates' solution to problem, check off points).
10. 10. Fiscally accountable. Act professionally responsible for human and other resources. Charge accurately for use of supplies and equipment according to policy.

Schedule:

Schedule Nights 7pm to 7am, Full-Time and Part-Time Options Available

Job Description:

Job Requirements Education Bachelors of Science in Nursing (BSN) or Master’s Degree in Nursing (MSN) from an accredited college of nursing required OR obtained within 5 years from date of hire for nurses with an Associate Degree in Nursing (ADN). For MFH Surgery Main: Graduate from an accredited Diploma School of Nursing/College of Nursing with an Associate of Science Degree in Nursing (ASN) or Bachelor of Science in Nursing (BSN) required. Bachelor of Science in Nursing (BSN) preferred. For NMH Oncology: Electrocardiogram (EKG) course required. For NMH Medical Observation & Ortho Neuro: NIH Stroke Scale training or proof of training required in the first 6 months of hire. Successful completion of annual mandatory education requirements.

Experience:

If the specialty is not listed, no prior experience is required:

• Experience required: MJE Radiation Oncology: 3 to 5 years hospital or office experience with emphasis in oncology or med/surg nursing.
• NMH Palliative Care: Minimum 2 years related experience in RN role.
• NMH IV Team: 3 to 6 months on-the-job training in order to learn proper techniques and special equipment.
• NMH Surgery Main: 2 years of OR experience for weekend positions.

Experience preferred: MFH Surgery Main: 2 to 5 years previous inpatient nursing experience and previous surgical experience.

MJE Surgery Main: Previous surgical experience.

MJE Behavioral Health Psych IP: 1 year hospital experience.

NMH IV Team: Venipuncture experience.

License/Certifications Required:

Current valid Nebraska Registered Nurse (RN) License, valid compact multistate license, or a temporary permit while awaiting licensure.

Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.

Preferred: Certification(s) in area of specialty from National Certification Corporation (NCC) within 1 year of eligibility.

NMH & MWH & MFH Surgery Main: Certified Perioperative Nurse (CNOR)

NMH & MWH & MJE: American Heart Association Advanced Cardio Life Support (ACLS).

Rehabilitation: Certified Rehabilitation RN (CRRN) and Gerontological Nursing Certification (GERO.BC)

NMH Oncology: ONS/ONCC Chemotherapy Immunotherapy Certificate Course and Oncology Certified Nurse (OCN).

Skills/Knowledge/Abilities:

Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers. Ability to multi-task and prioritize work assignments. Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.

Physical Requirements:

• Medium Work - Exerting up to 50 pounds of force.
• Physical Activity Occasionally Performed (1%-33%): Climbing Crawling Kneeling Sitting Frequently Performed (34%-66%): Balancing Carrying Crouching Distinguish colors Keyboarding/typing Lifting Pulling/Pushing Repetitive Motions Stooping/bending Twisting Constantly Performed (67%-100%): Grasping Hearing Reaching Seeing/Visual Speaking/talking Standing Walking

Job Hazards:

Not Related: Electrical Shock/Static Rare (1-33%): Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc) Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only Occasionally (34%-66%): Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)

Equipment/Machinery/Tools:

• Explosives (pressurized gas) Hazardous Drugs (exposure risks, personal protective equipment required)
• Frequent (67%-100%): Chemical agents (Toxic, Corrosive, Flammable, Latex) Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
• Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an affirmative action/equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.

At Methodist Health System, we focus on providing exceptional care to the communities we serve and the people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. If you join our organization, you will have the opportunity to excel in your field, use the latest technologies, learn from the best and work as a team. You’ll have the opportunity to make a difference through The Meaning of Care.