Staff RN - Experience Cardiac Surgery OR | Circulate & Scrub

Children's Nebraska; Omaha (NE); On-site; USD 70,000 - 100,000; Full time

Job summary

Children’s Nebraska in Omaha, NE seeks a registered nurse to provide expert pediatric perioperative care. You’ll participate in preoperative assessments, coordinate nursing care, and support families through the surgical journey in a fast-paced operating room environment.

The role requires at least 1 year of RN experience, pediatric patient experience preferred, and current RN license with BLS and PALS. On-call shifts and flexible scheduling are part of the job, with opportunities for

Qualifications

• Graduate of an accredited school of nursing.
• Minimum 1 year of RN experience.
• Pediatric experience preferred and EPIC experience preferred.
• RN license with BLS; PALS required or within 180 days.
• Frequent call-back required; on-call responsibilities.

Responsibilities

• Preoperative patient/family assessments and ongoing reassessments.
• Circulates and scrubs procedures per OR guidelines.
• Develops and revises plans of care using PNDS/CPG goals.
• Educates patients/families and ensures accurate documentation.
• Mentors student nurses and supports new staff.
• Participates in ongoing clinical quality and teamwork.

Skills

Pediatric nursing

On-call

Communication

Team collaboration

Education

Nursing degree (RN)

Tools

EPIC

Job description

Job Description

Schedule: Full-time, 6:30AM start. Final shift (8, 10, or 12 hr) determined post-orientation. Call required. 2 holidays/year - 40hrs

Job Description

Schedule: Full-time, 6:30AM start. Final shift (8, 10, or 12 hr) determined post-orientation. Call required. 2 holidays/year - 40hrs

At Children’s, the region’s 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 team—and 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

Prescribes, delegates and coordinates professional nursing care to pediatric patients through the use of nursing process and in accordance with hospital policy/procedure. Meets job specific standards. Demonstrates competency in identified skills for area. Performs surgical functions with specialty fields (e.g., Cardiology) in the operating room. On call responsibilities vary depending on department.

Essential Functions

• Conducts individualized age-specific patient/family preoperative assessments upon admission according to defined standards. Ongoing patient/family assessments/reassessments are completed according to the appropriate CPG, PNDS or protocols and unit standard of care.
  • Collects and documents data related to patient’s physical, mental, developmental, emotional and social condition.
  • Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patients needs, knowledge of growth and development, and understanding of the treatment or procedure needed.
  • Circulates and scrubs procedures following AORN guidelines/standards.(OR staff only)
  • Assesses patient/family need for education and uses an individualized approach in delivery style.
  • Performs ongoing reassessment based on unit standards, CPG’s, PNDS goals and changes in patient condition. Reports changes to the appropriate persons (MD, supervisor, family) as indicated.
  • Prepare surgical room including gathering equipment and supplies based on assessment needs and physician’s preferences.
• Develops individualized patient/family plans of care using CPG’s, PNDS goals or protocols to meet physical, psychosocial, developmental and educational needs. Revises plan of care based on patient condition and in collaboration with appropriate disciplines.
  • Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient.
  • Utilizes individualized surgical and medical assessment data to develop 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.
• Implements surgical nursing actions in accordance with the patient/family plan of care and patient condition/needs.
  • Participates in pre-approved specialty surgeries and maintains up-to-date knowledge and skills on specialty processes and procedures
  • Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to tests, labs, medication, treatments and procedures.
  • Demonstrates surgical and clinical competences for designated specialties by administering interventions and performing surgical assessment on behalf of the according to identified standards and age specific needs.
  • Uses appropriate resources (policy/procedures, supervisor) when unsure of skill/task to be performed or analyzing patient responses.
  • Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn.
  • Accompanies patients/family to room to help facilitate patient flow.
  • Evaluates nursing actions to include patient/parent response and progression toward goal/ outcome, revising as necessary.
  • Maintain active participation on the cardiac specialty service team
• Ensure documentation reflects assessment /evaluation, modification, and patient’s response to therapeutic interventions, procedures, and changes in condition.
  • Enter patient information into medical record follow hospital policy.(date, time, use of appropriate abbreviations, and legibility)
  • Completes computerized documentation prior to OR/ in the OR or in the PACU depending on area the assigned area,(procedure time(emergency med sheet, allergies, immunizations, etc)
  • Completes and verifies order entry, including surgical consents.
  • All documentation is accurate and completed within a timely manner.
• Regular attendance at work is an essential function of the job.
• Perform physical requirements as described in the Physical Requirements section
• Accepts assignment to mentor student nurse observation in unit.
• Accepts assignments to share knowledge and provide clinical support as a preceptor for new staff.
• Professionally seeks out opportunities to help teammates during shift as needed.
• Accepts and completes other assigned tasks in a professional manner.
• Answers phone in a timely and courteous manner.

Education Qualifications

• Graduate of an accredited school of nursing Required

Experience Qualifications

• Minimum 1 year of RN experience Required
• Experience with pediatric patients Preferred
• Previous experience with EPIC Preferred
• Previous Cardiac scrub experience Preferred

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure Required
• BCLS - Basic Life Support through the American Heart Association Required
• PALS - Pediatric Advanced Life Support within 180 Days Required
• CNOR - Certified Operating Room Nurse Preferred
• Frequent call-back Required

Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child!

About The Team

At Children's, we're committed to providing full support for our surgical patients from the moment they arrive at the hospital until they go home. We do this via positions in Anesthesiology, Surgical Services Administration, Outpatient Surgery, the operating room and our post-surgical services and recovery. If you are passionate about being there for patients before, during and after surgery, a career in the surgery/outpatient surgery department might be a good fit for you.