Staff RN - Dialysis / Dialysis

12 hour shift; Rotating weekends, on call, and holidays

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
As part of our professional team of clinicians, you will ensure the compassionate, professional delivery of all dialysis-related nursing services in both outpatient and inpatient settings. As a nurse at Children's you will constantly be working in a fast-paced, constantly evolving environment with new challenges to trouble-shoot and overcome. Make the most of your nursing skills to provide the highest level of care to our patients and ensure their safety, comfort, and wellbeing. Responsibilities include coordination of professional nursing and individualized, family centered care to pediatric patients/families through the use of the nursing process and clinical skills in accordance with standards and hospital policies and procedures in relation to dialysis care. Varied 12 hour shifts to include weekend and holiday patterns, includes night time call schedule.

Essential Functions

• 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 as it pertains to dialysis care. (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. ◦ 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. • Shift Assessment/Reassessment: ◦ Performs reassessment based on unit standards, CPG's/ND's, protocols and changes in patient condition as it pertains to dialysis care. 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 in relation to dialysis care. (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 in relation to dialysis care. • 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 during dialysis treatments. • 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 care plan 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 care plan. • 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
• 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

Education Qualifications

• Associate's Degree from an accredited school of nursing Required or
• Bachelor's Degree from an accredited school of nursing Required

Experience Qualifications

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

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.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure Must possess a current valid Nebraska RN license Required and
• BCLS - Basic Life Support Current and valid Basic Life Support (BLS) through the American Heart Association Required and
• PALS - Pediatric Advanced Life Support within 180 Days 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!