Attending RN NICU Req Number: 11929 Company: Methodist Womens Hospital Located at: Omaha, NE Work at : 0128 - Methodist Women's Hospital - 707 N 190 Plz -Elkhorn, Department: NICU Status: Full Time Shift: Day Shift Hours: 68a - 4p + Weekends and Holidays as Needed; 36 Hours Per Week: 36 Starting Hourly Rate: 23.70 Contact Information: * Contact: Kenneth Pewett Job Details: * BSN Bachelor of Science in Nursing * RN Required * 3 to 6 months of experience required * * Purpose of Job * Accountable for the delivery of quality care to patients and families according to the individualized needs of the patient. * Job Requirements * Education * Bachelors of Science in Nursing (BSN) from an accredited school of nursing required by December 31, 2020 if hired after 2012 or five years from hire date for nurses hired after 2015. * Successful completion of annual mandatory education requirements. * Graduate of an accredited school of nursing required. * Masters Degree preferred. * Experience * Must have a minimum of 3 to 5 years NICU experience. * License/Certifications * Current valid Nebraska Registered Nurse (RN) License, valid compact multistate license to work in Nebraska, or a temporary permit while awaiting licensure required. * Current American Heart Association Basic Life Support (BLS) Certification required. * Certification(s) in area of specialty preferred. * From National Certification Corporation (NCC) within 1 year of eligibility. * Neonatal Resuscitation Program (NRP) required. * 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. * Excellent communication skills, both verbal and written. * Physical Requirements * Weight Demands * 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%): * Fingering/Touching * 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 * Essential Job Functions * Essential Functions I * ------------ 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. * ------------ 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. * Determine and use assessment findings for patient's goals and educational needs for discharge. * Use appropriate discharge tools to educate and ensure patient understanding of needs at discharge. * Accurately documents in the medical record. * ------------ 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. * Effectively communicates patient/family needs to the interdisciplinary team and works with Social Work to assure that appropriate community resources are offered and arranged * Collaboration and daily communication with staff RN's, care coordinators, MD's and other clinical disciplines as appropriate that incorporates patients preferences/goals of care. * Provides teaching resources to staff RN's specific to the patient's health care problem and utilizes teach back when reviewing with patients. * Understands and monitors the efficient implementation of the medical and nursing plan of care. * Collaborates with nursing to ensure the utilization of appropriate care plans, care paths, and/or order sets. * Identify barriers that contribute to variances in patient progression. * ------------ 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. * Utilization of patient care paths. * Mentors and monitors staff for interventions. * ------------ 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). * Establishes effective relationships with patient/family to set reasonable goals and expectations while in NICU. * Discusses plan of care and patient goals daily with night shift and day shift RN's. * Comprehensively assesses each patient/family the day of admission or the next day for educational and discharge needs. * ------------ 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. * ------------ 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. * ------------ 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. * ------------ 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). * ------------ Fiscally accountable. * Act professionally responsible for human and other resources. * Charge accurately for use of supplies and equipment according to policy. * Assists staff in identifying processes that promote high quality, cost-effective patient care * ------------ Serves as role model to communicate/mentor/lead staff through expert knowledge and application of nursing process and critical thinking skills (Quality of Care, Image of Nursing). * Actively facilitates/participates in interdisciplinary rounds and targets actionable issues affecting patient care and clinical progression. * Develops and maintains an effective daily communication plan with staff RN's, patients, and families incorporating their preferences. * Collaborates with nursing to ensure that patient goals, estimated length of stay, and anticipated d/c date are identified on the whiteboard and updated daily if needed. * Establishes effective relationships with patient/family to set reasonable goals and expectations for hospital stay. * Mentors nursing staff in managing patient clinical progression, developing discharge plans, individualizing plan of care needs for optimum patient care outcomes. * Mentors staff to understanding what clinical picture of patient should look like at discharge. Notes variances to clinical progression and communicates what patient goals need to be met to progress patient. * Promotes critical thinking and research to enhance daily professional practice. * ------------ Participates in Performance Improvement Activities. * Assists with ongoing update/development of care paths and educational resources. * Continually monitors HCAPS scores and develops plans for continuous improvement. * Continually monitors PRC scores and develops plans for continuous improvement. * Leads NICU Patient Experience Committee. * Facilitates NICU Family Advisory committee. * Participates in identification and achievement of unit goals. * Participates in hospital-wide committees and initiatives. * Essential Functions II * ------------ Participate in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management. * ------------ Follow and understand the mission, vision, core values, Employee Standards of Behavior and company policies/procedures. * ------------ Other duties as assigned. 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.