Staff RN - CV Surgery / Operating Room

Children's Nebraska

Posted 3 days ago

Full Time

Omaha, Nebraska

In Person

Smart Summary

The Staff RN provides professional nursing care to pediatric patients in the operating room, specifically focusing on cardiovascular surgical procedures. Responsibilities include circulating and scrubbing for surgeries, conducting preoperative assessments, and coordinating care plans with the interdisciplinary team.

This position requires a graduate from an accredited school of nursing with at least one year of RN experience. Candidates should have strong clinical skills, preferably with pediatric patients and previous experience with EPIC. The role involves circulating and scrubbing procedures in the operating room, so familiarity with AORN guidelines is essential.

Must Have Skills for ATS

Pediatric nursing

Surgical nursing

Operating room procedures

Cardiac surgery

Scrubbing

Circulating

Patient assessment

Critical thinking

Preoperative care

Documentation

Patient education

Mentoring

Precepting

Surgical assistance

Emergency response

Job Description

Schedule: 6:30AM start. 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 and

Experience Qualifications

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

Licenses and Certifications

  • RN - Registered Nurse - State Licensure and/or Compact State Licensure Required and
  • BCLS - Basic Life Support through the American Heart Association Required and
  • PALS - Pediatric Advanced Life Support within 180 Days Required and
  • 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!

Children's Nebraska

At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the region’s only freestanding pediatric health system, we are committed to delivering world-class expertise close to home — from primary care to more than 50 pediatric specialty services serving families across a five-state region and beyond. Children’s is home to Nebraska’s only Level IV regional neonatal intensive care unit, the state’s first and only Level I pediatric trauma center, and Nebraska’s only nationally ranked Level 4 epilepsy center dedicated exclusively to children. We are proud to be recognized as a 2025-26 Best Children’s Hospital by U.S. News & World Report, ranked among the nation’s best in nephrology, neurology and neurosurgery, and pulmonology and lung surgery. As an independent, nonprofit organization, we lead with a People First philosophy that emphasizes safety, belonging and shared purpose. We celebrate a diverse, inclusive environment where every team member can bring their authentic selves to work and thrive personally and professionally. Wellbeing is a strategic priority, with programs and initiatives in place to support team members’ mental, social, emotional, physical and financial wellbeing. Children’s Nebraska is consistently recognized for excellence as an employer, including being named a top in-state employer by Forbes and receiving the Women’s Choice Award for Best Hospitals. Children’s also is the only healthcare system in the state to earn the Gold Bell Seal for Workplace Mental Health from Mental Health America. Together, our providers, researchers, nurses and team members are redefining what’s possible in pediatric healthcare and strengthening the future of children and families in our communities. Learn more at ChildrensNebraska.org.

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