At Children’s Hospital & Medical Center, we strive to provide nurses with excellent, comprehensive, education and training. We are committed to ensuring that you are part of a program that meets your individual needs and interests.
That is why our Nurse Residency Program offers two tracks for residents to choose from: Ambulatory or Hospital. The Hospital Track is for graduate nurses who have a Bachelor of Science in Nursing, and are looking to practice pediatric nursing in a hospital setting.
Hospital nurse residents are hired directly to a specific area.
Learn more about our Ambulatory Track.
Program Structure & Curriculum
This track provide experience in hospital inpatient departments, including the Cardiac Care Unit, Emergency Department, hospital flex team, NICU, PICU, medical/surgical areas and the surgical areas of CARES/PACU and the Operating Room. It is divided into two phases:
Phase 1 is a 7-week program. Each week, you will have a mix of two clinical days with a preceptor and two scheduled days of class time (12 hours per week). You are required to work full time during the first 2 years of the program.
During Phase 1, you will learn the essentials of pediatric nursing, including:
- Family-centered care
- Pediatric growth and development
- Pathophysiology and nursing care for common conditions
You will also spend time each week working with your area-specific preceptor.
During Phase 1, you will need to be available to work either days or nights and weekends, for a total of 36 hours per week. While there may be some variation in the number of hours per day and the number of days worked per week during the first few weeks, you will never work more than 40 hours in a week or more than 12 hours in one day.
At the end of the first seven weeks the nurse resident continues working full time with an area-specific preceptor to complete the orientation process. Support is a key element in developing self-assurance. Throughout this phase, the nurse resident cohort convenes regularly to discuss education topics and coping skills as they transition to this new level of professionalism.
You will work primarily 12-hour shifts, with the exception of a few designated days for classroom instruction. There are also regularly scheduled educational sessions and cohort meetings which you will be expected to attend during the first year of employment.
Hours and Shifts
You will generally work 36 hours per week on the night shift. Depending on the staffing needs of the area, there may be other shift opportunities available.
Hospital-based areas for matching
Cardiac Care Unit - CCUThe CCU is a new patient care model, opening in the Hubbard Center for Children in 2021. The CCU will be a 32 bed adaptable acuity unit, providing high quality care to all cardiac patients across the continuum from admission to discharge. The CCU nurse will care for patients with a primary cardiac diagnosis with acuity levels ranging from critically ill patients to those discharging home.
The Cardiac Care Unit patient population includes patients requiring pre and post-surgical repair and/or heart catheterization, medical patients with heart failure, transplant, shock, pulmonary hypertension, and patients needing ECMO support.
The most common cardiac patients are those that are pre and post-surgical repair and under a year of age. Right now, our cardiac patients are being cared for by our passionate CCU team in the current physical space (NICU, PICU, and 5MS). All of these patients and our team will all move over to the new CCU once open in the Hubbard Center for Children in 2021!
- CARES is a pre-op/post-op area that has 26 beds. This area is fast paced and staff provides care for all ages of children who are having surgery. The nurses in this area prepare patients for surgery and then discharge them home post-op when they are awake and ready.
- PACU is a 10 bed unit where staff care for all ages of children in the immediate post-operative period. The patient- nurse ratio in this area is 1:1, as this is a critical time in the patient’s surgical stay. Once the patient is stable, they are transferred to the next level of care, whether that is back to CARES or to an inpatient area.
- SOU is a 6 bed observation unit within the CARES department. Staff in this area care for surgical patients that need to have a longer or over-night post-operative stay. Most nurses in this department work in every phase of care for the surgical stay, so if you like variety, this is the place for you!
Children’s Outpatient Surgery Center - COSC
Emergency Department - EDThe Emergency Department is 15-bed unit that cares for approximately 35,000 patients yearly. Our team cares for patients of all ages, with a wide variety of diagnoses and injuries. Our ED is a Verified Level II Pediatric Trauma Center, with nearly 1,000 trauma patients per year. If you are adaptable, thrive in a fluid and fast-paced environment, and love variety and challenge, you will be right at home!
Our department provides high-level care to everything from the sickest of the sick to the well-child checks and everything in-between with a multidisciplinary team that is ready for whatever comes through the door, 24/7.
Inpatient Float Pool TeamDo you enjoy caring for a variety of patients and continuously learning and expanding your skill set? Our inpatient float pool nurses care for patients in all areas of the hospital including the medical-surgical units, the Pediatric Intensive Care Unit, our level IV Newborn Intensive Care Unit, Cardiac Care Unit, and occasionally in Short Stay. We are a large team that values teamwork, positivity, flexibility, and seeing new things every day.
4 Med SurgThis 24 bed unit focuses on caring for patients with respiratory distress, bronchiolitis, asthma, non-invasive ventilation needs, child abuse, failure to thrive, gastrointestinal issues, orthopedic issues, ear-nose-throat issues, osteogenesis imperfecta, cleft lip/palate, and any patient with general medical surgical needs.
5 Med SurgThis 24 bed unit focuses on caring primarily for patients with pre/post op neurosurgery cases, pulmonary disease and respiratory care, trach-ventilators, non-invasive ventilation (HHF, CPAP, BiPAP), nephrology concerns and dialysis, spinal fusions, and any patient with general medical surgical needs.
6 Med Surg
Newborn Intensive Care - NICUOur nationally recognized gold level Beacon Award winning NICU, is a 40-bed, Level IV unit that provides care to the region’s most critically ill and premature neonates. NICU nurses care for infants with a variety of complex medical and surgical needs. Common diagnoses include respiratory distress, pulmonary hypertension, sepsis, gastrointestinal disease, neurological defects, and congenital anomalies. NICU will continue to provide pre-op and post-op care to infants with cardiac disease who are 34 weeks gestation and less even when the CCU opens in 2021.
Operating Room - ORThe OR schedules approximately 40-50 patients per day running 10-14 anesthetizing locations. A wide variety of surgical procedures are performed at our facility from ear tubes to heart transplantation. In the OR, the nurse provides care as a circulator but is also trained to scrub cases too! If you are someone that enjoys procedures and assisting with them, this would be a great fit for you.
Pediatric Intensive Care Unit - PICUThe Pediatric Intensive Care Unit (PICU) is a nationally-recognized gold level Beacon Award unit. The 13-bed dual-unit is home to the most critical patients in the hospital. It is a unit that allows for diversity in patient type, experience, and skill set from: trauma, ECMO, intubated respiratory, neuro, and any patient that requires more frequent and intensive monitoring. It also contains a team that is passionate about teamwork, learning and education, and providing quality and safe patient care.
The team is made up of nurses, a 24-hour in-house PICU intensivist, and many Physician Assistants and Nurse Practitioners that provide quality care. There are many challenging patient situations that occur in the PICU when caring for some of the sickest kiddos, but the ability to see a patient who came in coding get to transfer home or to a med/surg floor is something that is indescribable. That is the beauty of becoming a PICU nurse.
Children’s Physicians - CPA group of board-certified pediatricians and pediatric nurse practitioners providing expert pediatric care at 15 offices throughout the Nebraska and western Iowa area, three with adjacent urgent care facilities. Ten offices have been awarded recognition by the National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home. Children’s Physicians pediatricians hold themselves to levels of care that far surpass national quality of care standards in pediatrics. They maintain these outstanding credentials as the only pediatricians practicing in partnership with Children’s Hospital & Medical Center and Creighton University School of Medicine’s pediatrics training program. For more information and pediatric resources for families, visit Children’s Physicians.
Short Stay Unit - SSUThe SSU is an observation unit designed to care for pediatric patients with a well-defined set of specific clinical needs including ongoing short term treatment or evaluation with defined goals for discharge vs placement in the inpatient setting for further treatment. With a focus on the otherwise well child who has an acute medical problem, disposition will be determined within 24 hours.
Specialty Pediatric Center - SPCThe largest outpatient specialty center in the region dedicated to meeting the unique needs of pediatric patients. At five stories tall and 135,000 square feet, the Specialty Pediatric Center is home to more than 30 pediatric-focused clinics that schedule more than 52,000 patient visits each year.