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Registered Nurse II – Center for Acute Care Nephrology

Cincinnati Children’s | Critical Care Nursing

Schedule: 12-hour night shifts, weekend rotation

Make a Difference for Our Most Critically Ill Patients

Are you a registered nurse who thrives in a challenging, specialized clinical environment and is passionate about providing exceptional care to critically ill children? Cincinnati Children’s is seeking a dedicated RN to join the Center for Acute Care Nephrology, providing dialysis care to our most medically complex patients in the Pediatric Intensive Care Unit (PICU), Cardiac Intensive Care Unit (CICU), and Neonatal Intensive Care Unit (NICU).

This unique opportunity allows you to combine your critical care nursing expertise with specialized renal replacement therapy to support children and infants with complex kidney conditions and critical illnesses. Working 12-hour night shifts, you will collaborate closely with nephrologists, intensivists, advanced practice providers, and multidisciplinary teams to deliver safe, innovative, and compassionate care when patients need it most.

Key Responsibilities

• Provide specialized dialysis care and renal replacement therapy to critically ill pediatric and neonatal patients in the PICU, CICU, and NICU.
• Assess, monitor, and evaluate patients throughout dialysis treatments, recognizing and responding to changes in clinical status.
• Collaborate with nephrology providers and critical care teams to develop and implement individualized patient care plans.
• Safely manage dialysis equipment, vascular access, fluid balance, and treatment-related interventions according to established protocols.
• Monitor patient responses to therapy, identify potential complications, and implement appropriate nursing interventions.
• Educate and support patients’ families while providing compassionate, family-centered care.
• Maintain accurate clinical documentation and follow established standards for patient safety, infection prevention, and quality improvement.
• Participate in ongoing education and professional development to maintain expertise in dialysis therapies and the care of critically ill children.

Qualifications

• Current Ohio RN license or eligibility for Ohio RN licensure.
• Bachelor of Science in Nursing (BSN) preferred, consistent with applicable position requirements.
• Critical care nursing experience preferred.
• Experience with dialysis, continuous renal replacement therapy (CRRT), or other renal replacement therapies is highly desirable.
• Strong clinical assessment, critical thinking, and problem-solving skills.
• Ability to work collaboratively across multidisciplinary teams in a fast-paced, high-acuity environment.
• Commitment to evidence-based practice, patient safety, and exceptional family-centered care.

Why Cincinnati Children’s?

Join a nationally recognized pediatric healthcare organization where innovation, collaboration, and compassionate care drive everything we do. At Cincinnati Children’s, you will have the opportunity to develop specialized expertise, work alongside leading clinicians, and make a meaningful difference in the lives of children facing some of the most complex medical challenges.

If you are passionate about critical care nursing and want to expand your impact through specialized dialysis care, we invite you to explore this opportunity with the Center for Acute Care Nephrology at Cincinnati Children’s.

JOB RESPONSIBILITIES

• Clinical Inquiry - Follows professional practice standards and guidelines. Questions appropriateness of policies and guidelines; questions current practice; seeks advice, resources, or information to improve patient care; begins to compare and contrast possible alternatives. Assists with development of competence in peers; formally, by precepting new employees, and informally, by sharing knowledge at the point-of-care. Uses self-appraisal performance review and peer review, including annual goal setting, for assurance of competence and professional development to promote safe and ethical practice using the nursing process. Coaches and mentors others. Precepts nursing peers and students. Facilitates learning for members of the healthcare team. Actively works with department managers, nurse council and magnet representatives to identify, share, implement and evaluate safety best practices. Mitigate actual or potential risks to patient and staff safety. Utilize current research findings and other evidence to expand professional knowledge, enhance role performance, and increase knowledge of nursing professional issues. Support clinical nursing, health care, and health system research studies conducted by professional, credentialed researchers.
• Systems Thinking - Is able to recognize systems and processes within the healthcare environment that affect the patient experience; anticipates needs of patients and families as they move through the healthcare system; utilizes untapped and alternative resources as necessary.
• Inclusion - Considers patient values and incorporates in care, when differing from personal values; supports colleagues in ethical and clinical issues; moral decision-making can deviate from rules; engages the patient's family, encouraging them to speak/represent themselves; protects patient and family rights. Inquires about cultural differences and considers their impact on care accommodates personal and professional differences in the plan of care; helps patient/family understand the culture of the healthcare system.
• Clinical Judgment - Collects & interprets complex patient data; makes clinical judgments based on an immediate grasp of the whole picture; recognizes patterns & trends by focusing on key elements while eliminating extraneous details. Documents & teaches others to document the plan of care, care delivered, & patient/family outcomes. Responds to subtle patient/family changes; engages with each unique patient/family in a compassionate manner; tailors caring practices to the individuality of patient/family; recognizes the importance of a healing environment & tailors the environment to meet the needs of the patient/family; promotes safety throughout patient/family transitions along the healthcare continuum; recognizes that death may be an acceptable outcome. Proficiently integrates age specific concepts into patient care, taking into consideration both the patient's chronological age & developmental functioning. Using self-management support, develops care goals & actions through partnerships with patients. Uses teach back strategies to evaluate effectiveness. Coordinates education with other members of the health care team. Integrates strategies in the plan of care that support the patient/family adaptation to the home environment.

JOB QUALIFICATIONS

• Associate/Diploma prepared RNs from ACEN, CCNE or NLN CNEA accredited institution requires 2+ years of experience. If hired without a BSN or MSN, must enroll in a BSN or MSN program within 1 year of hire date/RN job date and complete program within 5 years of hire/RN job date.
• Preferred: BSN from ACEN, CCNE or NLN CNEA accredited institution or MSN are preferred.
• Active Ohio RN License. May be required to obtain other state licensure.
• 2 years of work experience in a related job discipline.
• Foreign graduates must have license validated through TruMeritTM per Ohio Board of Nursing code for Foreign Graduates.

At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s. 

 Cincinnati Children's is: 

• Recognized by U.S. News & World Report as a top 10  best Children's Hospitals in the nation for more than 15 years 

• Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding 

• Recognized as one of America’s Best Large Employers  (2025), America’s Best Employers for New Grads (2025) 

• One of the nation's America’s Most Innovative Companies as noted by Fortune 

• Consistently certified as great place to work 

• A Leading Disability Employer as noted by the National Organization on Disability 

• Magnet® designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) 

 We Embrace Innovation—Together.  We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us.

Comprehensive job description provided upon request.

Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability