Advanced Practice Provider - CICU (Full Time, Days)

Nicklaus Children's Hospital•Miami, FL

About The Position

The Advanced Practice Provider (APRN) provides inpatient care for critically ill pediatric patients with primary cardiac conditions in the cardiac intensive care unit, working in association with cardiologists and intensivists. The role involves comprehensive clinical management, advanced assessment and critical thinking, and serving as a key communication resource for the multidisciplinary team. The provider conducts examinations, orders and interprets diagnostic studies, prescribes and monitors medications and therapies, documents care in the EMR, and performs procedures within their education, certification, scope of practice, and approved competencies. The position also supports education and transition and discharge planning for patients, families, and caregivers. The provider coordinates complex care from admission through transfer and discharge, collaborates with supervising physicians under established protocols, and helps ensure safe, evidence-informed care. The role requires timely and accurate documentation, effective shift handoffs, adherence to medication administration and infection control policies, and the ability to respond to changes in patient condition. The schedule is full-time and days; the posting also states availability to work weekends, nights, and holidays with varying schedules.

Requirements

Master's degree in Nursing or DNP from an accredited school of nursing.
Active, good-standing State of Florida APRN license, maintained throughout employment.
Pediatric Acute Care Nurse Practitioner Certification from the Pediatric Nursing Certification Board (PNCB), maintained active and in good standing throughout employment.
American Heart Association BLS certification, maintained active and in good standing throughout employment.
American Heart Association PALS certification, maintained active and in good standing throughout employment.
American Heart Association ACLS certification, maintained active and in good standing throughout employment.
Level II Background Check.
Strong interpersonal, communication, collaboration, and conflict resolution skills.
Ability to perform specialized expert skills required for the specialty area.
Ability to recognize subtle changes in a patient's condition and adapt care accordingly.
Ability to work independently and collaboratively with other disciplines, using discretion and independent judgment.
Ability to maintain confidentiality of sensitive information.
Ability to interpret, adapt, and react calmly under stressful conditions.
Ability to problem-solve, formulate a plan of care, and evaluate a patient's response to care.
Ability to relate cooperatively and constructively with patients, families, and coworkers.
Availability to work weekends, nights, and holidays with varying schedules.

Nice To Haves

Prior Advanced Practice Registered Nurse experience preferred.

Responsibilities

Conduct medical rounds, verify medications, oversee and document plans of care, and ensure best practices are followed.
Perform focused cardiac or comprehensive assessments and document findings accurately.
Develop care plans with sufficient breadth and depth to guide the interdisciplinary team toward desired outcomes.
Serve as a clinical expert and role model, identify clinical issues, and coordinate complex care from admission through transfer and discharge.
Review patient records before admission, including laboratory results, consents, advance directives, and custody documentation.
Provide or ensure parent education, diagnosis-related discharge planning, and wellness training, including parenting skills.
Write orders; monitor and adjust drug therapies; and order, interpret, and evaluate diagnostic tests within established protocols and in collaboration with supervising physicians.
Prescribe, monitor, and evaluate medications and therapies according to protocol.
Complete clinical documentation accurately and within 24 hours, and document patient follow-up according to guidelines.
Integrate information from varied sources to make clinical judgments and decisions about orders, procedures, referrals, and treatment.
Provide patient information and complete handoffs to physicians or advanced practice providers at shift changes and patient reassignments.
Communicate professionally with interdisciplinary team members to maintain continuity and optimize patient outcomes.
Order medications accurately in accordance with the Five Rights of Medication Administration and medication administration policies.
Follow infection control standards and use personal protective equipment according to policy and procedure.