RN - 19472230

Hca Cjw Medical Center Chippenham Campus Va•Richmond, VA

About The Position

The Pediatric Intensive Care Unit (PICU) Registered Nurse works in a combined Pediatrics/PICU unit with 10 beds in Richmond, Virginia. Care is delivered by a team that includes registered nurses with pediatric and critical care experience, pediatric hospitalists, PICU intensivists, and dedicated pediatric respiratory therapists. Patient ratios are based on acuity and the approved staffing grid. The role provides compassionate, family-centered care, communicates clearly with patients and caregivers, includes families in care planning, and offers age-appropriate education. Nurses care for pediatric patients requiring mechanical ventilation, high-flow oxygen, non-invasive respiratory support, continuous medication infusions, central line care, and invasive monitoring. The unit uses Expanse for documentation and pediatric cardiac monitors, infusion/syringe pumps, a pupilometer, and Ceribel. The position offers day and night shift opportunities and includes weekends and holidays. Nurses may float based on competency and patient care needs, including to well babies in Labor, Delivery, Recovery, and Postpartum (LDRP), or to provide tech assistance in the main hospital. Pediatric-friendly attire is required. Ongoing staff development includes PICU intensivist-led education and cross-training opportunities.

Requirements

Active Virginia RN license or multi-state compact privilege.
BLS certification.
PALS certification.
2 years of recent bedside PICU experience.
Strong pediatric assessment skills and ability to recognize deterioration and respond to pediatric emergencies.
Competency in weight-based medication administration, IV therapy, and family-centered care.
Excellent communication, teamwork, and prioritization abilities.

Responsibilities

Provide compassionate, family-centered care to pediatric patients.
Communicate clearly with patients and caregivers, involve families in care planning, and provide age-appropriate education.
Assess pediatric patients, recognize deterioration, and respond to pediatric emergencies.
Administer weight-based medications and provide IV therapy.
Care for patients requiring mechanical ventilation, high-flow oxygen, and non-invasive respiratory support.
Manage continuous medication infusions, including sedation and vasoactive medications.
Provide central line care and invasive monitoring.
Care for patients with respiratory failure, DKA, sepsis, and status epilepticus.
Perform peripheral IV placement, venipuncture, and specimen collection.
Manage central lines and urinary catheters, and insert nasogastric/orogastric tubes.
Assist with intubation, lumbar puncture, and central line placement.
Provide emergency stabilization and pediatric resuscitation.
Float based on competency and patient care needs, including to well babies in LDRP or to provide tech assistance in the main hospital.
Participate in ongoing PICU intensivist-led education and cross-training.