Registered Nurse Pediatric ICU

Brown Medicine•Cranston, RI

2d•$36 - $60•Onsite

About The Position

Under the direct supervision of the Clinical Manager (or designee), implements, supervises, and evaluates nursing care for each patient using the nursing process and established hospital and departmental policies and procedures. From admission through discharge, plans care with consideration for the aging process across the life span, including developmental stages and cultural patterns. The role provides specialized nursing care for critically ill pediatric patients and their families, including respiratory, cardiac, neurological, surgical, and other complex conditions. The nurse also participates in unit quality and safety activities, supports patient and family education, and may serve as a preceptor or assume delegated charge nurse responsibilities.

Requirements

Current Rhode Island Registered Nurse licensure through the Rhode Island Board of Nursing or licensure under the Nurse Licensure Compact.
Knowledge and skills to care for patients throughout the life span, considering aging processes, human development stages, and cultural patterns.
Twelve months of Medical/Surgical experience is strongly preferred.
Ability to monitor patient status visually and aurally.
Physical ability to assist with lifting and positioning patients; extensive walking and standing; and lifting, positioning, and pushing patients on stretchers.

Nice To Haves

Baccalaureate in Nursing preferred.
Critical care experience highly desirable.
Twelve months of Medical/Surgical experience strongly preferred.

Responsibilities

Provides direct patient care.
Leads nursing care by delegating, supervising, and participating in safe care activities provided by ancillary personnel.
Evaluates the effectiveness of patient care and identifies opportunities for improvement.
Collaborates with the healthcare team, patient, family, and community services regarding care outcomes and discharge planning.
Assesses patient and family learning needs and provides appropriate teaching; evaluates responses using teach-back and GetWell Network methodologies.
Participates in unit-based quality improvement, research activities, and safety huddles.
Uses available resources to provide quality, cost-effective patient care.
Maintains clinical competencies, completes required credentialing and safety education, and maintains Basic Life Support and ACLS/PALS as appropriate.
Identifies professional growth needs and participates in educational opportunities and professional organizations.
Serves as a role model or preceptor to new graduate nurses and less experienced personnel.
Assumes charge nurse responsibility for the patient care unit when delegated.
Provides advanced respiratory assessment and interventions, including care of patients receiving non-invasive and invasive ventilation; follows critical airway guidelines; monitors and interprets end-tidal CO2 and blood gases; and assists with intubation.
Provides advanced cardiac assessment and hemodynamic monitoring, including ECG monitoring and arrhythmia recognition, defibrillation, cardioversion, drug intervention, pacing, care of patients with congenital heart defects, arterial-line and central venous pressure monitoring, neurovascular checks, Doppler pulse assessment, and obtaining a 12-lead EKG.
Provides neurocritical care, including management of external ventricular drains and lumbar drains, ICP monitoring and interventions, Glasgow Coma Scale assessment, spinal precautions, and care of patients with spinal cord injuries.
Manages the immediate postoperative phase of complex surgeries, including neurosurgical, orthopedic, spinal, plastic, vascular, otolaryngology, and complex general surgical procedures.
Manages patients receiving ECMO or continuous renal replacement therapy (CRRT), patients with burns exceeding 20% BSA, and postoperative kidney transplant patients.
Manages stroke patients, participates in stroke team response, and cares for patients requiring maximal personal protective equipment.
Provides care for patients experiencing oncological emergencies and safely transports critically ill pediatric patients throughout the institution.
Uses smart pump technology to safely deliver vasoactive, sedative, and other high-risk medications to pediatric patients.
Monitors patients during procedural sedation.
Responds to pediatric code blue and pediatric rapid response calls throughout the institution.
Provides end-of-life care, understands palliative care therapies, follows bereavement standards for families experiencing the loss of a child, and supports families of patients who have agreed to organ donation.
Uses cardiac monitors (stationary and travel), Giraffe warmer, Bair Hugger, cooling blanket, Hot Line Warmer, and Doppler equipment.
Presents nursing reports at interdisciplinary rounds.