Registered Nurse Pediatric ICU
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 in accordance with hospital and departmental policies and procedures. From admission through discharge, plans care with consideration of the aging process, all developmental stages, and cultural patterns. Provides specialized critical care to pediatric patients, including respiratory, cardiac, neurological, surgical, and other complex care. Educates patients and families, collaborates with the healthcare team on outcomes and discharge planning, and participates in quality improvement, research, and unit safety activities. Serves as a role model and preceptor, and may assume delegated charge nurse responsibilities. The role includes night shifts from 7 p.m. to 7 a.m., with every other weekend as needed and every other holiday. The position is based at Rhode Island Hospital in Providence, Rhode Island.
Requirements
- Current Registered Nurse licensure in Rhode Island or licensure in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.
- Knowledge and skills necessary to care for patients throughout the life span, considering aging processes, human development stages, and cultural patterns.
- Ability to meet and maintain clinical competencies and applicable mandatory education and safety requirements.
- Ability to perform the physical demands of the role, including extensive walking and standing, assisting with lifting and positioning patients, and pushing patients on stretchers.
- Visual and aural ability to monitor patient status.
Nice To Haves
- Baccalaureate degree in Nursing preferred.
- Twelve months of Medical/Surgical experience strongly preferred.
- Critical care experience highly desirable.
Responsibilities
- Provide direct patient care.
- Delegate, supervise, and participate in safe nursing care activities provided by ancillary personnel.
- Evaluate the effectiveness of patient care and identify opportunities for improvement.
- Collaborate with the healthcare team, patient, family, and community services regarding patient outcomes and discharge planning.
- Assess patient and family teaching needs and provide appropriate education.
- Participate in unit-based quality improvement and research activities.
- Use available resources to provide quality, cost-effective patient care.
- Maintain clinical competencies, credentialing standards, mandatory and safety education, and applicable Basic Life Support and ACLS/PALS requirements.
- Identify professional growth needs and participate in educational opportunities and professional organizations.
- Serve as a role model and preceptor to new graduate nurses and less experienced personnel.
- Assume charge nurse responsibility for the patient care unit as delegated.
- Provide and monitor advanced respiratory care, including ventilatory interventions, critical airway care, end-tidal CO2 and blood gas interpretation, and assistance with intubation.
- Provide advanced cardiac assessment and hemodynamic monitoring, including ECG monitoring, arrhythmia recognition, defibrillation, cardioversion, pacing, congenital heart defect care, arterial-line and central venous pressure monitoring, neurovascular checks, Doppler pulse assessment, and obtaining 12-lead EKGs.
- Provide neurocritical care, including EVD and lumbar drain management, ICP monitoring and interventions, Glasgow Coma Scale assessment, spinal precautions, and care of patients with spinal cord injuries.
- Manage the immediate postoperative phase of complex surgeries, including neurosurgical, orthopedic, spinal, plastic, vascular, otolaryngology, and general surgical procedures.
- Teach patients according to age and developmental level, and evaluate patient and family or caregiver understanding using teach-back and GetWell Network methodologies.
- Care for patients receiving ECMO or CRRT; patients with major burns, kidney transplants, stroke, oncological emergencies, or maximal PPE requirements; and patients requiring sedation or high-risk medications.
- Travel safely with critically ill pediatric patients within the institution.
- Use smart pump technology to deliver vasoactive, sedative, and other high-risk medications to pediatric patients.
- Monitor patients during procedural sedation.
- Respond to pediatric code blue and rapid response team calls throughout the institution.
- Provide end-of-life care, demonstrate knowledge of palliative care therapies, follow bereavement standards, and support families of patients who have agreed to organ donation.
- Use cardiac monitors, Giraffe warmer, Bair Hugger, cooling blanket, Hot Line Warmer, and Doppler equipment.
- Present nursing reports at interdisciplinary rounds and participate in unit-based safety huddles.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
