RN- Emergency Services (Full Time, Evenings)

Nicklaus Children's•Miami, FL

About The Position

Assesses, implements, evaluates, and oversees plans of care for pediatric emergency and Level I Trauma patients using a collaborative, multidisciplinary, team-based approach. Provides compassionate, patient- and family-centered care in a fast-paced environment, supports the quality standards of a Magnet-designated hospital and the Patient Bill of Rights, and practices under the supervision of the Nursing Manager/Director. The role provides comprehensive assessment, care planning, reassessment, treatment, patient and family support, and accurate, timely documentation. The nurse responds to codes and traumas as needed, supports behavioral health patients, and follows departmental, hospital, and regulatory policies and procedures.

Requirements

  • Active, good-standing RN licensure in Florida or a Multi-State Enhanced Nursing License Compact (eNLC) license, maintained throughout employment.
  • American Heart Association BLS certification, active and in good standing throughout employment.
  • American Heart Association PALS certification, active and in good standing throughout employment; must be obtained within 2 years.
  • Crisis Prevention Institute (CPI) certification, active and in good standing throughout employment; must be obtained within 1 year.
  • Ability to analyze and interpret data and use it to make patient-care judgments.
  • Effective verbal and written communication skills.
  • Ability to positively influence others and hold oneself and others accountable.
  • Ability to work effectively in a collaborative environment.
  • Ability to apply evidence-based practice, analytical thinking, and service excellence in practice.

Nice To Haves

  • ACLS certification within 1 year of hire and maintained in good standing throughout employment.
  • Nursing experience in a pediatric emergency room setting.
  • Proficiency with computers and Electronic Medical Records (EMR).

Responsibilities

  • Complete comprehensive multisystem assessments, including cardiac, respiratory, and neurological assessments; develop plans of care and conduct reassessments.
  • Communicate patient progress, critical findings, and condition to physicians and involved disciplines, using closed-loop communication with providers.
  • Provide patient care including starting and monitoring IVs, collecting specimens, performing point-of-care testing, administering medications, and assisting with procedures, including sedation, as required by policy.
  • Provide one-to-one care for critical patients and transport patients to areas within the hospital for procedures.
  • Complete bedside handoff communication at shift changes, transfers, and patient reassignments.
  • Review admission history and prepare and accurately complete discharge planning, including the electronic discharge process.
  • Respond to codes and traumas as needed, documenting and taking action according to departmental protocols.
  • Accurately complete triage documentation, including vital signs and patient history, according to department and hospital policies and procedures.
  • Use the Electronic Medical Record (EMR) and complete timely, accurate documentation, including radiology workflow, consents, and discharge documentation.
  • Communicate and document critical laboratory results according to hospital policy and procedures.
  • Round to provide comfort measures and perform pain assessments and reassessments; address patient and family needs.
  • Promote an error-free working environment by consistently providing high-quality, safe care.
  • Demonstrate and ensure appropriate indication and use of Personal Protective Equipment (PPE).
  • Meet or exceed unit standards for hospital-wide CEI/SEI.
  • Complete documentation in a timely manner and meet regulatory requirements of DNV and other accrediting agencies.
  • Provide continuous supervision and observation of behavioral health patients and adhere to non-violent crisis intervention strategies (CPI).
  • Provide coverage for on-call assignments according to departmental and hospital policy.
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