RN- Emergency Services (Full Time, Nights)

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, thrives in a fast-paced environment, and supports the quality standards of a Magnet-designated hospital and the Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director. The role includes comprehensive patient assessment and reassessment, care planning, treatment, documentation, communication with providers and other disciplines, and support for patients and families throughout their emergency care. The nurse responds to codes and traumas as needed, provides continuous observation of behavioral health patients, and follows departmental, hospital, and regulatory requirements.

Requirements

  • Active Florida RN license or Multi-State Enhanced Nursing License Compact (eNLC) license, maintained in good standing throughout employment.
  • American Heart Association BLS certification, maintained in good standing throughout employment.
  • American Heart Association PALS certification, maintained in good standing throughout employment; required within two years.
  • Crisis Prevention Institute (CPI) certification, maintained in good standing throughout employment; required within one 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 principles in practice.

Nice To Haves

  • ACLS certification within one 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 care including starting and monitoring IVs, collecting specimens, performing point-of-care testing, administering medications, and assisting with procedures such as sedation as permitted by policy.
  • Provide active support and 1:1 care for critical patients, including transporting patients to procedures throughout the hospital.
  • Complete bedside handoff communication at shift changes, transfers, and patient reassignments.
  • Review patient admission histories and accurately complete discharge planning and electronic discharge processes.
  • Respond to codes and traumas as needed, document care, and take action according to departmental protocols.
  • Complete triage documentation, including vital signs and patient history, in accordance with department and hospital policies and procedures.
  • Use the Electronic Medical Record (EMR) and complete accurate, timely 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 pain assessment or reassessment; plan and carry out the needs of patients and families.
  • Promote a safe, high-quality, error-free working environment and use Personal Protective Equipment (PPE) appropriately.
  • Meet or exceed unit standards for hospital-wide CEI/SEI and complete timely documentation in accordance with DNV and other accrediting-agency requirements.
  • Provide continuous supervision and observation of behavioral health patients and follow nonviolent crisis intervention strategies (CPI).
  • Provide coverage for on-call assignments in accordance with departmental and hospital policy.
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