RN Med-Surg/Obs/Psych (Full Time, Nights)

Nicklaus Children's Hospital•Miami, FL

About The Position

The RN is responsible for planning and delivering care using nursing processes that include assessment, implementation, and evaluation. The role oversees plans of care, uses effective problem-solving strategies, and applies evidence-based practice. The RN 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 position provides compassionate, family-centered care to patients admitted under observation status in 2 North and patients admitted to Inpatient Psychiatry. The RN completes admissions, histories, assessments, discharge planning, and timely electronic health record documentation. The position provides and coordinates multidisciplinary nursing care, communicates with patients, families, physicians, and colleagues, and supports safe medication administration, patient education, and a safe care environment. The RN also coordinates assignments and tasks for Behavior Health Techs and may float to various nursing units.

Requirements

  • Active, good-standing RN licensure in Florida or a Multi-State Enhanced Nursing License Compact (eNLC) license, maintained throughout employment.
  • Active, good-standing American Heart Association BLS certification, maintained throughout employment.
  • American Heart Association PALS certification required within two years of hire and maintained in good standing throughout employment.
  • Complete Crisis Prevention Intervention Program certification before the start of Clinical Orientation in Psychiatry, within 30 days of hire, and maintain it in good standing throughout employment.
  • Pass a Level II Background Check and provide an Affidavit of Good Moral Character.
  • Hold a BSN degree or be currently enrolled in a BSN degree program.
  • Analyze and interpret data and use information to make patient-care decisions.
  • Strong time-management and prioritization skills.
  • Effective verbal and written communication skills.
  • Ability to work effectively in a collaborative environment.
  • Ability to apply evidence-based practice principles, analytical thinking, and service excellence in practice.
  • Passion for learning.

Nice To Haves

  • National certification as a Certified Pediatric Nurse (CPN), preferably within 2–5 years of hire.
  • One year of RN experience in a medical-surgical environment for infants.
  • Previous experience with diverse cultures and belief systems concerning health issues.
  • Proficiency with computers and electronic health records.
  • Experience with procedural training for specialties such as urinary catheterizations and suctioning.
  • Leadership experience; rotating charge nurse duties will be assumed after a year.

Responsibilities

  • Complete patient admissions, histories, and assessments, including mental health assessments in Psychiatry.
  • Prepare and complete discharge planning in accordance with policies and procedures.
  • Conduct handoffs with the oncoming RN using SBAR and document them in Cerner.
  • Plan, implement, and document plans of care in collaboration with other disciplines to support safe and efficient care.
  • Obtain parental consent for every medication administered in Psychiatry, in accordance with policy.
  • Provide nursing care including IV site monitoring, suctioning, specimen collection, g-tube care, and assistance with medical procedures.
  • Follow physician orders and administer medications while adhering to the six rights of medication administration.
  • Collaborate and participate in multidisciplinary daily care-planning rounds as appropriate, fostering a Family Centered Care environment.
  • Report critical values to physicians within 30 minutes and document clinician notifications in Cerner.
  • Complete multisystem nursing assessments, including head-to-toe assessments, vital signs, dressing changes, protective skin barrier application, suctioning, feeding, bathing, and repositioning.
  • Access the electronic health record independently according to hospital policy and complete accurate, timely documentation within 24 hours.
  • Communicate and document critical laboratory results in accordance with hospital policies and procedures.
  • Review plans of care with patients and families, solicit their input, and communicate their concerns to physicians.
  • Educate families about emergency CPR, reflux precautions, plans of care, skin care, fall prevention, medication administration and side effects, and medication purposes.
  • Promote an error-free working environment by providing high-quality, safe care in accordance with hospital policies.
  • Place appropriate isolation or precaution signs on doors to promote a safe environment for coworkers.
  • Indicate patient allergies in Cerner and place allergy bracelets on patients.
  • Create incident reports and document situations involving IV infiltrates, near misses, equipment malfunctions on patients, and falls.
  • Ensure appropriate restraint orders, use, documentation, and monitoring as required by sedation policy and procedure.
  • Communicate with patients and families about additional resources available to patients.
  • Ensure voluntary consents and/or Baker Acts are current and in good standing.
  • Coordinate assignments and tasks for Behavior Health Techs.
  • Educate families about new diagnoses and provide treatment plans.
  • Float to various nursing units while maintaining clinical excellence and high-quality service.
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