RN- Medical Surg/ Observation (Full Time, Nights)

Nicklaus Children's•Miami, FL

2d•Onsite

About The Position

Job Summary Responsible for the planning and delivery of care utilizing nursing processes\: assessment, implementation, and evaluation. Oversees the plan of care, utilizes effective problem solving strategies, and applies evidence based practice. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director. Provides compassionate and family center care for the patients admitted under observation status in 2 North. Job Specific Duties Ensures completion of patient admission, history, and assessment. Accurately prepares and completes discharge planning as per department and hospital policies and procedures. Conducts handoff with oncoming RN utilizing SBAR; documents in Cerner. Plans, implements, and documents the plan of care (i.e. high risk of fall) in collaboration with other disciplines to assure safe and efficient care. Provides nursing care that includes\: IV site monitoring, suctioning, specimen collection, g- tube care, and assists medical team with specific procedures. Follows physician’s orders and administers medication. Adheres to six rights of medication administration. Collaborates and rounds with a multi-disciplinary team in daily care planning rounds as appropriate and fosters a Family Centered Care Environment. Accountable for reporting critical values to the physicians within 30 minutes and documents a clinician notification in Cerner. Completes all nursing multi-system assessment to include\: head to toe, vitals, dressing changes, applies protective skin barrier, suction, feeding, bathing and repositioning. Accesses electronic health record independently according to hospital policy and completes accurate and timely documentation (within 24 hours) in the patient’s electronic health record. Communicates and documents critical lab results per hospital policy and procedures. Communicates with patients and families to review plan of care and solicits input. Communicates any patient and family concerns to physician. Educates family on emergency CPR, reflux precaution, plan of care, skin care, falls prevention, medication administration/side effects, and purpose of medication. Promotes an “error free” working environment by consistently providing high-quality safe care as per hospital policies. Responsible for providing a safe environment for co-workers by placing isolation/precaution signs (droplet, contact, or airborne) on door. Responsible for indicating allergies for patients via Cerner and placing bracelet on patient. Creates incident reports for IV infiltrates, near misses, malfunction of machine on patients, and/or falls, documenting the situation.

Requirements

RN - Registered Nurse
RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) – maintain active and in good standing throughout employment
PALS - American Heart Association PALS maintain active and in good standing throughout employment within 2 years
CPR BLS -American Heart Association BLS maintain active and in good standing throughout employment

Nice To Haves

BSN degree or currently enrolled in a BSN degree program
Career Development: National certification Certified Pediatric Nurse (CPN) preferably within 2 -5 years of hire
1 year RN experience in a medical surgical environment for infants preferred
Previous experience with diverse cultures’ and belief systems around health issues is preferred
Possess proficiency in computers and Electronic Health Record (EHR) preferred
Analyzes and interprets data; utilizes information to make decisions regarding patient care
Strong time management and prioritization skills
Effective verbal and written communication skills
Experience with procedures training process for specialties: urinary cauterizations, suctioning
Leadership experience preferred (will take on rotating charge nurse duties after a year)
Works effectively in a collaborative environment
Ability to apply principles of evidence-based practice, analytical thinking, and service excellence in practice
Able to float to various nursing units while maintaining the delivery of clinical excellence and high quality service
Possesses a passion for learning

Responsibilities

planning and delivery of care utilizing nursing processes: assessment, implementation, and evaluation
Oversees the plan of care, utilizes effective problem solving strategies, and applies evidence based practice
Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights
Practices under the supervision of the Nursing Manager/Director
Provides compassionate and family center care for the patients admitted under observation status in 2 North
Ensures completion of patient admission, history, and assessment
Accurately prepares and completes discharge planning as per department and hospital policies and procedures
Conducts handoff with oncoming RN utilizing SBAR; documents in Cerner
Plans, implements, and documents the plan of care (i.e. high risk of fall) in collaboration with other disciplines to assure safe and efficient care
Provides nursing care that includes: IV site monitoring, suctioning, specimen collection, g- tube care, and assists medical team with specific procedures
Follows physician’s orders and administers medication
Adheres to six rights of medication administration
Collaborates and rounds with a multi-disciplinary team in daily care planning rounds as appropriate and fosters a Family Centered Care Environment
Accountable for reporting critical values to the physicians within 30 minutes and documents a clinician notification in Cerner
Completes all nursing multi-system assessment to include: head to toe, vitals, dressing changes, applies protective skin barrier, suction, feeding, bathing and repositioning
Accesses electronic health record independently according to hospital policy and completes accurate and timely documentation (within 24 hours) in the patient’s electronic health record
Communicates and documents critical lab results per hospital policy and procedures
Communicates with patients and families to review plan of care and solicits input
Communicates any patient and family concerns to physician
Educates family on emergency CPR, reflux precaution, plan of care, skin care, falls prevention, medication administration/side effects, and purpose of medication
Promotes an “error free” working environment by consistently providing high-quality safe care as per hospital policies
Responsible for providing a safe environment for co-workers by placing isolation/precaution signs (droplet, contact, or airborne) on door
Responsible for indicating allergies for patients via Cerner and placing bracelet on patient
Creates incident reports for IV infiltrates, near misses, malfunction of machine on patients, and/or falls, documenting the situation.