RN- PICU (Full Time, Nights)

Nicklaus Children's•Miami, FL

10d

About The Position

The RN - PICU plans and delivers care for Pediatric Intensive Care Unit patients using the nursing process of assessment, implementation, and evaluation. The nurse oversees the plan of care, applies effective problem-solving strategies and evidence-based practice, and provides compassionate, family-centered care under the supervision of the Nursing Manager/Director. The role supports the quality standards of a Magnet-designated hospital and the Patient Bill of Rights. The nurse completes admission histories and discharge planning; coordinates and documents care with other disciplines; provides nursing interventions and assists with procedures; administers medications and sedation safely; completes multi-system assessments; and maintains accurate, timely electronic health records. The role includes communication with patients, families, physicians, and the multidisciplinary team, as well as safe handoffs, infection and injury prevention, and adherence to hospital policies and procedures. Nurses must be able to float to various nursing units while maintaining clinical excellence and high-quality service.

Requirements

Active, good-standing Florida RN license or Multi-State Enhanced Nursing License Compact (eNLC) license, maintained throughout employment.
American Heart Association BLS certification, maintained active and in good standing throughout employment.
American Heart Association PALS certification, maintained active and in good standing; obtain within two years of hire if not already held.
BSN degree or current enrollment in a BSN program.
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 self and others accountable.
Ability to work effectively in a collaborative environment.
Ability to apply evidence-based practice, analytical thinking, and service excellence in practice.
Knowledge of diverse cultures’ belief systems and values around health issues.

Nice To Haves

At least one year of RN experience in an ICU environment.
Nursing experience in a pediatric healthcare ICU setting.
ICU critical care training academy experience.
National certification as a Certified Pediatric Nurse (CPN) within two years of hire or preferably as a Critical Care Registered Nurse (CCRN) within three to five years of hire.
Proficiency with computers and electronic health records.
Experience with specialty procedure training processes for apheresis and ECMO.
Leadership experience, with the ability to take on rotating charge nurse duties after one year.

Responsibilities

Complete patient admission histories and discharge planning according to department and hospital policies and procedures.
Plan, implement, and document patient care in collaboration with other disciplines and services to provide safe, efficient care.
Provide nursing care that includes IV site monitoring and specimen collection, and assist the medical team with procedures.
Follow physician orders and administer and reconstitute medications as needed, adhering to the five rights of medication administration.
Participate in multidisciplinary daily rounds as appropriate and foster a family-centered care environment.
Use electronic innovations to provide efficient care and respond to patient call lights in a manner that promotes safety.
Administer sedation safely and monitor patient recovery according to policy and procedure.
Complete multi-system assessments, including head-to-toe assessments, vital signs, dressing changes, suctioning, feeding, bathing, medication administration, and repositioning.
Ensure appropriate restraint orders, use, and documentation.
Access the electronic health record independently according to hospital policy and complete accurate, timely documentation.
Communicate and document critical laboratory results according to hospital policies and procedures.
Review the plan of care with patients and families, solicit their input, and communicate concerns to the physician.
Promote safe, high-quality care by preventing central line and catheter-associated urinary tract infections, falls, procedural pain, skin breakdown, unsafe wound care, unsecured endotracheal tubes when applicable, and medication errors.
Provide patient information and complete handoffs during walking rounds at shift changes and patient reassignments.
Ensure appropriate indication and use of personal protective equipment.
Float to various nursing units while maintaining clinical excellence and high-quality service.