RN- PICU (Full Time, Nights)

Nicklaus Children's•Miami, FL

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 and provides compassionate and family centered care for Pediatric Intensive Care Unit patients. Job Specific Duties Ensures completion of patient admission history and accurately completes the discharge planning process as per department and hospital policies and procedures. Plans, implements and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care. Provides nursing care that includes IV site monitoring, specimen collection and assists medical team with specific procedures. Follows physician’s orders, administers and reconstitutes medications when needed. Adheres to five rights of medication administration per Medication Administration policy. Collaborates and participates in daily rounds with multi-disciplinary team as appropriate and fosters a Family Centered Care Environment. Utilizes electronic innovations to provide efficient patient care and attends to patient call lights in a manner that promotes patient safety per hospital policy. Ensures proper and safe sedation administration to patients and monitors recovery as per the Sedation policy and procedure. Completes all nursing multi-system assessment that includes head to toe, vitals, dressing changes, suction, feeding, bathing ,med administration, and repositioning. Ensures appropriate restraint orders, use and documentation as required by Sedation policy and procedure. Accesses electronic health record (EHR) independently according to hospital policy and completes accurate and timely documentation 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. Promotes a working environment that is “error free” in all quality indicators through assessment of all body systems- prevention of central line and catheter associated urinary tract infections, avoidance of falls, ouch-free procedural pain and pain reduction, observes skin integrity for prevention of skin breakdown, ensures proper and safe wound care, secures endotracheal tubes when applicable, and zero based medication errors – by following the 5 rights of Medication Administration, consistently providing high-quality safe care as prompted. Provides patient information and effectively completes the hand off process during walking rounds at shift change and patient reassignments. Ensures proper personal protective equipment (PPE) indication and use.

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
CPR BLS -American Heart Association BLS - must maintain active and in good standing throughout employment
PALS - American Heart Association PALS - must maintain active and in good standing throughout employment within two years of hire

Nice To Haves

BSN degree or currently enrolled in BSN program
A minimum of 1 year of experience as an RN in ICU environment preferred
Nursing experience in a pediatric healthcare ICU setting is strongly preferred
ICU critical care training academy experience preferred
Career Development\: National certification Certified Pediatric Nurse (CPN) within 2 years of hire or (CCRN) preferably within 3 -5 years of hire
Possess proficiency in computers and Electronic Health Record (EHR) preferred
Able to analyze and interpret data and utilize the information to make judgments regarding patient care
Effective verbal and written communication skills
Ability to positively influence, hold self and others accountable
Experience with procedures training process for specialties\: Apheresis and ECMO preferred
Leadership experience preferred to take on rotating charge nurse duties after one year
Able to work effectively in 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
Knowledge of diverse cultures’ belief systems and values around health issues

Responsibilities

Ensures completion of patient admission history and accurately completes the discharge planning process as per department and hospital policies and procedures.
Plans, implements and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care.
Provides nursing care that includes IV site monitoring, specimen collection and assists medical team with specific procedures.
Follows physician’s orders, administers and reconstitutes medications when needed.
Adheres to five rights of medication administration per Medication Administration policy.
Collaborates and participates in daily rounds with multi-disciplinary team as appropriate and fosters a Family Centered Care Environment.
Utilizes electronic innovations to provide efficient patient care and attends to patient call lights in a manner that promotes patient safety per hospital policy.
Ensures proper and safe sedation administration to patients and monitors recovery as per the Sedation policy and procedure.
Completes all nursing multi-system assessment that includes head to toe, vitals, dressing changes, suction, feeding, bathing ,med administration, and repositioning.
Ensures appropriate restraint orders, use and documentation as required by Sedation policy and procedure.
Accesses electronic health record (EHR) independently according to hospital policy and completes accurate and timely documentation 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.
Promotes a working environment that is “error free” in all quality indicators through assessment of all body systems- prevention of central line and catheter associated urinary tract infections, avoidance of falls, ouch-free procedural pain and pain reduction, observes skin integrity for prevention of skin breakdown, ensures proper and safe wound care, secures endotracheal tubes when applicable, and zero based medication errors – by following the 5 rights of Medication Administration, consistently providing high-quality safe care as prompted.
Provides patient information and effectively completes the hand off process during walking rounds at shift change and patient reassignments.
Ensures proper personal protective equipment (PPE) indication and use.