RN- PICU (Full Time, Nights)

Nicklaus Children's Hospital•Miami, FL

About The Position

The RN in the Pediatric Intensive Care Unit plans and delivers patient care using nursing processes, including assessment, implementation, and evaluation. The nurse oversees the plan of care, uses effective problem-solving strategies, and applies evidence-based practice. The role supports the quality standards of a Magnet-designated hospital and the Patient Bill of Rights, and provides compassionate, family-centered care to PICU patients under the supervision of the Nursing Manager/Director. The nurse coordinates care with patients, families, physicians, and multidisciplinary teams; performs and documents nursing assessments and interventions; administers medications and sedation in accordance with hospital policies; and maintains accurate electronic health records. The role promotes patient safety, quality, infection prevention, and effective communication, including handoffs at shift change and during patient reassignments.

Requirements

Active, unencumbered Florida RN license or Multi-State Enhanced Nursing License Compact (eNLC) license, maintained throughout employment.
Active American Heart Association BLS certification, maintained throughout employment.
American Heart Association PALS certification, maintained in good standing within two years of hire.
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 oneself 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 concerning health issues.

Nice To Haves

At least one year of RN experience in an ICU environment is preferred.
Pediatric healthcare ICU nursing experience is strongly preferred.
ICU critical care training academy experience is preferred.
Obtain Certified Pediatric Nurse (CPN) certification within two years of hire or preferably obtain CCRN certification within three to five years of hire.
Computer and electronic health record proficiency is preferred.
Experience with specialty procedure training for Apheresis and ECMO is preferred.
Leadership experience is preferred for 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 plans of care in collaboration with other disciplines and services.
Provide nursing care, including IV site monitoring and specimen collection, and assist the medical team with procedures.
Follow physician orders and administer or 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 multisystem nursing assessments and care, including head-to-toe assessments, vital signs, dressing changes, suctioning, feeding, bathing, medication administration, and repositioning.
Ensure appropriate restraint orders, use, and documentation as required by policy and procedure.
Use the electronic health record independently according to hospital policy and complete accurate, timely documentation.
Communicate and document critical laboratory results according to hospital policy and procedures.
Review plans of care with patients and families, solicit their input, and communicate concerns to physicians.
Promote an error-free working environment through quality and safety practices, including prevention of central-line and catheter-associated urinary tract infections, falls, procedural pain, skin breakdown, and medication errors; provide safe wound care and secure endotracheal tubes when applicable.
Provide patient information and complete handoffs during walking rounds at shift change and patient reassignments.
Ensure proper indication and use of personal protective equipment.
Float to various nursing units while maintaining clinical excellence and high-quality service.
Take on rotating charge nurse duties after one year, as indicated in the job description.