RN - Psychiatry (Full Time, Days)

Nicklaus Children's•Miami, FL

About The Position

Responsible for planning and delivering care using nursing processes of assessment, implementation, and evaluation. The RN oversees the plan of care, uses effective problem-solving strategies, and applies evidence-based practices. The role supports the quality standards of a Magnet-designated hospital and the Patient Bill of Rights, and provides compassionate, family-centered care for psychiatric patients. Practices under the supervision of the Nursing Manager/Director. The RN plans, implements, and documents care in collaboration with other disciplines and services; completes admission and discharge planning processes; administers and monitors medications and treatments; conducts physical and mental health assessments; and maintains accurate, timely electronic health records. The role collaborates with patients, families, physicians, and the multidisciplinary team; coordinates Behavior Health Tech assignments; supports safe care and crisis-prevention practices; and participates in nursing governance and unit activities. The RN must also be able to float to various nursing units while maintaining clinical excellence and high-quality service.

Requirements

  • Active, good-standing RN licensure in Florida or a Multi-State Enhanced Nursing License Compact (eNLC) license, maintained throughout employment.
  • American Heart Association Basic Life Support (BLS), active and in good standing throughout employment.
  • American Heart Association Pediatric Advanced Life Support (PALS) required within two years of hire and maintained active and in good standing throughout employment.
  • Complete Crisis Prevention Intervention Program certification before Clinical Orientation begins, within seven days of hire, and maintain it active and in good standing throughout employment.
  • Level II Background Check and Affidavit of Good Moral Character.
  • BSN degree or current enrollment in a BSN degree program.
  • Ability to analyze and interpret data and use the information 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 principles, analytical thinking, and service excellence in practice.

Nice To Haves

  • National certification as a Certified Pediatric Nurse (e.g., ANCC, CPN, or RNBC), preferably within five years of hire.
  • At least one year of RN experience in a pediatric psychiatric setting.
  • Proficiency with computers and electronic medical records (EMR).

Responsibilities

  • Plan, implement, and document the plan of care in collaboration with other disciplines and services to support safe and efficient care.
  • Complete patient admission history and discharge planning according to department and hospital policies and procedures.
  • Obtain parental consent for each medication administered, as required by policy.
  • Follow physician orders; check laboratory results and tests; and administer medications as needed according to medication-administration policy, including its six rights.
  • Assess IV sites after IV removal for infiltration, redness, and infection.
  • Collaborate and round with the multidisciplinary team during daily care-planning rounds, as appropriate, and foster a family-centered care environment.
  • Administer analgesics and narcotics safely, with monitoring and reassessment according to hospital pain-management policy and procedure.
  • Complete nursing multisystem assessments, including head-to-toe and system-specific assessments based on patient need, and perform mental health assessments.
  • Ensure appropriate restraint orders, use, documentation, and monitoring in accordance with sedation policy and procedure.
  • Use the electronic health record according to hospital policy and complete accurate, timely documentation within 24 hours.
  • Communicate available patient resources to patients and families.
  • Ensure voluntary consents and/or Baker Acts are current and in good standing.
  • Coordinate assignments and tasks for Behavior Health Techs.
  • Review the plan of care with patients and families and solicit their input; communicate patient and family concerns to the physician.
  • Educate families about new diagnoses and treatment plans.
  • Promote an error-free environment by providing high-quality, safe care, including preventing medication errors and falls and performing clean sweeps.
  • Provide patient information and complete handoffs at shift changes and patient reassignments.
  • Use personal protective equipment appropriately.
  • Participate actively in the nursing governance council and unit-based activities.
  • Meet or exceed unit standards for a 95% CEI and complete documentation in a timely manner.
  • Remain accountable to applicable DNV, CMS, DOH, FACT, COG, and COC requirements.
  • Provide continuous supervision and observation of behavioral health patients and follow nonviolent crisis intervention strategies (CPI).
  • Float to various nursing units while maintaining clinical excellence and high-quality service.
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