RN - Psychiatry (Full Time, Days)

Nicklaus Children's Hospital•Miami, FL

About The Position

The RN - Psychiatry is responsible for planning and delivering care using the nursing process, including assessment, implementation, and evaluation. The nurse oversees plans of care, uses effective problem-solving strategies, and applies evidence-based practices while upholding the quality standards of a Magnet-designated hospital and the Patient Bill of Rights. The role provides compassionate, family-centered care to psychiatric patients and practices under the supervision of the Nursing Manager/Director. The nurse collaborates with patients, families, physicians, and multidisciplinary teams to plan and coordinate care, complete assessments and documentation, administer and monitor medications, and support safe admissions and discharges. The position also coordinates Behavior Health Tech assignments, provides continuous supervision and observation of behavioral health patients, and follows non-violent crisis intervention strategies. The nurse participates in nursing governance and unit activities and may 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.
  • Active, good-standing American Heart Association BLS certification, maintained throughout employment.
  • American Heart Association PALS certification required within two years of hire and maintained in good standing throughout employment.
  • Successfully complete Crisis Prevention Intervention Program certification before the start of Clinical Orientation, within seven days of hire, and maintain it in good standing throughout employment.
  • Complete a Level II Background Check and Affidavit of Good Moral Character.
  • Hold a BSN degree or be currently enrolled in a BSN degree program.
  • Analyze and interpret data and use information 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 principles, analytical thinking, and service excellence in practice.
  • Ability to float to various nursing units while maintaining clinical excellence and high-quality service.

Nice To Haves

  • National certification as a Certified Pediatric Nurse, such as ANCC, CPN, or RNBC, preferably within five years of hire.
  • A minimum of one year of RN experience in a Pediatric Psychiatric setting.
  • Proficiency with computers and Electronic Medical Records (EMR).

Responsibilities

  • Plan, implement, and document plans of care in collaboration with other disciplines and services to ensure safe and efficient care.
  • Complete patient admission histories and accurately prepare and complete discharge planning according to department and hospital policies.
  • Obtain parental consent for each medication administered, as required by policy.
  • Follow physician orders; check labs and tests; administer medications as needed; and adhere to the six rights of medication administration.
  • Assess IV sites after removal for infiltration, redness, and infection.
  • Collaborate and participate in daily multidisciplinary care-planning rounds, as appropriate, and foster a family-centered care environment.
  • Administer analgesics and narcotics safely, including monitoring and reassessment according to hospital policy and procedure.
  • Complete nursing multisystem and head-to-toe assessments, perform assessments based on patient need, and conduct mental health assessments.
  • Ensure appropriate restraint orders, use, documentation, and monitoring in accordance with sedation policy and procedure.
  • Access the electronic health record independently according to hospital policy and complete accurate, timely documentation within 24 hours.
  • Communicate additional 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 plans of care with patients and families, solicit their input, and communicate concerns to physicians.
  • Educate families about new diagnoses and treatment plans.
  • Promote an error-free work environment by consistently providing high-quality, safe care.
  • Assess all body systems and support safe, efficient care while preventing medication errors and falls and conducting clean sweeps.
  • Provide patient information and complete handoffs at shift changes and patient reassignments.
  • Demonstrate proper use of personal protective equipment (PPE).
  • Participate actively in the nursing governance council and unit-based activities.
  • Meet or exceed unit standards for achieving a 95% CEI, complete documentation in a timely manner, and remain accountable to DNV, CMS, DOH, FACT, COG, and COC regulatory requirements.
  • Provide continuous supervision and observation of behavioral health patients and adhere to non-violent crisis intervention strategies (CPI).
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