RN - UCC Nursing Float Pool (Per Diem, Days)

Nicklaus Children's Hospital•Miami, FL

About The Position

Responsible for planning and delivering care using nursing processes, including assessment, implementation, and evaluation. Oversees plans of care, uses effective problem-solving strategies, and applies evidence-based practices. Supports the quality standards of a Magnet-designated hospital and the Patient Bill of Rights, while providing compassionate, family-centered care to Urgent Care Center (UCC) patients. Practices under the supervision of the Nursing Manager/Director. The position floats to various urgent care centers as needed and may pick up on-call assignments in accordance with department and hospital policy.

Requirements

  • Active, good-standing RN license 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.
  • Crisis Prevention Institute (CPI) certification, required within 180 days of hire or transfer into the position and maintained in good standing throughout employment.
  • BSN degree or current enrollment in a BSN degree program.
  • PEARS (Pediatric Emergency Assessment, Recognition and Stabilization) completion within two years of hire, maintained in good standing throughout employment.
  • Ability to analyze and interpret data and use it to make patient-care judgments.
  • Effective verbal and written communication skills.
  • Ability to work effectively in a collaborative environment.
  • Ability to apply evidence-based practice, analytical thinking, and service excellence in practice.
  • Ability to float to various urgent care centers as needed and maintain clinical excellence and high-quality service.
  • Ability to pick up on-call assignments per department and hospital policy.
  • Passion for learning.

Nice To Haves

  • One year of RN experience in a Pediatric ED/UCC or ICU setting preferred.
  • National certification as a Certified Pediatric Nurse (such as ANCC, CPN, or RNBC), preferably within five years of hire.
  • Proficiency with computers and electronic medical records (EMR) preferred.

Responsibilities

  • Communicate patient progress, critical findings, and changes in condition to physicians and other disciplines involved in the child's care; perform and document discharge instructions.
  • Complete patient intakes before medical team evaluation, including vital signs, weight, height, symptoms, and history.
  • Delegate nursing care based on staff qualifications and competency.
  • Perform intake assessments for patients with emergency conditions.
  • Provide nursing treatments and follow physician-team orders for medication administration, IV hydration, aerosol respiratory support, and other care for assigned patients.
  • Plan, coordinate, and implement transfers to a higher level of care for EMTALA transfers.
  • Obtain parental immunization consent for each immunization administered, in accordance with policy.
  • Assist physicians with procedures such as incision and drainage, lacerations, and suture removal as needed.
  • Follow physician orders, check labs and tests, and administer medications as needed; adhere to the six rights of medication administration and applicable policy.
  • Assess IV sites after IV removal for infiltration and redness.
  • Administer analgesics and narcotics safely, with monitoring and reassessment in accordance with hospital pain-management policy and procedure.
  • Review the electronic health record independently according to hospital policy and complete accurate, timely documentation within 24 hours.
  • Communicate with patients and families about the plan of care, solicit their input, and relay concerns to the physician.
  • Educate patients and families about health-related needs, including disease, medications, treatments, pain, discharge, safety, nutrition, and skin care; document teaching.
  • Promote a safe, error-free environment through thorough SBAR handoffs and infection-prevention measures.
  • Support safe, effective, and efficient care, emphasizing prevention of medication errors and blood-borne infections, falls from surfaces, procedural pain, and avoidable pain.
  • Complete chart reviews to observe for accreditation and regulatory compliance.
  • Complete charges for all assigned patients.
  • Demonstrate proper indications for and use of personal protective equipment (PPE).
  • Meet or exceed unit standards, including achieving a 95% CEI; document in a timely manner and comply with DNV, CMS, DOH, and ACHA requirements.
  • Provide continuous supervision and observation of behavioral-health patients and follow nonviolent crisis-intervention strategies (CPI).
  • Float to various urgent care centers as needed while maintaining clinical excellence and high-quality service.
  • Pick up on-call assignments in accordance with department and hospital policy.
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