RN - Doral Urgent Care Center (Full Time, Evenings)

Nicklaus Children's Hospital•Miami, FL

About The Position

Responsible for planning and delivering care using nursing processes, including assessment, implementation, and evaluation. Oversees the plan 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, and provides compassionate, family-centered care to Urgent Care Center patients. Practices under the supervision of the Nursing Manager/Director. The role includes communicating patient progress and critical findings, completing patient intake and assessment, carrying out treatments and physician orders, administering medications, documenting care, educating patients and families, and coordinating transfers when a higher level of care is needed. The nurse also supports procedures, promotes safety and infection prevention, reviews charts for compliance, completes patient charges, and supervises behavioral health patients as required.

Requirements

Active, good-standing Florida RN license or 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 active, good-standing status.
Crisis Prevention Institute (CPI) certification required within 180 days of hire or transfer into the position and maintained in active, good-standing status.
BSN degree or current enrollment in a BSN degree program.
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.
Ability to pick up on-call assignments according to department and hospital policy.

Nice To Haves

One year of RN experience in a Pediatric ED/UCC or ICU setting is preferred.
National certification as a Certified Pediatric Nurse (such as ANCC, CPN, or RNBC), preferably within five years of hire.
PEARS (Pediatric Emergency Assessment, Recognition and Stabilization) completion within two years of hire, maintained in active, good-standing status.
Proficiency with computers and electronic medical records (EMR) is preferred.
Passion for learning.

Responsibilities

Communicate patient progress, critical findings, and changes in condition to physicians and other care-team disciplines.
Perform and document discharge instructions.
Complete patient intakes, including vital signs, weight, height, symptoms, and history, and perform intake assessments for patients with emergency conditions.
Delegate nursing care based on staff qualifications and competency.
Perform nursing treatments and follow physician-team orders for medications, IV hydration, aerosol respiratory support, and other care.
Plan, coordinate, and implement EMTALA transfers to a higher level of care.
Obtain parental 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 laboratory and test results, and administer medications when needed, adhering to the six rights of medication administration.
Assess IV sites after removal for infiltration and redness.
Administer and monitor analgesics and narcotics safely, with reassessment according to hospital policy and procedure.
Assess the electronic health record according to hospital policy and complete accurate, timely documentation within 24 hours.
Communicate the plan of care with patients and families, solicit their input, and relay their concerns to physicians.
Educate patients and families on health-related needs and document teaching, including disease, medications, treatments, pain, discharge, safety, nutrition, and skin care.
Promote a safe working environment through thorough SBAR handoffs and infection-prevention measures.
Support safe, effective, and efficient care, with emphasis on preventing medication errors, blood-borne infections, falls, and procedural pain, and reducing pain.
Complete chart reviews to observe accreditation and regulatory compliance.
Complete charges for assigned patients.
Use personal protective equipment appropriately.
Meet or exceed unit standards for a 95% CEI, complete documentation promptly, and comply with DNV, CMS, DOH, and ACHA requirements.
Provide continuous supervision and observation of behavioral health patients and follow non-violent 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 according to department and hospital policy.