RN- Float Pool, ICU (Full Time, Nights)

Nicklaus Children's•Miami, FL

About The Position

Responsible for planning and delivering patient 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. Practices under the supervision of the Nursing Manager/Director and provides compassionate, family-centered care. This float-pool ICU role provides nursing care across various nursing units while maintaining clinical excellence and high-quality service. Duties include patient assessment and documentation, care planning and coordination, medication administration, communication with patients and families, and collaboration with physicians and multidisciplinary teams. The role also involves adapting frequently to changing environments, including mid-shift.

Requirements

Active, in-good-standing RN licensure in Florida or a Multi-State Enhanced Nursing License Compact (eNLC) license, maintained throughout employment.
American Heart Association BLS certification, active and in good standing throughout employment.
American Heart Association PALS certification, active and in good standing throughout employment; required within two years of hire.
American Heart Association ACLS certification, active and in good standing throughout employment; required within one year of hire, as specified by the department.
Neonatal Resuscitation Program (NRP) certification, active and in good standing throughout employment; required within one year of hire.
BSN degree or current enrollment in a BSN degree program.
Analyze and interpret data and use information to make patient-care decisions.
Strong time-management and prioritization skills.
Ability to work effectively with multidisciplinary teams and in a collaborative environment.
Ability to create a family-centered care environment through excellent customer service.
Effective verbal and written communication skills.
Ability to apply evidence-based practice, analytical thinking, and service excellence.
Ability to adapt to frequently changing environments, including mid-shift.

Nice To Haves

One year of RN experience in a pediatric intensive care environment.
Proficiency with computers and electronic health records (EHR).
National certification, preferably within two to five years of hire.

Responsibilities

Complete patient admission, history, assessment, and pain reassessment.
Prepare and complete discharge planning according to department and hospital policies and procedures.
Conduct handoffs with the oncoming RN using SBAR and document in Cerner.
Conduct assessments and document findings.
Plan, implement, and document the plan of care in collaboration with other disciplines and services to provide safe and efficient care.
Provide nursing care involving mechanical ventilation, IV site monitoring, suctioning, specimen collection, lines, tubes, and drains, and assist the medical team with procedures.
Follow physician orders and administer medications, including drips, while adhering to the six rights of medication administration.
Collaborate and round with a multidisciplinary team during daily care-planning rounds as appropriate, fostering a family-centered care environment.
Use electronic innovations to provide efficient patient care and independently access the electronic health record according to hospital policy.
Respond to patient call lights in a manner that promotes safety and complies with hospital policy.
Report critical values or changes in patient status to physicians within the policy and procedure standard of 30 minutes, and document clinician notification in Cerner.
Provide wound care according to Wound Care Policy and Procedures.
Complete the scoring process and assessment, and request additional narcotics or orders from physicians when needed.
Assess restraint sites, circulation, and range of motion every two hours according to hospital policy and procedures.
Complete accurate and timely documentation in the patient's electronic health record.
Communicate with patients and families about the plan of care, provide education, use appropriate translation methods when necessary, and communicate patient or family concerns to physicians.
Promote an error-free work environment by providing high-quality, safe care in accordance with hospital policies.
Promote a safe environment for coworkers by placing appropriate isolation and precaution signs, including droplet, contact, or airborne precautions.
Create incident reports for hospital-acquired conditions, near misses, machine malfunctions involving patients, and adverse events or medication errors; document the situation within 72 hours.
Assess all body systems and support safe, efficient care, medication-error avoidance, fall prevention, central-line infection prevention, pain-free procedures, and pain reduction.
Float to various nursing units while maintaining clinical excellence and high-quality service.