RN- Operating Room (Full Time, Days)

Nicklaus Children's Hospital•Miami, FL

About The Position

The Registered Nurse is responsible for planning and delivering care using nursing processes, including assessment, implementation, and evaluation. The role oversees plans of care, uses effective problem-solving strategies, and applies evidence-based practice. Working under the supervision of the Nursing Manager/Director, the RN supports the quality standards of a Magnet-designated hospital and the Patient Bill of Rights, and provides compassionate, family-centered care to Surgical Services patients.

Requirements

Active, in-good-standing Registered Nurse licensure in Florida or a Multi-State Enhanced Nursing License Compact (eNLC) license, maintained throughout employment.
Active, in-good-standing American Heart Association BLS certification, maintained throughout employment.
American Heart Association PALS certification, maintained in good standing within two years.
Ability to analyze and interpret data and use the information to make judgments regarding patient care.
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, analytical thinking, and service excellence in practice.

Nice To Haves

BSN degree or current enrollment in a BSN program, with proof required within six months of hire.
Nursing experience in a pediatric healthcare operating room setting.
National Certified Pediatric Nurse (CPN), CNOR, or equivalent certification within five years of hire.
Proficiency with computers and electronic medical records.

Responsibilities

Ensure completion of surgical documentation requirements, including consent, labs, history and physical, and patient history, in accordance with Universal Protocol and hospital policies.
Greet patients and families, transport the patient into the operating room, and provide procedure-progress updates to families.
Plan, implement, and document care in collaboration with other disciplines and services to support safe and efficient care.
Provide nursing care that includes IV site monitoring and specimen collection, and assist the medical team with procedures.
Follow physician orders and administer or reconstitute medications as needed while adhering to the six rights of medication administration.
Collaborate with the multidisciplinary team in daily care planning and foster a family-centered care environment.
Set up and maintain the sterile field, complete required reconciliations, and count instruments according to retained surgical site policy.
Coordinate antibiotic use according to protocol and physician preference cards.
Prepare medications required for the surgical field according to the procedure.
Remain with the patient during emergence and extubation and assist the Anesthesia team as needed.
Transport the patient to the recovery room, complete the SOAR checklist, and hand off care to the PACU RN.
Ensure advanced directives and blood consents, document time-out procedures, confirm the correct site and side are marked when applicable, and administer antibiotics according to Universal Protocol.
Perform reassessments according to policy, when the plan of care changes, and when an intervention is performed.
Use the electronic health record, complete charge reconciliation according to hospital policy, and maintain accurate, timely patient documentation.
Communicate and document critical lab results according to hospital policy and procedures.
Discuss the plan of care with patients and families, solicit their input, and communicate concerns to the physician.
Promote an error-free environment through safe, high-quality care in accordance with Universal Protocols and the Prevention of Retained Surgical Items Policy.
Perform skin and structural assessments, take measures to accommodate the patient, support safe care, prevent medication errors, and complete falls risk assessments with appropriate follow-up.
Provide patient information and complete the SOAR handoff process at patient reassignments.
Use appropriate personal protective equipment.
Meet or exceed unit standards for a 95% CEI, complete documentation promptly, and comply with requirements of DNV, CMS, DOH, and other accrediting agencies.
Support departmental goals for optimizing first-case starts and preventing delays in patient care.
Practice time-outs and document implants and blood transfusion products according to Surgical Services policies.
Provide coverage for on-call assignments according to departmental and hospital policy.