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

Nicklaus Children's•Miami, FL

About The Position

The RN plans and delivers care using nursing processes, including assessment, implementation, and evaluation. The role oversees plans of care, uses effective problem-solving strategies, applies evidence-based practices, and supports the quality standards of a Magnet-designated hospital and the Patient Bill of Rights. The RN provides compassionate, family-centered care to Urgent Care Center patients under the supervision of the Nursing Manager/Director. The RN communicates patient progress, critical findings, and changes in condition to physicians and involved disciplines; prepares patients for medical-team visits; assesses patients, including those with emergency conditions; and performs and documents discharge instructions. The position includes administering ordered medications and treatments, assisting physicians with procedures, arranging transfers to a higher level of care, educating patients and families, and maintaining accurate electronic health records and charges. The RN promotes safe, effective care through medication-safety practices, thorough handoffs, infection prevention, regulatory compliance, and continuous observation of behavioral health patients.

Requirements

Active, unencumbered RN licensure in Florida or a multistate Enhanced Nursing License Compact (eNLC) license, maintained throughout employment.
Active American Heart Association BLS certification, maintained in good standing throughout employment.
Active American Heart Association PALS certification, 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.
Effective verbal and written communication skills.
Ability to analyze and interpret data and use it to make patient-care judgments.
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 per 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.
Completion of PEARS (Pediatric Emergency Assessment, Recognition and Stabilization) within two years of hire, maintained in good standing throughout employment.
Proficiency with computers and electronic medical records is preferred.
Passion for learning.

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, including vital signs, weight, height, symptoms, and history.
Delegate nursing care according to staff qualifications and competency.
Perform intake assessments on patients with emergency conditions.
Provide nursing treatments and follow physician-team orders, including medication administration, IV hydration, and aerosol respiratory support.
Plan, coordinate, and implement transfers to a higher level of care for EMTALA transfers.
Obtain parental immunization consent for each immunization administered, per 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 when needed.
Follow the six rights of medication administration and hospital medication-administration policy.
Assess IV sites after IV removal for infiltration and redness.
Administer, monitor, and reassess analgesics and narcotics in accordance with hospital pain-management policy and procedure.
Independently assess the electronic health record according to hospital policy and complete accurate, timely documentation within 24 hours.
Communicate with patients and families about the plan of care and solicit their input; communicate their concerns to physicians.
Educate patients and families about health-related needs and document teaching, including topics such as disease, medications, treatments, pain, discharge, safety, nutrition, and skin care.
Promote a safe, error-free environment through thorough SBAR handoffs and infection-prevention measures.
Support safe, effective, and efficient care, emphasizing medication-error prevention, prevention of bloodborne infections and falls, procedural pain reduction, and pain reduction overall.
Complete chart reviews for 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 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 according to department and hospital policy.