RN - UCC Float Pool (Per Diem, Days)

Nicklaus Children's Hospital•Miami, FL

About The Position

The RN plans and delivers patient care using nursing processes, including assessment, implementation, and evaluation. The role oversees plans of care, applies evidence-based practices and effective problem-solving, 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 and practices under the supervision of the Nursing Manager/Director. This position floats among urgent care centers as needed and may pick up on-call assignments in accordance with department and hospital policy. It includes patient assessment and treatment, coordination with physicians and other care disciplines, patient and family education, accurate documentation, and adherence to safety, infection prevention, medication administration, and regulatory requirements.

Requirements

  • Active, good-standing RN license 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, required within two years of hire and maintained in active, good-standing status.
  • Crisis Prevention Institute (CPI) certification, maintained in active, good-standing status and obtained within 180 days of hire into the position.
  • 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 active, good-standing status.
  • Ability to analyze and interpret data and use it to make judgments regarding patient care.
  • 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 while maintaining clinical excellence and high-quality service.
  • 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.
  • 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 disciplines involved in the child’s care; provide 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 orders for medication administration, IV hydration, aerosol respiratory support, and other care.
  • 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 while adhering to the six rights of medication administration.
  • Assess IV sites after removal for infiltration and redness.
  • Safely administer analgesics and narcotics, and monitor and reassess patients according to 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 communicate their concerns to physicians.
  • Educate patients and families on health-related needs and document teaching, including education about disease, medications, treatments, pain, discharge, safety, nutrition, and skin care.
  • Promote a safe working environment through thorough SBAR hand-offs and infection prevention measures.
  • Deliver safe, effective, and efficient care, with emphasis on preventing medication errors and blood-borne infections, falls, and procedural and other pain.
  • Complete chart reviews for accreditation and regulatory compliance.
  • Complete charges for all assigned patients.
  • Use personal protective equipment appropriately.
  • Meet or exceed unit standards, including a 95% CEI; complete documentation in a timely manner 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).
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