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

Nicklaus Children's Hospital•Miami, FL

About The Position

The RN provides patient care using the nursing process of assessment, implementation, and evaluation. The role oversees and documents plans of care, applies evidence-based practices and effective problem-solving strategies, and delivers compassionate, family-centered care. The RN supports the quality standards of a Magnet-designated hospital and the Patient Bill of Rights, and practices under the supervision of the Nursing Manager or Director. This position is in the ICU Float Pool and is full-time on nights, with a requirement to float to various nursing units while maintaining clinical excellence and high-quality service.

Requirements

  • Active, good-standing RN licensure in Florida or a Multi-State Enhanced Nursing License Compact (eNLC) license; must be maintained throughout employment.
  • Active, good-standing American Heart Association BLS certification; must be maintained throughout employment.
  • American Heart Association PALS certification; must be maintained throughout employment and obtained within two years of hire if not already held.
  • American Heart Association ACLS certification as specified by the department; must be maintained throughout employment and obtained within one year of hire if required.
  • Neonatal Resuscitation Program (NRP) certification; must be maintained throughout employment and obtained 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 well with multidisciplinary teams and collaboratively.
  • Effective verbal and written communication skills.
  • Ability to provide excellent customer service and create a family-centered care environment.
  • Ability to apply evidence-based practice, analytical thinking, and service excellence in practice.
  • Ability to adapt to frequently changing environments, including changes mid-shift.
  • Ability to float to various nursing units while maintaining clinical excellence and high-quality service.

Nice To Haves

  • One year of RN experience in a pediatric intensive care environment is preferred.
  • Proficiency with computers and electronic health records is preferred.
  • National certification is preferred within two to five years of hire.

Responsibilities

  • Complete patient admissions, histories, assessments, pain reassessments, and discharge planning in accordance with department and hospital policies and procedures.
  • Conduct handoffs with the oncoming RN using SBAR and document handoffs and assessments in Cerner.
  • Plan, implement, and document patient care in collaboration with other disciplines and services to ensure safe and efficient care.
  • Provide nursing care that includes mechanical ventilation, IV-site monitoring, suctioning, specimen collection, care of lines, tubes, and drains, and assisting the medical team with procedures.
  • Follow physician orders and administer medications, including drips, in accordance with the six rights of medication administration.
  • Collaborate and round with the multidisciplinary team during daily care-planning rounds as appropriate, and foster a family-centered care environment.
  • Use electronic innovations to provide efficient care and respond to patient call lights in a manner that promotes safety under hospital policy.
  • Report critical values or changes in patient status to physicians within the applicable 30-minute procedure and policy standard, and document clinician notification in Cerner.
  • Provide safe wound care as required by policy and procedures.
  • Complete required scoring and assessments and request additional narcotics or physician orders when needed.
  • Assess restraint sites, circulation, and range of motion every two hours in accordance with hospital policy.
  • Access the electronic health record independently under hospital policy and complete accurate, timely documentation.
  • Communicate with patients and families about the plan of care and provide education, using appropriate translation methods when necessary; communicate patient and family concerns to physicians.
  • Promote a safe, error-free work environment and provide high-quality care in accordance with hospital policies.
  • Promote coworker safety by placing appropriate isolation and precaution signs, including droplet, contact, or airborne precautions.
  • Submit incident reports for hospital-acquired conditions, near misses, equipment malfunctions involving patients, and adverse events or medication errors, documenting the situation within 72 hours.
  • Assess all body systems and support safe, efficient care, medication-error prevention, fall prevention, central-line infection prevention, procedural pain reduction, and pain management.
  • Float to various nursing units while maintaining clinical excellence and high-quality service.
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