Registered Nurse (RN) - PACU - Post Anesthesia Care
Nicklaus Children's Hospital
Miami, FL

RN- Recovery Room (Part Time)

Job Summary Responsible for the planning and delivery of patient care utilizing nursing processes. Oversees the plan of care for the patient in the immediate post-operative phase. Utilizes effective problem solving strategies and applies evidence based practices while supporting quality standards of a Magnet designated hospital. Practices under the supervision of the Nursing Manager/Director. Provides compassionate and family centered care for PACU patients. Job Specific Duties * Recovers patients and supports airway management in collaboration with Anesthesia during Phase I Post-Operative Care. * Monitors surgical site and performs post-surgical site assessment checking for circulation, color, temperature, and movement. * Monitors post-operative bleeding. * Sets up all PCA pumps according to standards and initiates all transfusions of blood/blood products per policy to include cardiac, ICU, NICU, PICU, CICU patients. * Administers direct patient care especially through the nursing process of assessment, recovery and vitals, intervention, and evaluation. * Collaborates with the medical staff in review of all post op orders to minimize any delay of care. * Completes all nursing multi-system assessment that includes head to toe, vitals, pain management, post anesthetic scores, and airway management. * Communicates and documents the patient's progress including critical findings, changes in patients' condition with the physician and/or disciplines involved in the care of the child. * Implements and documents the plan of care in collaboration with other disciplines and services to assure safe and efficient care. * Follows physician's orders, administers and provides medications when needed. Adheres to six rights of medication administration per Medication Administration policy. * Utilizes the EHR hand-off tool to initiate/accept handoff from the OR RN and Anesthesiologist and continue to provide airway management and pain management. * Promotes family centered care by ensuring parental presence in the PACU. Educates patient and family on post-operative care and medications . * Works collaboratively with all levels of the hospital interdisciplinary team and promotes the team concept within the department & hospital wide. * Interacts with patients and families to review plan of care, creates a family-centered environment by requesting input and communicating any patient and family concerns to physician. * Collaborates with the PGR Representatives to provide timely and effective communication to families. * Actively participates in the performance review process through chart reviews and documentation of quality metrics and ensures timeliness of charting and all requirements are met. * Accesses electronic health record independently according to hospital policy and completes accurate and timely documentation in the patient's electronic health record. * Promotes a safe "error free" working environment by consistently adhering to infection prevention on their assigned shift. * Participates in the Environment of Care rounds to ensure that rounds are completed. * Demonstrates proper personal protective equipment (PPE) indication and use. * Provides patient information and effectively completes the hand off process. * Meets or exceeds unit standards in achieving a 95% CEI; completes documentation in a timely manner, & is accountable to regulatory, requirements of the DNV, CMS, DOH, & other accrediting agencies. Minimum Job Requirements * Registered Nurse RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) - maintain active and in good standing throughout employment * American Heart Association BLS maintain active and in good standing throughout employment * American Heart Association PALS maintain active and in good standing throughout employment within 1 years of hire * American Heart Association ACLS required within 1 year of hire (Current PACU RNs must obtain ACLS by December 15, 2023) - maintain active and in good standing throughout employment Knowledge, Skills, and Abilities * BSN degree highly preferred or currently enrolled in BSN program, requiring proof within 6 months of hire. * Career Development: National certification Certified Pediatric Nurse (CPN) and/or certification equivalent, preferably within 5 years of hire. * A minimum of 1 year of experience as an RN preferred. * Proficiency in computers and EMR preferred. * Possesses a passion for learning. * Able to analyze, interpret data, and utilize the information to make judgments regarding patient care. * Effective verbal and written communication skills. * Ability to positively influence, hold self, and others accountable. * Able to work effectively in collaborative environment. * Ability to apply principles of evidence-based practice, analytical thinking, and service excellence in practice. * Able to float within Surgical Services while maintaining the delivery of clinical excellence and high quality service. * Available for on-call assignments (nights, weekends, holidays) per departmental and hospital policy.