Registered Nurse (RN) - PICU - Pediatric Intensive Care
Nicklaus Children's Hospital
Miami, FL

RN- PICU (Full Time, Night shift)

Job Summary Responsible for the planning and delivery of care utilizing nursing processes: assessment, implementation and evaluation. Oversees the plan of care, utilizes effective problem solving strategies and applies evidence based practice. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director and provides compassionate and family centered care for Pediatric Intensive Care Unit patients. Job Specific Duties * Ensures completion of patient admission history and accurately completes the discharge planning process as per department and hospital policies and procedures. * Plans, implements and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care. * Provides nursing care that includes IV site monitoring, specimen collection and assists medical team with specific procedures. * Follows physician's orders, administers and reconstitutes medications when needed. Adheres to five rights of medication administration per Medication Administration policy. * Collaborates and participates in daily rounds with multi-disciplinary team as appropriate and fosters a Family Centered Care Environment. * Utilizes electronic innovations to provide efficient patient care and attends to patient call lights in a manner that promotes patient safety per hospital policy. * Ensures proper and safe sedation administration to patients and monitors recovery as per the Sedation policy and procedure. * Completes all nursing multi-system assessment that includes head to toe, vitals, dressing changes, suction, feeding, bathing ,med administration, and repositioning. * Ensures appropriate restraint orders, use and documentation as required by Sedation policy and procedure. * Accesses electronic health record (EHR) independently according to hospital policy and completes accurate and timely documentation in the patient's electronic health record. * Communicates and documents critical lab results per hospital policy and procedures. * Communicates with patients and families to review plan of care and solicits input; communicates any patient and family concerns to physician. * Promotes a working environment that is "error free" in all quality indicators through assessment of all body systems- prevention of central line and catheter associated urinary tract infections, avoidance of falls, ouch-free procedural pain and pain reduction, observes skin integrity for prevention of skin breakdown, ensures proper and safe wound care, secures endotracheal tubes when applicable, and zero based medication errors - by following the 5 rights of Medication Administration, consistently providing high-quality safe care as prompted. * Provides patient information and effectively completes the hand off process during walking rounds at shift change and patient reassignments. * Ensures proper personal protective equipment (PPE) indication and use. Minimum Job Requirements * RN - 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 * CPR BLS -American Heart Association BLS - must maintain active and in good standing throughout employment * PALS - American Heart Association PALS - must maintain active and in good standing throughout employment within two years of hire Knowledge, Skills, and Abilities * BSN degree or currently enrolled in BSN program * A minimum of 1 year of experience as an RN in ICU environment preferred * Nursing experience in a pediatric healthcare ICU setting is strongly preferred * ICU critical care training academy experience preferred * Career Development: National certification Certified Pediatric Nurse (CPN) within 2 years of hire or (CCRN) preferably within 3 -5 years of hire * Possess proficiency in computers and Electronic Health Record (EHR) preferred * Able to analyze and 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 * Experience with procedures training process for specialties: Apheresis and ECMO preferred * Leadership experience preferred to take on rotating charge nurse duties after one year * 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 to various nursing units while maintaining the delivery of clinical excellence and high quality service * Knowledge of diverse cultures' belief systems and values around health issues