RN- Minor Procedure Suite (Per DIem / Pool, Day shift) at Nicklaus Children's Health System in Miami, Florida

Job Description:

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 has passion for learning, provides compassionate and family centered care for Minor Procedure Suite patients.
 
Minimum Job Requirements:

• RN licensure within the State of Florida in good standing and throughout employment.


• 
  CPR: Healthcare Provider – must maintain active and in good standing throughout employment.
  


• PALS within two years of hire and in good standing prior to expiration and throughout employment.

Essential Job Duties:
Nursing Care Functions:

• Supports the Service Recovery Program.  Ensures that his/her behavior meets/exceeds acceptable Service scores as measured by the Service Index.


• Completes all nursing multi-system assessments that include head to toe, vitals, pain management, falls risk assessment, post anesthetic scores, and airway management.


• Ensures completion of patient pre-admission/admission history and prepares and accurately completes the discharge planning process accurately as per department and hospital policies and procedures.


• Communicates and documents the patient’s progress including critical findings, changes in patient’s condition with the physician or disciplines involved in the care of the patient.


• 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 surgical team with specific procedures.


• Follows physician’s orders, administers and reconstitutes medications when needed.  Adheres to six rights of medication administration per medication administration policy.


• Ensures proper and safe sedation administration to patients and monitors recovery as per the PACU Policy and Procedure.


• Cross trained to provide safe patient care in Pre-Op, Intra-Op, PACU 1, and PACU 2.


• Leads turnover between cases with Care Assistants to provide safe and clean environment of care.


• Ensures advanced directives, secures blood consents, documents time-out procedures, and ensures the correct site/side is marked (when applicable per Universal Protocol Policy).


• Greets family and patient, transports patient into OR.  Acts as liaison to update family with procedure progress to ensure top tier patient and family satisfaction (SEI index).


• Collaborates with a multi-disciplinary team in daily care planning, as appropriate, and fosters a Family Centered Care  Environment.


• Remains with the patient during emergence and  extubation and assists Anesthesia team as needed.


• Transports the patient to recovery room and completes the SOAR checklist for the procedure with transition of care performed with a hand-off to the PACU RN.


• Plans, implements, and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care.


• Performs reassessments as per policy and when there is a change in the plan of care or when an intervention is performed.

• Accesses electronic health record 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.


• Ensures all surgical procedure documentation is obtained (i.e.; labs, consents, advance directives, custody documentation) in a timely and accurate manner.

• Educates patients and families about the medical procedure, diagnosis, and discharge instructions.


• Communicates with patients and families to review plan of care and solicits input.  Communicate any patient and family concerns to physician.


• Collaborates and rounds with a multi-disciplinary team in daily care planning rounds, as appropriate, and fosters a Family Centered Care Environment.


• Provides education and documents on patient/family teachings on health related needs (i.e. disease, medications, treatments, pain, discharge, safety, nutrition, skin care, etc.).


• Communicates and documents critical lab results per hospital policy and procedures.

• Promotes an “error free” working environment by consistently providing high-quality safe care as prompted (as per Universal Protocol Policy).


• Assesses all body systems, ensures safe effective, and efficient care delivery with emphasis on the absence of medication errors, avoidance of falls & reduction of pain post-op.


• Provides patient information and effectively completes the hand off process during patient reassignments as per SOAR document.


• Responsible for proper PPE indication and use.


• Accountable to optimize first case starts to prevent delay of patient care per departmental goals.


• Actively participates in hospital-wide committees and unit based committees on turnover or first case starts and utilizes lean processes.


• Performs skin & structural assessment, takes measures to accommodate patient & ensures safe care while ensuring no medication errors. Performs falls risk assessment & takes appropriate steps.


• Accountable to ensure the proper steps are followed in the processing of Gastro Intestinal scopes per departmental policy/protocol which meets infection control standards.


• Meets or exceeds unit standards in achieving CEI  tandards; completes documentation in a timely manner & accountable to regulatory requirements of the DNV, CMS, DOH & other agencies.


• Promotes safety by actively practicing time-out.  Documenting all implants and blood transfusion products per the Surgical Services Policy on blood transfusions, implants, and time-out procedures.

• Maintains accountability to ensure compliance thru timely completion of licensures, certifications, competencies, health requirements (PPD, N95, Flu), initial competencies & education requirements.


• Maintains professional accountability & timekeeping expectations as outlined by policy and complying with attendance guidelines & procedures. Ensures behavior is compliant with standards.

• BSN degree  preferred or currently enrolled in BSN program (requiring proof) within 6 months of hire.


• A minimum of 1 year experience as a RN preferred.


• Career Development: National Certified Pediatric Nurse (CPN) and/or certification equivalent within 5 years of hire preferred.


• Possesses proficiency in computers and EMR 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.


• 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.


• Coverage for on-call assignments per departmental and hospital policy.