RN- PICU (Full Time, Night 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 provides compassionate and family centered care for Pediatric Intensive Care Unit patients.

Minimum Job Requirements:

•   Registered Nurse within the State of Florida - must maintain active and in good standing throughout employment
•   BLS -American Heart Association BLS - must maintain active and in good standing throughout employment
• 
    American Heart Association PALS within one year of hire - must maintain active and in good standing throughout employment
  

Knowledge/Skills/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

•  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 such as new telephones to provide efficient patient care and attends to patient call lights in a manner that 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.
•  Ensures proper and safe wound care as required by Wound Care policy and procedures.
•  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 an “error free” zero based medication errors – by following the 5 rights of Medication Administration, consistently providing high-quality safe care as prompted.
•  Assesses all body systems while ensuring no medication errors, avoidance of falls, prevention of central line infections, ouch-free procedural pain and pain reduction.
•  Provides patient information and effectively completes the hand off process during walking rounds at shift change and patient reassignments.
•  Actively participates in the nursing governance council and unit based activities. 
•  Ensures proper personal protective equipment (PPE) indication and use.