RN - Doral UCC (Full Time, Evening 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 practices. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Provides compassionate and family centered care for Urgent Care Center (UCC) patients. Practices under the supervision of the Nursing Manager/Director.

Minimum Job Requirements

• RN licensure within the State of Florida - maintain active and in good standing throughout employment.
• 
  American Heart Association BLS - maintain active and in good standing throughout employment.
  
• American Heart Association PALS within 2 years of hire - maintain active and in good standing throughout employment.
• 
  Crisis Prevention Institute (CPI) required within 3 months of hire (current staff must obtain by 12/31/2018) - maintain active and in good standing throughout employment.
  

Knowledge, Skills, and Abilities

•  BSN degree or currently enrolled in a BSN degree program.
•  1 year of experience as an RN in a Pediatric ED/UCC or ICU setting preferred.
•  Career Development: National certification Certified Pediatric Nurse (i.e. ANCC, CPN, or RNBC) preferably within 5 years of hire.
•  PEARS (Pediatric Emergency Assessment, Recognition and Stabilization) completion within two years of hire– maintain active and in good standing throughout employment.
•  Proficiency in computers and Electronic Medical Record (EMR) preferred.
•  Possesses a passion for learning.
•  Able to analyze and interpret data and utilize the information to make judgments regarding patient care.
•  Effective verbal and written communication skills.
•  Able to work effectively in a collaborative environment.
•  Ability to apply principles of evidenced-based practice, analytical thinking and service excellence in practice.
•  Able to float to various urgent care centers as needed while maintaining the delivery of clinical excellence and high quality service.
•  Able to pick up on-call assignment per department and hospital policy.

Job Specific Duties

•  Communicates patient's progress including critical findings & changes in condition with physician and/or disciplines involved in the care of the child. Performs and documents discharge instructions.
•  Completes intakes to prepare patient to be seen by the medical team including vital signs, weight, height, symptoms, and history.
•  Delegates nursing care based on knowledge of staff qualifications and competency.
•  Performs intake assessment on patients with an emergency condition.
•  Performs nursing treatments and follows physician team orders for medication administration, IV hydration, aerosol respiratory support, etc. on assigned patients.
•  Plans, coordinates, and implements a transfer to a higher level of care for EMTALA transfers.
•  Obtains parental immunization consent for every immunization administered per policy.
•  Assists Physician in procedures (I&D, lacerations, sutures removal) as needed.
•  Follows physician’s orders, checks labs, tests, and administers patient medications when needed.  Adheres to six rights of medication administration per Medication administration policy.
•  Assesses IV sites after removal of IV to check for infiltration and redness.
•  Ensures safe analgesics/narcotics administration, monitoring and reassessment as per hospital Pain Management policy and procedure.
•  Asses electronic health record independently according to hospital policy and completes accurate and  timely documentation within 24 hours in the patient’s electronic health record. 
•  Communicates with patients and families to review plan of care and solicits input. Communicates any patient and family concerns to physician.
•  Provides education and documents patient/family teachings on health related needs (i.e. disease, medications, treatments, pain, discharge, safety, nutrition, skin care, etc.).
•  Promotes a safe "error free" working environment by consistently performing thorough hand-offs (utilizing SBAR) and infection prevention measures.
•  Ensures safe/effective/efficient care delivery with emphasis on absence of medication errors & blood borne infections, avoidance of falls from surface, ouch-free procedural pain, & reduction of pain.
•  Completes chart reviews observe for Accreditation and Regulatory Compliance.
•  Completes charges on all assigned patients.
•  Demonstrates proper personal protective equipment (PPE) indication and use.
•  Meets or exceeds unit standards in achieving a 95% CEI; completes documentation in a timely manner; accountable to regulatory and requirements of the DNV, CMS, DOH, & ACHA.


•  Provides continuous supervision, observation of behavioral health patients, and adheres to non-violent crisis intervention strategies (CPI).