RN- Recovery Room/ PACU (Full Time, Day shift) at Nicklaus Children's Health System in Miami, Florida

Job Description:

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.

Minimum Job Requirements

•  Registered Nurse license 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 required within 2 years of hire - 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.

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.