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RN- PICU (Full Time, Night shift) at Nicklaus Children's Health System

Posted in Nurse 30+ days ago.

Type: Full-Time
Location: 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.



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 Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) – 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 one year of hire - maintain active and in good standing throughout employment



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






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