RN- Med-Surg - Observation - Psychiatry (Pool/Per Diem, Day Shift)
Nicklaus Children’s Health System
Location: Miami, Florida
Internal Number: 23083
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. Provides compassionate and family center care for the patients admitted under observation status in 2 North and patients admitted to Inpatient Psychiatry.
Job Specific Duties
Ensures completion of patient admission, history, and assessment. Performs mental health assessment in Psychiatry. Accurately prepares and completes discharge planning as per policies & procedures.
Conducts handoff with oncoming RN utilizing SBAR; documents in Cerner.
Plans, implements, and documents the plan of care (i.e. high risk of fall) in collaboration with other disciplines to assure safe and efficient care.
Obtains parental consent for every medication administered in Psychiatry, per policy.
Provides nursing care that includes: IV site monitoring, suctioning, specimen collection, g- tube care, and assists medical team with specific procedures.
Follows physician’s orders and administers medication. Adheres to six rights of medication administration.
Collaborates and rounds with a multi-disciplinary team in daily care planning rounds as appropriate and fosters a Family Centered Care environment.
Accountable for reporting critical values to the physicians within 30 minutes and documents a clinician notification in Cerner.
Completes all nursing multi-system assessment to include: head to toe, vitals, dressing changes, applies protective skin barrier, suction, feeding, bathing and repositioning.
Accesses 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 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.
Educates family on emergency CPR, reflux precaution, plan of care, skin care, falls prevention, medication administration/side effects, and purpose of medication.
Promotes an “error free” working environment by consistently providing high-quality safe care as per hospital policies.
Responsible for providing a safe environment for co-workers by placing isolation/precaution signs (droplet, contact, or airborne) on door.
Responsible for indicating allergies for patients via Cerner and placing bracelet on patient.
Creates incident reports for IV infiltrates, near misses, malfunction of machine on patients, and/or falls, documenting the situation.
Ensures appropriate restraint orders, use, documentation, and monitoring as required by Sedation policy and procedure.
Communicates with patient and family on additional resources available to the patient.
Ensures voluntary consents and/or baker acts are up to date and in good standing.
Coordinates all assignments and tasks for Behavior Health Techs.
Educates families regarding new diagnosis and provides treatment plan.
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 2 years of hire - maintain active and in good standing throughout employment
Successfully complete Crisis Prevention Intervention Program certification prior to the start of Clinical Orientation in Psychiatry (within 30 days of hire)- maintain active and in good standing throughout employment
Level II Background Check and Affidavit of Good Moral Character
Knowledge, Skills, and Abilities
BSN degree or currently enrolled in a BSN degree program
Career Development: National certification Certified Pediatric Nurse (CPN) preferably within 2 -5 years of hire
1 year RN experience in a medical surgical environment for infants preferred
Previous experience with diverse cultures and belief systems around health issues is preferred
Possess proficiency in computers and Electronic Health Record (EHR) preferred
Analyzes and interprets data; utilizes information to make decisions regarding patient care
Strong time management and prioritization skills
Effective verbal and written communication skills
Experience with procedural training process for specialties: urinary cauterizations, suctioning
Leadership experience preferred (will take on rotating charge nurse duties after a year)
Able to work effectively in a collaborative environment
Abiity 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
Possesses a passion for learning
Nursing - Clinical
Primary Location :
Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus
Nicklaus Children’s Health System, is the region’s only healthcare system exclusively for children. In addition to Nicklaus Children’s Hospital and a growing number of outpatient centers located throughout the tri-county area, the health system includes Nicklaus Children’s Hospital Foundation, the organization’s fundraising arm; Nicklaus Children's Pediatric Specialists, a nonprofit physician practice subsidiary; a management services organization, and an ambulatory surgery center. Our vision is to be where the children are. Ultimately, this means being there through all stages of health and life, both physically and emotionally. To be a trusted partner to children and their families, not only in times of illness, but throughout their life journey. Our mission is to inspire hope and promote lifelong health by providing the best care to every child.