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.
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.
Minimum Job Requirements
Registered Nurse 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 maintain active and in good standing throughout employment within 2 years of hire
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.
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.