RN- Psychiatry/ Med Surg & Observation (Full Time, Day shift)
Nicklaus Children’s Health System
Location: Miami, Florida
Internal Number: 23553
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. Possesses a passion for learning and provides compassionate and family centered care for Psychiatric patients. Practices under the supervision of the Nursing Manager/Director.
Job Specific Duties
Plans, implements, and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care.
Ensures completion of patient admission history, and prepares and completes the discharge planning process accurately as per department and hospital policies and procedures.
Obtains parental consent for every medication administered per policy.
Follows physician’s orders, checks labs, tests, and administers patient medications when needed. Adheres to six rights of medication administration per Medication administration policy.
Accesses IV sites after removal of IV to check for infiltration, redness, and infections.
Collaborates and rounds with a multi-disciplinary team in daily care planning rounds, as appropriate and fosters a Family Centered Care Environment.
Ensures safe analgesics/narcotics administration, monitoring and reassessment as per hospital Pain Management policy and procedure.
Completes all nursing multi-system assessment that includes head to toe, performs systems assessment based upon patient need. Performs mental health assessment.
Ensures appropriate restraint orders, use, documentation, and monitoring as required by Sedation policy and procedure.
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 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.
Communicates with patients and families to review plan of care and solicits input. Communicates any patient and family concerns to physician.
Educates families regarding new diagnosis and provides treatment plan.
Promotes an “error free” working environment by consistently providing high-quality safe care as prompted.
Assesses all body systems, and ensures safe, efficient care, while ensuring no medication errors, avoidance of falls, and clean sweeps.
Provides patient information and effectively completes the hand off process at shift change and patient reassignments.
Demonstrates proper personal protective equipment (PPE) indication and use.
Actively participates in the nursing governance council and unit based activities.
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, FACT, COG, COC.
Provides continuous supervision, observation of behavioral health patients, and adheres to non-violent crisis intervention strategies (CPI).
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 (within 7 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 (i.e. ANCC, CPN, or RNBC) preferably within 5 years of hire.
A minimum of 1 year of experience as an RN in a Pediatric Psychiatric setting preferred.
Proficiency in computers and Electronic Medical Record (EMR) 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.
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.
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.