RN- Emergency Services (Full Time, Evenings)

Nicklaus Children's Health System; Miami (FL); On-site; USD 60,000 - 80,000; Full time

Job summary

Nicklaus Children's Health System is looking for a Registered Nurse for their Pediatric Emergency and Level I Trauma unit in Miami, Florida. The role entails assessing, implementing, and monitoring care for critically ill pediatric patients. Candidates must hold an active Florida RN license and BLS certification, with PALS and CPI certifications to be obtained within specific time frames. Experience in pediatric emergency settings is highly preferred as the position involves rapid decision-making and teamwork under fast-paced conditions.

Qualifications

• Must maintain active RN licensure in Florida throughout employment.
• Current BLS and PALS certifications required or to be achieved within specified time.
• Nursing experience in a pediatric ER is strongly preferred.

Responsibilities

• Assess and implement care plans for pediatric emergency patients.
• Communicate critical findings with the healthcare team.
• Provide hands-on care including IVs and medication administration.

Skills

Registered Nurse licensure

CPR BLS certification

PALS certification

Crisis Prevention training

ACLS certification (preferred)

Pediatric emergency room experience (preferred)

Proficiency in EMR

Effective communication skills

Job description

Job Summary

Assesses, implements, evaluates, and oversees the plan of care for Pediatric Emergency and Level I Trauma patients utilizing a team‑based collaborative multidisciplinary approach. Provides compassionate patient and family centered care, has a passion for learning, and thrives in a fast‑paced environment. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director.

Qualifications

• RN – Registered Nurse licensure within the State of Florida or Multi‑State Enhanced Nursing License Compact (eNLC) – maintain active and in good standing throughout employment.
• CPR BLS – American Heart Association BLS – must maintain active and in good standing throughout employment.
• PALS – American Heart Association PALS – maintain active and in good standing throughout employment within 2 years.
• CPI – Crisis Prevention Institute – maintain active and in good standing throughout employment within 1 year.

Knowledge, Skills, and Abilities

• ACLS within 1 year of hire and in good standing throughout employment preferred.
• Nursing experience in a pediatric emergency room setting strongly 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.
• Ability to work effectively in a collaborative environment.
• Ability to apply principles of evidence‑based practice, analytical thinking, and service excellence in practice.
• Able to provide coverage for on‑call assignments per departmental and hospital policy.

Job Specific Duties

• Completes a comprehensive multi‑system assessment that includes cardiac, respiratory, and neurological. Develops a plan of care and conducts reassessments.
• Communicates patient’s progress (critical findings & condition) with the physician and/or disciplines involved in care, ensuring accuracy through close‑loop communication with provider.
• Provides care such as starting/monitoring IV’s, specimen collection, point‑of‑care testing, medication administration, and assists medical team with other procedures including sedation as required per policy.
• Actively supports patient (1:1 care with critical patients) by transporting the patient to all areas within the hospital for procedures.
• Completes bedside hand‑off communication at shift change, transfers, and patient reassignments.
• Reviews patient admission history, prepares and accurately completes the discharge planning with a focus on an accurate electronic discharge process.
• Responds to codes and traumas as needed; documents and takes action according departmental protocols.
• Ensures accurate completion of triage documentation including vital signs and patient history as per department and hospital policies and procedures.
• Accesses Electronic Medical Record (EMR) and completes accurate and timely documentation including: radiology workflow, consents, and discharge documentation.
• Communicates and documents critical lab results per hospital policy and procedures.
• Completes rounding to provide comfort measures, pain assessment and/or reassessment. Plans and carries through on all needs for the patient and family.
• Promotes an “error‑free” working environment by consistently providing high‑quality safe care as prompted.
• Demonstrates and ensures proper Personal Protective Equipment (PPE) indication and use.
• Meets or exceeds unit standards in achieving hospital‑wide CEI/SEI; completes documentation in a timely manner and is accountable to regulatory requirements of DNV and other accrediting agencies.
• Provides continuous supervision, observation of behavioral health patients, and adheres to non‑violent crisis intervention strategies (CPI).