RN Med-Surg/Obs/Psych (Full Time, Nights)

Nicklaus Children's Hospital; Miami (FL); On-site; USD 75,000 - 110,000; Full time

Job summary

Nicklaus Children's Hospital in Florida is seeking a Registered Nurse to plan and deliver patient care using the nursing process, including assessment, implementation, and evaluation, with a focus on Psychiatric inpatients and observation status.

You will collaborate with a multidisciplinary team, perform mental health assessments, discharge planning, and ensure accurate documentation in Cerner while upholding Magnet standards and patient rights.

Qualifications

• RN licensure in Florida or eNLC in good standing.
• AHA BLS in good standing; PALS within 2 years of hire.
• Crisis Prevention Intervention certification within 30 days of start.
• Level II background check and good moral character.

Responsibilities

• Plan and deliver nursing care using the nursing process (assessment, implementation, evaluation).
• Perform mental health assessments in Psychiatry and discharge planning per policies.
• Handoff using SBAR and document in Cerner; maintain accurate EHR entries within 24 hours.
• Collaborate with a multidisciplinary team for safe, high-quality patient care.
• Educate families, review care plans, and ensure patient and family input.
• Float as needed while maintaining clinical excellence and safety.

Skills

BSN

CPN certification

Time management

Communication skills

Leadership experience

Education

BSN degree

Tools

EHR proficiency

Job description

Job Description

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. 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.

Qualifications

• 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

Job

Job: Nursing - Clinical

Primary Location