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

Nicklaus Children's Health System; Miami (FL); On-site; USD 85,000 - 100,000; Full time

Job summary

Nicklaus Children's Health System in Miami, FL seeks a Registered Nurse for Psychiatry to plan and deliver care using nursing processes: assessment, implementation, and evaluation. The role requires collaboration with a multi-disciplinary team to uphold Magnet-designated hospital quality and patient rights.

Supervision by Nursing Manager/Director ensures safe, family-centered care. Responsibilities include admission assessments, SBAR handoffs, plan-of-care documentation, medication

Qualifications

• BSN preferred or enrolled in BSN program.
• National certification Certified Pediatric Nurse (CPN) preferred within 2–5 years of hire.
• American Heart Association BLS required.
• American Heart Association PALS required within 2 years of hire.

Responsibilities

• Oversees plan of care and nursing process for psychiatry patients.
• Performs admission history and mental health assessment in Psychiatry.
• Delivers nursing care including IV monitoring, suctioning, and g-tube care.
• Ensures 6 rights of medication administration and documents in Cerner.
• Communicates plan of care to families and coordinates with physicians and team.

Skills

BSN degree

CPN certification

PALS

BLS

RN experience

EHR proficiency

CPI certification

Leadership

Education

BSN degree

Job 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.

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

Job: Nursing - Clinical

Department: PSYCHIATRY-2100-630000

Job Status: Professional