RN- Medical Surg/ Observation (Full Time, Days)

Nicklaushealth; Miami (FL); Hybrid; USD 70,000 - 110,000; Full time

Job summary

Nicklaushealth in Miami seeks a Clinical RN to plan and deliver care using standard nursing processes. You will oversee the plan of care, document assessments, and participate in careful handoffs to ensure continuity.

Responsibilities include admission assessments, SBAR handoffs, medication administration, and collaborative rounds with multidisciplinary teams to support Family Centered Care. Strong documentation and EHR skills are required.

Qualifications

• RN license in Florida or Multi-State eNLC
• PALS within 2 years
• CPR/BLS current and active

Responsibilities

• Complete admission history and assessment.
• Conduct SBAR handoffs with oncoming RN.
• Plan, implement, and document the care plan with cross-disciplinary collaboration.
• Administer medications following six rights and hospital policy.
• Document accurately in the EHR within 24 hours and communicate critical results.

Skills

RN license

SBAR handoffs

Communication

Electronic Health Record

Time management

Critical thinking

Education

BSN or enrolled in BSN program

Tools

Cerner

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.

Job Specific Duties

• Ensures completion of patient admission, history, and assessment. Accurately prepares and completes discharge planning as per department and hospital policies and 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.
• 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.

Minimum Job Requirements

• RN - 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
• PALS - American Heart Association PALS maintain active and in good standing throughout employment within 2 years
• CPR BLS -American Heart Association BLS maintain active and in good standing throughout employment

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 procedures training process for specialties: urinary cauterizations, suctioning
• Leadership experience preferred (will take on rotating charge nurse duties after a year)
• Works effectively in a 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
• Possesses a passion for learning

Job: Nursing - Clinical

Department: 2 NORTH-2100-620000

Job Status: Professional