RN
Nicklaus Children's Health System
Perianesthesia RN- II (Part Time, Days)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 and has passion for learning, provides compassionate and family centered care for Pre and Post Anesthesia care patients.Job Specific Duties: Supports the Service Recovery Program. Ensures that behavior meets/exceeds acceptable Service Scores. Ensures completion of patient admission history, assessments, and pre-procedure verification process in accordance with universal protocol and hospital policy in a timely and accurate manner. Evaluates and manages the patient airway post-operatively, applying knowledge of the physiological changes to the airway as a consequence of anesthesia and surgery. Completes all nursing multisystem assessment that includes head to toe, vitals, pain management, and post anesthesia scores. Plans, implements, and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care. Follows physician's orders, administers, and reconstitutes medications when needed. Adheres to six rights of medication administration per medication administration policy. Programs and troubleshoot PCA/NCA, syringe, and macro pumps according to orders, following policy and procedure for medication and blood/blood products. Performs reassessments as per policy and when there is a change in the plan of care or when an intervention is performed. Communicates and documents the patient's progress including critical findings, critical lab results, and changes in the patient's condition with the multidisciplinary team. Performs and documents discharge planning per policy. Accesses Electronic Medical Record (EMR) and performs charge reconciliation according to hospital policy and completes accurate and timely documentation in the patient's electronic health record. Communicates with patients and families to review plan of care and solicits input and communicates any patient and family concerns to physician. Provides education and documents on patient/family teachings on health-related needs (i.e. disease, medications, treatments, pain, discharge, safety, nutrition, skin care, etc.). Provides patient information and effectively completes the hand off process between phases of care, at shift change, and patient reassignments and documents handoff in EMR. Works to meet/exceed standards in achieving quality index goals by completing documents in a timely manner & being accountable to regulatory requirements of the DNV, CMS, DOH & other accrediting agencies. Accountable to optimize first case starts to prevent delay of patient care per departmental goal. Demonstrates knowledge and adherence to HAC/HAI prevention program protocols to minimize risk and harm to patients. Monitors surgical site and performs post-surgical site assessment, checking for circulation, color, temperature, and movement. Promotes a safe "error-free" working environment by consistently adhering to infection prevention on assigned shift and demonstrates proper personal protective equipment (PPE) indication and use. Participates in the environment of care rounds to ensure adherence to regulatory and safe standards. Responsible for providing care in the PACU I phase 50% of the time ensuring PACU I phase competencies Maintains availability for on-call assignments (nights, weekends, holidays) per departmental and hospital policy.Qualifications: Minimum Job Requirements Registered Nurse 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 American Heart Association BLS – maintain active and in good standing throughout employment American Heart Association PALS – maintain active and in good standing throughout employment. Within 1 year of hire American Heart Association ACLS - maintain active and in good standing throughout employment Within 1 year of hire Knowledge, Skills, and Abilities BSN degree preferred or currently enrolled in BSN program (requiring proof) within 36 months of hire. A minimum of 1 year experience as an RN preferred. Nursing experience in a pediatric healthcare surgery setting preferred. Possesses proficiency in computers and Electronic Medical Record (EMR) and Cerner preferred. Career Development: National Certified Pediatric Nurse (CPN) and/or certification equivalent within 5 years of hire 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 within Surgical Services while maintaining the delivery of clinical excellence and high quality service. Responsible for providing care in the PACU I phase 50% of the time ensuring PACU I phase competencies. Available for on-call assignments (nights, weekends, holidays) per departmental and hospital policy.Job: Nursing - ClinicalPrimary Location: Florida-Miami-Nicklaus Children's Hospital - Main Hospital CampusDepartment: SAME DAY SURGERY-2100-760010Shift: Days Job Status : Part Time with Benefits
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