Registered Nurse Pediatric ICU

SUMMARY:
Under the direct supervision of the Clinical Manager (or designee) implements, supervises and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.
In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:
Instill Trust and Value Differences
Patient and Community Focus and Collaborate
RESPONSIBILITIES:
Provides direct patient care.font-size: 14pxfont-size: 14pxProvides leadership by delegating, supervising and participating in safe nursing care activities provided by ancillary personnel.font-size: 14pxfont-size: 14pxEvaluates effectiveness of patient care and identifies opportunities for improvement.font-size: 14pxfont-size: 14pxCollaborates with the healthcare team, patient, family and community services regarding the patient care outcome/discharge planning.font-size: 14pxfont-size: 14pxAssesses and provides appropriate teaching based on patient and family needs.font-size: 14pxfont-size: 14pxParticipates in unit-based quality improvement and research activities.font-size: 14pxfont-size: 14pxUtilizes all available resources to provide quality, cost effective patient care.font-size: 14pxfont-size: 14pxMeets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support and ACLS/PALS as appropriate.font-size: 14pxfont-size: 14pxIdentifies growth needs and participates in educational opportunities and professional organizations.font-size: 14pxfont-size: 14pxServes as a role model/preceptor to new graduate nurses and less experienced personnel.font-size: 14pxfont-size: 14pxAssumes charge nurse responsibility for the patient care unit as delegated.font-size: 14pxfont-size: 14pxfont-size: 14pxCompetency Assessment:font-size: 14pxAdvanced Respiratory Assessment and interventions:font-size: 14pxfont-size: 14pxSuccessfully cares for patients receiving all types of non-invasive and invasive ventilatory interventionsfont-size: 14pxfont-size: 14pxCritical Airway Guidelinesfont-size: 14pxfont-size: 14pxMonitors and interprets end tidal CO2font-size: 14pxfont-size: 14pxInterprets blood gas resultsfont-size: 14pxfont-size: 14pxAssists with intubationfont-size: 14pxfont-size: 14pxAdvanced Cardiac Assessment and Hemodynamic Monitoringfont-size: 14pxfont-size: 14pxECG monitoring and arrhythmia recognition, defibrillation, cardioversion, drug intervention, and internal and external pacing.font-size: 14pxfont-size: 14pxCares for patient with congenital heart defectfont-size: 14pxfont-size: 14pxHemodynamic monitoring including arterial line and central venous pressure monitoringfont-size: 14pxfont-size: 14pxPerforms neurovascular checks /Utilizes Doppler for pulse assessmentfont-size: 14pxfont-size: 14pxObtains a 12 lead EKGfont-size: 14pxfont-size: 14pxfont-size: 14pxNeuro Critical Carefont-size: 14pxfont-size: 14px* Manages an EVDfont-size: 14pxfont-size: 14px* Monitors ICP and delivers appropriate interventionsfont-size: 14pxfont-size: 14px* Proficient in Glasgow Coma Scale assessmentfont-size: 14pxfont-size: 14px* Manages a lumbar drainfont-size: 14pxfont-size: 14px* Maintains spinal precautionsfont-size: 14pxfont-size: 14px* Cares for patient with spinal cord injuryfont-size: 14pxfont-size: 14pxfont-size: 14pxSurgical Critical Carefont-size: 14pxfont-size: 14px* Manages immediate post-operative phase of complex surgeries including (but not limited to) neurosurgical, orthopedic , spinal, plastic, vascular, otolaryngology, and complex general surgical.font-size: 14pxfont-size: 14pxfont-size: 14pxPatient Teachingfont-size: 14pxfont-size: 14px* Provides education to patient according to age and developmental level.font-size: 14pxfont-size: 14px* Evaluates the patient's and/or families/caregivers response to teaching using teach back and GetWell Network methodologies. font-size: 14pxfont-size: 14pxfont-size: 14pxKnowledge/Skillsfont-size: 14pxfont-size: 14pxCare and management of patient receiving extracorporeal membrane oxygenation (ECMO)font-size: 14pxfont-size: 14pxCare and management of patient receiving continual renal replacement therapy (CRRT)font-size: 14pxfont-size: 14pxCare and management of a patient with >20% BSA burns (see burn center orientation checklist)font-size: 14pxfont-size: 14pxCare and management of the post-operative kidney transplant patientfont-size: 14pxfont-size: 14pxCare and management of the stroke patient including responding as part of stroke team and administering tPAfont-size: 14pxfont-size: 14pxCare and management of patient requiring maximal personal protective equipment (PPE)font-size: 14pxfont-size: 14pxCare and management of patient with an oncological emergencyfont-size: 14pxfont-size: 14pxSafely and effectively travel with critically ill pediatric patients throughout institution.font-size: 14pxfont-size: 14pxUtilizes available smart pump technology to safely deliver vasoactive, sedation, and other high risk meds to pediatric patients.font-size: 14pxfont-size: 14pxMonitors patient during sedation for procedurefont-size: 14pxfont-size: 14pxResponds to pediatric code blue and pediatric rapid response team calls throughout institutionfont-size: 14pxfont-size: 14pxCare of the patient and family at end of lifefont-size: 14pxfont-size: 14pxknowledgeable of palliative care therapies.font-size: 14pxfont-size: 14pxComplies with standards of care for bereavement in the care of parents and families who are experiencing the loss of a childfont-size: 14pxfont-size: 14pxCare of patient who has agreed to organ donation/support of parents/familiesfont-size: 14pxfont-size: 14pxAble to use the following equipment:font-size: 14pxfont-size: 14pxCardiac monitors (stationary and travel)font-size: 14pxfont-size: 14pxGiraffe warmer/ Bair Hugger/cooling blanketfont-size: 14pxfont-size: 14pxHot Line Warmerfont-size: 14pxfont-size: 14pxDopplerfont-size: 14pxfont-size: 14pxLeadershipfont-size: 14pxfont-size: 14pxPresents nursing report at interdisciplinary roundsfont-size: 14pxfont-size: 14pxParticipates in unit based huddles supporting culture of safety
MINIMUM QUALIFICATIONS:
Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.BASIC KNOWLEDGE:font-size: 14pxfont-size: 14pxBaccalaureate in Nursing preferred.font-size: 14pxfont-size: 14pxMust have current licensure to practice as a Registered Nurse in the State of Rhode Island.font-size: 14pxfont-size: 14pxDemonstrates knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.font-size: 14pxfont-size: 14pxTwelve (12) months of Medical/Surgical strongly preferred. Critical care experience highly desirable.font-size: 14pxfont-size: 14pxWORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:font-size: 14pxVisual and aural ability to monitor patient status.font-size: 14pxfont-size: 14pxPhysical ability to assist in lifting and positioning patients.font-size: 14pxfont-size: 14pxExposed to patient care environment.font-size: 14pxfont-size: 14pxPhysical ability for extensive walking and standing; lifting, positioning, and pushing patients on stretchers.font-size: 14px

Pay Range:

$35.56-$59.99

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

Work Type:

12 HR nights, every other holiday, every other weekend as needed

Work Shift:

Night

Driving Required:

No

Union:

United Nurses And Allied Professional