RN - CICU - NIGHTS

CICU Registered Nurse - NIGHTS

Nemours Children's Hospital, Florida is seeking a full-time Cardiac Intensive Care Unit (CICU) Registered Nurse to join our Comprehensive Cardiac Care Unit. This role is ideal for experienced pediatric nurses seeking clinical complexity, strong team support, and opportunities for professional growth within a stable, mission-driven organization.

Nemours Children's Health is a nationally recognized nonprofit pediatric health system with a long, stable financial history and the backing of the Nemours Foundation. We are investing in our talent, expanding programs, and growing our Orlando campus to support children with complex medical needs. Our Orlando campus expansion is enhancing surgical capacity, specialty services, and advanced pediatric programs to meet the needs of Central Florida's rapidly growing population. This growth creates new opportunities for nurses to help shape programs, advance best practices, and deliver world-class pediatric cardiac care. Our culture encourages perseverance, teaching, collaboration, shared governance, and professional development.

In the CICU, we embrace a Just Culture model that promotes accountability, transparency, and continuous learning. Over the past year, we have maintained zero CLABSI, zero CAUTI, and zero SSI, reflecting exceptional quality and patient safety outcomes. This success is a direct result of strong collaboration across inpatient and outpatient cardiology teams, our cardiac surgery partners, and our multidisciplinary CICU nursing care team.

Our unit has dedicated cardiac respiratory therapists who are specifically trained in managing the complex needs of our cardiac population, including post-operative and high-acuity patients.

We provide multiple cardiac-specific didactic courses each year, including Post-Op Emergencies, Cardiac 101, Cardiac 102, and Cardiac Neonatal. The team also participates in mock codes and high-fidelity simulation training, allowing staff to practice rare but high-risk scenarios in a controlled, team-based learning environment. Innovative learning methods, including team-based simulation exercises and scenario-based "escape room" training to strengthen critical thinking, teamwork, and rapid response in high-risk situations.

Patient assignments are determined based on patient acuity and nurse competency tier:

• 1:1 for immediate post-operative patients
• 2:1 for ECMO patients
• 1:2 for stable cardiac patients

Assignments are matched to both acuity and the nurse's competency tier to ensure safe and appropriate care.

The Cardiac Service Line provides robust support through:

• Core charge nurses
• Relief and resource charge nurses
• Dedicated cardiac respiratory therapists
• Patient Care Technicians (PCTs)

Responsibilities include:

• Providing high-quality, family-centered nursing care to critically ill pediatric cardiac patients in the CICU
• Performing comprehensive assessments and developing, implementing, and evaluating individualized care plans
• Managing care for post-operative cardiac surgery patients, ECMO patients, and medically complex cardiac populations based on competency tier
• Collaborating closely with cardiology, cardiac surgery, respiratory therapy, and other multidisciplinary team members
• Utilizing evidence-based practice, clinical guidelines, and unit protocols to deliver safe, effective care
• Monitoring patient status, interpreting clinical data, and initiating appropriate interventions in response to changes in condition
• Educating patients and families regarding diagnoses, procedures, medications, and treatment plans
• Coordinating patient care, prioritizing assignments, and supporting patient flow within the unit
• Participating in quality improvement initiatives, research activities, and performance improvement projects
• Maintaining accurate, timely documentation in the electronic health record
• Serving as a clinical resource and mentor to peers, supporting professional development and competency advancement
• Upholding patient confidentiality, safety standards, regulatory requirements, and a culture of safety
• Demonstrating professional accountability through ongoing education, competency validation, and adherence to Nemours Standards of Behavior
• Supporting the hospital's strategic growth, including preparation for Level 1 Trauma Center designation and expansion of pediatric services to meet the needs of a growing pediatric population

Qualifications include:

• Associate Degree in Nursing (ASN) required
• BSN preferred
• Active Florida or multistate RN license required
• Minimum six months' RN experience required; pediatric or cardiac experience preferred
• National specialty certification preferred

Required Certifications (prior to start date) include:

• AHA BLS (valid through 90 days post start date)
• AHA PALS

What We Offer includes:

• Medical, Dental, and Vision – Four levels of medical coverage are available, including fertility care and prescription drugs for associates and their families.
• Paid Time Off (PTO) – PTO will accrue according to your role and length of service. There are six paid holidays annually, and one day of paid volunteer time off.
• Paid Parental Leave – New parents receive six weeks of paid leave at 100% of pay.
• Tuition Reimbursement – Reimbursement available on approved courses to maximum of $5,250.
• Retirement Savings Plan – There is a 403(b) plan with immediate participation and matching contributions. A 457(b) program is available for highly compensated associates.
• Basic Life and Accidental Death & Dismemberment (AD&D) Insurance – Basic Life Insurance is paid equal to one time your annual salary, up to a maximum of $500,000.
• Short- and Long-Term Disability – All associates are automatically covered by our short-term disability coverage with income protection for disabilities caused by illness, accident, or injury that are not work-related, at 60% of your salary.

Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. duPont Trust, as well as other income. As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child's world a place to thrive. It's a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever. Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.