Nicklaus Children's Health System

RN- Medical Surgical/ Observation (Full Time, Nights)

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. 

Qualifications

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:

Full Time

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Nicklaus Children's Health System

Assistant Nurse Manager- Coral Springs (Full Time, Days)

Description * This position is located at Coral Springs location of Broward Health Medical Center Job Summary The Assistant Nurse Manager of Critical Care assesses, plans, facilitates and evaluates the coordination of patient care according to unit/department policies and procedures. Provides clinical leadership, utilizes effective problem solving strategies and applies evidence based practice to improve patient care. Works under the supervision of the Nursing Manager/Director. Job Specific Duties Coordinates & continuously monitors patient flow, supports patient throughout utilizing appropriate resources from admission, transfer or discharge & facilitates the processes in a timely manner. Identifies clinical strengths & opportunities, re-assigns patient assignments to support clinical competency, coaches & mentors employees to improve performance & clinical outcomes. Flexes the employees to align with census fluctuations, collaborates with the Operations Administrators and Nursing Staff Office to meet hospital needs. Promotes/practices cost containment and maintaining fiscal performance by ensuring appropriate supplies and par levels are maintained. Supports departmental goals and the hospital strategic plan. Actively participates in the nursing governance council and unit based committee. Conducts department huddles, communicates hospital and department updates and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Patient Perception Survey data. Fosters staff empowerment and open communication, leads and guides staff to build a high performance and engaged team. Works collaboratively with all levels of the hospital interdisciplinary team and promotes the team concept within the department & hospital wide. Interacts with patients and families to review plan of care and solicits input and communicate any patient and family concerns to physician. Ensures the provision of education about disease processes, treatment and documents patient/family teachings on health related needs in the electronic health record. Administers direct patient care, as needed, especially during high census and/or when other resources are not available. Oversees and assists staff in the delivery of patient care through the nursing process of assessment, planning, intervention, and evaluation. Responsible for patient care coordination on designated shift to include accountability for patient throughput and outcomes. Identifies opportunities to improve processes and assists with projects to enhance workflow utilizing Lean methodologies and tools. Assists and supports the RNs and team with code blue and rapid response efforts. Collaborates and rounds with a multi-disciplinary team in daily care planning rounds, as appropriate and fosters a Family Centered Care environment. Communicates the patient's progress including critical findings and changes in the patients' condition. Implements and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care. Actively participates in the performance review process through chart reviews and validating timeliness of charting and all requirements are met. Ensures all staff on the assigned shift are adhering to the regulatory requirements of the Joint Commission, CMS, DOH, & other accrediting agencies. Serves as regulatory and safety liaison between DNV, AHCA, DCF, and any other surveys/audits. Ensures all staff is adhering to hospital policies and procedures. Promotes a safe "error free" working environment by consistently performing infection prevention are adhered to on their assigned shift. Qualifications Minimum Job Requirements Completion of a nursing program from an accredited school of Nursing 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 one year of hire - maintain active and in good standing throughout employment American Heart Association ACLS required within one year of hire - maintain active and in good standing throughout employment 2 years of related experience Knowledge, Skills, and Abilities Experience as a Charge Nurse. Pediatric Nursing in an acute care setting preferred. Career Development: National certification preferably within 5 years of hire. Strong customer service, problem solving, critical thinking, time management, and conflict resolution skills. Trauma certification as specified by the department. Effective verbal and written communication skills. Ability to positively influence; hold self and others accountable. Ability to collaborate in a multidisciplinary team and lead a team to achieve business results. Proficient in Microsoft Office applications including Excel and Word experience. Job: Nursing - Management Department: BHCS PEDS ED-2210-670602 Job Status: Full Time
RN Pediatric Full-time
Nicklaus Children's Health System

RN Case Manager - Broward Health (Full Time, Days)

Description * This position is located in Broward Health Medical Center Job Summary Plans, assesses, re-assess, implements, monitors, and evaluates the options and services required to meet the healthcare needs of the patients using the functions of Utilization Resource Management, Transition of Care, Discharge Planning, and Case Management in order to facilitate: (1) quality of patient care; (2) cost effective utilization and outcome management; (3) communication between patients, families, and members of the health care team; (4) expedition of the movement of patients through appropriate levels of care; 5) safe discharge. Assists with the identification of appropriate providers and facilities throughout the continuum of care, to ensure that resources of both Nicklaus Children's Health System and the patient are used in a timely and cost-effective manner to meet the healthcare needs. Job Specific Duties Coordinates medical DCP needs specific to pediatric patients including DME and supplies home health nursing and inpatient/outpatient rehab and other needed medical services. Screens charts to determine admission & concurrent level of care criteria; monitors daily plan of care. Collaborates to eliminate barriers of efficient delivery of care in appropriate setting & LOS. Performs admission and concurrent/retro reviews using available third-party critical guideline as applicable. Refers for medical review when system medical necessity criteria are not met. Coordinates with members of the health care team to assess and identify issues/needs that may have an impact on discharge. Applies cost benefit analysis when planning for discharge needs. Proactively identifies and resolves delays and obstacles for safe discharge. Seeks consultation from appropriate disciplinary/department to expedite care and facilitates safe discharge. Communicates with multiple resources and payor entities to identify appropriate vendors for obtaining authorization for ancillary/hospital services to facilitate transition to appropriate level of care. Collaborates with family, health care team, payors, and providers to achieve appropriate resource management to implement safe discharge plan established by health care team and family. Assists in identifying and reporting variances in utilization of resources and avoidable days/denials. Works in collaboration with Appeals Management/ Physician Advisor in the appeals process. Responsible for the appropriate use of software and applications when available and enters case management information accurately and in a timely manner. Participates in utilization management initiatives/opportunities for improvement through departmental and floor committee assignments, including interdisciplinary rounds and LEAN projects. Participates actively in complex case meetings to resolve discharge barriers and discuss complex needs of patients to coordinate services post-discharge. Conducts timey clinical reviews utilizing appropriate resources and critical thinking in applying nationally recognized criteria (InterQual or MCG) to support medically necessary level of care. Works with the interdisciplinary team for early identification of potential barriers to discharge for resolution. Submits EQ Health criteria in a timely manner. Collaborates and communications with the Discharge Coordinator to ensure that the patients' needs for DME, Home Health, post-acute care facility placement, infusion services, etc. are arranged in a timely manner. Works with the Care Management Transition RN to determine continued patient-centered clinical criteria and needs. Works with health plans to submit prior authorization forms for identified medications to ensure timely delivery of medications. Addresses treatment delays, potential denials, and actual denials with the attending physician, members of the healthcare team, and with the Physician Advisor for resolution. Advocates for the patients who needs community resources and enlists the assistance of the social work department. Actively participates in initiative to reduce Excess Days and Observed/Expected metrics by taking a proactive approach to utilization management and effectively escalating cases timely that may exceed the GMLOS. Communicates with residents, attending physicians, and consultants regarding care transition issues. Communicates with a variety of clinical disciplines and Physician Advisor to clarify and enforce criteria as identified with outside reviewers on determination of their review. Obtains needed orders from physicians for level-of-care changes as identified for each patient. Reports quality and risk management concerns to the appropriate department on a timely basis. Manages patients to ensure patient is in the correct status (Observation, Outpatient-in-a-bed, Inpatient) and ensures that the order matches the appropriate level of care. Qualifications 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 1-3 years of pediatric or adult acute clinical hospital experience 1-3 years of experience in discharge planning, utilization management, case management, performance improvement, managed care reimbursement, or transition of care, care coordination, home health Knowledge, Skills, and Abilities Bachelor of Science in Nursing preferred. Professional certification as a Case Manager, or certification in CPHM, CPHQ, CCM, or ACM preferred. 5 years of Case Management experience preferred. Experience in discharge planning, clinical pathways and continuous quality improvement highly desirable. Basic proficiency in Microsoft Word, Excel, and Outlook. Able and available to work a flexible/rotating schedule including holidays and weekends. Able to communicate effectively both verbally and in writing in a clear, concise, and courteous manner. Bilingual English/Spanish preferred. Working experience with various technologies, hospital information systems, and other tools used in patient financial services, particularly Cerner. Able to interpret, adapt and react calmly under stressful conditions in a pleasant manner. Able to relate cooperatively and constructively with customers and co-workers. Able to maintain confidentiality of sensitive information. Able to establish necessary professional relationships and interact effectively with internal and external customers. Able to work in a fast-paced environment, and effectively manage and use resources to successfully meet the competing deadlines of a variety of tasks and projects. Able to use logical and analytical thinking to interpret technical data and solve a broad range of problems. Able to work independently when interacting with organization’s clinical and non-clinical customers and outside vendors/payors. Demonstrates the ability to relate cooperatively and constructively with customers and co-workers. Performs duties in a manner to promote quality patient care. Job: Professional Department: BHMC SOCIAL SERVICES-2200-866010 Job Status: Full Time
RN Pediatric Full-time
Nicklaus Children's Health System

Infection Preventionist RN - Nicklaus Children's at Broward Health (Full Time, Days)

Description This position will be based out of Broward. Job Summary Under varying levels of supervision, conducts, facilitates, develops and monitors activities and functions relating to clinical and environmental surveillance, investigation, analysis, interpretation, reporting, prevention and control of infections and communicable diseases. Participates in assessing, implementing, and maintaining a culture of safety across the continuum of care by performing a wide range of prevention and control functions. Supports the delivery of safe patient-centered, quality care and collaborates with various departments across the health care setting to facilitate improved outcomes and patient experience. Acts in compliance with applicable local, state, and federal rules and regulations and infection control standards. Job Specific Duties Reviews patient charts and microbiology and virology reports for evidence of HAIs and applies National Health and Safety Network (NHSN) definitions to identify and report HAIs through the use of an electronic surveillance system. Documents appropriate information in patient electronic record. Conducts ongoing infection control surveillance, prevention, and control program activities within a health care setting to identify early and/or suspected outbreaks of infections and communicable diseases, and to control and reduce the risk of exposure and avoid transmission by using epidemiologic principles. Collects, tabulates, analyzes, and interprets infection data and records, and prepares and reviews reports; utilizes appropriate reporting programs; accurately reports "reportable diseases" to the appropriate public health departments and responds to public health department inquiries, as needed. Participates in apparent cause analysis to identify modifiable risk factors and other infection prevention opportunities. Follows-up on patients, personnel, and visitors who have communicable disease(s) and/or blood exposure within the health care system. Assists with investigations of clusters of infections, outbreaks, unusual infections or exposures as these events arise and participates in epidemiologic studies, as needed. Assists with reviewing construction plans and designs and with completion of Infection Control Risk Assessment (ICRAs), as needed. Serves as a member of the Infection Prevention and Control Committee. Conducts environment of care rounding, identifying modifiable risks. Consults with HCPs to answer infection prevention and control questions or concerns from staff, patients, and/or families. Advises staff on appropriate isolation practices and use of personal protective equipment. Conducts mandatory education, as well as new employee orientation sessions, in-services and other educational sessions. Assists with the review of infection prevention and control policies and procedures, and with risk assessments to identify gaps in infection prevention and control and areas of priority. Maintains compliance with regulatory and mandatory reporting requirements at the local, state, and federal levels, facilitates compliance with regulatory and accreditation standards, and stays current on infection prevention and control regulatory and accreditation standards. Participates in DNV, Department of Health, and other regulatory readiness. Performs related duties, as assigned, which may include periodic responsibility for responding to urgent infection prevention questions after hours or on weekends. Qualifications Minimum Job Requirements Bachelor's Degree from an accredited college or university in Epidemiology, Microbiology, Clinical Laboratory Science, Medical Technology, Nursing, Public Health, Business or a related discipline 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 Minimum of two (2) years of satisfactory clinical experience or experience working in infection prevention and control, health care epidemiology or a related field in a hospital or a health care setting Knowledge, Skills, and Abilities Applies analytical thinking. Ability to identify, analyze and solve problems. Demonstrates strong oral and written communication skills. Ability to collaborate with the interdisciplinary team. Ability to implement evidence-based guidelines. Expertise in data collection and analysis, report writing, and data presentation. Demonstrates a systematic approach in carrying out projects. Effectively handles conflicts constructively. Demonstrates informal leadership abilities. Good working knowledge of MS-Office and software technologies. Job: Nursing - Clinical Department: BHC QUALITY-1200-954053 Job Status: Full Time
RN Pediatric Full-time
Nicklaus Children's Health System

Infection Preventionist RN - Broward Health (Full Time, Days)

Description This position will be based out of Broward. Job Summary Under varying levels of supervision, conducts, facilitates, develops and monitors activities and functions relating to clinical and environmental surveillance, investigation, analysis, interpretation, reporting, prevention and control of infections and communicable diseases. Participates in assessing, implementing, and maintaining a culture of safety across the continuum of care by performing a wide range of prevention and control functions. Supports the delivery of safe patient-centered, quality care and collaborates with various departments across the health care setting to facilitate improved outcomes and patient experience. Acts in compliance with applicable local, state, and federal rules and regulations and infection control standards. Job Specific Duties Reviews patient charts and microbiology and virology reports for evidence of HAIs and applies National Health and Safety Network (NHSN) definitions to identify and report HAIs through the use of an electronic surveillance system. Documents appropriate information in patient electronic record. Conducts ongoing infection control surveillance, prevention, and control program activities within a health care setting to identify early and/or suspected outbreaks of infections and communicable diseases, and to control and reduce the risk of exposure and avoid transmission by using epidemiologic principles. Collects, tabulates, analyzes, and interprets infection data and records, and prepares and reviews reports; utilizes appropriate reporting programs; accurately reports "reportable diseases" to the appropriate public health departments and responds to public health department inquiries, as needed. Participates in apparent cause analysis to identify modifiable risk factors and other infection prevention opportunities. Follows-up on patients, personnel, and visitors who have communicable disease(s) and/or blood exposure within the health care system. Assists with investigations of clusters of infections, outbreaks, unusual infections or exposures as these events arise and participates in epidemiologic studies, as needed. Assists with reviewing construction plans and designs and with completion of Infection Control Risk Assessment (ICRAs), as needed. Serves as a member of the Infection Prevention and Control Committee. Conducts environment of care rounding, identifying modifiable risks. Consults with HCPs to answer infection prevention and control questions or concerns from staff, patients, and/or families. Advises staff on appropriate isolation practices and use of personal protective equipment. Conducts mandatory education, as well as new employee orientation sessions, in-services and other educational sessions. Assists with the review of infection prevention and control policies and procedures, and with risk assessments to identify gaps in infection prevention and control and areas of priority. Maintains compliance with regulatory and mandatory reporting requirements at the local, state, and federal levels, facilitates compliance with regulatory and accreditation standards, and stays current on infection prevention and control regulatory and accreditation standards. Participates in DNV, Department of Health, and other regulatory readiness. Performs related duties, as assigned, which may include periodic responsibility for responding to urgent infection prevention questions after hours or on weekends. Qualifications Minimum Job Requirements Bachelor's Degree from an accredited college or university in Epidemiology, Microbiology, Clinical Laboratory Science, Medical Technology, Nursing, Public Health, Business or a related discipline 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 Minimum of two (2) years of satisfactory clinical experience or experience working in infection prevention and control, health care epidemiology or a related field in a hospital or a health care setting Knowledge, Skills, and Abilities Applies analytical thinking. Ability to identify, analyze and solve problems. Demonstrates strong oral and written communication skills. Ability to collaborate with the interdisciplinary team. Ability to implement evidence-based guidelines. Expertise in data collection and analysis, report writing, and data presentation. Demonstrates a systematic approach in carrying out projects. Effectively handles conflicts constructively. Demonstrates informal leadership abilities. Good working knowledge of MS-Office and software technologies. Job: Nursing - Clinical Department: BHC QUALITY-1200-954053 Job Status: Full Time
RN Pediatric ER Per Diem
Nicklaus Children's Health System

RN Emergency Services- Coral Springs (Per Diem/ Pool, Nights)

Description * This position is located in Coral Springs, Fl. Job Summary Under general supervision, renders professional nursing care in accordance with physicians' treatment plans in order to provide for the comfort and well-being of patients. Assesses patients' condition, administers prescribed drugs, provides treatments, observes patients' progress, records pertinent observations and reports reaction to drugs and treatments. Assists physicians with examinations and prepares instruments and equipment for physicians' use. Coordinates care planning, collaborates with the clinical and medical staff, and educates patients and their family members on the procedure in a compassionate patient and family centered care environment. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Job Specific Duties Completes all nursing multi-system assessment that includes head to toe, vitals, dressing changes, suction, feeding, bathing, and repositioning. Reviews patient admission history, prepares and accurately completes the discharge planning process as per department and hospital policies & procedures. Communicates the patient's progress including critical findings, changes in the patients' condition with the physician and/or disciplines involved in the care of the child. Plans, implements, and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care. Provides nursing care that includes IV site monitoring and troubleshooting, specimen collection, and assists medical team with special procedures. Follows physician’s orders and administers & reconstitutes medications directed. Adheres to the 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. Accesses electronic health record independently according to hospital policy. 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. Educates patients and their family about disease processes, post treatment home care such as disease, medication, treatments, pain, discharge, and safety. Promotes an "error free" working environment by consistently providing high-quality, safe care as per hospital policies, conducts prevention rounding, & follows up on identified concerns promptly. Assesses all body systems, ensures safe, effective & efficient care delivery with emphasis on the absence of medication errors, avoidance of falls, ouch-free procedural pain & reduction of pain. Provides patient information and effectively completes the hand off process at shift change and patient reassignments. Qualifications Minimum Job Requirements Completion of a nursing program from an accredited school of Nursing 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 1 year of hire - maintain active and in good standing throughout employment Neonatal Resuscitation Program (NRP) as specified by the department within 1 year of hire American Heart Association ACLS as specified by the department within 1 year of hire 1 year RN experience required Knowledge, Skills, and Abilities CPI (Crisis Intervention Training) is preferred. National certified preferably within 2 years of hire. Functions as IV champions within 6 months of hire. Ability to work in an acute care setting, demonstrates strong problem solving, critical thinking, and conflict resolution skills. Ability to manage multiple priorities and strong time management skills. Effective verbal and written communication skills. Computer literate. Participates and supports nursing research projects and/or authors/co-authors an evidence-based article within 2 years of hire. Works effectively in a collaborative environment. Flexible and has a passion for learning. Ability to apply principles of evidenced-based practice, analytical thinking, and service excellence in practice. Able to analyze and interpret data and utilize the information to make judgments regarding patient care. Float to various nursing units while maintaining the delivery of clinical excellence and high quality service. Coverage for on-call assignments per department and hospital policy. Job: Nursing - Clinical Department: BHMC PEDS ED-2200-670601 Job Status: Pool