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 practices. 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 centered care.

Job Specific Duties

• Ensures completion of patient admission, history, assessment, & pain reassessment. Accurately prepares & completes the discharge planning process per department and hospital policies & procedures.
• Conducts handoff with oncoming RN utilizing SBAR; documents in Cerner. Conducts assessments and documents.
• Plans, implements, and documents the plan of care (i.e. high risk of falls) in collaboration with other disciplines and services to assure safe and efficient care.
• Provides nursing care that includes: IV site monitoring, suctioning, specimen collection, lines, tubes and drains, 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 during daily care planning rounds as appropriate and fosters a Family Centered Care Environment.
• Utilizes electronic innovations to provide efficient patient care. Attends to patient call lights in a manner that promotes patient safety per hospital policy.
• Reports critical values or change in status to the physicians within Procedure and Policy Standards and documents clinician notification in Cerner.
• Ensures proper and safe wound care as required by Wound Care Policy and Procedures.
• 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, provide education, and when necessary uses appropriate translation methods. Communicates any patient and family concerns to physician.
• 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).
• Creates incident reports for hospital acquired conditions, near misses, malfunction of machine on patients, and adverse events/medication errors documenting the situation within 72 hours.
• Assesses all body systems, ensures safe efficient care, absence of medication errors, avoidance of falls, prevention of central line infections, ouch-free procedural pain, and pain reduction.

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
• CPR BLS -American Heart Association BLS maintain active and in good standing throughout employment.
• PALS - American Heart Association PALS maintain active and in good standing throughout employment. required within 2 years of hire date

Knowledge, Skills, and Abilities

• BSN degree or currently enrolled in a BSN degree program.
• Career Development: National certification preferably within 2 -5 years of hire.
• 1 year RN experience in a medical surgical environment for pediatrics preferred.
• 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.
• Ability to work well with multidisciplinary teams.
• Ability to create a family centered care environment by providing excellent customer service.
• Effective verbal and written communication skills.
• Able to work effectively in a collaborative environment.
• Ability to apply principles of evidence-based practice, analytical thinking, and service excellence in practice.
• Ability to adapt and adjust to changing environments frequently including mid-shift.
• Able to float to various nursing units while maintaining the delivery of clinical excellence and high quality service.