RN - Palm Beach Gardens Urgent Care Ctr. (Full Time, Day shift) - Nicklaus Children's Health System

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. Provides compassionate and family centered care for Urgent Care Center (UCC) patients. Practices under the supervision of the Nursing Manager/Director. 

Job Specific Duties

• Communicates patient's progress including critical findings & changes in condition with physician and/or disciplines involved in the care of the child. Performs and documents discharge instructions. 
  
• Completes intakes to prepare patient to be seen by the medical team including vital signs, weight, height, symptoms, and history. 
  
• Delegates nursing care based on knowledge of staff qualifications and competency.
  
• Performs intake assessment on patients with an emergency condition. 
  
• Performs nursing treatments and follows physician team orders for medication administration, IV hydration, aerosol respiratory support, etc. on assigned patients. 
  
• Plans, coordinates, and implements a transfer to a higher level of care for EMTALA transfers. 
  
• Obtains parental immunization consent for every immunization administered per policy. 
  
• Assists Physician in procedures (I&D, lacerations, sutures removal) as needed.
  
• Follows physician’s orders, checks labs, tests, and administers patient medications when needed.  Adheres to six rights of medication administration per Medication administration policy.
  
• Assesses IV sites after removal of IV to check for infiltration and redness. 
  
• Ensures safe analgesics/narcotics administration, monitoring and reassessment as per hospital Pain Management policy and procedure. 
  
• Asses 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 with patients and families to review plan of care and solicits input. Communicates any patient and family concerns to physician. 
  
• Provides education and documents patient/family teachings on health related needs (i.e. disease, medications, treatments, pain, discharge, safety, nutrition, skin care, etc.). 
  
• Promotes a safe "error free" working environment by consistently performing thorough hand-offs (utilizing SBAR) and infection prevention measures. 
  
• Ensures safe/effective/efficient care delivery with emphasis on absence of medication errors & blood borne infections, avoidance of falls from surface, ouch-free procedural pain, & reduction of pain.
  
• Completes chart reviews observe for Accreditation and Regulatory Compliance. 
  
• Completes charges on all assigned patients.
  
• Demonstrates proper personal protective equipment (PPE) indication and use. 
  
• Meets or exceeds unit standards in achieving a 95% CEI; completes documentation in a timely manner; accountable to regulatory and requirements of the DNV, CMS, DOH, & ACHA. 
  
• Provides continuous supervision, observation of behavioral health patients, and adheres to non-violent crisis intervention strategies (CPI).

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
  
• CPI - Crisis Prevention Institute required within 180 days of hire or transfer into the position- maintain active and in good standing throughout employment

Knowledge, Skills, and Abilities

• BSN degree or currently enrolled in a BSN degree program.
  
• 1 year of experience as an RN in a Pediatric ED/UCC or ICU setting preferred.
  
• Career Development: National certification Certified Pediatric Nurse (i.e. ANCC, CPN, or RNBC) preferably within 5 years of hire.
  
• PEARS (Pediatric Emergency Assessment, Recognition and Stabilization) completion within two years of hire– maintain active and in good standing throughout employment.
  
• Proficiency in computers and Electronic Medical Record (EMR) preferred.
  
• Possesses a passion for learning.
  
• Able to analyze and interpret data and utilize the information to make judgments regarding patient care.
  
• Effective verbal and written communication skills.
  
• Able to work effectively in a collaborative environment.
  
• Ability to apply principles of evidenced-based practice, analytical thinking and service excellence in practice.
  
• Able to float to various urgent care centers as needed while maintaining the delivery of clinical excellence and high quality service.
  
• Able to pick up on-call assignment per department and hospital policy.