Registered Nurse (RN) - ICU, Full time Nights

Jackson Health System Miami, FL

Clinical Staff Nurse, Medical IMCU Critical Care, Full Time, Nights

Department: Medical IMCU Critical Care Address: 1611 NW 12 Ave, Miami, FL 33160 Shift Details: Full Time (3:3 schedule), Nights Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals. Summary The Clinical Staff Nurse functions as a champion of quality patient care and professional caregiver who demonstrates critical thinking skills and scientific judgment in the anticipation and planning for the care of patient in assigned area(s). The PRM Clinical Staff Nurse is responsible to perform at a competent level of nursing and consistently demonstrates nursing process. These standards include: assessment, diagnosis, identification of outcomes, planning, implementation, coordination of care, teaching and health promotion and evaluation. The PRM Clinical Staff Nurse is also responsible to hold the highest standards of professional performance, which include: ethics, cultural diversity, communication, collaboration, evidence based practice, nursing research, quality, resource utilization, and environmental health. These standards of practice encompass the actions and foundation of professional nursing. The PRM Clinical Staff Nurse will function within the JHS CARE Model, which includes accountability for planning, implementing, evaluating and communicating all phases of nursing care for assigned patients. The PRM Clinical Staff Nurse possesses clinical knowledge and skills to meet standards as required by specific clinical areas. Responsibilities Implements and coordinates the delivery of care in collaboration with physician and other provider and healthcare staff. Utilizes the nursing process (assessment, planning, implementation, and evaluation) in applying nursing knowledge. Documents all pertinent information regarding nursing care, care plans and observations. Accounts for narcotics/emergency equipment on each tour of duty. Maintains a working knowledge of facility infection control procedures. Recognizes, questions and reports significant patient findings and/or inconsistencies in medical/nursing orders/treatment regime. Collaborates and seeks corrective action. Selects and individualizes/updates and adheres to clinical procedures/ protocols/standards/ clinical pathways, plans of care/narcotics policies and discharge/teaching plans. Completes and submits patient/unit charges. Recognizes/prioritizes overt/convert unit needs/problems/implements corrective action independently. Assumes charge nurse role when assigned/supervises designated personnel/takes action as needed. Applies the use of logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions and approaches to problems. Provides functional direction and assistance to LPN's and CNA's or MA's, and completes new staff orientation as assigned. Makes rounds on a timely basis to ensure continuity of care. Maintains HIPAA compliance at all times. Follows and performs all related unit specific policies and procedures, as detailed on the unit specific competency check-list. Utilizes job and unit specific equipment as required. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned. Experience Generally requires 1 to 3 years of related experience. At least two years of Critical Care RN experience is highly preferred Education Associate's degree in Nursing is required. BSN degree is preferred. Any Employee who will be performing Point of Care and testing in the Operating Room, Neuro ICU, NICU, PICU, Pedi-ER, Cath Lab and/or Interventional Radiology areas, the educational degree must be verified at the time of hire. Credentials Valid Florida RN license is required. American Heart Association Basic Life Support (BLS), ACLS and any additional applicable life support certification for Healthcare Providers is required upon hire with at least 6 months validity and maintenance at JHS for the duration of employment. Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.

UF Health Jacksonville, FL

Coronary Care Unit (CCU) Intermediate Nurse RN-7a-7p

Overview The Registered Nurse (RN) provides nursing care to patients utilizing the nursing process and standards of practice for a professional nurse. The RN is expected to perform all staff nurse activities and function as charge nurse when assigned. The RN maintains overall accountability/responsibility for assigned patients, even though some activities/tasks may be delegated to Technical Nurses, Patient Care Associates, and/or Sitters. Assignments are performed appropriately to age and developmental level of patients being served. Qualifications Age of Patients Served: All Age Groups. Required Education: Associate's Degree Specific course work: Graduate of an accredited school of nursing. New hires effective June 14, 2017, must have a BSN degree from an accredited school of nursing within three (3) years of hire or transfer into the position. New hires or transfers into in the position between August 1, 2013 and June 13, 2017 must abide with the conditions in his or her offer letter and the verbiage in the job description signed upon hire or transfer into the position. Current employees who were hired or transferred into the position prior to August 1, 2013 will be grandfathered. Preferred Education: BSN Necessary Skills: 1. Demonstrates teamwork and communicates in a professional manner with all members of the healthcare team. 2. Demonstrates the ability to learn and apply computer technologies and procedures that affect patient care delivery. Required Licensure/Certifications: Licensed to practice nursing in the state of Florida or confirmation letter establishing eligibility for issuance upon receipt of SSN. BLS from the American Heart Association or American Red Cross on the first day of employment is required for all areas. ACLS from the American Heart Association is required at hire or transfer for the following departments: Cardiac Holding Area (730501), CVICU (730400), MICU (700400), PICU (660401), North Pre Op/PACU (633680) and Trauma Center (713100). ACLS from the American Heart Association is required within six (6) months of hire or transfer for the following departments: 3 ICU-North (620480), 5N CCU (730301), Cardiac Rehab (733100), Non Invasive Cardiology North (733080), and Noninvasive Cardiac Lab (733000). ACLS from the American Heart Association is required within six (6) months of hire or transfer for Progressive Registered Nurses in Intensive Care Units. PALS from the American Heart Association is required within six (6) months of hire or transfer for the following departments: PICU (660401) and Trauma Center (713100). Fellowship RN's must obtain their ACLS, PALS and NRP within six (6) months of hire or transfer if required by the department. Crisis Prevention Institute training within ninety (90) days, and then annually, is required for Psych Unit. Preferred Licensure/Certifications: Professional certification preferred. Required Experience: Less than one year of related experience. Preferred Experience: One (1) year of clinical experience.

Northwell Health Glen Cove, NY

Registered Nurse - ICU

$63 - $94 / hour

198221 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Conducts patient interview, explains policies and procedures to patient/ significant others, reviews patient’s chart and answers questions correctly and courteously; assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; assesses level of pain and pain management; communicates/documents patient’s physiologic health status and plan of care; assesses patient’s psychosocial health status; elicits perception of medical/nursing care and the expectation of care. Determines coping mechanism, knowledge level, and ability to comprehend; identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; communicates and documents psychological status and care plan of support groups, counseling services, and social services; identifies patient outcome; develops criteria for measurement of patient outcomes; identifies actual/potential patient problems; identifies patient’s need for teaching based on psychosocial and developmental assessment. Develops patient outcome statement (s) and establishes individualized patient goals; identifies care activities and establishes the priorities necessary to achieve expected outcome; coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; documents the plan of care and collaborates with physicians and other health team members; implements the plan of care; maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.). Exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient’s conditions during treatments/procedures; reports and records same as appropriate; Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient’s family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. Demonstrates ability to measure effectiveness of care provided and documents same; performs variance analysis related to outcome data for performance improvement; designs, implements, and evaluates systems to improve care in unit; keeps accurate documentation of patient’s treatment, activity and condition; uses appropriate methods of documentation according to departmental policy; collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team; collaborates with the appropriate physician on patient’s plan of care. Accurately interprets and implements treatment regimen as prescribed by the Physician; assists the Physician during treatments and/or diagnostic procedures; keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion; performs grade I-IV Decubitus Care; performs preventive skin care measures; applies simple dressings, maintaining principles of aseptic technique. Applies warm and cold compresses, consistent with facility procedure; performs irrigations, consistent with Facility procedure; performs other procedures related to skin care, as necessary; administers medications correctly and safely; correctly identifies medication in terms of action, dosage, side effects, and implications for the patient; meets standard on medication administration examination; demonstrates preparation of local solutions. Administers and documents medication correctly; educates patients and significant others related to drug and food interactions; educates patients and significant others related to drug and food interactions; participates in patient and family education; provides patient with an explanation of his/her condition as indicated; communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; provides for early discharge planning and appropriate referrals for post-hospital care; evaluates the effectiveness of teaching by feedback from patient/ family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).