Description Job Summary Primary responsibility, in association with the attending physicians, is the care of patients in the Pediatric Intensive Care Unit (PICU). Participates in pediatric clinical care demonstrating high levels of critical thinking skills as a member of an interdisciplinary team. Participates in the development of guidelines for Advanced Practice Providers (APP) and serves as a resource for staff members, patients, and families. Responsibilities include completing history and physical examinations, ordering and interpreting radiological and laboratory test results, prescribing medications, documenting patient care services within the EMR and departmental records, and performing procedures within scope of practice and demonstrated through competency. Job Specific Duties Conducts medical rounds (history verification, etc.), oversees and documents the plan of care, and ensures best practices are in place. Performs comprehensive assessments and provides accurate documentation. Ensures plan of care for the PICU patients is of sufficient breadth and depth to guide the interdisciplinary team in achieving the desired health outcomes. Ensures proper communication between physicians and families. Serves as a patient advocate and educator and provides family with support and community resources, for all members of the health care team by providing education and emotional support. Provides patient information and effectively completes the hand off process to physicians using SBAR at shift change and patient reassignment 100 % of the time. Models professional verbal and written communication with the interdisciplinary team members involving the outgoing management of patients to maintain continuity and optimize patient outcomes. Maintains availability for bedside procedures as necessary. Assists with other clinical roles as needed where the attending physician deems appropriate. Completes clinical documentation accurately and in a timely manner of 24 hours. Documents patient follow up guidelines. Generates, collects, and integrates data from a wide variety of sources in order to make clinical judgements and clinical decisions about the initiation of orders, procedures, referrals, and treatments. Writes orders, monitors and alters drug therapies and orders interprets, and evaluates diagnostic tests within education and experience within established protocol in collaborative relationship with a physician(s). Reviews all patient records prior to admission (labs, consents, advanced directives, custody documents, etc.) in a timely and accurate manner. Ensures zero-based medication errors by efficiently and accurately ordering medication following "five patient rights of medication administration" and Medication Administrative Policies. Accountable to follow all infection Control Standards and ensures proper use of PPE per policy and procedures to ensure patient care. Participates in patient care (writing daily progress notes, coordinating clinical care, discharge planning, etc.). Provides mentoring in precepting APP students, medical students, and Residents. Actively provides feedback. Contributes to the development of peers, colleagues, and others to improve patient outcomes. #APP Qualifications Minimum Job Requirements Masters degree in nursing or Doctor of Nursing Practice (DNP) APRN State of Florida Licensure - maintain active and in good standing throughout employment Pediatric Acute Care Nurse Practitioner Certification (PNCB) - maintain active and in good standing throughout employment American Heart Association BLS - maintain active and in good standing throughout employment American Heart Association PALS – maintain active and in good standing throughout employment Level II Background Check Finger printing background Successful completion of Credentialing by NCHS Medical Administration Knowledge, Skills, and Abilities Previous PICU Nurse practitioner experience preferred. Ability to work weekends and holidays, with varying shifts. Ability to interpret, adapt, and react calmly under stressful conditions. Able to recognize subtle changes in the patient's condition and to adapt case based on those changes. Strong interpersonal, communication, and conflict resolution skills. Able to work independently and collaboratively with other disciplines using discretion and independent judgement. Able to relate cooperatively and constructively with patients, families, and co-workers. Able to maintain confidentiality of sensitive information. Ability to problem solve to formulate a plan of care and evaluate the patient's response to care. As required under the directive of House Bill 531 (2025) we are providing the link below to the Care Provider Background Screening Clearinghouse Education and Awareness website. https://info.flclearinghouse.com/ Job: Nursing - Clinical Department: NCPS PICU-3100-467622 Job Status: Full Time
Description Job Summary Assesses, implements, evaluates, and oversees the plan of care for Pediatric Emergency and Level I Trauma patients utilizing a team-based collaborative multidisciplinary approach. Provides compassionate patient and family centered care, has a passion for learning, and thrives in a fast-paced environment. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director. 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 CPR BLS -American Heart Association BLS must maintain active and in good standing throughout employment PALS - American Heart Association PALS must maintain active and in good standing throughout employment within 2 years CPI - Crisis Prevention Institute must maintain active and in good standing throughout employment within 1 year Knowledge, Skills, and Abilities ACLS within 1 year of hire and in good standing throughout employment preferred Nursing experience in a pediatric emergency room setting strongly preferred Proficiency in computers and Electronic Medical Record (EMR) preferred Able to analyze and interpret data and utilize the information to make judgments regarding patient care Effective verbal and written communication skills Ability to positively influence, hold self and others accountable Ability to work effectively in a collaborative environment Ability to apply principles of evidence-based practice, analytical thinking, and service excellence in practice Able to provide coverage for on-call assignments per departmental and hospital policy Job Specific Duties Completes a comprehensive multi-system assessment that includes Cardiac, Respiratory and Neurological. Develops a plan of care and conducts reassessments. Communicates patient's progress (critical findings & condition) with the physician and/or disciplines involved in care. Ensures accuracy through close loop communication with provider. Provides care such as starting/monitoring IV’s, specimen collection, POC testing, medication administration, and assists medical team with other procedures including sedation as required per policy. Actively supports patient (1:1 care with critical patients) by transporting the patient to all areas within the hospital for procedures. Completes bedside hand-off communication at shift change, transfers, and patient reassignments. Reviews patient admission history, prepares and accurately completes the discharge planning with a focus on an accurate electronic discharge process. Responds to codes and traumas as needed; documents and takes action according departmental protocols. Ensures accurate completion of triage documentation including vital signs and patient history as per department and hospital policies and procedures. Accesses Electronic Medical Record (EMR) and completes accurate and timely documentation including: radiology workflow, consents, and discharge documentation. Communicates and documents critical lab results per hospital policy and procedures. Completes rounding to provide comfort measures, pain assessment and/or reassessment. Plans and carries through on all needs for the patient and family. Promotes an “error-free” working environment by consistently providing high-quality safe care as prompted. Demonstrates and ensures proper Personal Protective Equipment (PPE) indication and use. Meets or exceeds unit standards in achieving hospital-wide CEI/SEI. Completes documentation in a timely manner, & is accountable to regulatory requirements of the DNV & other accrediting agencies. Provides continuous supervision, observation of behavioral health patients, and adheres to non-violent crisis intervention strategies (CPI). Job: Nursing - Clinical Department: EMERGENCY ROOM NURSING-2100-670600 Job Status: Pool
Description Job Summary Responsible for the management of quality patient and staff including internal and external customers within their designated scope of responsible (unit, department, or services). Job Specific Duties Acts as supplemental Operations Administrator when needed to supervise shift to shift operations. Coordinates and collaborates with stakeholders such as multidisciplinary teams and internal/external customers to create collaborative work relationships that drive performance and quality outcomes in a timely and effective manner. Identifies LEAN projects and selects tools to review and evaluate current process states. Manage budget(s) effectively and is made aware of any variances of greater than 5% by Director. Directly manages personnel resources from hiring to employment separation while supervising staff through orientation, training, and annual performance reviews within established guidelines within scope of responsibility. Monitors and impacts cost containment while enhancing revenue streams to meet the fiscal goals according to hospital policies and procedures. Maintains a comprehensive staffing plan/model that is aligned with budget and key quality indicators. Oversees and supervises day to day operations, reacting effectively to unplanned circumstances, demands and challenges of respective areas of responsibility, assuring quality services, and patient directed care. Coordinates and collaborates with stakeholders such as multidisciplinary teams, internal and external customers to create collaborative work relationships. Performs personnel procedures including payroll (time & attendance) and progressive disciplinary action in a timely and accurate manner. Develops educational programs and trains staff in related skills, values, and career development to ensure employee engagement and retention goals are achieved. Performs administrative duties such as collecting, analyzing, and reporting data pertinent to each department. Performs administrative duties such as collecting, analyzing, and reporting data pertinent to each department. Identifies, promotes, and facilitates educational programs and trains staff in related skills, values, and career development to ensure the employee engagement and retention goals are achieved. Participates in life wings as a method of process improvement. Oversees and supervises day to day service operations, reacting effectively to unplanned circumstances, demands and challenges of respective areas of responsibility, assuring quality services and patient directed care. Coordinates the unit's customer service indicators including the preparation, analysis, and submission of required reports. Complete daily patient rounds and staff rounds to provided updates on needed improvements and successes. Updates and communicates outcomes and information to staff during meetings or huddles. Establishes standards, provides training, and enforces compliance of departmental hospital customer service program. Recognizes staff members who are identified by families and helps embed a culture of service excellence with all staff. Qualifications Minimum Job Requirements Bachelor's Degree BSN degree from an accredited school of nursing 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 American Heart Association BLS 3-5 years RN experience Knowledge, Skills, and Abilities 2 years of pediatric nursing including charge nursing experience preferred. Career Development: certification after two years preferred. Ability to problem solve department issues and maintain clinical practices. Ability to communicate verbally and in writing Able to maintain confidentiality of sensitive information. Competent in nursing skills required for designated scope of responsibility. Job: Nursing - Management Department: CARDIAC CRITICAL CARE-2100-620030 Job Status: Full Time
Description Job Summary Responsible for LifeFlight educational design, plan, implementation and evaluation processes and academic programs as well as LifeFlight's outreach program. Manages all aspects of the LifeFlight critical care education, collaborates with NCHS Clinical Educators & Specialists to ensure standardization of clinical practice. Responsible to provide clinical staff with initial and ongoing education, clinical development, promote an error free care environment, research advocate, and assures the provision of quality nursing care. Also responsible for customer relationship building that leads to positioning the Nicklaus Children's Hospital's LifeFlight® program and Nicklaus Children's Hospital as the provider of choice for regional transport referrals. Evaluates the healthcare market and regional transport needs, monitors and trends transfer and transport data, and develops and implements outreach strategies to capture additional volume. Provides leadership and support to all aspects of medical communications related to efforts within NCH's LifeFlight® program and NCH. Practices under the supervision of the Nursing Manager/Director. Job Specific Duties Consults with staff regarding individual learning needs and delivers competence-based program with a focus on improvement of skills and retention of knowledge. Mentors new and current employees to improve performance, clinical outcomes and identifies clinical strengths and opportunities. Partners with leaders to foster empowerment and open communication. Develops, oversees, and coordinates yearly educational plan for LifeFlight and Communication Center. Assesses learning needs, develops, implements, and coordinates continuing education, competency sessions such as remediation, certification, mentoring, CAMTS, equipment, and supplies. Coordinates the onboarding of new hires, buddy assignments, standardization of the onboarding, and training of LifeFlight staff. Audits documentation, monitors skills clinical skills performance and clinical practice of LifeFlight Nurses, Paramedics, and EMTs. Mentors and engages staff in quality improvement initiatives to improve patient outcomes as demonstrated by higher CEI and SEI. Provides leadership in system-wide implementation of quality improvements and innovations. F: Monthly/ T: 2-4 hours R: Recognizes and communicates changes in clinical practice consistent with organizational standards. Analyzes data and outcomes in order to make recommendations on process improvements and changes to current practice to achieve desired outcomes using PI processes. Remains current and at the cutting edge of trends in pediatric/neonatal transport practice. Shares and disseminates information across the institution and the community. Develops, implements, and maintains policies, procedures and programs which assure the provision of quality nursing care based upon Evidence Based Practice (EBP). Monitors and evaluates monthly transfers/transport stat reports to identify trends and takes actions accordingly. Works with program leadership to define and build outreach reports/dashboard to measure/track outreach activity effectiveness and contribution to the organizational strategic plan. Partners closely with NCH professionals in provider relations, trauma, ECLS, transfer center, critical care, patient navigation, institute leadership, etc. to ensure a unified and collaborative delivery of content and representation with outside hospitals/agencies. Provides education, information, and trainings to appropriate individuals regarding programs and services, neonatal/pediatric transport to/from referral sites as needed. Identifies progressive ideas through researching industry and related events, publications, and announcements; tracks their accomplishments and stays abreast on how these could impact the NCH's LifeFlight program and NCH organization. Works closely with program leadership and Marketing and Communications to promote the brand/image awareness of Nicklaus Children's Hospital LifeFlight program in the service region. Identifies and produces educational materials including to support public relations, and communications with NCH customers that meets the needs for neonatal and pediatric services with possible transport opportunities. Provides education to NCH referral centers and outlying facilities in accordance with their needs. Defines, develops, and ensures optimal working relationships with the community physicians, members, medical staff members of the health system, and referring physicians. Qualifications Minimum Job Requirements Bachelor's Degree Nursing (BSN) 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 American Heart Association BLS American Heart Association (AHA) BLS - maintain active and in good standing throughout employment. American Heart Association PALS Instructor Provider - maintain active and in good standing throughout employment NRP - Neonatal Resuscitation Program Instructor Provider - maintain active and in good standing throughout employment American Heart Association ACLS Instructor Provider - maintain active and in good standing throughout employment within 1 year of hire Completion of Florida DOT AMCCC National certification (CFRN, CCRN, CEN, CPEN, CNPT, CPN, CMTE, CTRN) within 18 months of hire. Must maintain a weight limit no greater than 250 lbs. in uniform (flight suit, boots) throughout employment Maintain valid passport throughout employment for travel requirements 2-4 years pediatric flight nursing, critical care and or emergency services nursing experience in a hospital setting Minimum of 2000 hours of Level II or Level III NICU experience Knowledge, Skills, and Abilities Master’s degree preferred. Experience in healthcare marketing, community outreach, or public relations preferred. Possesses a passion for learning. Thrives in a fast-paced environment. 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. Prior educational duties preferred. Works effectively in a collaborative environment. Strong written, verbal and lecture communication skills. Strong interpersonal skills and comfortable with public speaking. Ability to provide education, information, and trainings to appropriated individuals regarding NCH programs and services. Able to collaborate with NCH program leaders to develop strategies that promote the brand, image, and awareness of NCH services. Job: Nursing - Clinical Department: TRANSPORT TEAM-2100-780020 Job Status: Full Time
Description Job Summary Provides clinical nursing services under the supervision of registered nurses and champions health and safety by ensuring employees are optimally immunized and educated on risks of infection and workplace safety hazards within established protocols. Job Specific Duties Administers immunizations and tuberculin skin tests. Assists with respirator fit testing and provides safety education to employees. Assists with urine drug screen specimen collection ensuring chain of custody. Obtains laboratory specimens by phlebotomy and processes per hospital policy. Performs periodic audits of employee health & safety requirements with outreach to employees. Ensures accurate and timely data entry and recordkeeping of employee health documents. Scans all documents in the appropriate folder in the electronic health record system. Provides telephone consultation regarding employee health processes. Contributes to quality performance improvement projects and assists in the preparation of reports as directed by Employee Health leadership. Supports employee registration and assists with clerical duties and front desk operations. Performs vital signs and point of care tests and communicates findings and observation to APRNs. Provides nursing care to employees under the supervision of RN/APRN and accepts delegation to meet employee's health care needs Qualifications Minimum Job Requirements LPN 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 (AHA) BLS - maintain active and in good standing throughout employment 1-3 years of LPN experience Knowledge, Skills, and Abilities Experience in employee health/ occupational health is highly recommended. Knowledge of ADA, Workers Comp, FMLA Regulations and OSHA desirable. Ability to communicate verbally and in writing. Able to maintain confidentiality of sensitive information. Possess excellent communication skills. Ability to interpret, adapt and react calmly under stressful conditions. Able to collect data through observation and communicate information to assist RN/APRN in patient assessment and care planning. Job: Nursing- Support (Clinical) Department: EMPLOYEE HEALTH & WELLNESS-1000-952960 Job Status: Full Time
