RN (Flex) - Pediatric

				Overview:

Under the supervision of the Nurse Manager, the staff nurse is responsible for the application of the nursing process and evidence-based knowledge, judgment and technical nursing skills in the delivery of nursing care to a patient, or a group of patients with medical and surgical conditions on an assigned shift.

Responsibilities:

* Demonstrates knowledge of pediatric weight-based medications, dosages, calculations and administration.
* Demonstrates knowledge about common respiratory, metabolic and hematologic illnesses.
* Conducts a complete assessment and reassessment of the patient as per routine.
* Understands pain assessment and reassessment using age-appropriate tools.
* Demonstrates familiarity with usage and functions of Pediatric equipment.
* Maintains a safe environment at all times
* Differentiates between normal and abnormal patterns of physical growth and age appropriate development.
* Awareness of pediatric policies and procedures
* Participates in policy and procedure development and revision
* Participates in unit based performance improvement initiatives
* Start IV infusions (peripheral)
* Access central lines using aseptic technique
* Performs cardiac monitoring
* Obtain blood via finger or heel stick
* Provides family centered care, including the patient in decisions when age-appropriate.
* Supports breastfeeding mothers, neonates and toddlers
* Monitor nutritional needs
* Aware of Code Pink infant safety policies and procedures
* Assist the medical team with bedside procedures
* Monitor and accompany children transported off of the unit, when necessary
* Management of bili-lights and bili-blankets (NICU)
* Works closely with Child Life Specialist and Department of Education teachers
* Follows infection control standards of care
* Administer naso-gastric feedings and observe for feeding tolerance
* Care of patient with gastrostomy and document site
* Prepare and administer medications as ordered; monitor for side- or adverse-effects
* Admit and orient the patient and family/caregivers to the unit
* Perform a complete medical history (past and present conditions)
* Administer blood and blood products as ordered
* Document per policy and procedure
* Educate patients and parents regarding the disease process, treatment plans and nutrition
* Understanding child growth and development; notify the MD if milestones are not met.
* Assess immunization status, notify MD and administer vaccines as per routine
* Delegates responsibilities to NA/PCT to ensure tasks are completed; provide assistance as needed
* Assess patients as per routine and notify MD of status changes
* Monitors patient's vital signs
* Participates in assigned departmental or organizational committees, meetings and/or conferences.
* Performs other duties as assigned within the RN scope of practice.
* Maintains current nursing knowledge to assure a safe working environment.

Qualifications:

Education:

Internal & 1199 SEIU:

* Graduate of accredited nursing program(s).
* Bachelor's degree in Nursing preferred.

Non 1199 SEIU Candidates:

* Bachelor's degree in Nursing or equivalent to BSN program.
* Master's degree in Nursing, preferred. 

Experience:

* Minimum one (1) year experience as a Registered Nurse pediatric or pediatric intensive care experience.

Knowledge and Skills:

* Critical thinking, math, and computer skills; Works as a team player. 
* Demonstrates respect and professionalism in all interactions.
* Excellent oral and communication skills. 
* Decision making and problem solving. 
* Able to read, write, see and hear English.

Licenses, Certifications:

* Current NY State RN License required
* Basic Life Support (BLS) from the American Heart Association, required.
* Advanced Cardiovascular Life Support (ACLS) from the American Heart Association, required.
* Neonatal Resuscitation Program (NRP) required
* Pediatric Advanced Life Support (PALS) from the American Heart Association, required.
* WHO 20 hour Breastfeeding Course (Women and Children Division), or equivalent training
* Pediatric Care After Resuscitation (PCAR) preferred
* CCRN (Pediatrics) or Pediatric Nursing Certification preferred
* Certified Lactation Counselor preferred
* International Board Certified Lactation Consultant preferred

Physical Requirements:

* Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day. 
* Position will be required to stoops, bends, lifts, carry items weighing up to 35 pounds for routine performance of essential functions.
* An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions.
* Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients.
* Manual and finger dexterity, as well as hand and eye coordination.
* Corrected vision and hearing to within normal range
* Frequently sitting at desk working on computer
* Ability to flex working hours.
			

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The Brookdale Hospital Medical Center