Registered Nurse NICU

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence. Department: Job Description Summary: Position Responsibilities Knowledge of medications and their correct administration for the neonates based on their diagnosis, age and weight. Ability to assess the neonate at delivery and perform neonatal resuscitation. Ability to perform head to toe assessment on neonates and reassessments as per policy. Ability to monitor hemodynamic status of neonate and correctly interpret the findings. Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias and treats appropriately based on the Neonatal Resuscitation Program. Performs and maintains IV therapy in neonates requiring medication administration, and fluid and electrolyte management. Ability to monitor respiratory status of the neonate and maintain patent airway. Co-ordinates and supervises neonatal care while promoting neonatal self-regulatory behaviors. Demonstrates ability to assist physicians with procedures in the NICU/Nursery. Interacts professionally with the neonate/family and involves family in the plan of care. Maintains a safe environment. Infant security policy, and infant/parent identification bands, incubator doors kept closed, monitor alarms are on and functioning correctly. Demonstrates clinical knowledge of normal values for vital signs and lab work for the neonate. Float within the Maternal Child Division willingly as per competency matrix. Promotes and participates in hospital performance improvement activities including, but not limited to, data collection, participation in interdisciplinary team's and analysis and implementation of team findings. Competent in insertion, assessment and discontinuation of catheters, tubes and/or drains. Immediately responds to code blue in department, initiates CPR and demonstrates calm, professional manner during emergencies. Demonstrates knowledge of the Neonatal/Infant Pain Scale (NIPS) for Nursery & Neonatal Pain, Agitation and Sedation (N-PASS) for NICU. Proactive with providing comfort measures to the infant during painful procedures. Assessment Performs initial assessment of the neonates upon arrival to the unit. Obtains and documents a complete nursing admission assessment. Develops an interdisciplinary plan of care upon admission. Performs and documents an accurate systems assessment at the beginning of each shift and reassessment completed as per policy. Responds to diagnostic data and initiates appropriate action or intervention. Assesses family education needs on admission and daily. Assesses psychosocial needs specific to patient's age, growth, and development. Planning Initiates an interdisciplinary plan of care within eight hours of admission. Establishes priorities for patient care based on the patient's problem list. Implementation Verbalizes understanding of patient diagnosis and interdisciplinary plan of care. Safely and correctly initiates and documents nursing interventions in emergency situations. Performs 24-hour chart check at the beginning of each shift. Administers, observes, and documents intravenous therapy according to hospital policy. Administers medications within 30 minutes of scheduled time. Observes and documents effectiveness; recognizes and reports adverse reactions immediately. Provides individualized instructions as needed regarding the plan of care. Demonstrates safe and correct use of unit specific equipment. Adheres to standard precautions including hand hygene guidelines at all times. Collects and labels specimens per policy when ordered by physician. Performs bedside glucose monitoring according to policy. Reports all abnormal findings immediately to physician. Inserts intermittent or indwelling urinary catheter using aseptic technique. Administers oxygen therapy according to physician order. Transfers patients in/out of the unit in an efficient manner, by obtaining a complete and correct set of physician's orders. Completes documentation of patient transfer summary and ensures appropriate completed referral forms accompany intra-facility transfers, including giving/receiving of report. Evaluation Documents/reports patient responses or outcomes resulting from: nursing interventions, treatments/procedures, interpersonal interactions, and patient/family education. Evaluates and documents patient's progress towards established goals/objectives every shift. Updates/revises patient care problem list and individualized patient care standards based on patient/family responses, progress towards goals, and/or change in medical status at least 24 hours PRN. Evaluates patient length of stay and related transfer/discharge planning needs based on anticipated problems, internal or community resources, and support systems. Professional and Staff Development Obtains 100% hospital mandatory required unit specific inservice annually. Plans, presents, and documents unit inservice as required by level. Documents competency in clinical skills annually. Attends and actively participates in daily huddles. Uses established lines of communication for resolution of problems and interpersonal conflict. Is an active member of their professional organization. Demonstrates up-to-date knowledge of FPQC's goals and ongoing initiatives on the Maternal Child Unit Leadership Participates in PI program by identifying PI indicators of major aspects of care at the unit level. Documents and charges supplies used daily. Engages in learning opportunities and applies knowledge to practice Actively participates in unit based council. Qualifications License/Registration/Certification Current FL Nursing License, Current Basic Life Support - CPR Certification, and Certification Neonatal Resuscitation Program required (NRP must be obtained within 6 months of hire or transfer). Education Graduated from an accredited school of nursing. Experience Level II: Min 1 year RN. Benefits: We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs: Health benefits Life insurance Long-term disability coverage Healthcare spending accounts Retirement plan Paid time off Pet Insurance Tuition reimbursement Employee assistance program Wellness program On-site housing for select positions and more! Degree Requirements: Certification: More than 4,000 people work at Mount Sinai Medical Center at more than a dozen locations throughout sunny South Florida, including our flagship, 672-bed hospital on Biscayne Bay at the gateway to Miami Beach. We’re the largest, independent, not-for-profit hospital in South Florida, and we’re the only hospital Healthgrades recognized for four years running as one of the top 5% in the nation. Clearly, clinical excellence is at our core.