Experienced Registered Nurse NICU

About Us

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. 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, and cardiovascular care. 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.

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. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit of clinical excellence.

Responsibilities

• Knowledge of medications and their correct administration for neonates based on diagnosis, age, and weight.
• Assess neonates at delivery and perform neonatal resuscitation.
• Perform head-to-toe assessments on neonates and reassessments as per policy.
• Monitor hemodynamic status of neonates and correctly interpret findings.
• Demonstrate knowledge of cardiac monitoring, identify dysrhythmias, and treat appropriately based on the Neonatal Resuscitation Program.
• Perform and maintain IV therapy in neonates requiring medication administration, fluid, and electrolyte management.
• Monitor respiratory status of the neonate and maintain a patent airway.
• Coordinate and supervise neonatal care while promoting neonatal self-regulatory behaviors.
• Assist physicians with procedures in the NICU/Nursery.
• Interact professionally with neonate/family and involve family in the plan of care.
• Maintain a safe environment, including infant security policy, identification bands, and functioning monitor alarms.
• Demonstrate clinical knowledge of normal values for vital signs and lab work for neonates.
• Float within the Maternal Child Division willingly as per competency matrix.
• Promote and participate in hospital performance improvement activities, including data collection and interdisciplinary team participation.
• Competent in insertion, assessment, and discontinuation of catheters, tubes, and/or drains.
• Respond to code blue in the department, initiate CPR, and demonstrate a calm, professional manner during emergencies.
• Demonstrate knowledge of the Neonatal/Infant Pain Scale (NIPS) for Nursery & Neonatal Pain, Agitation, and Sedation (N-PASS) for NICU.
• Provide comfort measures to infants during painful procedures.

Assessment

• Perform initial assessment of neonates upon arrival to the unit.
• Obtain and document a complete nursing admission assessment.
• Develop an interdisciplinary plan of care upon admission.
• Perform and document accurate systems assessment at the beginning of each shift and reassess as per policy.
• Respond to diagnostic data and initiate appropriate action or intervention.
• Assess family education needs on admission and daily.
• Assess psychosocial needs specific to patient's age, growth, and development.

Planning

• Initiate an interdisciplinary plan of care within eight hours of admission.
• Establish priorities for patient care based on the patient's problem list.

Implementation

• Verbalize understanding of patient diagnosis and interdisciplinary plan of care.
• Safely and correctly initiate and document nursing interventions in emergency situations.
• Perform 24-hour chart check at the beginning of each shift.
• Administer, observe, and document intravenous therapy according to hospital policy.
• Administer medications within 30 minutes of scheduled time, observe and document effectiveness, and report adverse reactions immediately.
• Provide individualized instructions regarding the plan of care.
• Demonstrate safe and correct use of unit-specific equipment.
• Adhere to standard precautions, including hand hygiene guidelines at all times.
• Collect and label specimens per policy when ordered by a physician.
• Perform bedside glucose monitoring according to policy.
• Report all abnormal findings immediately to the physician.
• Insert intermittent or indwelling urinary catheter using aseptic technique.
• Administer oxygen therapy according to physician order.
• Transfer patients in/out of the unit efficiently by obtaining a complete and correct set of physician's orders.
• Complete documentation of patient transfer summary and ensure appropriate referral forms accompany intra-facility transfers.

Evaluation

• Document/report patient responses or outcomes resulting from nursing interventions, treatments/procedures, interpersonal interactions, and patient/family education.
• Evaluate and document patient's progress towards established goals/objectives every shift.
• Update/revise 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 every 24 hours + PRN.
• Evaluate 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

• Obtain 100% hospital mandatory required unit-specific in-service annually.
• Plan, present, and document unit in-service as required by level.
• Document competency in clinical skills annually.
• Attend and actively participate in daily huddles.
• Use established lines of communication for resolution of problems and interpersonal conflict.
• Be an active member of a professional organization.
• Demonstrate up-to-date knowledge of FPQC's goals and ongoing initiatives on the Maternal Child Unit.

Leadership

• Participate in the PI program by identifying PI indicators of major aspects of care at the unit level.
• Document and charge supplies used daily.
• Engage in learning opportunities and apply knowledge to practice.
• Actively participate in unit-based council.

Requirements

• Current FL Nursing License.
• Current Basic Life Support - CPR Certification.
• Certification Neonatal Resuscitation Program (NRP must be obtained within 6 months of hire or transfer).
• Graduated from an accredited school of nursing.
• Minimum 1 year RN experience in Level II NICU.

Benefits

• 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