Registered Nurse Pediatric ICU

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Job ID: JR-103178
Entity: Rhode Island Hospital
Location Name: Rhode Island Hospital
City, State: Providence, RI
Work Type: FULL TIME
Hours Per Week: 36
Shift: Night
Posted Date: 12/5/2025

SUMMARY

Under the direct supervision of the Clinical Manager (or designee), implements, supervises, and evaluates the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge, plans with consideration of the aging process throughout the life span, including all developmental stages as well as cultural patterns. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

RESPONSIBILITIES

Provides direct patient care.

Provides leadership by delegating, supervising, and participating in safe nursing care activities provided by ancillary personnel.
Evaluates effectiveness of patient care and identifies opportunities for improvement.
Collaborates with the healthcare team, patient, family, and community services regarding the patient care outcome/discharge planning.
Assesses and provides appropriate teaching based on patient and family needs.
Participates in unit-based quality improvement and research activities.
Utilizes all available resources to provide quality, cost-effective patient care.
Meets and maintains clinical competencies measured by pre-determined credentialing standards, mandatory/safety education, and completion of Basic Life Support and ACLS/PALS as appropriate.
Identifies growth needs and participates in educational opportunities and professional organizations.
Serves as a role model/preceptor to new graduate nurses and less experienced personnel.
Assumes charge nurse responsibility for the patient care unit as delegated.

Competency Assessment

Advanced Respiratory Assessment and Interventions:
- Successfully cares for patients receiving all types of non-invasive and invasive ventilatory interventions.
- Monitors and interprets end tidal CO2.
- Interprets blood gas results.
- Assists with intubation.
Advanced Cardiac Assessment and Hemodynamic Monitoring:
- ECG monitoring and arrhythmia recognition, defibrillation, cardioversion, drug intervention, and internal and external pacing.
- Cares for patients with congenital heart defects.
- Hemodynamic monitoring including arterial line and central venous pressure monitoring.
- Performs neurovascular checks and utilizes Doppler for pulse assessment.
- Obtains a 12 lead EKG.
Neuro Critical Care:
- Manages an EVD.
- Monitors ICP and delivers appropriate interventions.
- Proficient in Glasgow Coma Scale assessment.
- Manages a lumbar drain.
- Maintains spinal precautions.
- Cares for patients with spinal cord injuries.
Surgical Critical Care:
- Manages immediate post-operative phase of complex surgeries including (but not limited to) neurosurgical, orthopedic, spinal, plastic, vascular, otolaryngology, and complex general surgical.
Patient Teaching:
- Provides education to patients according to age and developmental level.
- Evaluates the patient’s and/or families/caregivers response to teaching using teach back and GetWell Network methodologies.

Knowledge/Skills

Care and management of patients receiving extracorporeal membrane oxygenation (ECMO).
Care and management of patients receiving continual renal replacement therapy (CRRT).
Care and management of patients with >20% BSA burns (see burn center orientation checklist).
Care and management of post-operative kidney transplant patients.
Care and management of stroke patients including responding as part of the stroke team and administering tPA.
Care and management of patients requiring maximal personal protective equipment (PPE).
Care and management of patients with oncological emergencies.
Safely and effectively travel with critically ill pediatric patients throughout the institution.
Utilizes available smart pump technology to safely deliver vasoactive, sedation, and other high-risk medications to pediatric patients.
Monitors patients during sedation for procedures.
Responds to pediatric code blue and pediatric rapid response team calls throughout the institution.
Care of the patient and family at end of life:
- Knowledgeable of palliative care therapies.
- Complies with standards of care for bereavement in the care of parents and families who are experiencing the loss of a child.
- Care of patients who have agreed to organ donation/support of parents/families.

Able to use the following equipment:

Cardiac monitors (stationary and travel).
Giraffe warmer/Bair Hugger/cooling blanket.
Hot Line Warmer.
Doppler.

Leadership

Presents nursing report at interdisciplinary rounds.
Participates in unit-based huddles supporting culture of safety.

MINIMUM QUALIFICATIONS

Licensure as Registered Nurse in the State of Rhode Island by the Rhode Island Board of Nursing or licensure as a Registered Nurse in accordance with the Nurse Licensure Compact agreement of the National Council of State Boards of Nursing.

BASIC KNOWLEDGE

Baccalaureate in Nursing preferred.
Must have current licensure to practice as a Registered Nurse in the State of Rhode Island.
Demonstrates knowledge and skills necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages, and cultural patterns in each step of the care process.
Twelve (12) months of Medical/Surgical experience strongly preferred. Critical care experience highly desirable.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS

Visual and aural ability to monitor patient status.
Physical ability to assist in lifting and positioning patients.
Exposed to patient care environment.
Physical ability for extensive walking and standing; lifting, positioning, and pushing patients on stretchers.

Pay Range

$34.52-$58.24

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.