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HC

Registered Nurse-Intensive Care Unit

Health Care District of Palm Beach County·Belle Glade, Florida

Full Time·On Site·2-5 yrs·Posted 4 months ago
Practice for this role

About the role

This position involves providing safe and effective nursing care and treatment to patients in the Intensive Care Unit, working collaboratively with ancillary personnel to deliver proper medical services. Essential functions include delivering patient care within critical care standards, frequently evaluating patient status, and performing duties with a focus on patient safety and established regulations.

General Statement of Job

This position provides safe and effective nursing care and treatment to patients in the Intensive Care Unit. Employees are part of a managed care team and works collaboratively with ancillary personnel in the provision of proper medical services and treatment.This position provides nursing care and services to patients seeking medical attention and prevents further deterioration of patients health in accordance with established regulations, policies, nursing standards and medical instructions.

Essential Functions

Provides nursing care to meet the needs of the patient population served as qualified; i.e., adolescent, adult, and geriatric patients. Delivers patient care within defined hospital and critical care standards for assessment, care planning, interventions, and reassessment, and delegates care appropriately to other team members and support staff. Evaluates patient's care status frequently. Reports variances in care and/or medication administration for quality improvement. Performs duties with a clear understanding of the JCAHO Safety Goals and delivers care with patient safety as a goal. Follows hospital policies guiding compliance with National Patient Safety Goals. Performs duties in accordance with pathogen transmission practices; i.e., follows hand washing procedures and utilizes protective equipment effectively. Performs nursing care within the guidelines of the Relationship and Results Oriented Healthcare Model utilizing the recommended bundles of best practice. Assess and charts patient's vital signs and notifies physician of abnormal ranges as well as any significant changes. Delegates and supervises care appropriately to LPNs, CNAs and Monitor Techs with follow up and feedback procedures to ensure quality of care. Initiates appropriate actions as needed. Develops plan of care and patient focused goals with the patient and family as appropriate, ensuring patient understanding and involvement in their care. Delivers patient care in accordance with established infection control standards for patient placement, IV therapy, medication administration and the performance of all patient procedures; demonstrating adherence to hand washing policy. Follows policies for administration of high risk drugs, patient identification, documentation and taking telephone orders with read back and communication of critical values/diagnostic results. Communicates effectively with other patient care providers and team members for efficiencies and safety of care through appropriate ordering procedures, preparing patients for surgery and other procedures, communicating fall potential and other risk identifiers. Evaluates clinical/diagnostic reports and reports variances to the physician and documents same. Follows guidelines for performance improvement and demonstrates understanding of participation in the Core Measures for Lakeside Medical Center, and for documentation review and restraint review process. Works cooperatively with ancillary departments in ensuring the patient's care is safe, following protocols as applicable. Documents and maintains all patient care records and related required documentation. Maintains records and communications with respect to patient's privacy. Participates in department's QI activities on a daily basis. Participates in the orientation and mentoring of new staff members recognizing importance of bringing new staff into a friendly and supportive work environment. Utilizes and ensures staff uses supplies efficiently, following infection control procedures, avoiding waste and follows patient charging procedures. Follows ACLS protocol for patients as indicated. Orders initial lab tests and x-rays by established protocols or per physician orders. Ensures patients are appropriately prepared for tests. Serves as an example for team members in cost saving practices. Assists manager and other staff members to maintain competence and skills for procedures assigned and assist in validation of skills and competence of new staff members prior to delegation of patient care. Participates in the hospital Utilization Management Program by assisting with discharge planning, reporting to case managers, and keeping patient, family, physician, and other personnel informed. Participates with team members and manager to identify opportunities for improvement in patient care processes. Maintains accurate and current record of patient's care and response to care following the guidelines for appropriate electronic documentation. Documents the administration of medicines including dosage, medicine route, medicine site, and patient's response as required in the documentation system. Performs time out procedures on all invasive procedures at the bedside as needed. Utilizes good communication skills, critical thinking and checkpoints for teamwork. Provides patient information timely and effectively during shift report and with patient's hand-offs. Provides teaching and training to staff members as needed. Performs monitoring and recovery care to PACU patients per Operating Room Department protocol when necessary. Maintains competencies and participates in required training and in-services for unit. Demonstrates understanding and commitment to hospital's mission, philosophy, standards, policies and procedures. Recognizes all staff, physicians and visitors, as well as, patients as customers and provides courteous and respectful service. Documents and reports any complaints from patients, physicians and visitors to supervisor as guided by hospital policies and procedures. Explains all procedures and care plans to patients, and as appropriate to family. Ensures patient and/or family are educated for appropriate health maintenance. Participates in the cleanliness of the work environment. Demonstrates an understanding of responsibility of emergency plans and is available for patient care as needed or scheduled when hospital emergency preparedness plans are activated. Ensures completion of continuing education requirements in subjects pertinent to critical care nursing or position related information. Serves as a leader for change, positively promoting new systems and changes implemented which improves the hospital and the service provided to its patients. Participates in hospital community activities and helps portray a positive image of the hospital in the community. Provides nursing care to patients with either hard or soft splinting devices; assesses circulation, mobility, and neurological status of patients. Applies splints and bandages per physician's orders. Observes cardiac rhythm and initiates or ACLS protocol as indicated. Completes assessments and documentation of new admissions and discharges including the interim plan of care.Completes discharge instructions with information regarding food and drug interaction. Performs specialized patient assessments as needed. Defibrillates patients safely in accordance with regulations, policy and accepted procedure. Performs monitor/defibrillator checks each shift. Conducts inventory checks, including all medications administered at the time of administration. Reconciles the count with oncoming nurse at the end of the shift. Ensures availability of age appropriate supplies and equipment. Checks code cart and emergency box each shift. Performs bedside blood glucose monitoring per physician order and/or hospital policy. Assesses lung sound in patients. Starts IVs and delivers IV medications to patients as needed. Runs and calculates IV drips. Performs NG tube insertion and performs gastric suction per hospital policy and procedures. Evaluates pulmonary status by auscultation. Performs port flushes, injections and blood transfusions as needed. Helps with code assistance. Performs respiratory care assessments and specimen collection using the appropriate techniques. Obtains and transcribes physician's orders in a timely and accurate manner ensuring all tests are ordered appropriately and efficiently. Completes pre-operation check-list. Obtains and witnesses consents for surgery, anesthesia and special procedures as per hospital policy. Transports patients to appropriate care locations. Provides assistance to patients in need of help in bathing, feeding, turning, positioning, oral hygiene and personal hygiene. Dresses patient wounds as needed. Assists with emotional needs of patients. Completes control tests on Accu Check machine daily. Conducts walking rounds at the start and end of each shift, visually checking each patient and providing a written end-of-shift report. Determines at-risk patients and follows through with treatment accordingly. Interviews patients in preparation for surgery. Floats to other units as required. Works with the physical therapy department as indicated to meet the patient's goals. Emergency duty may be required of the incumbent that includes working in special needs or Red Cross shelters or to perform other emergency duties including, but not limited to, responses to threats or actual disasters, man-made or natural.

Additional Duties

  • May be required to act in a Charge
  • Nurse capacity during which, the additional duties would be required: Supervises RNs, LPNs and CNAs and the provision of care to patients in accordance with policies, procedures and regulations. Assists the Nurse Manager Med. /Surg. 2nd Floor with order transcription and overall operation of the unit. This job description reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a complete description of all the work requirements and expectations that may be inherent in the position. The omission of specific statements of duties does not exclude them from the position. Management of the Health Care Di
  • The Health Care District of Palm Beach County is an independent special taxing district that has served as a healthcare safety net for more than 36 years to fill in gaps in access to healthcare services.
  • This unique healthcare system covers the entire county and provides a wide range of services such as nine community health centers (Federally Qualified Health Centers) which serve everyone regardless of ability to pay; school health teams in 172 public schools; a lifesaving Trauma Hawk aeromedical helicopter program; a rural, public teaching hospital, Lakeside Medical Center; an award-winning skilled nursing center; a ground ambulance program for Health Care District patients needing a higher level of care and the county’s Trauma Agency, which ensures quality outcomes within the county’s trauma system and leads initiatives to prevent traumatic injury.
  • We are committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, creed, religion, military or veteran status, age, sex, pregnancy status, genetic information, national origin or ancestry, citizenship, physical or mental disability, marital status, sexual orientation or identification status, or any other legally recognized category protected by jurisdictional, state or federal law.
  • The information collected by this application is solely to determine suitability for employment, verify identity and maintain employment statistics on applicants.
  • We are also committed to maintaining a safe, healthy, and productive work environment for all employees.
  • As such, we are a Drug-Free Workplace.
  • The Health Care District of Palm Beach County is an E-Verify participating employer and will use E-Verify to confirm the employment eligibility of all newly hired employees.
  • This role may require Agency of Health Care Administration (AHCA) background screening and clearance.
  • As required under House Bill 531, applicants may review AHCA’s education and awareness information at the following link: https://info.flclearinghouse.com/

Requirements

Candidates must possess an Associate's, Bachelor's, or Diploma in Nursing from an accredited school and hold a current State of Florida Registered Nurse license. Two to four years of experience in critical care is preferred, and CPR certification is required, with ACLS certification needed within ninety days of hire.

  • associate degree
  • bachelor degree
  • Teamwork
  • Care Planning
  • Documentation
  • Medication Administration
  • Patient Assessment
  • Patient Safety
  • Delegation
  • Infection Control
  • Critical Thinking
  • Quality Improvement
  • Nursing Care
  • Vital Signs Monitoring
  • IV Therapy
  • Discharge Planning
  • Patient Teaching
  • ACLS Protocol

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Location
Belle Glade, Florida
Posted
Mar 3, 2026
Application
Employer website
HC

Hiring organization

Health Care District of Palm Beach County

The Health Care District of Palm Beach County is an integrated public health system established by the voters as a special taxing district. The safety-net system is an equal opportunity employer of nearly 1,300 employees. The Health Care District's mission is to be the health...

IndustryHospitals and Health Care
TypeGovernment Agency
Size1,001-5,000 employees
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Market context

Florida nursing roles remain in steady demand

In Florida, nursing roles are typically in steady demand across hospice, hospital, and other care settings, especially for RNs who can work independently and adapt to varied patient needs. These positions are competitive because employers often look for current RN licensure, at least one year of experience, active BLS certification, and reliable transportation, while benefits commonly include health insurance, professional development, and a supportive work environment. Before applying, confirm your license, BLS status, and driving readiness, and review the AI-summarized requirements and benefits here to save time versus reading the full original posting.

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