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Pediatric Intensive Care Unit (PICU) Registered Nurse (RN)

Location: Richmond, VA

Unit Overview

The Pediatric Intensive Care Unit (PICU) comprises a combined Pediatrics/PICU unit with a total of 10 beds.

Patient Care and Staffing

• Patient Ratios: Based on patient acuity and the approved staffing grid.
• Unit Staffing: Registered nurses with pediatric and critical care experience, pediatric hospitalists, PICU intensivists, and dedicated pediatric respiratory therapists.
• Type of Equipment: Pediatric cardiac monitors, infusion/syringe pumps, pupilometer, and Ceribel.
• Documentation System: Expanse.
• Scheduling: Day and night shift opportunities; includes weekends and holidays.
• Floating Policy: Floating based on competency and patient care needs; may include well babies in Labor, Delivery, Recovery, and Postpartum (LDRP) and tech assistance in the main hospital.

Patient Experience

Provide compassionate, family-centered care; communicate clearly with patients and caregivers; involve families in care planning; and offer age-appropriate education.

Qualifications

• Must have active Virginia RN license or multi-state compact privilege.
• Required certifications: BLS and PALS.
• 2 years of recent bedside PICU experience.
• Strong pediatric assessment skills with the ability to recognize deterioration and respond to pediatric emergencies.
• Competency in weight-based medication administration, IV therapy, and family-centered care.
• Excellent communication, teamwork, and prioritization abilities.

Advanced Skills

• Care for pediatric patients requiring mechanical ventilation, high-flow oxygen, and non-invasive respiratory support.
• Management of continuous medication infusions, including sedation and vasoactive medications.
• Experience in central line care and invasive monitoring, and care for patients with respiratory failure, DKA, sepsis, and status epilepticus.

Procedures Performed in Unit

• Peripheral IV placement, venipuncture, and specimen collection.
• Central line management, urinary catheter, and nasogastric/orogastric tube insertion.
• Assistance with intubation, lumbar puncture, and central line placement.
• Emergency stabilization and pediatric resuscitation.

Dress Code

Pediatric friendly attire is required.

Awards and Recognition

Leadership includes recognition such as the 2025 Daisy Nurse Leader Award recipient.

Commitment to Staff Development

Engagement in ongoing development through PICU intensivist-led education and cross-training opportunities.

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