About The Position

The Stepdown Registered Nurse (RN) delivers patient care utilizing the nursing process through data collection and assessment, identifying and determining the priority of patient’s problems/needs, and evaluating the process and outcome of nursing care, all in collaboration with the interdisciplinary care team. The RN coordinates, provides, and directs patient teaching activities and coordinates the care provided by health team members. This role involves clinically managing patients with multi-system organ failure and/or multisystem trauma, using the AACN Synergy Model to restore, support, promote, rehabilitate, or palliate to maintain the physiologic, psychologic, and psychosocial stability of patients across the lifespan. The RN synthesizes and prioritizes information to take immediate and decisive evidence-based, patient-focused action using clinical judgment and clinical inquiry, anticipating and responding with confidence to rapidly changing patient conditions. They respond to the unique needs of patients and families coping with unanticipated illness or injury and treatment, advocating for their choices in quality of life. BSMH nurses are expected to practice and deliver care in accordance with the core concepts and intention of the BSMH Nursing Professional Practice Model.

Requirements

  • Current RN license in state they are working or covered by compact (required)
  • 1 year of RN experience (required); will consider New Grads and RN's with less than 1 year experience
  • BLS Basic Life Support or ACLS Advanced Cardiac Life Support (preferred at hire, must obtain from approved source prior to direct patient care, ACLS required within 6 months of hire)

Nice To Haves

  • 6 months RN experience in an acute care hospital setting (preferred)
  • EPIC Electronic Health Record (EHR) training (preferred)
  • Critical Care Course (preferred)
  • ACLS Advanced Cardiac Life Support (preferred at hire)
  • CCRN Critical Care Registered Nurse (preferred)
  • PCCN Progressive Care Certified Nurse (preferred)
  • National Institute of Health (NIH) Stroke Certification (preferred)
  • Bachelor of Science Nursing (preferred)

Responsibilities

  • Conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatment, and evaluates treatment effectiveness.
  • Administers medications in a safe manner consistent with the State of Practice and Bon Secours Mercy Health policies and procedures.
  • Serves as point of contact for patients' care coordination throughout hospital departments.
  • Acts as a patient safety advocate by participating in ongoing quality improvement in the department.
  • Serves as patient advocate in collaboration with spiritual care, palliative care, and ethics.
  • Serves as a point of care with care coordination and family members or caregivers.
  • Clinically manages patients with multi-system organ failure and/or multisystem trauma.
  • Restores, supports, promotes, rehabilitates, or palliates to maintain the physiologic, psychologic, and psychosocial stability of patients across the lifespan using the AACN Synergy Model.
  • Synthesizes and prioritizes information in order to take immediate and decisive evidence-based, patient-focused action using clinical judgement and clinical inquiry.
  • Anticipates and responds with confidence and adapts to rapidly changing patient conditions.
  • Responds to the unique needs of the patients and families coping with unanticipated illness or injury and treatment and advocate for their choices in quality of life.
  • Assigns patient care according to the nursing skill, knowledge, and scope of practice of staff.
  • Orients, facilitates learning experience, and provides education to nursing staff and others.
  • Performs comprehensive assessment of patient's clinical condition and psychosocial needs of the patient and their supportive resources.
  • Safely and efficiently develops, implements, and prioritizes plan of care.
  • Applies the nursing process in patient care delivery.
  • Assesses patient's physical and emotional responses to treatment to evaluate effectiveness of intervention and patient outcomes; revises plan of care accordingly.
  • Assists patient and family in coping with patient's illness.
  • Collaborates with others in the delivery of coordinated patient care.
  • Applies cultural diversity and inclusion principles when caring for patients and their support resources.
  • Recognizes own limitations and seeks assistance and acquires information to perform safely.
  • Advances personal and professional growth through participation in educational programs, current literature, in-services, and workshops.
  • Exhibits professionalism through accountability for own and delegated actions.
  • Integrates cost-effective measures into practice and models effective stewardship of available resources.
  • Practices self-care and cultivates resilience in conflict and difficult circumstances.
  • Protects the safety and privacy of all persons.
  • Understands and utilizes office and clinical technologies.
  • Communicates with patients in a manner they can understand considering their personal preferences.
  • Manages care of patients with chest tubes.
  • Assesses patients through hemodynamic monitoring.
  • Inserts and monitors transvenous pacing/temporary pacing.
  • Administers means for conscious sedation.
  • Applies knowledge of advanced respiratory modalities.

Benefits

  • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
  • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
  • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
  • Tuition assistance, professional development and continuing education support
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