About The Position

The Stepdown Registered Nurse delivers patient care using the nursing process, including collecting data and assessing patients, identifying and prioritizing problems and needs, and evaluating nursing care in collaboration with the interdisciplinary care team. The RN coordinates and directs patient teaching and coordinates care provided by other health team members. The role clinically manages patients with multisystem organ failure and/or multisystem trauma and provides care across the lifespan in accordance with the AACN Synergy Model and the Bon Secours Mercy Health Nursing Professional Practice Model. The RN assesses patients’ clinical and psychosocial needs, develops and prioritizes plans of care, implements treatment, and evaluates outcomes. The role includes safe medication administration, care coordination across hospital departments, patient advocacy, quality improvement participation, and responding promptly to changing patient conditions. The position also involves caring for adult patients and collaborating with patients, families, caregivers, and other care team members. The role is full-time on day shift, 7:00 AM–7:30 PM. Work may involve high stress and fluctuating workloads, interruptions, noise and bright lights, exposure to physical altercations or verbal abuse, possible use of physical restraints, and limited exposure to hazardous substances, body fluids, blood, and other potentially infectious materials. Universal precautions and personal protective equipment are required.

Requirements

  • Current RN license in the state of practice or a compact license.
  • BLS or ACLS certification from an approved source before providing direct patient care; ACLS must be obtained within six months of hire.
  • One year of RN experience is required; new graduates and candidates with less than one year of nursing experience will also be accepted.
  • Clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with standards of practice, policies, procedures, and the organization’s mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to assess patients, apply the nursing process, and safely develop, implement, and prioritize plans of care.
  • Ability to remain calm and adaptive during emergencies and changing conditions.
  • Ability to communicate with patients in a manner they can understand, taking personal preferences into account.
  • Ability to use office and clinical technologies.
  • Ability to manage care of patients with chest tubes, assess patients through hemodynamic monitoring, insert and monitor transvenous or temporary pacing, administer conscious sedation, and apply knowledge of advanced respiratory modalities.

Nice To Haves

  • Bachelor of Science in Nursing.
  • CCRN (Critical Care Registered Nurse) certification.
  • PCCN (Progressive Care Certified Nurse) certification.
  • National Institute of Health (NIH) Stroke Certification.
  • Six months of RN experience in an acute care hospital setting.
  • EPIC Electronic Health Record (EHR) training.
  • Critical Care Course.
  • BLS or ACLS certification at hire; certification must be obtained before direct patient care, and ACLS is required within six months of hire.

Responsibilities

  • Conduct initial and ongoing patient assessments, analyze findings, develop plans of care, implement treatment, and evaluate treatment effectiveness.
  • Administer medications safely according to applicable state requirements and organizational policies and procedures.
  • Coordinate patients’ care across hospital departments and serve as a point of contact for care coordination with patients, families, and caregivers.
  • Participate in departmental quality improvement and advocate for patient safety.
  • Advocate for patients in collaboration with spiritual care, palliative care, and ethics services.
  • Clinically manage patients with multisystem organ failure and/or multisystem trauma.
  • Use the AACN Synergy Model to restore, support, promote, rehabilitate, or palliate patients’ physiologic, psychologic, and psychosocial stability.
  • Synthesize and prioritize information to take timely, evidence-based, patient-focused action using clinical judgment and inquiry.
  • Anticipate and respond to changing patient conditions, adapting as needed.
  • Support patients and families coping with unexpected illness or injury and advocate for their quality-of-life choices.
  • Assign patient care in accordance with staff members’ skills, knowledge, and scope of practice.
  • Orient and educate nursing staff and others, including facilitating learning experiences and providing education based on quality indicators, outcomes, and implementation.
  • Assess patients’ clinical conditions, psychosocial needs, and support resources; revise plans of care based on physical and emotional responses and outcomes.
  • Collaborate with others to deliver coordinated care and assist patients and families in coping with illness.
  • Provide culturally inclusive, compassionate, relationship-based care and communicate in a way patients can understand, considering their preferences.
  • Recognize limitations, seek assistance, and pursue professional growth through education, literature, in-services, and workshops.
  • Practice accountability, stewardship of resources, self-care, and protection of people’s safety and privacy.
  • Manage patients with chest tubes; assess patients using hemodynamic monitoring; insert and monitor temporary/transvenous pacing; administer conscious sedation; and apply knowledge of advanced respiratory modalities.
  • Follow universal precautions, use personal protective equipment and devices, and comply with infection-control policies.
  • Provide care appropriate to patients’ age, developmental stage, and specific needs, in accordance with departmental policies and procedures.

Benefits

  • Competitive pay, incentives, and referral bonuses.
  • 403(b) with employer contributions when eligible.
  • Medical, dental, vision, and prescription coverage.
  • HSA/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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