Registered Nurse (RN) – Intermediate Stepdown Unit 4S – St. Elizabeth Youngstown Hospital

Mercy Health BSMH•Youngstown, OH

1d•Onsite

About The Position

The Stepdown Registered Nurse delivers patient care using the nursing process: collecting and assessing data, identifying and prioritizing patient problems and needs, and evaluating the process and outcomes of care in collaboration with the interdisciplinary care team. The RN coordinates and provides patient teaching and coordinates care provided by health team members. The role includes caring for patients with multisystem organ failure and/or multisystem trauma, applying the AACN Synergy Model to support patients’ physiologic, psychological, and psychosocial stability across the lifespan, and responding to changing patient conditions with evidence-based clinical judgment. Nurses are expected to practice in accordance with the core concepts and intent of the BSMH Nursing Professional Practice Model. This is a per-diem (PRN) position requiring 24 hours of work within each six-week period. The position serves adult and geriatric patients. Work may involve high stress and fluctuating workloads, verbal abuse or physical altercations, physical restraints, loud noise, bright lights, hazardous substances or body fluids, infectious materials, and frequent interruptions. Universal precautions and personal protective equipment are required.

Requirements

Current RN license in the state of practice or a license covered by a compact agreement.
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, though new graduates and RNs with less than one year of experience will be considered.
Ability to provide evidence-based nursing care in accordance with current standards of practice, policies and procedures, and the BSMH mission.
Strong interpersonal and verbal and written communication skills.
Ability to communicate with patients in a manner they can understand, considering their personal preferences.
Ability to apply cultural diversity and inclusion principles when caring for patients and support resources.
Ability to recognize personal limitations, seek assistance, and obtain information needed to practice safely.
Ability to remain calm and adaptive during emergencies and difficult circumstances.
Knowledge and use of office and clinical technologies.
Ability to demonstrate professionalism, accountability, cost-effective practice, stewardship of resources, and self-care.
Ability to provide care appropriate to adult and geriatric patients and understand lifespan growth and development.

Nice To Haves

Bachelor of Science in Nursing.
Six months of RN experience in an acute care hospital setting.
BLS or ACLS at hire (preferred; certification requirements and deadlines apply).
CCRN Critical Care Registered Nurse certification.
PCCN Progressive Care Certified Nurse certification.
National Institute of Health (NIH) Stroke Certification.
EPIC Electronic Health Record training.
Critical Care Course.

Responsibilities

Conduct initial and ongoing patient assessments, analyze assessment data, develop and implement plans of care, and evaluate treatment effectiveness.
Administer medications safely in accordance with applicable state requirements and Bon Secours Mercy Health policies and procedures.
Coordinate patients’ care across hospital departments and with family members or caregivers.
Participate in departmental quality improvement and act as a patient safety advocate.
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, psychological, and psychosocial stability across the lifespan.
Synthesize and prioritize information to take immediate, decisive, evidence-based, patient-focused action using clinical judgment and inquiry.
Anticipate and respond to changing patient conditions and adapt to patients’ and families’ needs during unanticipated illness, injury, and treatment.
Assign patient care according to staff members’ skills, knowledge, and scope of practice.
Orient staff and facilitate learning and education based on quality improvement indicators, outcomes, and implementation.
Assess patients’ clinical conditions, psychosocial needs, and support resources; develop, prioritize, implement, and revise plans of care.
Assess physical and emotional responses to treatment and evaluate intervention effectiveness and patient outcomes.
Support patients and families in coping with illness and collaborate with others to deliver coordinated care.
Manage care of patients with chest tubes; perform hemodynamic assessment; insert and monitor transvenous or temporary pacing; administer conscious sedation; and apply knowledge of advanced respiratory modalities.
Protect the safety and privacy of all persons and follow infection-control policies, universal precautions, and personal protective equipment requirements.
Pursue personal and professional growth through educational programs, literature, in-services, and workshops; practice accountability, stewardship, and self-care.