About The Position

The Stepdown Registered Nurse (RN) provides patient care through assessment, prioritization of patient needs, care planning, treatment, and evaluation in collaboration with the interdisciplinary care team. The RN coordinates patient teaching and care delivered by other health team members and serves as a care coordination contact for patients, families, caregivers, and hospital departments. This role is in the Progressive Care Unit (PCU) at St. Elizabeth Boardman Hospital. It is a full-time night position, scheduled for 36 hours per week from 7:00 p.m. to 7:30 a.m. The RN cares for adults and geriatric patients, including patients with multi-system organ failure or trauma, and responds to changing patient conditions using evidence-based clinical judgment. Care is delivered in accordance with the BSMH Nursing Professional Practice Model and applicable standards, policies, and procedures.

Requirements

  • Current RN license in the state of practice or a compact-covered license.
  • BLS Basic Life Support or ACLS Advanced Cardiac Life Support certification must be obtained from an approved source before direct patient care; ACLS is required within six months of hire.
  • One year of RN experience is required; new graduates and nurses with less than one year of experience will also be accepted.
  • Clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with current standards, policies, procedures, and the organization’s mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to assess patient clinical and psychosocial needs, develop and prioritize care plans, evaluate interventions, and apply the nursing process.
  • Ability to communicate with patients in a way they can understand while considering their preferences.
  • Ability to recognize personal limitations, seek assistance, remain calm and adaptive during emergencies, and be accountable for own and delegated actions.
  • Ability to use office and clinical technologies and protect the safety and privacy of patients and others.

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.
  • 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 and implement plans of care, and evaluate treatment effectiveness.
  • Administer medications safely in accordance with state requirements and organizational policies and procedures.
  • Coordinate patient care across hospital departments and with families, caregivers, and other members of the health team.
  • Participate in departmental quality improvement and act as a patient safety advocate.
  • Advocate for patients in collaboration with spiritual care, palliative care, and ethics teams, including supporting patient choices related to quality of life.
  • Manage patients with multi-system organ failure and/or multi-system trauma and respond to changing conditions with timely, evidence-based clinical judgment.
  • Provide, coordinate, and direct patient and family teaching activities.
  • Assign care according to staff members’ skills, knowledge, and scope of practice; support staff learning and education.
  • Assess patients’ clinical condition, psychosocial needs, and responses to treatment; revise care plans as appropriate.
  • Help patients and families cope with illness and deliver coordinated, culturally inclusive, compassionate care.
  • Use cost-effective practices and available resources responsibly while protecting safety and privacy.
  • Manage patients with chest tubes, perform hemodynamic assessments, insert and monitor temporary pacing, administer conscious sedation, and use knowledge of advanced respiratory modalities.
  • Provide age-appropriate care to adult and geriatric patients.
  • Follow universal precautions and infection-control policies, including use of personal protective equipment and devices.

Benefits

  • Competitive pay, incentives, referral bonuses, and 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, and backup care for children and elders.
  • Tuition assistance, professional development, and continuing education support. Benefits may vary based on market and employment status.
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