About The Position

The Stepdown Registered Nurse provides patient care using the nursing process, including collecting data, assessing patients, identifying and prioritizing problems and needs, and evaluating care outcomes in collaboration with the interdisciplinary team. The RN coordinates and provides patient education and coordinates care delivered by other health team members. This role is in the Progressive Care Unit at St. Elizabeth Boardman Hospital, Intermediate 6S, and serves adult and geriatric patients. The position is full-time, working nights from 7:00 p.m. to 7:30 a.m., with 36 scheduled hours per week. The nurse works every third weekend and every other holiday. New graduates are welcome to apply; the posting also lists one year of RN experience as required while indicating that candidates with less than one year of experience will be accepted.

Requirements

  • Current RN license in the state of practice or a compact license.
  • One year of RN experience is listed as required; the posting also says new graduates and nurses with less than one year of experience will be accepted.
  • BLS or ACLS is preferred at hire; certification must be obtained from an approved source before direct patient care, and ACLS is required within six months of hire.
  • Clinical knowledge and competency to provide evidence-based care in accordance with current standards, policies, procedures, and the organization’s mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to communicate with patients in a way they can understand, considering their personal preferences.
  • Ability to assess patients’ physical and emotional responses to treatment, develop and prioritize care plans, and apply the nursing process.
  • Ability to remain calm and adaptive during emergencies and to recognize limitations and seek assistance.
  • Knowledge and use of office and clinical technologies.
  • Ability to provide care appropriate to the ages and developmental needs of patients served, including adults and geriatric patients.
  • Ability to exercise universal precautions and use personal protective equipment and devices.

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 at hire (preferred); ACLS is required within six months of hire.

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 state practice requirements and organizational policies and procedures.
  • Coordinate patients’ care across hospital departments and collaborate with care coordination, family members, caregivers, and the interdisciplinary care team.
  • Participate in departmental quality improvement and advocate for patient safety, patient choices, and quality of life.
  • Collaborate with spiritual care, palliative care, and ethics in supporting patients.
  • 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 across the lifespan.
  • Synthesize and prioritize information to take timely, decisive, evidence-based, patient-focused action using clinical judgment and inquiry.
  • Anticipate and respond to changing patient conditions and adapt care accordingly.
  • Assign patient care according to staff members’ skills, knowledge, and scope of practice.
  • Orient and educate nursing staff and others, including facilitating learning experiences informed by quality indicators, outcomes, and implementation.
  • Assess patients’ clinical conditions, psychosocial needs, and support resources; evaluate responses to treatment and revise plans of care as needed.
  • Assist patients and families in coping with illness and collaborate with others to deliver coordinated care.
  • Manage patients with chest tubes; assess patients using hemodynamic monitoring; insert and monitor transvenous or temporary pacing; administer conscious sedation; and use knowledge of advanced respiratory modalities.
  • Protect the safety and privacy of patients and others, follow infection-control policies, and use universal precautions and personal protective equipment.
  • Advance professional growth, practice accountability and stewardship of resources, and cultivate resilience and self-care.

Benefits

  • Competitive pay, incentives, referral bonuses, and a 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.
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