Registered Nurse, Step Down, Full-time Nights, Clarksville

Vanderbilt University Medical Center•Clarksville, TN

23h•Onsite

About The Position

Vanderbilt University Medical Center (VUMC) is seeking a Registered Nurse for a Step Down unit. This role is full-time, working nights (6:45 PM - 6:45 AM). The Stepdown unit is a 21-bed telemetry unit caring for acutely ill but stable patients requiring closer monitoring. Patients have a variety of cardiac, vascular, and medical diagnoses with specialized needs such as cardiac arrhythmias, bedside cardioversions, titrated medications, oxygenation management, withdrawal, sepsis, stroke, and post-operative care. The environment is challenging, fast-paced, team-oriented, and patient and family-centered, with staff engaged in problem-solving and continuous improvement. Daily interdisciplinary rounds include providers, nurses, case managers, and nurse leaders. Each shift begins with a safety huddle. The nurse-to-patient ratio is 4:1. Orientation is 8-12 weeks based on experience. Key responsibilities include collaborating in care plan establishment, coordinating and implementing care delivery, analyzing patient information to determine nursing diagnoses, and utilizing the nursing process to evaluate patient progress and apply interventions. Medical equipment used includes ECG hardwired, Alaris, PCA, epidural, Etc02, bladder scanner, BiPAP, and high-flow oxygen therapy. Drips include cardiac, IV fluids, blood products, sedation, and TPN.

Requirements

LIC-Registered Nurse - Licensure-Others
Relevant Work Experience
Graduate of an approved discipline specific program
BLS
ACLS
NIH

Nice To Haves

Critical thinking
Collaboration
Multidisciplinary rounding
Bedside shift report
Shared governance
Certifications
Experience Level: Less than 1 year

Responsibilities

Planning, organizing, and administering patient care within the scope of training and expertise.
Collaborating with other professional disciplines to ensure effective and efficient patient care delivery and achievement of desired patient outcomes.
Collaborating in establishing the plan of care.
Coordinating and implementing care delivery while anticipating patient care needs across the continuum.
Analyzing comprehensive information pertinent to the patient's care and management to determine nursing diagnosis.
Continually utilizing the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes.
Employing strategies to promote health and a safe and healthy environment.