Registered Nurse, Stepdown, Full-time nights, Clarksville

Vanderbilt University Medical Center•Clarksville, TN

About The Position

Vanderbilt Health is seeking a compassionate, skilled Registered Nurse to join its 21-bed Stepdown/Telemetry Unit. The unit cares for acutely ill but stable patients who need continuous cardiac monitoring and a higher level of nursing assessment and intervention. Nurses provide patient- and family-centered care in a fast-paced, collaborative environment, with a nurse-to-patient ratio of 4:1. The unit cares for patients with cardiac and vascular conditions, medical-surgical diagnoses, arrhythmias, sepsis, stroke, withdrawal, oxygenation and respiratory-support needs, post-operative recovery needs, and patients requiring bedside cardioversion, titratable medications, or other specialized interventions. The position applies the nursing process to plan and implement care, provide patient and family education, coordinate care across the continuum, communicate pertinent information to the health care team, and evaluate progress toward patient goals. The position is full-time, 36 hours per week, on nights from 6:45 p.m. to 6:45 a.m. New team members receive a comprehensive 8–12 week orientation tailored to their nursing experience. Nurses are encouraged to participate in shared governance, quality and safety initiatives, professional certification programs, multidisciplinary rounds, evidence-based practice projects, and ongoing education and career development.

Requirements

  • Current Registered Nurse (RN) license in the applicable state.
  • Graduate of an accredited nursing program.
  • Graduate of an approved discipline-specific program.

Nice To Haves

  • Previous experience in telemetry, stepdown, progressive care, cardiac, or acute care nursing.
  • Experience interpreting telemetry rhythms.
  • Professional nursing certifications related to cardiac, medical-surgical, or progressive care nursing.
  • Experience caring for complex medical and cardiovascular patients.
  • BLS and ACLS.
  • Experience with hardwired ECG telemetry monitoring, cardiac rhythm interpretation, or bedside cardioversions.
  • Experience with BiPAP, high-flow oxygen therapy, or end-tidal CO2 monitoring.
  • Experience with Alaris infusion pumps, PCA pumps, epidural management, or bladder scanners.
  • Experience managing cardiac drips, sedation infusions, intravenous fluids, blood products, or total parenteral nutrition (TPN).

Responsibilities

  • Collaborate in establishing the plan of care and coordinate and implement care delivery while anticipating patient care needs across the continuum.
  • Analyze comprehensive information pertinent to the patient’s care and management to determine nursing diagnoses.
  • Use the nursing process to evaluate patient progress toward goals and apply appropriate interventions to support effective outcomes.
  • Employ strategies to promote health and maintain a safe and healthy environment.
  • Provide patient and family education and participate in continuum-of-care planning.
  • Communicate pertinent patient and family information to the health care team.
  • Collaborate in establishing patient goals and evaluate progress.
  • Engage in learning activities to support professional growth according to Board of Nursing standards.

Benefits

  • Affordable high-quality health plan options.
  • Dental and/or vision plan.
  • 403(b) retirement plan.
  • Paid time off (flex PTO).
  • Tuition reimbursement.
  • Adoption assistance, subject to maximums.
  • Short- and long-term disability.
  • Subsidized backup childcare.
  • Inpatient nursing supplemental pay program (ask about current offering).
  • Other benefits, which may include health, disability, retirement, and/or wellness offerings.
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