Registered Nurse (RN) - Clinical Decision Unit

Advocate Health and Hospitals Corporation•Cleveland, NC

1d•Onsite

About The Position

The Registered Nurse (RN) provides nursing care in a 24-bed observation and medical unit at Atrium Health Cleveland. The unit primarily serves observation patients, including those with chest pain, kidney stones, and minor surgeries, and also cares for overflow medical/surgical patients. Nurses work closely with the hospitalist group and the broader care team to provide quality, compassionate care. The position is full-time, with a day schedule and every-third-weekend rotation, for 36 hours per week. The RN may be required to float to other units, departments, care areas, or facilities within the designated service area to meet patient care needs. The RN uses the nursing process to assess, plan, diagnose, implement, and evaluate care; monitors patient conditions and adjusts care plans; communicates and collaborates with patients, families, and colleagues; and maintains accurate, timely electronic health record documentation. The role also includes safe medication and treatment administration as applicable, appropriate delegation, and participation in unit councils, professional governance, quality initiatives, and evidence-based practice. The RN must provide age-appropriate care and follow applicable ethical, safety, and professional standards. The role requires frequent physical activity, including sitting, standing, walking, lifting, squatting, bending, reaching, and twisting. It may involve exposure to hazardous materials, blood and body fluids, and communicable diseases, with protective equipment used as needed. The RN must respond quickly to changes in patient or unit conditions; physical abilities testing may be required.

Requirements

Graduate of a Board of Nursing-approved nursing education program.
Basic Life Support (BLS) certification.
Active registered nurse (RN) multi-state compact and/or single-state license with privileges to practice in the state(s) where nursing services are provided.
Typically requires 1 year of clinical nursing experience.
Strong clinical judgment and critical-thinking skills.
Time management, prioritization, and problem-solving skills.
Excellent communication and interpersonal skills.
Ability to work in a fast-paced, dynamic environment.
Proficiency with computer functions, including email, electronic records, and digital platforms.
Ability to sit, stand, walk, lift, squat, bend, reach above the shoulders, and twist frequently throughout the workday.
Ability to lift and support 35 pounds when handling patients, medical equipment, and supplies.
Ability to push and pull with 30 pounds of force and perform a sliding transfer of 150 pounds with a second person present.
Functional speech, vision, hearing, and touch, and fine hand manipulation skills for IV insertion and other procedures or functions.
Ability to maneuver foot pedals on carts or machines and perform patient safety interventions such as restraint and verbal de-escalation if needed.
Ability to respond quickly to changes in patient or unit conditions.

Nice To Haves

Bachelor of Science degree in Nursing (BSN).

Responsibilities

Participate in unit councils, professional governance, and quality initiatives to improve care processes and apply evidence-based practices.
Use the nursing process to assess, plan, diagnose, implement, and evaluate nursing care, engaging patients and families throughout the continuum of care.
Monitor patient conditions, adjust care plans, mobilize resources, and collaborate with the care team to influence care outcomes.
Uphold and promote a culture of safety and continually evaluate patient, team, and unit outcomes, taking action as needed.
Administer medications, treatments, and therapies safely and according to clinical protocols and procedures, as applicable.
Communicate effectively, provide feedback, resolve conflicts, foster team collaboration, and delegate appropriately.
Pursue professional development, complete required education, and maintain certifications.
Adhere to the ANA Code of Ethics, make ethical decisions, respect interdisciplinary roles, and contribute to integrated, unbiased patient care.
Delegate appropriately to Registered Nurses, Licensed Practical Nurses, and unlicensed assistive personnel.
Maintain accurate and timely electronic health record documentation.
Float to other units, departments, care areas, or facilities within the designated service area when required to meet patient care needs.
Provide care appropriate to patients' ages and developmental needs in accordance with departmental policies and procedures.