About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including assessment, prioritization of patient problems and needs, care planning, treatment, and evaluation of outcomes in collaboration with the interdisciplinary care team. The RN coordinates and directs patient teaching and coordinates care provided by health team members. This PRN position requires at least 24 hours of work within each six-week period and offers self-scheduling. The role provides care to adults and geriatric patients in the Progressive Care Unit.

Requirements

  • Current RN license in the state of practice or a compact-state license.
  • At least one year of RN experience is listed as required; the posting also states that new graduates and nurses with less than one year of experience will be accepted.
  • Must work 24 hours within a six-week period.
  • BLS or ACLS certification from an approved source is required before direct patient care; ACLS must be obtained within six months of hire.
  • 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 patients, apply the nursing process, prioritize and implement care plans, evaluate outcomes, and collaborate with others.
  • Ability to remain calm and adaptive during emergencies and to recognize limitations and seek assistance.

Nice To Haves

  • Bachelor of Science in Nursing.
  • BLS or ACLS certification at hire.
  • CCRN (Critical Care Registered Nurse) certification.
  • PCCN (Progressive Care Certified Nurse) certification.
  • National Institute of Health (NIH) Stroke Certification.

Responsibilities

  • Conduct initial and ongoing patient assessments; analyze findings, create and implement plans of care, and evaluate treatment effectiveness.
  • Administer medications safely in accordance with state requirements and organizational policies and procedures.
  • Coordinate patients’ care across hospital departments and with family members or caregivers.
  • Participate in ongoing departmental quality improvement and act as a patient safety advocate.
  • Advocate for patients in collaboration with spiritual care, palliative care, and ethics services.
  • 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; adapt care as needed.
  • Support patients and families coping with unexpected illness or injury and treatment, and advocate for their quality-of-life choices.
  • Assign patient care according to staff members’ nursing skills, knowledge, and scope of practice.
  • Orient staff and facilitate learning; provide education informed by quality-improvement indicators, outcomes, and implementation.
  • Assess patients’ clinical conditions, psychosocial needs, and support resources; develop, implement, and prioritize plans of care.
  • Evaluate physical and emotional responses to treatment and revise care plans based on intervention effectiveness and outcomes.
  • Help patients and families cope with illness and collaborate with others to deliver coordinated care.
  • Apply cultural diversity and inclusion principles, protect safety and privacy, and communicate in ways patients can understand.
  • Recognize personal limitations, seek assistance, and pursue professional growth through educational programs, literature, in-services, and workshops.
  • Demonstrate accountability, resource stewardship, resilience, and professionalism.
  • 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.
  • Follow universal precautions, use personal protective equipment and devices, and comply with infection-control policies.
  • Provide age-appropriate care to adult and geriatric patients in accordance with departmental policies and procedures.

Benefits

  • Competitive pay, incentives, and referral bonuses.
  • 403(b) with employer contributions when eligible.
  • Medical, dental, vision, and prescription coverage.
  • HSA/FSA options.
  • Life insurance and short- and long-term disability.
  • Mental health resources and discounts.
  • Paid time off, parental leave, and FMLA leave.
  • Backup care for children and elders.
  • Tuition assistance, professional development, and continuing education support.
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