Registered Nurse (RN) - 4 Heart Cardiovascular Surgery Telemetry Step-Down

Spartanburg Regional Healthcare System•Spartanburg, SC

11d

About The Position

The Acute Care Registered Nurse provides inpatient nursing care on 4 Heart, a 32-bed cardiac step-down unit serving patients with chest pain, congestive heart failure, and heart, vascular, and thoracic conditions requiring surgery. The unit also cares for post-operative open-heart patients. The typical nurse-to-patient ratio is 1:3 or 1:4, with a free charge nurse available on all shifts. The RN delivers care in compliance with the South Carolina Nurse Practice Act and organizational protocols, policies, procedures, and guidelines. The role applies evidence-based practices throughout the nursing process, including assessment, planning, implementation, evaluation, and outcomes. The RN demonstrates knowledge of therapeutic patient care, advocacy, clinical pathways, team dynamics, and hospital systems, and serves as a resource for support associates. The RN also collaborates with leadership to support Spartanburg Regional Healthcare System's culture, mission, vision, and values, and is encouraged to support the system's involvement in the communities it serves.

Requirements

Graduate of an approved or accredited School of Nursing.
Current RN licensure in South Carolina or a Compact State.
BLS certification; may be obtained after hire.
Basic computer skills and competency using an electronic health record.
Ability to assess, think critically, prioritize care, and provide quality nursing care in a fast-paced, dynamic environment.
Ability to communicate and interact professionally with patients across age groups, backgrounds, and educational levels, including patients who may be confused, irrational, agitated, or uncooperative.
Completion of hospital and unit-based orientation programs and annual competencies.

Nice To Haves

One year of recent RN experience within the past five years.

Responsibilities

Assess patients’ medical histories, admitting diagnoses, physician orders, nursing histories, physical status, and diagnostic data; interview patients and families to determine needs.
Prioritize nursing interventions and multiple patients according to severity of illness, injury, and needs.
Develop, implement, evaluate, and revise plans of care based on patients’ and families’ physical, psychosocial, spiritual, and educational needs.
Provide a safe care environment and collaborate with patients, families, and healthcare team members to determine priorities and treatments.
Coordinate, provide, and direct patient teaching activities.
Initiate and facilitate interdisciplinary collaboration to enhance outcomes.
Seek assistance as needed to complete nursing interventions and support positive patient outcomes.
Document all aspects of patient care according to established charting procedures, including patient progress and changes in condition.
Use the electronic health record and basic computer skills; demonstrate competency with new equipment and procedures and complete annual competency validation.
Communicate effectively and professionally with patients, families, providers, and hospital associates, including people of different ages, backgrounds, and educational levels and patients who may be confused, agitated, irrational, or uncooperative.
Use nursing standards and protocols to manage and stabilize emergencies until a provider responds; know how to use and respond to facility alert, medical alert, and medical emergency systems.
Follow system standards of behavior, chain of command, policies, procedures, and regulatory requirements, including DNV, DHEC, and CMS expectations.
Complete continuing education, hospital and unit orientation programs, and annual competencies.
Provide clinical guidance to students and ancillary staff.
Pursue personal professional growth and recommend development or revision of policies and procedures.
Serve on unit-based committees and other committees as assigned.
Support unit, department, and division goals and patient experience initiatives; participate in purposeful rounding, bedside shift reports, and huddles.
Apply appropriate standards of care, clinical pathways, and milestones to guide the plan of care.
Perform other duties as assigned.