Registered Nurse – Observation Unit/ Clinical Decision Unit

TriHealth • Cincinnati, OH

12h • Onsite

About The Position

The Registered Nurse provides direct and indirect holistic care to patients and their families in an inpatient Observation/Clinical Decision Unit. The role applies the nursing process, collaborates with physicians and other healthcare team members, and may delegate aspects of care within the scope of nursing practice. Nurses care for adult and geriatric patients requiring short-term monitoring, diagnostic testing, and treatment, including medical, pre- and post-surgical, and cardiac care. The position contributes to patient flow, safety, and outcomes through assessment, clinical decision-making, coordination, and patient and family education.

The unit describes a supportive orientation and training program, including corporate orientation, individualized onboarding, preceptor-supported hands-on training, and competency-based unit orientation tailored to experience. The described training and development opportunities include NIHSS certification, ACLS/BLS training, ECG/telemetry skills, simulation code exercises, and shadowing. The unit uses a six-week scheduling cycle with every-third-weekend and holiday rotations; weekend programs and PRN/optional scheduling are also described as options.

This is a full-time, 36-hour-per-week, day-shift position at Good Samaritan Hospital in Cincinnati, Ohio. The work arrangement is on-site in an inpatient observation unit.

Requirements

• Associate degree or diploma in nursing.
• New hires must obtain a BSN within five years of hire.
• Active Registered Nurse license.
• BLS/CPR (Basic Life Support for Healthcare Providers).
• Knowledge, judgment, and skills derived from biological, physical, behavioral, social, and nursing sciences to address complex healthcare needs across stages of the life cycle.
• Ability to perform the nursing responsibilities described, including assessment, care planning, clinical communication, safe care, and response to emergencies.

Nice To Haves

• At least one year of full-time or two years of part-time acute care experience.
• Membership in a related professional nursing organization.
• Specialty certification, such as medical-surgical or emergency nursing.

Responsibilities

• Perform initial and ongoing patient and family assessments, complete the initial assessment tool, document findings, and communicate relevant findings to healthcare providers.
• Include health counseling and teaching needs in assessments.
• Develop and individualize plans of care or clinical pathways based on assessment, standards of care, patient and family input, and desired outcomes.
• Set short- and long-term goals with patients, families, and the healthcare team, including discharge planning; communicate and update the plan of care as needed.
• Provide safe, therapeutic, culturally sensitive care while protecting patient autonomy, dignity, and rights, and seeking resources to support ethical decisions.
• Balance patient needs with unit and facility priorities; recognize emergency situations and respond appropriately.
• Complete assigned patient care and documentation within scheduled timeframes, basing interventions on clinical data and documenting outcomes.
• Communicate effectively with patients, families, physicians, and interdisciplinary team members; understand and carry out physician orders.
• Evaluate patient outcomes and responses to care, including teaching, and collaborate with patients, families, and the healthcare team to revise plans of care.
• Supervise care delegated to other healthcare team members and delegate within the scope of nursing practice.
• Perform technical skills according to policy, procedure, and accepted practice standards; safely administer medications and treatments and monitor their effects.
• Use equipment safely and appropriately.
• Train and educate staff, share specialty knowledge, and serve as a clinical resource.
• Identify areas for self-improvement, maintain current practice knowledge, and function in relief charge or resource roles when requested.
• Complete assignments, cooperate with instructors to support student learning, and stay informed about organizational and departmental changes.
• Support continuing education, formal degree advancement, specialty certification, nursing organization involvement, community health activities, nursing research, evidence-based practice, and collaborative relationships among caregivers.

Benefits

• Comprehensive benefits suite including medical, dental, and vision coverage, retirement contributions, paid time off, tuition assistance, and wellness resources.
• $5,000 sign-on bonus if eligible.
• Support for professional development, including BSN attainment and specialty certification.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree