About The Position

The Stepdown Registered Nurse (RN) provides patient care using the nursing process, including assessment, prioritization of patient needs, care planning, treatment, and evaluation of outcomes in collaboration with the interdisciplinary care team. The RN coordinates and directs patient and family teaching and coordinates care delivered by other health team members. This full-time role is in the Progressive Care Unit (PCU) at St. Elizabeth Boardman Hospital and works overnight from 7:00 p.m. to 7:30 a.m. The nurse provides care for adult and geriatric patients, including those experiencing multi-system organ failure or trauma and rapidly changing conditions. The role includes coordination across hospital departments, patient advocacy, quality improvement, and practice in accordance with the BSMH Nursing Professional Practice Model.

Requirements

  • Current RN license in the state of practice or a license covered by a compact.
  • One year of RN experience is required; new graduates and nurses with less than one year of experience will also be accepted.
  • BLS or ACLS certification is preferred at hire; certification must be obtained from an approved source before providing direct patient care, and ACLS is required 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 BSMH mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to communicate with patients in a way they can understand, taking their personal preferences into account.
  • Ability to apply cultural diversity and inclusion principles when caring for patients and their support resources.
  • Ability to recognize personal limitations, seek assistance, and obtain information needed to provide safe care.
  • Ability to remain calm and adaptive during emergencies and to manage stress, conflict, and difficult circumstances.
  • Ability to use office and clinical technologies.

Nice To Haves

  • Bachelor of Science in Nursing.
  • 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, develop and implement plans of care, and evaluate treatment effectiveness.
  • Administer medications safely in accordance with state requirements and organizational policies and procedures.
  • Coordinate patient care across hospital departments and work with family members, caregivers, and the interdisciplinary care team.
  • Participate in ongoing departmental quality improvement and advocate for patient safety.
  • Collaborate with spiritual care, palliative care, and ethics services to advocate for patients.
  • Clinically manage patients with multi-system organ failure and/or multisystem trauma.
  • Use the AACN Synergy Model to restore, support, promote, rehabilitate, or palliate patients’ physiologic, psychological, and psychosocial stability across the lifespan.
  • Prioritize information and take timely, evidence-based, patient-focused action using clinical judgment and inquiry.
  • Anticipate and respond to changes in patient condition and adapt to rapidly changing situations.
  • Support patients and families coping with unexpected illness or injury and advocate for their quality-of-life choices.
  • Assign patient care according to staff members’ nursing skills, knowledge, and scope of practice.
  • Orient and educate nursing staff and others, including through learning experiences and quality-improvement information.
  • Assess patients’ clinical conditions, psychosocial needs, and supportive resources; revise care plans based on responses to treatment and outcomes.
  • Assist patients and families in coping with illness and collaborate to deliver coordinated care.
  • Manage care for patients with chest tubes, perform hemodynamic assessments, insert and monitor temporary transvenous pacing, administer conscious sedation, and use knowledge of advanced respiratory modalities.
  • Protect the safety and privacy of patients and others, use universal precautions and personal protective equipment, and follow infection-control policies.
  • Advance professional growth, demonstrate accountability and professionalism, use resources responsibly, and practice self-care and resilience.

Benefits

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