Registered Nurse- Clinical Decision Unit

TriHealth•Cincinnati, OH

9h•Onsite

About The Position

TriHealth is hiring a Registered Nurse for the Observation Unit, also known as the Clinical Decision Unit (CDU), at Bethesda North Hospital. The nurse provides direct and indirect holistic care to adult and geriatric patients requiring short-term monitoring, diagnostic testing, and treatment. Patients may receive medical, pre/post-surgical, and cardiac care in this 35-bed inpatient unit, which follows Medicare guidelines. The Registered Nurse applies the nursing process, collaborates with physicians and other health care team members, and supports patients and families through clinical decisions. The role contributes to patient flow, safety, and outcomes in a fast-paced setting. Nurses work closely with Acute Care Technicians and may delegate and supervise aspects of care within the scope of nursing practice. New team members receive corporate orientation, individualized onboarding, and preceptor-supported training. Unit orientation is tailored to experience and typically lasts 4–8 weeks, with training opportunities that include NIHSS certification, ACLS/BLS training, ECG/telemetry skills, SIM code readiness exercises, and shadowing. The unit uses a six-week scheduling cycle, including every third weekend and holiday rotations. The position is part-time, 24 hours weekly, on nights from 6:30 p.m. to 7:00 a.m., and is on-site at Bethesda North Hospital.

Requirements

Associate's 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 based on biological, physical, behavioral, social, and nursing sciences to meet complex health care needs across stages of the life cycle.

Nice To Haves

Acute care experience: more than one year full-time or two years part-time.
Membership in a related professional nursing organization.
Specialty certification, such as medical-surgical or emergency nursing.

Responsibilities

Perform initial and ongoing assessments of patients and families; document findings and communicate them to appropriate health care providers.
Develop, individualize, communicate, and update plans of care and clinical pathways based on assessments, standards of care, patient and family input, and desired outcomes.
Establish short- and long-term goals with patients, families, and the health care team, including discharge planning.
Provide safe, therapeutic, culturally sensitive care while protecting patient autonomy, dignity, and rights.
Recognize emergencies and rapidly changing clinical situations and take appropriate action.
Complete patient assignments and documentation within scheduled timeframes.
Base interventions on clinical data and desired outcomes, and document care and patient or family responses, including teaching.
Communicate and collaborate effectively with physicians, patients, families, and interdisciplinary team members; understand and execute physician orders.
Evaluate patient outcomes and revise plans of care in collaboration with patients, families, and the health care team.
Delegate care as appropriate and supervise care delegated to other health care team members.
Perform technical skills according to policies, procedures, and accepted standards; administer medications and treatments safely 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 knowledge, and demonstrate awareness of organizational and department changes.
Serve in relief charge or resource roles as requested and cooperate with instructors to support effective student learning experiences.