About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including collecting data, assessing patients, identifying and prioritizing problems and needs, and evaluating the process and outcomes of care in collaboration with the interdisciplinary care team. The RN coordinates, provides, and directs patient teaching and coordinates care provided by health team members. The position serves the Progressive Care Unit (PCU) at St. Elizabeth Boardman Hospital and is per diem (PRN), with a requirement to work 24 hours within each six-week period. Self-scheduling is available, and new graduates are welcome to apply. The RN conducts initial and ongoing assessments, plans and implements treatment, evaluates effectiveness, administers medications safely, coordinates care across hospital departments, and advocates for patient safety and patient needs. The role includes clinical management of patients with multisystem organ failure and/or multisystem trauma, use of the AACN Synergy Model, and evidence-based clinical judgment to respond to changing patient conditions. The RN supports patients and families coping with illness or injury and delivers care in accordance with the Bon Secours Mercy Health Nursing Professional Practice Model. The position serves adults and geriatric patients. Work may involve high stress and fluctuating workloads, physical altercations or verbal abuse, physical restraints, high noise levels and bright lights, hazardous substances or body fluids, infectious materials, and frequent interruptions. Universal precautions and personal protective equipment are required.

Requirements

  • Current RN license in the state of employment or a compact-state license.
  • One year of RN experience is required; the posting also states that new graduates and nurses with less than one year of experience will be accepted.
  • BLS or ACLS certification must be obtained from an approved source before direct patient care; ACLS is required within six months of hire.
  • Clinical knowledge and competency to provide evidence-based patient care according to standards of practice, policies, procedures, and the organization’s mission.
  • Ability to conduct comprehensive clinical and psychosocial assessments and safely develop, implement, and prioritize plans of care.
  • Strong interpersonal and verbal and written communication skills, including communicating in a manner patients can understand and considering their preferences.
  • Ability to collaborate, apply cultural diversity and inclusion principles, recognize personal limitations, and seek assistance when needed.
  • Ability to remain calm and adaptive during emergencies and to manage stressful or difficult circumstances.
  • Understanding and use of office and clinical technologies.
  • Ability to provide age-appropriate care and apply lifespan growth and development principles for adult and geriatric patients.
  • Ability to manage chest tubes, assess patients using hemodynamic monitoring, insert and monitor transvenous or temporary pacing, administer means for conscious sedation, and apply knowledge of advanced respiratory modalities.

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 data, develop and implement plans of care, and evaluate treatment effectiveness.
  • Administer medications safely in accordance with applicable state practice requirements and organizational policies and procedures.
  • Coordinate patients’ care across hospital departments and with family members, caregivers, and other care team members.
  • Participate in departmental quality improvement and advocate for patient safety.
  • 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 rapidly changing patient conditions.
  • Support patients and families coping with unanticipated illness or injury and advocate for their quality-of-life choices.
  • Assign patient care according to staff members’ skills, knowledge, and scope of practice.
  • Orient staff, facilitate learning, and provide education to nursing staff and others.
  • Assess patients’ clinical conditions and psychosocial needs, develop and prioritize care plans, and revise plans based on responses to treatment and outcomes.
  • Collaborate with others to deliver coordinated patient care and assist patients and families in coping with illness.
  • Manage care of patients with chest tubes and assess patients through hemodynamic monitoring.
  • Insert and monitor transvenous or temporary pacing and administer means for conscious sedation.
  • Use knowledge of advanced respiratory modalities.
  • Protect the safety and privacy of all persons, use resources cost-effectively, and practice accountability and professionalism.
  • Use universal precautions and personal protective equipment and follow infection-control policies.

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.
  • Mental health resources and discounts.
  • Paid time off.
  • Parental and FMLA leave.
  • Short- and long-term disability.
  • Backup care for children and elders.
  • Tuition assistance.
  • Professional development and continuing education support.
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