About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including collecting data and assessing patients, identifying and prioritizing problems and needs, and evaluating care outcomes in collaboration with the interdisciplinary care team. The RN coordinates, provides, and directs patient teaching and coordinates care delivered by other health team members. The role provides care for patients with multi-system organ failure and/or multisystem trauma. Using the AACN Synergy Model, the RN supports, promotes, restores, rehabilitates, or palliates patients’ physiologic, psychologic, and psychosocial stability across the lifespan. The RN uses clinical judgment and inquiry to prioritize information, take timely evidence-based action, and adapt to changing patient conditions. Nurses are expected to practice in accordance with the core concepts and intent of the BSMH Nursing Professional Practice Model. This is a full-time position on Intermediate 4 South at St. Elizabeth Youngstown Hospital, scheduled for 36 hours per week on days/nights, with the listed shift of 7:00 p.m.–7:30 a.m. Self-scheduling is available. New graduates are encouraged to apply.

Requirements

  • Current RN license in the state of employment or a compact license.
  • BLS or ACLS certification is preferred at hire; certification must be obtained from an approved source before direct patient care, and ACLS is required within six months of hire.
  • One year of RN experience is required; new graduates and RNs with less than one year of experience will be considered.
  • Clinical knowledge, skills, and competency to provide evidence-based patient care according to current practice standards, policies, procedures, and the BSMH mission.
  • Ability to perform comprehensive assessments, safely develop and prioritize plans of care, apply the nursing process, evaluate interventions and outcomes, and revise plans of care.
  • Ability to collaborate in coordinated care, communicate effectively verbally and in writing, and communicate with patients in a manner they understand while considering their preferences.
  • Ability to recognize personal limitations, seek assistance, remain calm and adaptive during emergencies, and demonstrate professionalism and accountability.
  • Ability to apply cultural diversity and inclusion principles, protect safety and privacy, and understand and use office and clinical technologies.
  • Ability to manage care involving chest tubes, assess patients through hemodynamic monitoring, insert and monitor transvenous or temporary pacing, administer conscious sedation, and apply knowledge of advanced respiratory modalities.

Nice To Haves

  • Bachelor of Science in Nursing.
  • Six months of RN experience in an acute care hospital setting.
  • CCRN Critical Care Registered Nurse certification.
  • PCCN Progressive Care Certified Nurse certification.
  • National Institute of Health (NIH) Stroke Certification.
  • EPIC Electronic Health Record (EHR) training.
  • Critical Care Course.

Responsibilities

  • Conduct initial and ongoing patient assessments; analyze assessment data; create and implement plans of care; and evaluate treatment effectiveness.
  • Administer medications safely in accordance with state practice requirements and Bon Secours Mercy Health policies and procedures.
  • Coordinate patients’ care across hospital departments and serve as a point of contact for patients, families, caregivers, and care coordination.
  • Participate in departmental quality improvement and act as a patient safety advocate.
  • Advocate for patients in collaboration with spiritual care, palliative care, and ethics services, including supporting patient and family choices about quality of life.
  • Clinically manage patients with multi-system organ failure and/or multisystem trauma.
  • Use the AACN Synergy Model to support, promote, restore, rehabilitate, or palliate patients’ stability across the lifespan.
  • Prioritize information and take decisive, evidence-based, patient-focused action using clinical judgment and inquiry.
  • Anticipate and respond to rapidly changing patient conditions.
  • Assign patient care according to staff members’ nursing skills, knowledge, and scope of practice.
  • Orient and educate nursing staff and others, including facilitating learning based on quality improvement indicators, outcomes, and implementation.
  • Assess patients’ clinical conditions, psychosocial needs, physical and emotional responses to treatment, and supportive resources; revise plans of care as appropriate.
  • Assist patients and families in coping with illness and collaborate with others to deliver coordinated care.
  • Manage care of patients with chest tubes; perform hemodynamic assessments; insert and monitor transvenous or temporary pacing; administer conscious sedation; and use knowledge of advanced respiratory modalities.
  • Protect the safety and privacy of all persons and follow infection-control policies, universal precautions, and personal protective equipment requirements.
  • Advance professional growth, demonstrate accountability and stewardship, and practice self-care and resilience.

Benefits

  • PTO and paid time off.
  • Health insurance benefits effective the first day of the month following the start date.
  • 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.
  • 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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