About The Position

The Stepdown Registered Nurse (RN) delivers patient care through assessment, identification and prioritization of patient needs, care planning, treatment, and evaluation of outcomes in collaboration with the interdisciplinary care team. The RN coordinates patient teaching and directs or coordinates care provided by other health team members. This role is in the Progressive Care Unit (PCU), Intermediate 6S, at St. Elizabeth Boardman Hospital. The position is full-time nights, 7:00 p.m. to 7:30 a.m., with flexible self-scheduling. New graduates and nurses with less than one year of experience will be considered. The RN provides evidence-based care to adult and geriatric patients, including those with multisystem organ failure or trauma and rapidly changing conditions. The role requires clinical judgment, patient advocacy, care coordination, safe medication administration, and collaboration with patients, families, caregivers, and other care professionals. Nurses are expected to follow the Bon Secours Mercy Health Nursing Professional Practice Model and applicable standards, policies, and procedures. The position may involve high-stress periods, fluctuating workloads, interruptions, noise, bright lights, verbal abuse or physical altercations, use of restraints, and exposure to hazardous substances, body fluids, blood, and other potentially infectious materials. Universal precautions and appropriate personal protective equipment are required. Other job-related duties may be assigned, subject to reasonable accommodation.

Requirements

  • Current RN license in the state of employment or a compact-state license.
  • BLS or ACLS certification from an approved source before providing direct patient care; ACLS must be obtained within six months of hire.
  • One year of RN experience is listed as required; however, the posting also states that new graduates and nurses with less than one year of experience will be accepted.
  • Clinical knowledge, skills, and competency to provide evidence-based care in accordance with current standards, policies, procedures, and the organization's mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to perform comprehensive assessments and safely develop, implement, and prioritize plans of care.
  • Ability to collaborate in coordinated care, communicate effectively with patients and support resources, and apply cultural diversity and inclusion principles.
  • Ability to recognize limitations and seek assistance to perform safely.
  • Understanding and use of office and clinical technologies.
  • Ability to manage chest tubes, assess patients through hemodynamic monitoring, insert and monitor transvenous or temporary pacing, administer conscious sedation, and apply knowledge of advanced respiratory modalities.
  • Ability to provide care appropriate to adult and geriatric patients and understand lifespan growth and development.

Nice To Haves

  • Bachelor of Science in Nursing.
  • BLS or ACLS certification at hire (preferred; certification requirements apply before direct patient care and ACLS is required within six months of 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 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 with the interdisciplinary care team, family members, and caregivers.
  • 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.
  • Manage care for patients with multisystem organ failure, multisystem trauma, and rapidly changing conditions.
  • Use clinical judgment and evidence-based practice to synthesize and prioritize information and take decisive patient-focused action.
  • Adapt care to patients' and families' needs during unanticipated illness or injury, and advocate for their quality-of-life choices.
  • Restore, support, promote, rehabilitate, or palliate patients' physiologic, psychologic, and psychosocial stability across the lifespan using the AACN Synergy Model.
  • Assign patient care according to staff members' skills, knowledge, and scope of practice.
  • Orient, facilitate learning, and educate nursing staff and others based on quality improvement indicators, outcomes, and implementation.
  • Assess patients' clinical condition, psychosocial needs, and physical and emotional responses to treatment; revise plans of care as needed.
  • Assist patients and families in coping with illness and collaborate with others to deliver coordinated care.
  • Practice cultural diversity and inclusion, protect safety and privacy, and communicate in a manner patients can understand.
  • Recognize personal limitations, seek assistance, and support personal and professional growth through educational activities.
  • Integrate cost-effective practices, use resources responsibly, practice self-care, and remain calm and adaptive during emergencies.
  • Manage patients with chest tubes; perform hemodynamic assessment; insert and monitor transvenous or temporary pacing; administer conscious sedation; and use knowledge of advanced respiratory modalities.
  • Provide age-appropriate care to adults ages 18–64 and geriatric patients age 65 and older, applying knowledge of lifespan growth and development.

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 and short- and long-term disability.
  • Mental health resources and discounts.
  • Parental and FMLA leave.
  • Backup care for children and elders.
  • Tuition assistance, professional development, and continuing education support.
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