About The Position

The Stepdown Registered Nurse delivers patient care using the nursing process, including collecting data, assessing patients, identifying and prioritizing needs, and evaluating care outcomes in collaboration with the interdisciplinary care team. The RN coordinates and provides patient teaching and coordinates care delivered by other health team members. This is a per diem (PRN) position in the Progressive Care Unit at St. Elizabeth Boardman Hospital, Intermediate 6S. The nurse must work 24 hours within each six-week period. The role includes caring for adults and geriatric patients and managing complex, changing conditions, including multisystem organ failure and multisystem trauma. Nurses are expected to practice in accordance with the Bon Secours Mercy Health Nursing Professional Practice Model.

Requirements

  • Current RN license in the state of practice or a license covered by a compact agreement.
  • One year of RN experience is listed as required; the posting also states that new graduates and nurses with less than one year of experience will be accepted.
  • BLS or ACLS 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.
  • Clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with current standards, policies, procedures, and the organization’s mission.
  • Ability to perform comprehensive clinical and psychosocial assessments, develop and prioritize plans of care, apply the nursing process, and evaluate patient outcomes.
  • Strong interpersonal and verbal and written communication skills, including the ability to communicate in a manner patients understand while considering their preferences.
  • Ability to collaborate, recognize personal limitations, seek assistance, remain calm and adaptive in emergencies, and demonstrate accountability and professionalism.
  • Ability to apply cultural diversity and inclusion principles, protect safety and privacy, and practice self-care and resilience.
  • Understanding and use of office and clinical technologies.
  • Knowledge and skills for managing chest tubes, hemodynamic monitoring, transvenous or temporary pacing, conscious sedation, and advanced respiratory modalities.
  • Ability to provide age-appropriate care to adults ages 18–64 and geriatric patients ages 65 and older.

Nice To Haves

  • Bachelor of Science in Nursing.
  • BLS Basic Life Support or ACLS Advanced Cardiac Life Support 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 assessment data, develop and implement plans of care, and evaluate treatment effectiveness.
  • Administer medications safely in accordance with state requirements and organizational policies and procedures.
  • Coordinate patients’ care across hospital departments and work with care coordination, 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.
  • 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.
  • Prioritize information and take timely, evidence-based, patient-focused action using clinical judgment and inquiry.
  • Anticipate and respond to rapidly changing patient conditions.
  • Support patients and families coping with unexpected illness, injury, and treatment, and advocate for their quality-of-life choices.
  • Assign patient care according to staff members’ skills, knowledge, and scope of practice.
  • Orient and educate nursing staff and others, including through learning experiences and quality-improvement-related education.
  • Assess patients’ clinical conditions, psychosocial needs, responses to treatment, and outcomes; revise plans of care as appropriate.
  • Assist patients and families in coping with illness and collaborate with others to deliver coordinated care.
  • Manage care for patients with chest tubes; assess patients using hemodynamic monitoring; 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 practices, including universal precautions and use of personal protective equipment.

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, and backup care for children and elders.
  • Tuition assistance, professional development, and continuing education support.
  • Self-scheduling.
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