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 the process and outcomes of nursing care in collaboration with the interdisciplinary care team. The RN coordinates and provides patient teaching and coordinates care delivered by other health team members. In the Intermediate Stepdown Unit, the RN cares for patients with multi-system organ failure and/or multisystem trauma, applying the AACN Synergy Model to restore, support, promote, rehabilitate, or palliate patients and maintain physiologic, psychological, and psychosocial stability across the lifespan. The nurse synthesizes and prioritizes information to take timely, evidence-based, patient-focused action; anticipates and responds to rapidly changing conditions; and supports patients and families coping with unexpected illness or injury while advocating for their quality-of-life choices. This is a per diem (PRN) position requiring 24 hours of work within each six-week period. The scheduled shift is days. The RN is expected to practice in accordance with the core concepts and intent of the Bon Secours Mercy Health Nursing Professional Practice Model. The position serves adults and geriatric patients. Working conditions may include high stress, fluctuating workloads, interruptions, noise and bright lights, potential exposure to altercations or verbal abuse, physical restraints, hazardous substances, body fluids, blood, and other potentially infectious materials. Universal precautions and personal protective equipment are required.

Requirements

  • Current RN license in the state of practice or a compact-state 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.
  • Ability to provide evidence-based patient care within current standards of practice, policies, procedures, and the organization’s mission.
  • Ability to assess patients, develop and prioritize plans of care, evaluate interventions and outcomes, and apply the nursing process.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to communicate with patients in a way they understand, accounting for their preferences.
  • Ability to collaborate, recognize personal limitations, seek assistance, remain calm and adaptive during emergencies, and maintain professionalism and accountability.
  • Ability to assign patient care appropriately and support staff learning and education.
  • Knowledge and ability to manage chest tubes, assess patients through hemodynamic monitoring, insert and monitor transvenous or temporary pacing, administer conscious sedation, and understand advanced respiratory modalities.
  • Ability to apply cultural diversity and inclusion principles and provide compassionate, relationship-based care.
  • Ability to use office and clinical technologies and protect patient safety and privacy.
  • Ability to exercise universal precautions and use personal protective equipment and devices.

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.
  • Six months of RN experience in an acute care hospital setting.
  • EPIC Electronic Health Record (EHR) training.
  • Critical Care Course.

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 the State of Practice and Bon Secours Mercy Health policies and procedures.
  • Coordinate patient care across hospital departments and serve as a point of contact for patients, family members, 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 teams.
  • Clinically manage patients with multi-system organ failure and/or multisystem trauma.
  • Apply the AACN Synergy Model to maintain or improve patients’ physiologic, psychological, and psychosocial stability across the lifespan.
  • Use clinical judgment and inquiry to synthesize and prioritize information and take decisive, evidence-based, patient-focused action.
  • Anticipate and respond to changing patient conditions and adapt to emergencies.
  • Support patients and families coping with unexpected 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 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.
  • Collaborate with others to deliver coordinated care and help patients and families cope with illness.
  • Manage patients with chest tubes, perform 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 patients and others, use universal precautions and protective equipment, and follow infection-control policies.
  • Practice accountability, stewardship of resources, self-care, resilience, and continuing professional growth.

Benefits

  • Competitive pay, incentives, referral bonuses, and a 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. Benefits may vary by market and employment status.
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