About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including collecting data, assessing patients, identifying and prioritizing patient problems and needs, and evaluating care outcomes in collaboration with the interdisciplinary care team. The RN coordinates and provides patient education and coordinates care delivered by other health team members. The role serves patients in a Progressive Care Unit and includes managing patients with multisystem organ failure and/or multisystem trauma. Using the AACN Synergy Model, the RN restores, supports, promotes, rehabilitates, or palliates patients to maintain physiologic, psychologic, and psychosocial stability across the lifespan. The nurse synthesizes and prioritizes information to take decisive, evidence-based action, anticipates and responds to changing conditions, and supports patients and families coping with unexpected illness or injury. Nurses are expected to practice in accordance with the core concepts and intent of the BSMH Nursing Professional Practice Model. This is a part-time day-shift role, 7:00 a.m.–7:30 p.m., with work every third weekend and every other holiday. New graduates are welcome to apply.

Requirements

  • Current RN license in the state of practice or a license covered by a compact agreement.
  • 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 consistent with current standards of practice, policies and procedures, and the BSMH mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to assess patient clinical conditions and psychosocial needs; develop, implement, and prioritize plans of care; and evaluate patient responses and outcomes.
  • Ability to collaborate in coordinated care, communicate with patients according to their needs and preferences, and assist patients and families in coping with illness.
  • Ability to recognize limitations and seek assistance, demonstrate accountability, protect patient safety and privacy, and remain calm and adaptive during emergencies.
  • Ability to manage care of patients with chest tubes, perform hemodynamic assessment, insert and monitor transvenous or temporary pacing, administer means for conscious sedation, and apply knowledge of advanced respiratory modalities.
  • Ability to provide care appropriate to adult and geriatric patients and understand life-span growth and development.
  • 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; create 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 patient care across hospital departments and serve as a point of contact for care coordination with patients, family members, and caregivers.
  • Participate in departmental quality improvement 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 clinical judgment and inquiry to synthesize and prioritize information and take immediate, evidence-based, patient-focused action.
  • Anticipate and respond to changing patient conditions and adapt to patients’ and families’ needs during unexpected illness or injury.
  • Provide care across the lifespan to support, restore, promote, rehabilitate, or palliate patients’ physiologic, psychologic, and psychosocial stability.
  • Assign patient care according to staff members’ nursing skills, knowledge, and scope of practice.
  • Orient staff, facilitate learning, and provide education to nursing staff and others.
  • Assess patients’ clinical conditions, psychosocial needs, and support resources; develop, implement, and prioritize plans of care.
  • Assess physical and emotional responses to treatment, evaluate interventions and outcomes, and revise plans of care as appropriate.
  • Help patients and families cope with illness and collaborate with others to deliver coordinated care.
  • Apply cultural diversity and inclusion principles, communicate in ways patients can understand, and protect the safety and privacy of all persons.
  • Recognize personal limitations, seek assistance, and pursue professional growth through educational programs, literature, in-services, and workshops.
  • Demonstrate accountability, use resources cost-effectively, practice self-care and resilience, and remain calm and adaptive during emergencies.
  • Manage patients with chest tubes; assess patients using hemodynamic monitoring; insert and monitor transvenous or temporary pacing; administer means for conscious sedation; and use knowledge of advanced respiratory modalities.
  • Provide age-appropriate care to adults and geriatric patients in accordance with departmental policies and procedures.
  • Follow universal precautions, use personal protective equipment and devices, and comply with infection-control policies.

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.
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