About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including assessment and data collection, prioritization of patient problems and needs, and evaluation of nursing care in collaboration with the interdisciplinary care team. The RN coordinates and provides patient teaching and coordinates care delivered by health team members. This position is in the Progressive Care Unit (PCU) 6S at St. Elizabeth Boardman Hospital and is per diem (PRN), with a requirement to work 24 hours within each six-week period. The RN provides care to adults and geriatric patients, including patients with multisystem organ failure or trauma and those whose conditions may change rapidly. The role requires evidence-based clinical judgment, patient advocacy, care coordination, and adaptation to patients’ physical, psychological, and psychosocial needs across the lifespan. The RN follows the Bon Secours Mercy Health Nursing Professional Practice Model and applicable standards, policies, and procedures.

Requirements

  • Current RN license in the state of employment or a license covered by a compact.
  • At least 1 year of RN experience.
  • BLS Basic Life Support or ACLS Advanced Cardiac Life Support certification from an approved source before providing direct patient care; ACLS is required within 6 months of hire.
  • Ability to provide evidence-based patient care in accordance with current standards of practice, policies, procedures, and the BSMH mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to apply the nursing process, develop and prioritize plans of care, assess treatment responses, and collaborate in coordinated care.
  • Ability to communicate with patients in a manner they can understand, taking their personal preferences into consideration.
  • Ability to apply cultural diversity and inclusion principles, recognize personal limitations, and seek assistance or information when needed.
  • Professional accountability for personal and delegated actions.
  • Understanding and use of office and clinical technologies.
  • Ability to remain calm and adaptive during emergencies and difficult circumstances.
  • Ability to provide care appropriate to the ages and developmental needs of patients served, including adults ages 18–64 and geriatric patients ages 65 and older.
  • Ability to exercise universal precautions and use personal protective equipment and devices.

Nice To Haves

  • Bachelor of Science in Nursing.
  • 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 Bon Secours Mercy Health policies and procedures.
  • Coordinate patients’ care across hospital departments and serve as a point of contact for care coordination with patients, families, 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 the AACN Synergy Model to restore, support, promote, rehabilitate, or palliate patients’ physiologic, psychological, and psychosocial stability.
  • Synthesize and prioritize information to take timely, decisive, evidence-based, patient-focused action using clinical judgment and inquiry.
  • Anticipate and respond to changing patient conditions and support patients and families coping with unexpected illness, injury, and treatment.
  • Assign patient care according to staff members’ nursing skills, knowledge, and scope of practice.
  • Orient and educate nursing staff and others, including providing learning experiences and education based on quality improvement indicators, outcomes, and implementation.
  • Assess patients’ clinical conditions, psychosocial needs, physical and emotional responses to treatment, and available support resources; revise care plans as appropriate.
  • Collaborate with others to deliver coordinated patient care and assist patients and families in coping with illness.
  • 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.
  • Protect the safety and privacy of patients and others, use resources cost-effectively, and practice self-care and resilience.
  • Practice in accordance with the Bon Secours Mercy Health Nursing Professional Practice Model.

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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