Registered Nurse, RN - D4 Cardiac Step Down

Tufts Medicine•Lowell, MA
•$38 - $68

About The Position

The Registered Nurse works on D4, a 30-bed intermediate care/stepdown unit primarily caring for cardiac patients who need cardiac catheterizations; care after STEMI, angioplasty, or pacemaker insertion; and treatment for NSTEMI, CHF, atrial fibrillation and other cardiac arrhythmias, and hyper- or hypotension when ICU admission criteria are not met. The role follows the Community RN Career Direct Care Pathway, which has four levels based on minimum RN experience, education, and qualifications: Level I (less than 12 months of RN experience), Level II (12 months to less than 3 years), Level III (3 to less than 8 years), and Level IV (8 years of RN experience). This is a full-time, 36-hour-per-week night-shift position, with hours from 7:00 p.m. to 7:30 a.m. The nurse performs clinical assessments, develops and evaluates individualized plans of care, educates patients and families, coordinates discharge planning, and supports colleagues' professional development. The job also involves physical activity and exposure to infectious disease, blood-borne pathogens, and potentially carcinogenic chemicals.

Requirements

  • Ability to communicate effectively with patients, families, physicians, and the healthcare team.
  • Knowledge of and ability to apply the nursing process.

Responsibilities

  • Participate in and maintain awareness of performance improvement initiatives.
  • Evaluate and integrate evidence-based practice and research into clinical practice.
  • Conduct and document accurate clinical assessments.
  • Develop, implement, and evaluate the patient's individualized plan of care.
  • Use professional nursing judgment to individualize care based on assessment of patient needs.
  • Manage patient assignments by delegating effectively according to patient needs and team members' skills.
  • Develop a comprehensive patient and family education plan, use appropriate resources, and document according to department standards.
  • Support patients' and families' rights, including informed decisions and advance directives.
  • Continually evaluate and revise care plans in response to changes in patients' health status.
  • Develop comprehensive discharge plans using appropriate resources, referrals, and community resources.
  • Support the development and transition of new staff members into the unit.
  • Guide department staff's professional growth through precepting.
  • Identify learning needs and pursue appropriate education for professional development.
  • Participate in departmental committees as needed.

Benefits

  • Comprehensive Total Rewards package supporting health, financial security, and career growth.
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