About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including collecting and assessing data, 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. This position is in the Intermediate Care Unit at St. Elizabeth Boardman Hospital and is scheduled for full-time night shifts, 7:00 PM to 7:30 AM, for 36 hours per week. The RN cares for adult patients and is expected to follow the core concepts and intent of the Bon Secours Mercy Health Nursing Professional Practice Model. The position may involve high stress, fluctuating workloads, interruptions, exposure to potentially infectious materials and other challenging conditions. Universal precautions and personal protective equipment are required.

Requirements

  • Current RN license in the state of practice or a compact license.
  • BLS or ACLS certification must be obtained from an approved source before direct patient care; ACLS is required within six months of hire.
  • One year of RN experience is required, though new graduates and candidates with less than one year of nursing experience are also accepted.
  • Clinical knowledge and competency to provide evidence-based patient care in accordance with standards of practice, policies, procedures, and the organization’s mission.
  • Ability to assess physical and emotional responses to treatment and evaluate intervention effectiveness and patient outcomes.
  • Strong interpersonal and verbal and written communication skills, including communicating with patients in a manner they can understand and considering their preferences.
  • Ability to apply cultural diversity and inclusion principles, recognize personal limitations, seek assistance, and remain calm and adaptive during emergencies.
  • Ability to exercise professionalism and accountability, protect safety and privacy, and integrate cost-effective practices.
  • Ability to provide care appropriate to adult patients’ age, growth, development, and individual needs.
  • Ability to manage patients with chest tubes, perform hemodynamic assessments, insert and monitor transvenous or temporary pacing, administer means for conscious sedation, and apply knowledge of advanced respiratory modalities.
  • Ability to work under conditions that may include high stress, fluctuating workloads, interruptions, noise, bright lights, verbal abuse, physical altercations, physical restraints, and exposure to hazardous substances, body fluids, blood, or other potentially infectious materials.

Nice To Haves

  • Bachelor of Science in Nursing.
  • Six months of RN experience in an acute care hospital setting.
  • BLS or ACLS certification at hire; ACLS is required within six months of hire.
  • CCRN (Critical Care Registered Nurse) certification.
  • PCCN (Progressive Care Certified Nurse) certification.
  • National Institute of Health (NIH) Stroke Certification.
  • EPIC Electronic Health Record training.
  • Critical Care Course.

Responsibilities

  • Conduct initial and ongoing patient assessments; analyze findings, create 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 patients’ care across hospital departments and serve as a point of contact for patients, families, caregivers, and care coordination.
  • Participate in departmental quality improvement and advocate for patient safety.
  • Advocate for patients in collaboration with spiritual care, palliative care, and ethics services.
  • Clinically manage patients with multi-system organ failure and/or multisystem trauma.
  • Use the AACN Synergy Model to maintain or restore patients’ physiologic, psychologic, and psychosocial stability across the lifespan.
  • Synthesize and prioritize information to take immediate, decisive, evidence-based, patient-focused action using clinical judgment and inquiry.
  • Anticipate and respond to changing patient conditions and adapt care as needed.
  • Support patients and families coping with unanticipated illness, injury, and treatment, and advocate for their quality-of-life choices.
  • Assign patient care according to staff members’ nursing 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, and support resources; develop, prioritize, implement, and revise plans of care.
  • Collaborate with others to deliver coordinated care and help patients and families cope with illness.
  • Manage care for patients with chest tubes; assess patients through 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 universal precautions and required protective equipment, and follow infection-control policies.
  • Pursue personal and professional growth through educational programs, literature, in-services, and workshops; practice accountability, resilience, and effective stewardship of resources.

Benefits

  • Competitive pay, incentives, referral bonuses, and 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 based on market and employment status.
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