About The Position

The Stepdown Registered Nurse (RN) provides patient care through assessment, identification and prioritization of patient needs, care planning, implementation, and evaluation in collaboration with the interdisciplinary care team. The RN coordinates patient teaching and care delivered by other health team members. This role serves the Progressive Care Unit (PCU) at St. Elizabeth Boardman Hospital and accepts new graduates. The schedule is full-time nights, 7:00 PM to 7:30 AM, with self-scheduling. The RN manages patients with multisystem organ failure and/or trauma, responds to changing conditions, and provides evidence-based, patient-focused care across the lifespan using the AACN Synergy Model and the BSMH Nursing Professional Practice Model. The position serves adult and geriatric patients. Care responsibilities include chest tube management, hemodynamic monitoring, transvenous or temporary pacing, conscious sedation, and use of advanced respiratory modalities. The RN is expected to practice in accordance with applicable standards, policies, and procedures; protect patient safety and privacy; use universal precautions and personal protective equipment; and fulfill other job-related duties as required, subject to reasonable accommodation. The role may involve high-stress or fluctuating workloads, interruptions, noise, bright lights, potential exposure to bodily fluids or infectious materials, verbal abuse or physical altercations, and use of physical restraints.

Requirements

  • Current RN license in the state of practice or covered by a compact license.
  • One year of RN experience is listed as required; the posting also states that new graduates will be accepted.
  • BLS Basic Life Support or ACLS Advanced Cardiac Life Support is preferred at hire and must be obtained from an approved source before direct patient care; ACLS is required within six months of hire.
  • Clinical knowledge, skills, and competency to provide evidence-based patient care according to current standards, policies, procedures, and the organization’s mission.
  • Ability to assess patients’ clinical conditions and psychosocial needs; develop, prioritize, implement, and evaluate plans of care; and apply the nursing process.
  • Ability to communicate effectively verbally and in writing, collaborate in coordinated care, and communicate with patients in a manner they understand while considering personal preferences.
  • Ability to recognize personal limitations, seek assistance, and obtain information to perform safely.
  • Ability to apply cultural diversity and inclusion principles, maintain professionalism and accountability, protect safety and privacy, and remain calm and adaptive during emergencies.
  • Ability to manage patients with chest tubes, assess patients through hemodynamic monitoring, insert and monitor transvenous or temporary pacing, administer means for conscious sedation, and demonstrate knowledge of advanced respiratory modalities.

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.
  • 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 findings; develop and implement plans of care; and evaluate treatment effectiveness.
  • Administer medications safely in accordance with state practice requirements and organizational policies and procedures.
  • Coordinate patient care across hospital departments and collaborate with the interdisciplinary care team, family members, caregivers, and other care partners.
  • Participate in ongoing departmental quality improvement and act as a patient safety advocate.
  • Advocate for patients in collaboration with spiritual care, palliative care, and ethics resources, including supporting patient and family choices regarding quality of life.
  • Clinically manage patients with multisystem organ failure and/or multisystem trauma.
  • Provide care that restores, supports, promotes, rehabilitates, or palliates patients’ physiologic, psychologic, and psychosocial stability across the lifespan.
  • Synthesize and prioritize information to take timely, decisive, evidence-based action using clinical judgment and inquiry; anticipate and respond to changing patient conditions.
  • Coordinate and provide patient and family education, and support them in coping with illness or injury.
  • Assign patient care according to staff members’ skills, knowledge, and scope of practice; orient and educate nursing staff and others.
  • Assess patients’ physical and emotional responses to treatment, evaluate outcomes, and revise plans of care as appropriate.
  • Manage patients with chest tubes and assess patients using hemodynamic monitoring.
  • Insert and monitor transvenous or temporary pacing and administer means for conscious sedation.
  • Use advanced respiratory modalities as appropriate.
  • Protect the safety and privacy of patients and others, use universal precautions and required protective equipment, and follow infection-control policies.
  • Advance personal and professional growth through educational programs, literature, in-services, and workshops; practice accountability, stewardship, and resilience.

Benefits

  • Competitive pay, incentives, and referral bonuses.
  • 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, and short- and long-term disability.
  • 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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