RN Cardiac Stepdown Unit PRN

Community Health Systems•Dothan, AL

About The Position

The Registered Nurse (RN) in the Cardiac Stepdown Unit provides patient-centered care using the nursing process of assessment, diagnosis, planning, implementation, and evaluation. The RN coordinates and delivers high-quality care based on clinical protocols and provider orders, collaborating with physicians, nurses, and other healthcare professionals to support patient outcomes and provide a compassionate environment for patients and families. The Cardiac Step-Down Unit cares for patients who have cardiac conditions requiring more monitoring and support than a general medical-surgical unit but not intensive care. Patients include those transitioning from the CCU, recovering from cardiac catheterization, pacemaker insertion, or ICD placement, and stable cardiac patients requiring continuous telemetry monitoring. This PRN/per diem role is in the 3 South Cardiac Stepdown Unit/PCU. The listed schedule is three 12-hour shifts, days or nights from 7 to 7, with rotating weekends. Telemetry duties include monitoring and analyzing heart rhythms and other vital signs, reporting trends or abnormalities, providing direct cardiac-focused care, and responding to emergencies.

Requirements

0–2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting.
Strong knowledge of the nursing process and clinical nursing practices.
Ability to perform thorough patient assessments and communicate findings effectively.
Proficiency in administering medications and monitoring for side effects.
Effective communication and interpersonal skills for collaborating with interdisciplinary teams.
Strong organizational skills and attention to detail in documenting patient care.
Knowledge of safety standards, infection control, and quality improvement initiatives.
RN — Registered Nurse state licensure and/or compact state licensure required.
BCLS — Basic Life Support required.
Refer to facility or unit-specific guidelines for additional requirements.

Nice To Haves

ACLS — Advanced Cardiac Life Support preferred.
PALS — Pediatric Advanced Life Support preferred.
NRP — Neonatal Resuscitation preferred.

Responsibilities

Coordinate and deliver high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.
Assess patients, accurately document findings, and report changes in condition to appropriate care team members.
Provide age-appropriate care and education using knowledge of human growth and development.
Administer prescribed medications, monitor for side effects, and document administration.
Assist physicians during procedures within documented competency and skill level.
Collaborate with the healthcare team to develop, implement, and evaluate individualized care plans.
Respond to medical emergencies and participate in life-saving interventions, including CPR and code team activities as appropriate.
Advocate for patients' rights and needs in care planning and delivery.
Educate patients and families about medical conditions, treatment plans, and post-discharge care.
Follow infection control protocols and promote patient safety, including adherence to National Patient Safety Goals and maintaining a clean, safe environment.
Monitor and operate medical equipment, such as IV pumps, monitors, and ventilators, as needed.
Participate in audits, chart reviews, and compliance checks.
Make responsible decisions when planning, delegating, and providing care based on patient needs and organizational policies.
Document patient care and education thoroughly and promptly in the medical record.
Engage in professional development to maintain clinical competency and understanding of current standards and regulations.
Participate in performance improvement initiatives, including data collection and process development.
Use telemetry equipment to track heart rhythms, blood pressure, oxygen saturation, and other vital signs; analyze data and report trends, abnormalities, or potential problems to physicians.
Provide direct patient care, including medication administration, wound care, and patient education, with a focus on cardiac health.
Recognize and respond to emergencies such as cardiac arrest and implement appropriate interventions.
Perform other duties as assigned.
Maintain regular and reliable attendance and comply with all policies and standards.