About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including collecting data, assessing and prioritizing patient problems and needs, and evaluating care and outcomes in collaboration with the interdisciplinary care team. The RN coordinates and provides patient teaching and coordinates care delivered by health team members. In the Progressive Care Unit, the RN manages patients with complex and rapidly changing conditions, including multisystem organ failure or trauma, and provides care across the lifespan in accordance with the AACN Synergy Model and the BSMH Nursing Professional Practice Model. This is a full-time night-shift position, 7:00 p.m. to 7:30 a.m., with 36 scheduled weekly hours. The schedule includes working every third weekend and every other holiday. New graduates are welcome to apply. The role serves adults and geriatric patients.

Requirements

  • Current RN license in the state of employment or a compact-state license.
  • BLS Basic Life Support or ACLS Advanced Cardiac Life Support certification from an approved source before direct patient care; ACLS must be obtained within six months of hire.
  • One year of RN experience is required; new graduates and nurses with less than one year of experience are also accepted.
  • Clinical knowledge, skills, and competency to provide evidence-based care in accordance with current standards, policies, procedures, and the organization’s mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to assess patient conditions and psychosocial needs, develop and prioritize plans of care, and evaluate patient responses and outcomes.
  • Ability to communicate with patients in a manner they can understand while considering their preferences.
  • Ability to remain calm and adaptive during emergencies and to recognize limitations and seek assistance.
  • Understanding and use of office and clinical technologies.

Nice To Haves

  • Bachelor of Science in Nursing.
  • CCRN Critical Care Registered Nurse certification.
  • PCCN Progressive Care Certified Nurse certification.
  • National Institute of Health Stroke Certification.
  • BLS or ACLS certification preferred at hire; ACLS is required within six months of hire.

Responsibilities

  • Conduct initial and ongoing patient assessments; analyze assessment data; create and implement plans of care; and evaluate treatment effectiveness.
  • Administer medications safely in accordance with state requirements and organizational policies and procedures.
  • Coordinate patients’ care across hospital departments and communicate with family members or caregivers.
  • Participate in departmental quality improvement and advocate for patient safety.
  • Advocate for patients in collaboration with spiritual care, palliative care, and ethics services.
  • Manage care for patients with multisystem organ failure, multisystem trauma, and rapidly changing conditions.
  • Use clinical judgment and evidence-based practice to synthesize and prioritize information and take timely patient-focused action.
  • Provide care that restores, supports, promotes, rehabilitates, or palliates patients’ physiologic, psychologic, and psychosocial stability.
  • Respond to patients’ and families’ needs during unexpected illness or injury and advocate for their choices and quality of life.
  • Assign patient care according to staff members’ skills, knowledge, and scope of practice.
  • Orient staff, facilitate learning, and provide education to nursing staff and others.
  • Assess patients’ physical and emotional responses to treatment, evaluate outcomes, and revise plans of care as needed.
  • Help patients and families cope with illness and collaborate with others to deliver coordinated care.
  • Provide culturally inclusive, compassionate, relationship-based care; protect patient safety and privacy; and communicate in ways patients can understand.
  • Recognize personal limitations, seek assistance when needed, maintain professional accountability, and pursue ongoing learning and resilience.
  • Integrate cost-effective measures and stewardship of resources into practice.
  • Manage care for patients with chest tubes; perform hemodynamic monitoring; insert and monitor transvenous or temporary pacing; administer conscious sedation; and use knowledge of advanced respiratory modalities.
  • Follow infection-control policies and use universal precautions and personal protective equipment.
  • Assess and provide care appropriate to patients’ age, development, and specific needs, including adults and geriatric patients.

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.
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