About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including data collection and assessment, identifying and prioritizing patient problems and needs, and evaluating the process and outcomes of care in collaboration with the interdisciplinary care team. The RN coordinates and provides patient teaching and coordinates care delivered by health team members. This position serves adults and geriatric patients in a Progressive Care Unit and may involve rapidly changing conditions, multisystem organ failure, and multisystem trauma. The role is per diem (PRN), with day or night shifts, self-scheduling, and a requirement to work 24 hours within each six-week period. New graduates are accepted. The employer notes that benefits vary by market and employment status.

Requirements

  • Current RN license in the state of practice or 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 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 consistent with current standards, policies, procedures, and the BSMH mission.
  • Ability to perform comprehensive clinical and psychosocial assessments and safely develop, implement, and prioritize plans of care.
  • Strong interpersonal and verbal and written communication skills, including communicating with patients in a manner they can understand and accounting for their preferences.
  • Ability to collaborate in coordinated care, apply cultural diversity and inclusion principles, protect safety and privacy, and remain calm and adaptive during emergencies.
  • Ability to manage patients with chest tubes, assess through hemodynamic monitoring, insert and monitor transvenous or temporary pacing, administer means for conscious sedation, and apply knowledge of advanced respiratory modalities.
  • Ability to work 24 hours within a six-week period.

Nice To Haves

  • Bachelor of Science in Nursing.
  • Six months of RN experience in an acute care hospital setting.
  • BLS or ACLS at hire; the posting states either is preferred at hire, subject to the stated pre-care and ACLS timing requirements.
  • 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 assessment data; create 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 serve as a point of contact for patients, families, caregivers, and care coordination.
  • Participate in departmental quality improvement and act as a patient safety advocate.
  • Advocate for patients in collaboration with spiritual care, palliative care, and ethics services, including supporting patient choices regarding quality of life.
  • Clinically manage patients with multisystem organ failure and/or multisystem trauma.
  • Use the AACN Synergy Model to restore, support, promote, rehabilitate, or palliate patients' physiologic, psychologic, and psychosocial stability across the lifespan.
  • Synthesize and prioritize information to take timely, decisive, evidence-based, patient-focused action using clinical judgment and inquiry.
  • Anticipate and respond to changing patient conditions and support patients and families coping with unanticipated illness, injury, and treatment.
  • Practice and deliver care in accordance with the core concepts and intent of the BSMH Nursing Professional Practice Model.
  • Assign patient care according to staff members' nursing skills, knowledge, and scope of practice.
  • Orient staff and others, facilitate learning, and provide education informed by quality improvement indicators, outcomes, and implementation.
  • Assess patients' clinical conditions, psychosocial needs, physical and emotional responses to treatment, and available support resources; revise plans of care as appropriate.
  • Assist patients and families in coping with illness and collaborate with others to deliver coordinated care.
  • Recognize personal limitations, seek assistance, pursue professional growth, and demonstrate accountability, resource stewardship, resilience, and professionalism.
  • Protect the safety and privacy of all persons and follow universal precautions and infection-control policies, using required personal protective equipment and devices.
  • Manage care of 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.
  • Provide age-appropriate care to adults ages 18–64 and geriatric patients ages 65 and older, applying knowledge of lifespan growth and development.

Benefits

  • Competitive pay, incentives, referral bonuses, and a 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.
  • The posting also advertises a great benefits package; benefits may vary based on market and employment status.
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