About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including collecting data, assessing patients, identifying and prioritizing patient problems and needs, and evaluating care outcomes in collaboration with the interdisciplinary care team. The RN coordinates and provides patient teaching and coordinates care provided by health team members. This PRN role requires working 24 hours within each six-week period and serves the Progressive Care Unit (PCU) at St. Elizabeth Boardman Hospital. The RN provides care to adults and geriatric patients, including patients with multisystem organ failure or multisystem trauma. The role requires clinical judgment and evidence-based decision-making, responding to changing patient conditions, advocating for patients and families, and practicing in accordance with the BSMH Nursing Professional Practice Model. Nurses must use universal precautions and personal protective equipment and follow infection-control policies.

Requirements

  • Current RN license in the state of practice or a compact-state license.
  • At least 1 year of RN experience.
  • BLS certification or ACLS certification; certification must be obtained from an approved source before direct patient care, and ACLS is required within 6 months of hire.
  • Clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with current standards, policies, procedures, and the BSMH mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to communicate with patients in a manner they understand, considering their personal preferences.
  • Ability to recognize personal limitations and seek assistance or information to perform safely.
  • Ability to remain calm and adaptive during emergencies.
  • Knowledge and ability to manage care involving chest tubes, hemodynamic monitoring, transvenous or temporary pacing, conscious sedation, and advanced respiratory modalities.
  • Ability to provide care appropriate to adult and geriatric patients and apply knowledge of lifespan growth and development.

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.
  • BLS or ACLS certification at hire.

Responsibilities

  • Conduct initial and ongoing patient assessments, analyze assessment data, develop and implement plans of care, and evaluate treatment effectiveness.
  • Administer medications safely in accordance with state requirements and Bon Secours Mercy Health policies and procedures.
  • Coordinate patient care across hospital departments and serve as a point of contact for care coordination with patients, families, and caregivers.
  • 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.
  • 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 decisive, evidence-based, patient-focused action using clinical judgment and inquiry.
  • Anticipate and respond to changing patient conditions and address the needs of patients and families coping with unexpected illness or injury.
  • Assign patient care according to staff members’ nursing skills, knowledge, and scope of practice.
  • Orient staff, facilitate learning, and provide education to nursing staff and others.
  • Assess patients’ clinical condition, psychosocial needs, physical and emotional responses to treatment, and outcomes; revise plans of care as needed.
  • Assist patients and families in coping with illness and collaborate with others to deliver coordinated care.
  • Manage care of patients with chest tubes, assess patients through hemodynamic monitoring, insert and monitor transvenous or temporary pacing, and administer conscious sedation.
  • Use advanced respiratory modalities as appropriate.
  • Protect the safety and privacy of patients and others, practice universal precautions, and use personal protective equipment and infection-control procedures.
  • Advance personal and professional growth, practice self-care and resilience, and demonstrate accountability and 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.
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