About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including assessment, prioritization of patient problems and needs, and evaluation of care outcomes in collaboration with the interdisciplinary care team. The RN coordinates and provides patient education and coordinates care provided by other health team members. This position is per diem (PRN) and requires working 24 hours within each six-week period. New graduates are welcome to apply. The RN cares for adult and geriatric patients in the Progressive Care Unit, including patients with multisystem organ failure or trauma. The role applies the AACN Synergy Model and evidence-based clinical judgment to support patients’ physiologic, psychologic, and psychosocial stability, respond to changing conditions, and advocate for patients and families. The RN also coordinates care across hospital departments and contributes to patient safety and quality improvement. The position requires a current RN license in the state of practice or a compact license. BLS or ACLS is preferred at hire; certification must be obtained from an approved source before direct patient care, and ACLS is required within six months of hire. One year of RN experience is listed as required, though the posting also accepts new graduates and nurses with less than one year of experience. A bachelor’s degree in nursing and specialty certifications are preferred.

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 accepts new graduates and nurses with less than one year of experience.
  • BLS or ACLS certification is preferred at hire; certification must be obtained from an approved source before direct patient care, and ACLS is required within six months of hire.
  • Clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with standards of practice, policies, procedures, and the organization’s mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to use office and clinical technologies.
  • Ability to communicate with patients in a manner they can understand, considering their preferences.
  • Ability to assess patients, prioritize and implement plans of care, evaluate interventions, and collaborate in coordinated care.
  • Ability to recognize limitations, seek assistance, protect patient privacy and safety, and remain calm and adaptive during emergencies.
  • Knowledge and skills related to chest tubes, hemodynamic monitoring, transvenous or temporary pacing, conscious sedation, and advanced respiratory modalities.

Nice To Haves

  • Bachelor of Science in Nursing.
  • Critical Care Registered Nurse (CCRN) certification.
  • Progressive Care Certified Nurse (PCCN) 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 organizational policies and procedures.
  • Coordinate patients’ care across hospital departments and serve as a point of contact for patients, families, caregivers, and care coordination.
  • 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 services.
  • Clinically manage patients with multisystem organ failure and/or multisystem trauma.
  • Use the AACN Synergy Model to restore, support, promote, rehabilitate, or palliate patient 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 rapidly changing patient conditions.
  • Support patients and families coping with unexpected illness or injury and treatment, and advocate for their quality-of-life choices.
  • Assign patient care according to staff members’ skills, knowledge, and scope of practice.
  • Orient staff, facilitate learning, and provide education based on quality improvement indicators, outcomes, and implementation.
  • Assess patients’ clinical conditions, psychosocial needs, physical and emotional responses to treatment, and outcomes; revise plans of care as needed.
  • Collaborate with others to deliver coordinated care and assist patients and families in coping with illness.
  • Apply cultural diversity and inclusion principles, communicate in ways patients can understand, and protect the safety and privacy of all persons.
  • Recognize personal limitations, seek assistance, and pursue professional growth through educational programs, literature, in-services, and workshops.
  • Practice accountability, stewardship of resources, self-care, and resilience, and remain calm and adaptive during emergencies.
  • Manage patients with chest tubes; assess patients using hemodynamic monitoring; insert and monitor transvenous or temporary pacing; administer 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.

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.
  • Self-scheduling.
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