Registered Nurse - Clinical Decision Unit

TriHealth•Cincinnati, OH

8h•Onsite

About The Position

TriHealth is hiring a part-time Registered Nurse for the Observation Unit, also known as the Clinical Decision Unit (CDU), at Bethesda North Hospital. The nurse provides direct and indirect holistic care to adult and geriatric patients who need short-term monitoring, diagnostic testing, and treatment, including medical, pre/post-surgical, and cardiac interventions. The role applies the nursing process, collaborates with physicians and other healthcare team members, and supports patients and families through clinical decisions while contributing to patient flow, safety, and outcomes. The 35-bed inpatient unit provides care according to Medicare guidelines. New nurses receive corporate orientation, one-on-one onboarding with the Nurse Manager or Educator, and individualized unit orientation with preceptor support, typically lasting 4–8 weeks. Training and development opportunities include NIHSS certification, ACLS/BLS training, ECG/telemetry skills, SIM code readiness exercises, and shadowing. The unit uses a six-week scheduling cycle, including every third weekend and holiday rotations. The position is on-site and scheduled for 24 hours per week on nights, 7:00 p.m.–7:30 a.m. The nurse performs assessments, develops and evaluates individualized plans of care, provides safe and culturally sensitive treatment, administers medications and treatments, and documents care. The nurse communicates with patients, families, physicians, and interdisciplinary colleagues; may delegate and supervise aspects of care within nursing practice; and may serve as a specialty resource for staff. TriHealth encourages continuing education, degree advancement, specialty certification, professional organization membership, community health involvement, nursing research, and evidence-based practice.

Requirements

Associate's degree or diploma in nursing.
Obtain a BSN within five years of hire.
Active Registered Nurse license.
BLS/CPR (Basic Life Support for Healthcare Providers).
Nursing knowledge, judgment, and skills derived from biological, physical, behavioral, social, and nursing sciences to meet complex healthcare needs across the life cycle.

Nice To Haves

Acute-care experience: at least one year working full-time or two years working part-time.
Membership in a related professional nursing organization.
Specialty certification, such as medical-surgical or emergency nursing.

Responsibilities

Perform initial and ongoing assessments of patients and families, complete assessment tools, document findings, and communicate relevant information to healthcare providers.
Include health counseling and teaching needs in assessments.
Plan and individualize care based on assessments, standards of care, and desired patient outcomes; update care plans and clinical pathways as needed.
Develop short- and long-term goals with patients, families, and the healthcare team, including discharge planning, and communicate the plan of care.
Provide a safe, therapeutic environment while protecting patient autonomy, dignity, rights, and individual preferences.
Recognize emergency or rapidly changing situations and take appropriate action.
Complete assigned patient care and documentation within scheduled timeframes, basing interventions on clinical data and documenting outcomes.
Evaluate patient and family responses to care, including teaching, and collaborate with them and the healthcare team to revise care plans as needed.
Communicate effectively with patients, families, physicians, and interdisciplinary team members; understand and carry out physician orders.
Safely perform technical nursing skills, administer medications and treatments, monitor their effects, and use equipment appropriately.
Delegate and supervise care within the scope of nursing practice.
Train and educate staff, share specialty knowledge, and support student learning as appropriate.
Identify areas for self-improvement, maintain current practice knowledge, and function in relief charge or resource roles when requested.
Demonstrate awareness of organizational and departmental changes and support quality, safety, service, and collaborative care.