About The Position

The Stepdown Registered Nurse (RN) delivers patient care through 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 other health team members. Nurses are expected to practice in accordance with the core concepts and intent of the BSMH Nursing Professional Practice Model. The role includes caring for patients with multi-system organ failure and/or multisystem trauma, responding to changing conditions, and supporting patients and families coping with unexpected illness or injury. The RN applies clinical judgment and evidence-based practice to promote or maintain patients’ physiologic, psychologic, and psychosocial stability across the lifespan. The position is at St. Elizabeth Youngstown Hospital, Intermediate 4S, with a full-time overnight schedule of 7:00 p.m. to 7:30 a.m. Self-scheduling is offered. New graduates are encouraged to apply; applicants with less than one year of RN experience will be considered.

Requirements

  • Current RN license in the state of practice or a compact-state license.
  • One year of RN experience is required; new graduates and RNs with less than one year of experience will also be considered.
  • BLS Basic Life Support or ACLS Advanced Cardiac Life Support is preferred at hire; certification from an approved source is required before direct patient care, and ACLS is required within six months of hire.
  • Clinical knowledge, skills, and competency to provide evidence-based care in accordance with standards of practice, policies, procedures, and the BSMH mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to assess patients’ physical and emotional responses to treatment and adjust care accordingly.
  • Ability to communicate with patients in a manner they can understand, taking personal preferences into account.
  • Ability to remain calm and adaptive during emergencies.
  • Ability to understand and use office and clinical technologies.
  • Ability to apply cultural diversity and inclusion principles in patient care.
  • Ability to protect patient safety and privacy and use infection-control precautions and personal protective equipment.

Nice To Haves

  • Bachelor of Science in Nursing.
  • Six months of RN experience in an acute care hospital setting.
  • CCRN (Critical Care Registered Nurse) certification.
  • PCCN (Progressive Care Certified Nurse) certification.
  • National Institute of Health Stroke Certification.
  • EPIC Electronic Health Record training.
  • Critical Care Course.
  • BLS or ACLS certification at hire (preferred; certification is required before direct patient care, and ACLS must be obtained within six months of hire).

Responsibilities

  • Conduct initial and ongoing patient assessments; analyze data, develop and implement plans of care, and evaluate treatment effectiveness.
  • Administer medications safely in accordance with the State of Practice and Bon Secours Mercy Health policies and procedures.
  • Coordinate patients’ care across hospital departments and serve as a point of contact for care coordination with patients, family members, 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, including supporting patients’ choices regarding quality of life.
  • Clinically manage patients with multi-system organ failure and/or multisystem trauma.
  • Apply 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 adapt to emergencies.
  • Address the needs of patients and families coping with unexpected illness or injury and treatment.
  • Assign patient care in accordance with staff members’ skills, knowledge, and scope of practice.
  • Orient staff and facilitate learning and education based on quality improvement indicators, outcomes, and implementation.
  • Assess patients’ clinical conditions and psychosocial needs, develop and prioritize plans of care, evaluate responses to treatment, and revise plans as needed.
  • Collaborate with others to deliver coordinated care and help patients and families cope with illness.
  • Provide culturally inclusive, compassionate, relationship-based care while protecting patient safety and privacy.
  • Recognize personal limitations, seek assistance when needed, and advance professional growth through education and professional learning.
  • Integrate cost-effective practices and steward available resources.
  • Manage care of patients with chest tubes; assess patients through hemodynamic monitoring; insert and monitor transvenous or temporary pacing; administer conscious sedation; and apply knowledge of advanced respiratory modalities.
  • Use universal precautions and personal protective equipment and follow infection-control policies.

Benefits

  • PTO and paid time off.
  • Health insurance benefits effective the first day of the month following the start date.
  • Competitive pay, incentives, and referral bonuses.
  • 403(b) with employer contributions when eligible.
  • Medical, dental, vision, and prescription coverage.
  • HSA/FSA options.
  • Life insurance.
  • Mental health resources and discounts.
  • Parental and FMLA leave.
  • Short- and long-term disability.
  • Backup care for children and elders.
  • Tuition assistance.
  • Professional development and continuing education support.
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