About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including collecting data and assessing patients, identifying and prioritizing problems and needs, and evaluating the process and outcomes of care in collaboration with the interdisciplinary care team. The RN coordinates, provides, and directs patient teaching and coordinates care delivered by other health team members. This role is in the Progressive Care Unit (PCU) 6S at St. Elizabeth Boardman Hospital and is scheduled full time on nights, 7:00 p.m. to 7:30 a.m. The RN cares for patients with complex conditions, including multisystem organ failure and multisystem trauma, and responds to changing patient conditions using clinical judgment and evidence-based action. Care is provided to adult and geriatric patients. The RN is expected to practice in accordance with the BSMH Nursing Professional Practice Model and to follow applicable standards, policies, and procedures. The position may involve high stress and fluctuating workloads, physical altercations or verbal abuse, restraints, noise and bright lights, exposure to hazardous substances or body fluids, infectious materials, and frequent interruptions. Universal precautions and appropriate personal protective equipment are required. Other job-related duties may be assigned, subject to reasonable accommodation.

Requirements

  • Current RN license in the state of practice or a license covered by a compact.
  • One year of RN experience is required; new graduates and nurses with less than one year of experience will also be accepted.
  • BLS Basic Life Support or ACLS Advanced Cardiac Life Support 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 current standards of practice, policies and procedures, and the BSMH mission.
  • Ability to apply the nursing process, perform comprehensive assessments, and safely develop, implement, and prioritize plans of care.
  • Strong interpersonal and verbal and written communication skills, including the ability to communicate with patients in a manner they understand while considering personal preferences.
  • Ability to collaborate, apply cultural diversity and inclusion principles, and provide compassionate, relationship-based care.
  • Ability to remain calm and adaptive during emergencies and difficult circumstances.
  • Understanding and use of office and clinical technologies.
  • Ability to meet the position’s patient-care expectations for adults ages 18–64 and geriatric patients ages 65 and older, including 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.

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 requirements and Bon Secours Mercy Health 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 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.
  • Restore, support, promote, rehabilitate, or palliate patients to maintain physiologic, psychologic, and psychosocial stability across the lifespan, using the AACN Synergy Model.
  • 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, injury, and treatment, and advocate for their quality-of-life choices.
  • Assign patient care based on staff members’ nursing 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 supportive resources; revise care plans as appropriate.
  • Help patients and families cope 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, administer conscious sedation, and use knowledge of advanced respiratory modalities.
  • Protect the safety and privacy of patients and others; use universal precautions and personal protective equipment.
  • Integrate cost-effective measures and effective stewardship of resources into practice.
  • Maintain professionalism and accountability, recognize personal limitations, seek assistance, and pursue professional growth and resilience.

Benefits

  • 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.
  • 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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