Registered Nurse- Clinical Decision Unit

TriHealth•Montgomery, OH

2d•Onsite

About The Position

TriHealth is hiring a 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 requiring short-term monitoring, evaluation, diagnostic testing, or treatment, including medical, pre- and post-surgical, and cardiac care. The 35-bed inpatient unit emphasizes close monitoring, efficient care delivery, teamwork, patient safety, and adherence to Medicare guidelines. The Registered Nurse applies the nursing process, collaborates with physicians and other healthcare team members, and supports patients and families through clinical decisions and care transitions. The role may include delegating care within the scope of nursing practice and supervising delegated care. Nurses also support staff learning and may serve as a resource in their specialty area. The position is part-time, 24 hours per week, on a night shift from 6:30 p.m. to 7:00 a.m. The unit uses a six-week scheduling cycle and includes every-third-weekend and holiday rotations. The job is on-site at Bethesda North Hospital in an inpatient observation unit. Orientation includes corporate orientation, personalized onboarding, preceptor training, and 4–8 weeks of competency-based unit training tailored to experience. Training and development opportunities mentioned include NIHSS certification, ACLS/BLS training, ECG/telemetry skills, SIM code readiness exercises, and shadowing. TriHealth describes a collaborative, collegial environment with strong nurse-physician partnerships, professional-development support, and an emphasis on patient dignity, safety, evidence-based care, and frontline nurse input. Compensation incentives include a $2,500 sign-on bonus, a $1 hourly weekend incentive, a $4 shift differential, and acute-care incentive pay based on previous RN experience.

Requirements

Associate's degree or diploma in Nursing.
New hires must 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 at various stages of the life cycle.

Nice To Haves

More than one year of full-time acute-care experience or more than two years of part-time acute-care experience.
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 the initial assessment tool, and document assessments according to unit and TriHealth guidelines.
Communicate assessment findings to healthcare providers and identify health counseling and teaching needs.
Develop and update individualized plans of care and clinical pathways based on assessments, standards of care, patient and family input, and desired outcomes.
Establish short- and long-term goals with patients, families, and the healthcare team, including discharge planning, and communicate the plan of care.
Provide safe, therapeutic, culturally sensitive care while protecting patient autonomy, dignity, and rights.
Seek resources to support ethical decisions and balance patient needs with unit and facility priorities.
Recognize emergency or rapidly evolving clinical situations and take appropriate action.
Complete assigned patient care and documentation within scheduled timeframes.
Base interventions on clinical data and desired outcomes, and document care and patient or family responses, including responses to teaching.
Communicate effectively with patients, families, physicians, and other interdisciplinary team members; understand and carry out physician orders.
Evaluate patient outcomes and collaborate with patients, families, and the healthcare team to revise care plans as needed.
Train and educate other staff, share specialty knowledge, and support clinical learning.
Delegate aspects of care when appropriate and supervise care delegated to other healthcare team members.
Perform technical skills according to policy, procedure, and accepted standards of practice.
Safely administer medications and treatments, monitor their effects, and use equipment safely and appropriately.
Identify opportunities for self-improvement, maintain current knowledge, and demonstrate awareness of organizational and department changes.
Function in a relief charge or resource role when requested.
Cooperate with instructors to facilitate effective learning experiences for students.
Support continuing education, professional development, evidence-based practice, nursing research, community health activities, and collaborative relationships among caregivers.