About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including assessment and data collection, identifying and prioritizing patient problems and needs, and evaluating care outcomes in collaboration with the interdisciplinary team. The RN coordinates and directs patient teaching and coordinates care delivered by other health team members. This position is in the Intermediate 4 South department at St. Elizabeth Youngstown Hospital and is scheduled full-time on nights, 7:00 p.m. to 7:30 a.m., for 36 hours per week. Self-scheduling is available, and new graduates are encouraged to apply. The RN provides care for adults and geriatric patients, including patients with multi-system organ failure or trauma, and responds to rapidly changing conditions using evidence-based clinical judgment. The role includes coordinating care across departments, advocating for patients and families, and delivering care in accordance with the BSMH Nursing Professional Practice Model. The position may involve periods of high stress and fluctuating workloads, interruptions, exposure to noise, bright lights, physical or verbal altercations, restraints, hazardous substances, body fluids, and infectious materials. Universal precautions and personal protective equipment are required. Mercy Health describes itself as a faith-based, patient-focused organization committed to compassion, collaboration, excellence, respect, human dignity, integrity, service, and stewardship. Benefits and their eligibility may vary by market and employment status.

Requirements

  • Current RN license in the state of practice or a compact-state license.
  • BLS or ACLS is required before direct patient care from an approved source; ACLS must be obtained within six months of hire.
  • One year of RN experience is listed as required; new graduates and RNs with less than one year of experience will also be considered.
  • Clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with current standards, policies, procedures, and the BSMH mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to assess clinical and psychosocial needs, prioritize and implement plans of care, collaborate with others, and recognize limitations and seek assistance.
  • Ability to manage chest tubes, perform hemodynamic assessment, insert and monitor transvenous or temporary pacing, administer conscious sedation, and apply knowledge of advanced respiratory modalities.
  • Ability to remain calm and adaptive during emergencies and to protect patient safety and privacy.
  • Ability to use office and clinical technologies and communicate with patients in a manner they can understand.
  • Ability to apply cultural diversity and inclusion principles, maintain professionalism, and demonstrate accountability.

Nice To Haves

  • Bachelor of Science in Nursing.
  • BLS or ACLS certification at hire; ACLS is required within six months of hire if not already held.
  • CCRN Critical Care Registered Nurse certification.
  • PCCN Progressive Care Certified Nurse certification.
  • National Institute of Health (NIH) Stroke Certification.
  • Six months of RN experience in an acute care hospital setting.
  • EPIC Electronic Health Record training.
  • Critical Care Course.

Responsibilities

  • Conduct initial and ongoing patient assessments; analyze data, create and implement plans of care, and evaluate treatment effectiveness.
  • Administer medications safely in accordance with state requirements and organizational policies and procedures.
  • Coordinate patient care across hospital departments and with health team members, 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 teams, including supporting patient and family choices about quality of life.
  • Manage patients with multi-system organ failure and/or multisystem trauma.
  • Use 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 care accordingly.
  • Provide care appropriate to the age, needs, and developmental status of patients served on the assigned unit.
  • Assign patient care according to staff members’ nursing skills, knowledge, and scope of practice.
  • Orient staff, facilitate learning, and provide education informed by quality improvement indicators, outcomes, and implementation.
  • Assess patients’ clinical conditions, psychosocial needs, and supportive resources; develop, prioritize, and revise plans of care.
  • Help patients and families cope with illness and assess physical and emotional responses to treatment.
  • Collaborate with others to deliver coordinated patient care and communicate with patients in a way they can understand.
  • Manage care of 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.
  • Protect the safety and privacy of all persons, use universal precautions and personal protective equipment, and follow infection control policies.
  • Pursue personal and professional growth through educational programs, current literature, in-services, and workshops; practice accountability, stewardship, and self-care.

Benefits

  • Paid time off (PTO).
  • Health insurance benefits effective the first day of the month following 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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