About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including collecting data, assessing patients, identifying and prioritizing problems and needs, and evaluating care outcomes in collaboration with the interdisciplinary care team. The RN coordinates, provides, and directs patient teaching and coordinates care provided by other health team members. This PRN role is in the Progressive Care Unit at St. Elizabeth Boardman Hospital. The nurse must work 24 hours within each six-week period. Care includes patients with multi-system organ failure and/or multisystem trauma, with a focus on maintaining or restoring physiologic, psychologic, and psychosocial stability across the lifespan. The RN uses clinical judgment and evidence-based practice to respond to changing conditions, supports patients and families facing unanticipated illness or injury, and advocates for patient choices and quality of life. Mercy Health nurses are expected to practice in accordance with the BSMH Nursing Professional Practice Model. The position serves adult and geriatric patients. Working conditions may include high stress and fluctuating workloads, interruptions, noise, bright lights, physical altercations or verbal abuse, use of physical restraints, and exposure to hazardous substances, body fluids, blood, or other potentially infectious materials. Universal precautions and personal protective equipment are required.

Requirements

  • Current RN license in the state of practice or a compact license.
  • At least 1 year of RN experience.
  • BLS or ACLS certification is required before providing direct patient care; ACLS must be obtained within 6 months of hire if not already held.
  • Ability to provide age-appropriate care to adults (18–64) and geriatric patients (65 and older).
  • Clinical knowledge and competency to provide evidence-based nursing care consistent with current standards, policies, procedures, and the organization’s mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to use clinical and office technologies and communicate with patients in a manner they understand.
  • Ability to remain calm and adaptable during emergencies and to recognize limitations and seek assistance.

Nice To Haves

  • Bachelor of Science in Nursing.
  • BLS or ACLS certification at hire.
  • CCRN (Critical Care Registered Nurse) certification.
  • PCCN (Progressive Care Certified Nurse) certification.
  • National Institute of Health 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 applicable state practice requirements and organizational policies and procedures.
  • Coordinate patient care across hospital departments and collaborate with care coordination, family members, caregivers, and the interdisciplinary team.
  • Participate in departmental quality improvement and serve as a patient safety advocate.
  • Advocate for patients in collaboration with spiritual care, palliative care, and ethics services.
  • Clinically 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 support patients and families coping with unanticipated illness, injury, and treatment.
  • Assign patient care according to 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, psychosocial needs, and support resources; develop, prioritize, and revise plans of care based on responses and outcomes.
  • Help patients and families cope with illness and communicate in a way that accounts for patients’ needs and preferences.
  • Apply cultural diversity and inclusion principles, protect safety and privacy, and use resources cost-effectively.
  • Manage patients with chest tubes; perform hemodynamic monitoring; insert and monitor transvenous or temporary pacing; administer conscious sedation; and use knowledge of advanced respiratory modalities.
  • Maintain professional accountability, pursue ongoing learning and growth, recognize personal limitations and seek assistance, and practice self-care and resilience.
  • Use universal precautions and required personal protective equipment and follow infection-control policies.

Benefits

  • Competitive pay, incentives, referral bonuses, and a 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. Benefits may vary by market and employment status.
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