Registered Nurse, RN - D4 Cardiac Step Down

Tufts Medicine•Lowell, MA
•$38 - $68

About The Position

The Registered Nurse works on D4, a 30-bed intermediate care/stepdown unit primarily caring for cardiac patients who need cardiac catheterizations; post-STEMI or angioplasty care; care for NSTEMI, post-pacemaker insertion, CHF, atrial fibrillation or other cardiac arrhythmias; and care for hyper- or hypotensive patients who do not meet ICU admission criteria. The role follows the Community RN Career Direct Care Pathway, which has four placement levels based on minimum RN experience, education, and qualifications: Level I (0 to less than 12 months of RN experience), Level II (12 months to less than 3 years), Level III (3 to less than 8 years), and Level IV (8 years of RN experience). The position is full-time for 36 hours per week on the night shift, 7:00 PM to 7:30 AM. The nurse conducts and documents clinical assessments, develops and evaluates individualized care plans, provides patient and family education, coordinates discharge planning, delegates care appropriately, and contributes to performance improvement, evidence-based practice, staff development, and professional development.

Requirements

  • Ability to communicate effectively with patients, families, physicians, and the healthcare team.
  • Knowledge of and ability to apply the nursing process.
  • RN experience, education, and qualifications are used to determine placement in the career pathway levels.

Responsibilities

  • Participate in and maintain awareness of performance improvement initiatives.
  • Evaluate and integrate evidence-based practice and research into clinical practice.
  • Conduct and document accurate clinical assessments.
  • Develop, implement, and evaluate individualized patient plans of care.
  • Use professional nursing judgment to individualize care plans based on patient needs.
  • Manage patient assignments by delegating effectively according to patient needs and team members’ skills.
  • Develop and document comprehensive educational plans for patients and families, using appropriate resources.
  • Support patient and family rights, informed decisions, and advance directives.
  • Continually evaluate and revise care plans according to changes in patients’ health status.
  • Develop comprehensive discharge plans using appropriate resources, referrals, and community resources.
  • Support new staff members and help facilitate their transition into the unit.
  • Guide department staff’s professional growth through precepting.
  • Identify learning needs and seek appropriate education for professional development.
  • Participate in departmental committees as needed.

Benefits

  • Comprehensive Total Rewards package supporting health, financial security, and career growth.
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