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 and provides patient education and coordinates care delivered by other health team members. The RN provides care in the Progressive Care Unit and clinically manages patients with multisystem organ failure and/or multisystem trauma. Using the AACN Synergy Model, the RN supports, promotes, rehabilitates, or palliates patients to maintain physiologic, psychological, and psychosocial stability across the lifespan. The RN is expected to practice in accordance with the core concepts and intent of the Bon Secours Mercy Health Nursing Professional Practice Model. This position is full-time on the night shift, 7:00 p.m. to 7:30 a.m., and works every third weekend and every other holiday. New graduates are welcome to apply. The position serves adults and geriatric patients. Working conditions may include high stress and fluctuating workloads, physical altercations or verbal abuse, use of physical restraints, high noise levels and bright lights, limited hazardous substances or body fluids, exposure to blood and potentially infectious materials, and frequent interruptions. Universal precautions and personal protective equipment are required.

Requirements

  • Current RN license in the state of practice or a qualifying compact license.
  • BLS or ACLS certification must be obtained from an approved source before providing direct patient care; ACLS is required within six months of hire.
  • One year of RN experience is listed as required; new graduates and nurses with less than one year of experience are also accepted.
  • Clinical knowledge, skills, and competency to provide evidence-based nursing care in accordance with standards of practice, policies, procedures, and the organization’s mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to use office and clinical technologies.
  • Ability to remain calm and adapt during emergencies.
  • Ability to meet the role’s working conditions, including use of physical restraints when required and adherence to universal precautions and infection-control requirements.

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 (NIH) Stroke Certification.

Responsibilities

  • Conduct initial and ongoing patient assessments; analyze findings, develop and implement plans of care, and evaluate treatment effectiveness.
  • Administer medications safely in accordance with state requirements and organizational policies and procedures.
  • Coordinate patients’ care across hospital departments and with family members or 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 services.
  • Manage patients with multisystem organ failure and/or multisystem trauma.
  • Use clinical judgment and inquiry to synthesize and prioritize information and take timely, evidence-based, patient-focused action.
  • Anticipate and respond to changing patient conditions and adapt care as needed.
  • Support patients and families coping with unexpected illness, injury, and treatment, and advocate for their quality-of-life choices.
  • Assign patient care in accordance with staff members’ nursing skills, knowledge, and scope of practice.
  • Orient staff and others, facilitate learning, and provide education informed by quality indicators, outcomes, and implementation.
  • Assess patients’ clinical conditions, psychosocial needs, and support resources; develop, prioritize, implement, and revise plans of care as needed.
  • Assess patients’ physical and emotional responses to treatment and help patients and families cope with illness.
  • Collaborate with others to deliver coordinated care and communicate with patients in a manner they can understand, considering their preferences.
  • 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 patients and others, practice self-care and resilience, and use resources cost-effectively.
  • Provide care appropriate to patients’ ages and developmental needs, including adults ages 18–64 and geriatric patients age 65 and older.
  • 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 based on market and employment status.
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