Registered Nurse – Observation Unit/ Clinical Decision Unit

TriHealth•Cincinnati, OH

3d•Onsite

About The Position

The Registered Nurse provides direct and indirect holistic care to adult and geriatric patients in the Observation Unit, also known as the Clinical Decision Unit (CDU), at Bethesda North Hospital. The 35-bed inpatient unit cares for patients needing short-term monitoring, diagnostic testing, and treatment, including medical, pre- and post-surgical, and cardiac care. The RN applies the nursing process, collaborates with physicians and other healthcare team members, and supports patients and families through clinical decisions. The role may delegate aspects of care to staff under the RN’s direct supervision within the scope of nursing practice. The unit emphasizes efficient care delivery, close monitoring, teamwork, patient safety, and compassionate, culturally sensitive care. New team members receive corporate orientation, individualized onboarding, preceptor-supported training, and unit orientation tailored to their experience, typically lasting 4–8 weeks. Nurses may develop expertise through NIHSS certification, ACLS/BLS training, ECG/telemetry skills, code-readiness exercises, and shadowing opportunities. This is an on-site position at Bethesda North Hospital in Montgomery, Ohio. The posting identifies the role as part-time nights in its opening details, but later lists an FTE of full-time, 36 hours weekly. The unit follows a six-week scheduling cycle, with every-third-weekend and holiday rotations. Weekend programs and PRN/optional scheduling are also described as available options. TriHealth describes a collaborative nursing culture that supports professional development, continuing education, degree advancement, specialty certification, evidence-based practice, and collegial relationships among nurses, physicians, and other caregivers.

Requirements

Associate degree or diploma in Nursing.
New hires must obtain a BSN within five years of hire.
Active Registered Nurse license.
BLS/CPR certification for Healthcare Providers.
Nursing knowledge, judgment, and skills derived from biological, physical, behavioral, social, and nursing sciences to meet complex healthcare needs across stages of the life cycle.
Ability to perform the physical and cognitive activities described in the working conditions, including frequent bending; consistent lifting, pushing, pulling, standing, walking, reaching, and use of hands; and consistent concentration and communication.
Ability to work the stated night schedule and participate in every-third-weekend and holiday rotations, as described for the unit.

Nice To Haves

At least one year of full-time or two years of part-time acute-care experience.
Membership in a related professional nursing organization.
Specialty certification, such as medical-surgical or emergency nursing.
Experience in acute care settings.

Responsibilities

Perform initial and ongoing assessments of patients and families, complete assessment tools, document findings, communicate relevant findings, and identify health counseling and teaching needs.
Plan and individualize care based on assessments, standards of care, patient needs, and desired outcomes; establish and update short- and long-term goals, care plans, clinical pathways, and discharge plans with patients, families, and the healthcare team.
Provide a safe, therapeutic environment while protecting patient autonomy, dignity, rights, and individual and cultural preferences; seek resources for ethical decisions and balance patient and unit needs.
Recognize emergency or rapidly changing 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 responses.
Communicate and collaborate effectively with physicians, patients, families, and interdisciplinary healthcare team members; understand and carry out physician orders.
Evaluate patient outcomes and responses to care, including teaching, and collaborate with patients, families, and the healthcare team to revise plans of care as needed.
Delegate and supervise care provided by other healthcare team members within the scope of nursing practice.
Perform technical skills according to policies, procedures, and accepted standards; safely administer medications and treatments, monitor their effects, and use equipment safely and appropriately.
Share specialty knowledge, train and educate staff, and serve as a clinical resource.
Identify opportunities for self-improvement, maintain current practice knowledge, and demonstrate awareness of organizational and departmental changes.
Function in a relief charge or resource role as requested, complete assignments on time, and cooperate with instructors to support student learning.
Support continuing education, professional development, nursing research, evidence-based practice, community health activities, and collaborative relationships among caregivers.
Demonstrate TriHealth SERVE standards and ALWAYS behaviors in interactions with patients, guests, colleagues, and the community.