About The Position

The Stepdown Registered Nurse (RN) delivers patient care through the nursing process, including data collection and assessment, identifying and prioritizing patient problems and needs, and evaluating the process and outcomes of care in collaboration with the interdisciplinary care team. The RN coordinates, provides, and directs patient teaching activities and coordinates care provided by health team members. This role serves patients in the Intermediate Stepdown unit at St. Elizabeth Youngstown Hospital and includes night shifts from 7:00 p.m. to 7:30 a.m. New graduates are encouraged to apply, and self-scheduling is offered. The RN provides care for patients with complex conditions, including multisystem organ failure and multisystem trauma. Using the AACN Synergy Model, the nurse supports, promotes, rehabilitates, or palliates patients to maintain physiologic, psychologic, and psychosocial stability across the lifespan. The RN uses clinical judgment and evidence-based practice to prioritize information, take decisive action, anticipate and respond to changing conditions, and support patients and families coping with unanticipated illness or injury. Nurses are expected to practice in accordance with the core concepts and intent of the BSMH Nursing Professional Practice Model. The position requires a current RN license in the state of employment or a compact license. BLS or ACLS certification is preferred at hire; certification from an approved source must be obtained before direct patient care, and ACLS is required within six months of hire. One year of RN experience is listed as required, but new graduates and RNs with less than one year of experience will be considered. A Bachelor of Science in Nursing is preferred.

Requirements

  • Current RN license in the state of employment or a license covered by a compact agreement.
  • One year of RN experience is required; new graduates and RNs with less than one year of experience will also be considered.
  • BLS Basic Life Support or ACLS Advanced Cardiac Life Support is preferred at hire; certification from an approved source is required before direct patient care, and ACLS must be obtained within six months of hire.
  • Clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with standards of practice, policies, procedures, and the BSMH mission.
  • Ability to perform comprehensive clinical and psychosocial assessments and develop, implement, prioritize, and revise plans of care.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to collaborate, adapt to emergencies and changing conditions, recognize personal limitations, and seek assistance when needed.
  • Ability to provide age-appropriate care to adult and geriatric patients.
  • Ability to manage care involving chest tubes, hemodynamic monitoring, transvenous or temporary pacing, conscious sedation, and advanced respiratory modalities.

Nice To Haves

  • Bachelor of Science in Nursing.
  • Six months of RN experience in an acute care hospital setting.
  • BLS or ACLS certification at hire.
  • CCRN Critical Care Registered Nurse certification.
  • PCCN Progressive Care Certified Nurse certification.
  • National Institute of Health Stroke Certification.
  • EPIC Electronic Health Record training.
  • Critical Care Course.

Responsibilities

  • Conduct initial and ongoing patient assessments, analyze assessment data, create and implement plans of care, and evaluate treatment effectiveness.
  • Administer medications safely and in accordance with state practice requirements and Bon Secours Mercy Health policies and procedures.
  • Coordinate patients' care across hospital departments and work with care coordination, family members, and caregivers.
  • Participate in ongoing departmental quality improvement and act as a patient safety advocate.
  • Advocate for patients in collaboration with spiritual care, palliative care, and ethics teams.
  • Clinically manage patients with multisystem organ failure and/or multisystem trauma.
  • Use the AACN Synergy Model to support, promote, rehabilitate, or palliate patients and maintain their stability across the lifespan.
  • Synthesize and prioritize information to take immediate, decisive, evidence-based, patient-focused action using clinical judgment and inquiry.
  • Anticipate and respond to rapidly changing patient conditions and support patients and families coping with unanticipated illness or injury.
  • Assign patient care according to staff members' nursing skills, knowledge, and scope of practice.
  • Orient staff, facilitate learning, and provide education to nursing staff and others.
  • Assess patients' clinical conditions, psychosocial needs, and support resources; develop, implement, and prioritize plans of care.
  • Evaluate patients' physical and emotional responses to treatment, revise plans of care as needed, and assist patients and families in coping with illness.
  • Collaborate with others to deliver coordinated patient care and communicate with patients in a manner they can understand.
  • Manage patients with chest tubes; assess patients through 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.
  • Advance personal and professional growth through educational programs, current literature, in-services, and workshops; practice accountability, stewardship, self-care, and resilience.

Benefits

  • Self-scheduling.
  • Paid time off.
  • Health insurance benefits effective the first day of the month following the start date.
  • 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.
  • Grow Strong Program for new graduates.
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