About The Position

The Stepdown Registered Nurse (RN) delivers patient care using the nursing process, including collecting data, assessing patients, 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 and coordinates care delivered by other health team members. This full-time position is on the Progressive Care Unit (PCU), Intermediate 6S, at St. Elizabeth Boardman Hospital. The night shift runs from 7:00 p.m. to 7:30 a.m., with 36 scheduled hours per week. Flexible self-scheduling is available. The unit will consider new graduates and nurses with less than one year of experience. The RN provides evidence-based care to adult and geriatric patients, including patients with multisystem organ failure or trauma, and responds to changing patient conditions. The role includes patient advocacy, care coordination, medication administration, patient and family education, and participation in quality improvement. Care is delivered in accordance with the Bon Secours Mercy Health Nursing Professional Practice Model. The work may involve high stress and fluctuating workloads, interruptions, noise, bright lights, physical altercations or verbal abuse, physical restraints, and limited 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 employment or a license covered by a compact agreement.
  • One year of RN experience is listed as required; the posting also states that new graduates and nurses with less than one year of experience will be accepted.
  • BLS or ACLS certification must be obtained from an approved source before direct patient care; ACLS is required within six months of hire.
  • Clinical knowledge, skills, and competency to provide evidence-based care in accordance with current standards, policies, procedures, and the organization’s mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to apply the nursing process, perform comprehensive assessments, and safely develop, implement, prioritize, and revise plans of care.
  • Ability to recognize personal limitations, seek assistance, and obtain information needed to practice safely.
  • Ability to protect safety and privacy, practice accountability, and communicate with patients in a manner they can understand.
  • Ability to provide care appropriate to adult and geriatric patients and understand lifespan growth and development.

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 assessment data, develop and implement plans of care, and evaluate treatment effectiveness.
  • Administer medications safely in accordance with the State of Practice and Bon Secours Mercy Health policies and procedures.
  • Coordinate patients’ care across hospital departments and collaborate with the interdisciplinary care team, family members, caregivers, and other care partners.
  • 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.
  • Clinically manage patients with multisystem organ failure and/or multisystem trauma.
  • Use the AACN Synergy Model to support, promote, rehabilitate, or palliate patients’ physiologic, psychologic, and psychosocial stability across the lifespan.
  • Synthesize and prioritize information to take timely, evidence-based, patient-focused action using clinical judgment and inquiry.
  • Anticipate and respond to rapidly changing patient conditions.
  • Support patients and families coping with unanticipated illness or injury, and advocate for their quality-of-life choices.
  • Assign patient care according to staff members’ skills, knowledge, and scope of practice.
  • Orient and educate nursing staff and others, including through learning experiences informed by quality improvement indicators and outcomes.
  • Assess patients’ clinical conditions, psychosocial needs, and support resources; develop, prioritize, implement, and revise plans of care as appropriate.
  • Assess physical and emotional responses to treatment and evaluate interventions and patient outcomes.
  • Help patients and families cope with illness and communicate with patients in a way they can understand, considering their preferences.
  • Manage care of 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.
  • Practice accountability, stewardship of resources, self-care, resilience, cultural inclusion, and protection of patients’ safety and privacy.
  • Use office and clinical technologies and remain calm and adaptive during emergencies.

Benefits

  • Paid time off.
  • Health insurance benefits effective the first day of the month following the start date.
  • Competitive pay, incentives, and referral bonuses.
  • 403(b) with employer contributions when eligible.
  • Medical, dental, vision, and prescription coverage.
  • HSA/FSA options.
  • Life insurance and mental health resources.
  • Discounts.
  • Parental and FMLA leave.
  • Short- and long-term disability.
  • Backup care for children and elders.
  • Tuition assistance, professional development, and continuing education support.
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