About The Position

The Stepdown Registered Nurse (RN) delivers patient care through the nursing process, including collecting and assessing data, prioritizing patient needs, planning and implementing care, and evaluating outcomes in collaboration with the interdisciplinary care team. The RN coordinates patient teaching and directs care activities with other health team members. This role is in the Intermediate 4 South department at St. Elizabeth Youngstown Hospital and is a full-time night position, scheduled for 7:00 p.m. to 7:30 a.m., with 36 scheduled weekly hours. New graduates are encouraged to apply, and self-scheduling is available. The RN provides care for adults and geriatric patients, including patients with multisystem organ failure or trauma. The position requires clinical judgment, evidence-based decision-making, adaptability to changing patient conditions, and advocacy for patients and families. Nurses are expected to practice in accordance with the BSMH Nursing Professional Practice Model and the organization’s policies, standards, and mission. Working conditions may include high stress and fluctuating workloads, interruptions, loud noise and bright lights, exposure to hazardous substances, body fluids, blood, or other potentially infectious materials, and possible physical altercations or verbal abuse. The position may require the use of physical restraints and universal precautions and personal protective equipment.

Requirements

  • Current RN license in the state of practice or a valid compact license.
  • BLS or ACLS certification is preferred at hire; certification must be obtained from an approved source before direct patient care, and ACLS is required within six months of hire.
  • One year of RN experience is required; new graduates and RNs with less than one year of experience will be considered.
  • Ability to provide evidence-based nursing care in accordance with current standards of practice, policies, procedures, and the BSMH mission.
  • Strong interpersonal and verbal and written communication skills.
  • Ability to assess patients’ physical and emotional responses to treatment, safely develop and prioritize a plan of care, and recognize personal limitations and seek assistance.
  • Ability to apply cultural diversity and inclusion principles, protect safety and privacy, and remain calm and adaptable in emergencies.
  • Ability to manage care involving chest tubes, hemodynamic monitoring, 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.
  • 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, develop and implement plans of care, and evaluate treatment effectiveness.
  • Administer medications safely in accordance with state requirements and organizational policies and procedures.
  • Coordinate patient care across hospital departments and collaborate with the interdisciplinary care team, family members, caregivers, and other care resources.
  • Participate in departmental quality improvement and advocate for patient safety, patient choices, and quality of life.
  • Provide care for patients with multisystem organ failure and/or multisystem trauma, applying the AACN Synergy Model across the lifespan.
  • Use clinical judgment and inquiry to synthesize and prioritize information, take decisive evidence-based action, and respond to changing patient conditions.
  • Coordinate and provide patient and family teaching, and support patients and families coping with illness or injury.
  • Assign patient care according to staff members’ skills, knowledge, and scope of practice; orient staff and facilitate learning and education.
  • Perform comprehensive assessments of patients’ clinical conditions and psychosocial needs, develop and prioritize care plans, and revise them based on responses to treatment and outcomes.
  • Collaborate in coordinated care delivery and communicate with patients in a manner they can understand, considering their preferences.
  • Manage 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, follow infection-control requirements, and use universal precautions and personal protective equipment.
  • Pursue professional growth, practice accountability and stewardship, and maintain 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, and referral bonuses.
  • 403(b) with employer contributions when eligible.
  • Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
  • Parental and FMLA leave, short- and long-term disability, and backup care for children and elders.
  • Tuition assistance, professional development, and continuing education support.
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