About The Position

The Registered Nurse in the Step Down Unit provides professional nursing care for patients in an inpatient hospital setting. The role has authority, responsibility, and shift accountability for delivering nursing care through the nursing process. The nurse applies clinical knowledge and skills and independent nursing judgment to care provided directly and by health care providers to whom care is delegated, with the goal of achieving quality patient outcomes. The position requires novice-level knowledge and skills relevant to the patients under the nurse’s care, including applying principles of growth and development across the life span and assessing and interpreting patient data to identify age-specific needs. The role includes patient assessment, care planning, education, documentation, evidence-based practice, culturally sensitive care, and collaboration with the interprofessional team. This position is scheduled for 36 hours per week and is non-exempt. Graduate nurses with less than 12 months of experience enter the clinical advancement program at Level 1. The CAPE program supports professional development and quality clinical performance for inpatient direct-care nurses.

Requirements

  • Current Registered Nurse license in the state where services are provided, or a current multistate Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC).
  • Obtain Basic Life Support certification within 30 days of hire.
  • Less than 12 months of experience as a registered nurse.
  • Interpersonal skills to communicate positively and effectively, negotiate, and resolve conflict.
  • Competent clinical practice and critical-thinking skills to deliver patient care efficiently in collaboration with health care providers and use resources effectively.
  • Ability to adapt flexibly to changes in work volume, staffing, and scheduling.
  • Ability to work under highly stressful conditions and adapt to varying workloads and assignments.
  • Ability to meet physical demands that include lifting, moving, stooping, reaching, standing, walking, and carrying materials or equipment weighing 40 pounds or more; patient transfers, lifts, and repositioning must use indicated lift equipment or other handling aids.
  • Visual acuity and hearing within normal range.

Nice To Haves

  • Bachelor of Science in Nursing degree (BSN).

Responsibilities

  • Demonstrate safety and continuity of care through documentation and handoff tools or processes.
  • Create plans of care using assessment, diagnoses, interventions, and evaluation of outcomes.
  • Recognize patient safety concerns using appropriate resources.
  • Educate patients according to their individual learning needs and use teach-back to evaluate the effectiveness of education.
  • Incorporate patient individuality and mutuality data into care delivery.
  • Perform and document adequate patient assessments.
  • Use evidence-based practice in nursing care and participate in the organizational patient-centered care model.
  • Document problems and issues in the plan of care.
  • Develop the ability to care for more complex patients by consulting experienced colleagues.
  • Pursue lifelong learning through self-reflection and inquiry.
  • Remain accountable for delegated nursing care and recognize the scope of practice of interprofessional team members.
  • Participate in holistic, culturally sensitive data collection and assess the impact of family dynamics on patient health and wellness.
  • Integrate the American Nurses Association code of ethics into nursing practice.
  • Identify discriminatory health care practices affecting culturally diverse populations.
  • Individualize care based on patients’ beliefs, barriers, and readiness to learn.
  • Complete annual specialty-accreditation education when required by the facility.
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