RN - Advanced Care/Stepdown

Carle Health • Urbana, IL

1d • Onsite

About The Position

The Registered Nurse works in the 24-bed Advanced Care Unit (CT7B), caring for acutely unstable patients who do not meet Intensive Care criteria but require frequent advanced assessments and interventions. Patient populations include complex multi-trauma, uncompensated sepsis, continuous non-invasive ventilation, stroke, complicated withdrawal from alcohol or other recreational drugs, and diabetic ketoacidosis (DKA). The unit also includes an Epilepsy Monitoring Unit (EMU), where patients may be taken off medication under monitoring to induce seizure-like events and provide information to the Epilepsy Team. The nurse-to-patient ratio is 1:3.

The unit is fast-paced and team-oriented, working closely with physician partners and ancillary team members. Resources include a monthly Partnership Committee, a unit-based educator, a quality outcomes coordinator, two nurse supervisors, and charge nurses. Nurses perform full assessments at least every four hours and vital signs at least every two hours, provide continuous cardiac monitoring, and care for IV, arterial, central, and chest tube lines and other equipment. Common IV drips include amiodarone, diltiazem, insulin for DKA, dobutamine, heparin, and octreotide.

The position requires an Illinois Registered Professional Nurse license, a Nursing Diploma, and more than one year of RN experience. ACLS must be obtained within one year and BLS within 30 days. The posting advertises a $10,000 sign-on bonus for eligible external applicants with more than one year of RN experience, with a three-year commitment. Compensation is listed as $38.93 to $63.35 per hour, dependent on factors including experience, qualifications, location, training, licenses, shifts, and compensation model. Carle Health states that it offers a comprehensive benefits package; details are available on its benefits website.

Requirements

• Illinois Registered Professional Nurse (RN) license from the Illinois Department of Financial and Professional Regulation (IDFPR).
• Advanced Cardiac Life Support (ACLS) certification from the American Heart Association within one year.
• Basic Life Support (BLS) certification from the American Heart Association within 30 days.
• Nursing Diploma.
• More than one year of RN work experience.

Responsibilities

• Perform responsibilities and duties required by the unit and within the scope of service.
• Implement procedures and theories related to the area of practice.
• Maintain accurate, current documentation of nursing care to support information integration by the healthcare team.
• Complete an initial assessment upon admission and develop a plan of care based on unit standards and patient and family needs.
• Implement the plan of care, nursing interventions, and patient care procedures, and modify the plan based on ongoing evaluation.
• Promote patient and employee safety by reporting or correcting safety hazards and incidents.
• Communicate directly and privately when needed to resolve issues.
• Offer constructive feedback to support peers’ professional development and consult colleagues to expand knowledge.
• Identify personal learning needs and initiate appropriate solutions.
• Fulfill departmental competency requirements.
• Monitor EMU patients 24/7 for seizure activity.
• Support communication with patients and families through meaningful hourly rounding, bedside shift reports, and whiteboards.
• Work with the critical care team and hospitalists for Advanced Care patients.

Benefits

• A $10,000 sign-on bonus is advertised for eligible external applicants with more than one year of RN experience and a three-year commitment.
• Carle Health states that it offers a comprehensive benefits package; specific benefits are not listed in the posting.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree