RN Cardiothoracic ICU Stepdown

Corewell Health • Grand Rapids, MI

1d • Onsite

About The Position

The RN Cardiothoracic ICU Stepdown position is in 7MHC, a 46-bed unit caring for patients after cardiothoracic surgery. The unit specializes in cardiac, pulmonary, and transplant care, with patients commonly recovering from coronary artery bypass graft (CABG) and valve procedures, lung surgery, heart or lung transplants, or VAD placement. Patients may arrive on the day of surgery, after cardiovascular recovery, or from the Cardiothoracic ICU (CTCC); those needing intensive care transfer to CTCC and may return after their condition stabilizes. Patients are medically complex and need medical, physical, and emotional support, with care involving drains, wounds, high-risk medications, and monitoring.

Under the ANA scope of practice, the RN uses the nursing process to assess, plan, implement, evaluate, and discharge while incorporating patient- and family-centered care. The RN provides quality nursing care under the direction of the Nurse Leader and in accordance with Corewell Health policies and procedures. The RN partners with patients and families to incorporate their input and goals into care planning, develops teaching strategies, and documents education and learning in the health record.

The position is based at Butterworth Hospital in Grand Rapids. It is full-time, scheduled for 36 hours weekly on the night shift, from 7:00 p.m. to 7:30 a.m., with variable workdays and every-other-weekend coverage.

Requirements

• Associate degree in Nursing required.
• Bachelor of Science in Nursing required within five years.
• Michigan Registered Nurse (RN) license required.
• AHA or ARC Basic Life Support (BLS) required within 90 days.
• AHA Advanced Cardiovascular Life Support (ACLS) required within six months.
• Strong clinical skills in cardiac, pulmonary, and post-surgical assessment.
• Strong nursing foundations, including concise communication, individualized care, advocacy, time management, use of policies and standards of care, and adaptability in emergent patient situations.

Responsibilities

• Use the nursing process to assess, plan, implement, evaluate, and discharge patients.
• Provide professional, quality nursing care in accordance with Corewell Health policies and procedures and under the direction of the Nurse Leader.
• Incorporate patient- and family-centered care principles and patient/family input and goals into care planning.
• Develop patient and family teaching strategies and document education and learning in the health record.
• Provide medical, physical, and emotional support to complex cardiothoracic patients.
• Perform cardiac, pulmonary, and post-surgical assessment, including rhythm assessment, recognition of abnormalities through cardiac and pulmonary auscultation, and surgical site management.
• Provide care involving drains, wounds, high-risk medications, and monitoring.
• Communicate concisely, advocate for patients, manage time, follow policies and standards of care, and adapt in emergent situations.

Benefits

• Comprehensive benefits package supporting financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv.
• Discounts directory with offers on restaurants, phone plans, spas, and other items.
• Optional identity theft protection, home insurance, and auto insurance.
• Traditional and Roth retirement options with service contribution and matching savings.

What This Job Offers

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