RN STEP DOWN Unit Nights

Community Health Systems Professional Services Corporation•Laredo, TX

About The Position

Laredo Medical Center is hiring a Registered Nurse for its Step Down Unit. The RN provides patient-centered care through assessment, diagnosis, planning, implementation, and evaluation, coordinating and delivering high-quality care according to clinical protocols and physician/provider orders. The nurse collaborates with physicians, nurses, and other healthcare professionals to support effective care and desired outcomes while maintaining a compassionate environment for patients and families. The role includes assessing and monitoring patients, administering medications and treatments, supporting procedures within documented competency, developing and evaluating individualized care plans, responding to emergencies, educating patients and families, and maintaining infection-control and safety standards. The RN also documents care, participates in audits and performance improvement activities, maintains clinical competency, and performs other assigned duties. Critical Care RN duties listed in the posting include managing complex medical equipment and performing specified advanced procedures.

Requirements

  • 0–2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required.
  • RN – Registered Nurse – State Licensure and/or Compact State Licensure required.
  • BCLS – Basic Life Support required.
  • Strong knowledge of the nursing process and clinical nursing practices.
  • Ability to perform thorough patient assessments and communicate findings effectively.
  • Proficiency in administering medications and monitoring for side effects.
  • Effective communication and interpersonal skills to collaborate with interdisciplinary teams.
  • Strong organizational skills and attention to detail in documenting patient care.
  • Knowledge of safety standards, infection control, and quality improvement initiatives.
  • Applicants must be authorized to work in the U.S. for any employer; the position is not eligible for immigration sponsorship now or in the future.

Nice To Haves

  • ACLS – Advanced Cardiac Life Support preferred.
  • PALS – Pediatric Advanced Life Support preferred.
  • NRP – Neonatal Resuscitation preferred.

Responsibilities

  • Coordinate and deliver high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.
  • Conduct thorough patient assessments, document findings accurately, and report changes in condition to appropriate care team members.
  • Use knowledge of human growth and development to provide age-appropriate care and education.
  • Administer prescribed medications, monitor for side effects, and document administration according to standards of practice.
  • Assist physicians during procedures within the scope of documented competency and skill level.
  • Collaborate with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
  • Respond to medical emergencies and participate in life-saving interventions, such as CPR and code team activities, as appropriate.
  • Advocate for patients' rights and needs in care planning and delivery.
  • Educate patients and families about medical conditions, treatment plans, and post-discharge care.
  • Implement and follow infection-control protocols.
  • Monitor and operate medical equipment, such as IV pumps, monitors, and ventilators, as needed for patient care and safety.
  • Promote patient safety by following National Patient Safety Goals and maintaining a clean, safe environment.
  • Participate in audits, chart reviews, and compliance checks.
  • Make responsible decisions in planning, delegating, and providing care based on patient needs and organizational policies.
  • Document patient care and education thoroughly and promptly in the medical record.
  • Engage in professional development to maintain clinical competency and understanding of current nursing standards and regulations.
  • Participate in performance improvement initiatives, including data collection and process development.
  • For Critical Care RN duties listed: administer prescribed medications and treatments, including intravenous medications and therapies; manage complex medical equipment, including ventilators, monitoring devices, and other life-support systems; and perform procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support.
  • Perform other duties as assigned.
  • Maintain regular and reliable attendance.
  • Comply with all policies and standards.

Benefits

  • Medical, dental, and vision coverage.
  • Flexible Spending Accounts (FSA).
  • Employee Assistance Program (EAP).
  • Competitive pay.
  • 401(k) with employer match.
  • Life insurance and disability coverage.
  • Vacation.
  • Sick leave.
  • Holidays.
  • Personal day.
  • Family medical leave.
  • Tuition reimbursement.
  • Loan forgiveness.
  • Internal promotion opportunities.
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