Job Title: Registered Nurse
Profession: Clinical
Specialty: Medical Step-Down
Duration: 14 weeks
Shift: 3 shifts of 12 hours
Hours per Shift: 12
Experience: Minimum of 2 years of Step-Down experience required
License: RN
Certifications: BLS and ACLS required
Must-Have: Strong critical thinking skills; ability to perform EKGs, lab draws, and provide direct patient care
Description:
Utilize the nursing process in the provision of direct patient care.
Responsible and accountable for prescribing, delegating, and coordinating all care provided to assigned patients.
Delivery of care is based on the standards of care and practices established by the Department of Nursing and other policies and procedures.
Diagnose and treat human responses to actual and potential health problems through services such as case finding, health teaching, health counseling, and the provision of supportive or restorative care.
Supervise patient care provided by licensed practical nurses, registered nurses on permit, nursing attendants, technicians, and Client staff.
Responsibilities:
Assess the immediate and continuing care needs of the patient and their significant other.
Develop comprehensive and current plans of care that include physical needs, patient teaching, discharge planning, and psychosocial/spiritual needs.
Provide direct patient care based on assessed needs and the medical regimen.
Oversee and ensure the provision of all aspects of care for the patient.
Supervise the care provided by other nursing personnel as defined in the scope of practice.
Observe, evaluate, document, and communicate to relevant team members the patient's response to illness and/or therapeutic modalities.
Ensure timely reassessment of patient responses to treatment and when significant changes occur in patient condition and/or diagnosis.
Coordinate the overall plan of care to ensure implementation of nursing interventions and consistency with the medical regimen.
Establish priorities for care in collaboration with the multidisciplinary team and initiate follow-up, as indicated, to ensure timely provision of patient care and therapeutic modalities.
Assure the plan of care integrates age-specific care needs.
Accept responsibility and accountability for nursing interventions and outcomes based on professional clinical judgments.
Participate in quality improvement activities related to patient care delivery and the development of nursing standards.
Demonstrate effective communication, manage stressful situations appropriately, and facilitate interpersonal relationships with other disciplines.
Other Responsibilities:
Participate in the orientation of nursing staff.
Assume charge responsibilities as delegated.
Ensure appropriate coverage of all patients by assisting and relieving co-workers as needed.
Maintain a safe, therapeutic environment for patients, significant others, and staff.
Serve as a clinical resource for student nurses.
Participate in meetings, committees, conferences, and educational programs.
Engage in research and pilot projects supported by the Nursing Department.
Demonstrate responsibility for continuing professional growth and education, including attendance at staff development and continuing education programs.
Participate in appropriate professional and community organizations.
Schedule Notes:
The unit is a Rapid Evaluation Unit with patient stays typically ranging from 24 to 72 hours.
Candidates must be comfortable in a fast-paced, high patient turnover environment.
Strong communication skills with patients and families are essential.
Candidates must be comfortable being floated to various units as needed.
Skills:
1-2 years of experience on a cardiac unit where patients are under constant electronic monitoring.
Competent in basic cardiac rhythm monitoring techniques, interpretation, and treatment.
Experience with calculation of drug dosage, administering continuous medication infusions, vent/tracheostomy, gastrostomy tubes, and wound care management.
Education:
Required: BSN prepared with a minimum of 2 years of experience, BLS, ACLS.
Preferred: Board Certification, Experience in a Level I or II Trauma Center.
Job Category: Clinical - Nursing