Registered Nurse (RN) – Progressive Care Unit (PCU) 6W – St. Elizabeth Boardman Hospital

Per Diem position requiring a minimum of 24 hours worked within a 6-week period.

About the role

The Stepdown Registered Nurse (RN) delivers patient care utilizing the nursing process through data collection and assessment, identifying and determining the priority of patient’s problems/needs, and evaluating the process and outcome of nursing care, all in collaboration with the interdisciplinary care team. The RN coordinates, provides, and directs patient teaching activities and coordinates the care provided by health team members.

Responsibilities

• Conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatment, and evaluates treatment effectiveness.
• Administers medications in a safe manner consistent with the State of Practice and Bon Secours Mercy Health policies and procedures.
• Serves as point of contact for patients' care coordination throughout hospital departments.
• Acts as a patient safety advocate by participating in ongoing quality improvement in the department.
• Serves as patient advocate in collaboration with spiritual care, palliative care, and ethics.
• Clinically manages patients with multi-system organ failure and/or multisystem trauma.
• Using the AACN Synergy Model, restores, supports, promotes, rehabilitates, or palliates to maintain the physiologic, psychologic, and psychosocial stability of patients across the lifespan.
• Synthesizes and prioritizes information to take immediate and decisive evidence-based, patient-focused action using clinical judgement and clinical inquiry.
• Anticipates and responds with confidence and adapts to rapidly changing patient conditions.
• Responds to the unique needs of patients and families coping with unanticipated illness or injury and advocates for their choices in quality of life.
• Assigns patient care according to the nursing skill, knowledge, and scope of practice of staff.
• Orients, facilitates learning experience, and provides education to nursing staff and others.
• Performs comprehensive assessment of patient's clinical condition and psychosocial needs.
• Safely and efficiently develops, implements, and prioritizes plan of care.
• Assesses patient's physical and emotional responses to treatment to evaluate effectiveness of intervention and patient outcomes; revises plan of care accordingly.
• Assists patient and family in coping with patient's illness.
• Collaborates with others in the delivery of coordinated patient care.
• Manages care of patients with chest tubes.
• Assesses patients through hemodynamic monitoring.
• Inserts and monitors transvenous pacing/temporary pacing.
• Administers means for conscious sedation.

Requirements

• Current RN license in state they are working or covered by compact (required).
• BLS (Basic Life Support) or ACLS (Advanced Cardiac Life Support) (preferred at hire, must obtain from approved source prior to direct patient care; ACLS required within 6 months of hire).
• CCRN (Critical Care Registered Nurse) (preferred).
• PCCN (Progressive Care Certified Nurse) (preferred).
• National Institute of Health (NIH) Stroke Certification (preferred).
• 1 year of RN experience (required); new graduates with 6 months RN experience in an acute care hospital setting (preferred).
• EPIC Electronic Health Record (EHR) training (preferred).
• Critical Care Course (preferred).

Skills

• Strong interpersonal and verbal/written communication skills.
• Applies cultural diversity and inclusion principles when caring for patients and their support resources.
• Recognizes own limitations and seeks assistance and acquires information to perform safely.
• Advances personal and professional growth through participation in educational programs, current literature, in-services, and workshops.
• Exhibits professionalism through accountability for own and delegated actions.
• Integrates cost-effective measures into practice and models effective stewardship of available resources.
• Practices self-care and cultivates resilience in conflict and difficult circumstances.
• Protects the safety and privacy of all persons.
• Understanding and utilization of office and clinical technologies.
• Ability to communicate with patients in a manner they can understand considering their personal preferences.
• Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, and existence.
• Remains calm, adaptive, and collective during an emergency.
• Knowledge of advanced respiratory modalities.
• Manual dexterity (eye/hand coordination).
• Perform shift work and maneuver weight of patients.
• Hear alarms/telephone/audio recorder.
• Reach above shoulder and perform repetitive arm/hand movements.
• Finger dexterity, color vision, acuity (far and near), and depth perception.

Working Conditions

• Periods of high stress and fluctuating workloads may occur.
• May be exposed to physical altercations and verbal abuse.
• May be required to use physical restraints.
• May be exposed to high noise levels and bright lights.
• May be exposed to limited hazardous substances or body fluids.
• May be exposed to human blood and other potentially infectious materials.
• May have periods of constant interruptions.
• Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.
• Exposure to toxic/caustic/chemicals/detergents, moving mechanical parts, dust/fumes, potential electrical shock, x-ray/electromagnetic energy, high pitched noises, and gaseous risk.

Physical Requirements

• Lifting/Carrying (0-50 lbs.): 34-66%
• Lifting/Carrying (50-100 lbs.): 34-66%
• Push/Pull (0-50 lbs.): 34-66%
• Push/Pull (50-100 lbs.): 34-66%
• Stoop/Kneel: 1-33%
• Crawling: 1-33%
• Climbing: 1-33%
• Balance: 1-33%
• Bending: 34-66%
• Sitting: 34-66%
• Walking: 34-66%
• Standing: 34-66%
• Use of latex products.

Patient Population

Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.

• Adults (18-64 years)
• Geriatrics (65 years and older)

Benefits

• Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible).
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources, and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders.
• Tuition assistance, professional development, and continuing education support.

Benefits may vary based on the market and employment status.