RN - Stepdown (Advanced Care)

Position Highlights

• Sign-on Bonus: $10,000 for RNs with more than 1 year of experience (3-year commitment, external applicants only)
• Unit: CT7B Advanced Care
• Number of beds: 24
• Patient population: Acutely unstable patients not meeting ICU criteria but requiring frequent, advanced assessments and interventions. Conditions include complex multi-trauma, uncompensated sepsis, continuous non-invasive ventilation, stroke, complicated withdrawal from alcohol or other recreational drugs, and DKA. Also includes an Epilepsy Monitoring Unit (EMU) where patients with seizure-like events are taken off medication to purposefully induce events and provide information to the Epilepsy Team.
• Nurse to Patient ratio: 1:3
• Department culture and resources: Fast-paced, team-oriented unit working closely with physician partners and ancillary team members. Robust Partnership Committee meets monthly. Staff includes a unit-based educator, quality outcomes coordinator, 2 nurse supervisors, and charge nurses.
• Frequent nursing skills/equipment used: Minimum Q4 hour full RN assessments, minimum Q2 hour vital signs, continuous cardiac monitoring by primary RN, Foley/IV/NG insertions, arterial line/central line/chest tube monitoring and care, IV pumps, feeding pumps, lift equipment. Commonly used IV drips: amiodarone, diltiazem, insulin for DKA, dobutamine, heparin, octreotide.

Qualifications

• Certifications:
  • Advanced Cardiac Life Support (ACLS) within 1 year – American Heart Association (AHA)
  • Basic Life Support (BLS) within 30 days – American Heart Association (AHA)
  • Licensed Registered Professional Nurse (RN) – Illinois Department of Financial and Professional Regulation (IDFPR)
• Education: H.S. Diploma/GED
• Work Experience: Not specified

Responsibilities

• Performs all responsibilities and duties required by unit as specific to the scope of service.
• Implements procedures and theories related to the specific area of practice.
• Maintains up-to-date and accurate documentation of nursing care provided to assure integration of information for use by the healthcare team.
• Completes initial assessment upon patient admission and develops appropriate plan of care in accordance with unit standards based on patient and family needs.
• Implements plan of care, nursing interventions, and patient care procedures; modifies plan based upon continuous evaluation.
• Takes responsibility for patient and employee safety by reporting and/or correcting safety hazards and incidents.
• Communicates with others directly and in private when necessary to resolve issues.
• Offers constructive feedback to assist in the professional development of peers and confers with colleagues to expand knowledge base.
• Identifies own learning needs and takes initiative to begin appropriate solution.
• Fulfills all requirements of departmental competencies.
• Monitors EMU patients 24/7 for seizure activity.
• Ensures good communication with patients/family by utilizing meaningful hourly rounding, bedside shift report, and whiteboards.
• Works with critical care team for Advanced Care patients and with hospitalists for Advanced Care patients.

Compensation

$38.93–$63.35 per hour. Actual compensation depends on experience, qualifications, location, training, licenses, shifts worked, and compensation model.

Benefits

Carle Health offers a comprehensive benefits package for team members and providers. Learn more at careers.carlehealth.org/benefits.