RN – Step-Down

Specialty: Step-Down
Facility: St Rita’s Medical Center
State License: OH
Certs/Licenses:
Years of Experience:
Shift: Days
Guaranteed Hours:
Description: Specialty: PCUFacility: St Rita’s Medical CenterState License: OHCerts/Licenses: Years of Experience: Shift: DaysGuaranteed Hours: Description: Job Description Position DetailsStepdown RN – 4K – Stepdown float to ICU as neededThis position will not accept local candidates. Dysrhythmia Exam Required (Study Guide Available)Must have exp working with ICU level patients as neededMust have exp with vents/trachs12 HR Days, EOW, EOHITO interview/offerUnit Specific DetailsDrips: Amio, Cardizem, Nitro, Heparin, Dobutamine, Cardene, Lasix, Bumex, Narcan, Milrinone, mainly fixed rate drips.If needing titration, transferred to ICU. Preferred: Experience with Pre/Post Cath Lab patients and Pre/Post CABG.Lines/Drains/Devices: Central lines, medi ports, PICC s, midlines, foley s, nephrostomy tubes, pleurix catheters, chest tubes, NG tubes, PEG tubes, J tubes, flexiseal. Oxygen: Trachs/vents, BiPAP, CPAP, Heated High Flow, Trachs, Nasal CannulaCould be assigned low acuity ICU patients, examples may include low dose vasopressor, stable vent with ET Tube and sedation, 3% saline, NIH post thrombectomy or TNK, etc. The ICU team will be available for questions and support as well.BLS, ACLS and NIHSS requiredNavy Blue ScrubsJob Code 740N37 Include JobCode in Name Yes Job Profile Summary Job Description Summary of Primary Function/General Purpose of Position TheStepdown Registered Nurse (RN) delivers patient care utilizing the nursing process through data collection andassessment, identifying and determining the priority of patient s problems/needs, and evaluating the process andoutcome of nursing care, all in collaboration with the interdisciplinary care team. The RN coordinates, provides, anddirects patient teaching activities and coordinates the care provided by health team members. Essential Job Functions Conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implementstreatment, and evaluates treatment effectiveness Administers medications in a safe manner consistent with the Stateof Practice and Bon Secours Mercy Health policies and procedures. Serves as point of contact for patient’s carecoordination throughout hospital departments. Acts as a patient safety advocate by participating in ongoing qualityimprovement in the department. Serves as patient advocate in collaboration with spiritual care, palliative care, andethics. Serves as a point of care with care coordination and family members or caregivers. Clinically managespatients 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 patientsacross the lifespan. Synthesizes and prioritizes information in order to take immediate and decisive evidence-based,patient-focused action using clinical judgement and clinical inquiry. Anticipates and responds with confidence andadapts to rapidly changing patient conditions. Responds to the unique needs of the patients and families coping withunanticipated illness or injury and treatment and advocate for their choices in quality of life. BSMH nurses areexpected to practice and deliver care in accordance with the core concepts and intention of the BSMH NursingProfessional Practice Model. This document is not an exhaustive list of all responsibilities, skills, duties,requirements, or working conditions associated with the job. Employees may be required to perform other job-relatedduties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Current RN licensein state they are working or covered by compact (required) BLS Basic Life Support (preferred upon hire, must obtainfrom approved source prior to direct patient care) ACLS Advanced Cardiac Life Support (preferred) CCRN Critical CareRegistered Nurse (preferred) PCCN Progressive Care Certified Nurse (preferred) National Institute of Health(NIH) StrokeCertification (preferred) Education Bachelor of Science Nursing (preferred) Work Experience 1 year of RN experience(required) 6 months RN experience in an acute care hospital setting (preferred) Training EPIC Electronic Health Record(EHR) training (preferred) Critical Care Course (preferred) Skills Assigns patient care according to the nursingskill, knowledge, and scope of practice of staff. Orients, facilitates learning experience, and provides education(based upon quality improvement indicators, outcomes, and implementation) to nursing staff and others. Possessesclinical knowledge, skills, and competency to provide evidence-based patient care in accordance with the currentstandards of practice, policy and procedure, and BSMH mission. Performs comprehensive assessment of patient’sclinical condition and psychosocial needs of the patient and their supportive resources. Safely and efficientlydevelops, implements, and prioritizes plan of care. Application of the nursing process in patient care delivery. Assesses patient’s physical and emotional responses to treatment to evaluate effectiveness of intervention andpatient 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. Strong interpersonal and verbal/writtencommunication skills. Applies cultural diversity and inclusion principles when caring for patients and their supportresources. Recognizes own limitations and seeks assistance and acquires information to perform safely. Advancespersonal and professional growth through participation in educational programs, current literature, in-services, andworkshops. Exhibits professionalism through accountability for own and delegated actions. Integrates cost-effectivemeasures into practice and models effective stewardship of available resources. Practices self-care and cultivatesresilience in conflict and difficult circumstances. Protects the safety and privacy of all persons. Understandingand utilization of office and clinical technologies. Ability to communicate with patients in a manner they canunderstand considering their personal preferences. Compassionate, relationship-based approach to help find meaning inillness, suffering, pain, and existence. Remains calm, adaptive, and collective during an emergency. Manages careof patients with chest tubes. Assesses patients through hemodynamic monitoring. Inserts and monitors transvenouspacing/temporary pacing. Administers means for conscious sedation. Knowledge of advanced respiratory modalities.Working Conditions Periods of high stress and fluctuating workloads may occur May be exposed to physical altercationsand verbal abuse May be required to use physical restraints May be exposed to high noise levels and bright lights Maybe exposed to limited hazardous substances or body fluids* May be exposed to human blood and other potentiallyinfectious materials* May have periods of constant interruptions * Individuals in this position are required toexercise universal precautions, use personal protective equipment and devices, and learn the policies concerninginfection control. 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% Balance1-33% Bending 34-66% Sitting 34-66% Walking 34-66% Standing 34-66% Additional Physical Requirements/Hazards Manualdexterity (eye/hand coordination) Perform shift work Maneuver weight of patients Hear alarms/telephone/audio recorderReach above shoulder Repetitive arm/hand movements Finger Dexterity Color Vision Acuity – far Acuity – near Depthperception Use of latex products Exposure to toxic/caustic/chemicals/detergents Exposure to moving mechanical partsExposure to dust/fumes Exposure to potential electrical shock Exposure to x ray/electromagnetic energy Exposure to highpitched noises Gaseous risk exposure Patient Population Demonstrates the knowledge and skills necessary to provide careappropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles ofgrowth and development of the life span and possesses the ability to assess data reflective of the patient’s statusand 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) Notes Replacing L. Hopkins and B. Owens- switching from 8AB to 4K Primary Skills: BLS, RNLicense Job certifications: EKG Attestation, Raise the Bar Attestation, St. Rita’s Medical Center Parking Registration Form Job credentials for Professional: BLS, ACLS, NIH