RN Tele New to Practice

New-to-Practice Stepdown Registered Nurse (RN)

Thank you for considering a career at Bon Secours Mercy Health!

Scheduled Weekly Hours: 36

Work Shift: Nights (United States of America)

Summary of Primary Function/General Purpose of Position:

The New-to-Practice Stepdown Registered Nurse (RN) provides, coordinates, plans, and evaluates nursing care within established nursing procedures, professional standards, and organizational policies/philosophies under the guidance of a competent experienced RN. The New-to-Practice RN demonstrates the ability to care for a group of patients in a fast-paced, high-intensity setting as part of an interprofessional team focused on achieving the best individual patient and population outcomes. The New-to-Practice RN is responsible for demonstrating core cultural and safety behaviors to eliminate preventable harm, ensure worker safety and a safe, high quality experience of care.

Essential Job Functions:

• In collaboration with an experienced Stepdown RN and other members of interdisciplinary teams, safely demonstrates basic knowledge of contemporary nursing practice.
• Applies nursing process with patients in a variety of illness or injury in all ages and populations.
• 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 and collaborates with spiritual care, palliative, and ethics when needed.
• Serves as a point person for care coordination for family members or caregivers.
• 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 in order 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 the patients and families coping with unanticipated illness or injury and treatment and advocate for their choices in quality of life.

BSMH nurses are expected to practice and deliver care in accordance with the core concepts and intention of the BSMH Nursing Professional 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-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification:

Current RN license in state they are working or covered by compact or RN applicant (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)

Education:

Bachelor of Science Nursing (preferred)

Work Experience:

Previous experience as an LPN or Patient Care Tech/CNA (preferred)

Training:

EPIC Electronic Health Record (EHR) training (preferred) Completion of RN Residency Program within 18 months of hire (required)

Skills:

Possesses clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with the current standards of practice, policy and procedure, and BSMH mission.

Performs comprehensive assessment of patient's clinical condition and psychosocial needs of the patient and their supportive resources.

Safely and efficiently develops, 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 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.

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.

Manages care of patients with chest tubes.

Assesses patients through hemodynamic monitoring.

Inserts and monitors transvenous pacing/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 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

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%

Additional Physical Requirements/Hazards:

Manual dexterity (eye/hand coordination)

Perform shift work

Maneuver weight of patients

Hear alarms/telephone/audio recorder

Reach above shoulder

Repetitive arm/hand movements

Finger Dexterity

Color Vision

Acuity - far

Acuity - near

Depth perception

Use of latex products

Exposure to toxic/caustic/chemicals/detergents

Exposure to moving mechanical parts

Exposure to dust/fumes

Exposure to potential electrical shock

Exposure to x ray/electromagnetic energy

Exposure to high pitched noises

Gaseous risk exposure

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)

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