Job Title – RN – PCU/Step Down Unit
Location – Midlothian, VA
Pay – $2326 – $2434/wk
Schedule Details – Night, 3X12
Job Description –
Position Details
START 1/6/25
RN PCU/Stepdown Unit 1W
No local candidates (within 50 mile radius)
Dysrhythmia Exam Required (Study Guide Available in Library)
1-year minimum experience in PCU Travel experience NOT required
12 HR Nights, Floating as needed
Every other weekend & major holiday required
Unit Specific Details
Unit Size: 33 beds
Ratios*: 1:4-5 on days and 1:5-6 on nights, acuity dependent.
Patient Population: Cardiac Telemetry, Vascular and Med-Surg. Some Post Cath, Post Pacemakers.
Lines/Drains/Devices: PICCs, dialysis catheters, PEG tubes, ostomies, foleys, chest tubes, NG tubes, tube feeding (Kangaroo pumps), wound vacs.
Airway: Trachs, BiPAP, CPAP, Heated High Flow, High Flow, Nasal cannulas. No ventilators.
Drips: Cardizem, Amio, Dobutamine, Dopamine, Lasix, Heparin, and Insulin. PCA pumps for pain management.
Ancillary Staff: 1-3 PCAs and unit secretary depending on census and availability. Phlebotomy available for lab draws.
Other: Nurses are required to read/verify telemetry strips once a shift in EPIC.
*All listed ratios are subject to change based on staffing availability at the facility. Ratios are never guaranteed but are what the unit typically attempts to achieve with normalized staffing.
Scrubs: Navy blue scrubs.
BLS, ACLS required
Job Profile Summary
The Stepdown Registered Nurse (RN) delivers patient care utilizing the nursing process through data collection and assessment, identifying and determining the priority of patients 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. Essential Job Functions •
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 patient's 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. • Serves as a point of care with care coordination and 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 (required) BLS Basic Life Support (preferred upon hire, must obtain from approved source prior to direct patient care) ACLS Advanced Cardiac Life Support (preferred) CCRN Critical Care Registered Nurse (preferred) PCCN Progressive Care Certified Nurse (preferred) National Institute of Health(NIH) Stroke Certification (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 nursing skill, 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. • 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 * Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection 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% 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)
Geriatrics (65 years and older)
Medasource provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, national origin, age, sex, citizenship, disability, genetic information, gender, sexual orientation, gender identity, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state, and local laws.
Benefits & Perks:
Medasource Healthcare offers competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee’s needs. We offer a 401k plan that includes a company match and is fully vested after you become eligible, paid time off, sick time, and paid company holidays. We also offer an Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching, etc.
Pay Disclaimer:
The pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.
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