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Bon Secours Mercy Health Registered Nurse (RN)- Medical Stepdown Unit in Richmond, Virginia

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.

St. Mary's Hospital-Richmond, VA

Registered Nurse (RN)-FT, PT

Medical Step Down Unit(3N)

up to $25,000 Sign On Bonus for Qualified Applicants

Bon Secours

About Us

As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.

Our Unit

Our 12 telemetry bed unit cares for patients with acute and chronic cardiac and medical conditions that require close observation, interventions, and cardiac monitoring. Care includes but not limited to Arrhythmias, Pre and post cardiac catheterizations (PTCA, stents) and other post cardiac lab procedures, myocardial infarctions, CHF, unstable angina, Acute and Chronic medical conditions. Procedures done: cardiac monitoring, IV therapy, anti-coagulant therapy, defibrillation/cardioversion, administration of non-titrated cardiac drips.

Our Nursing Team

Our team is highly engaged, skilled, and collaborative. We care for a diverse population honing specialty skills in the post of patient to deliver exceptional holistic care to our patients that include our entire interdisciplinary team. This allows us to care for patients with various comorbidities in a way that supports each other and creates a healing environment to deliver extraordinary patient-centered care.

Our Orientation Process

We orient all of our nurses by providing a 12-week orientation program with dedicated preceptors complemented by cardiac catheterization lab observation, one on one with our clinical coordinator, and basic arrhythmia training. We provide ongoing support during and after orientation through our Nurse Residency and Mentor Program. Our nurses have the opportunity to participate in local and national critical care education events. These events support our nurses in developing strong critical thinking skills and becoming expert clinicians in critical care.

Professional Growth

We encourage professional growth of all of our nurses through participation in our facilities shared governance committees, advancement on our hospital career ladder and the Progressive Critical Care Nurse (PCCN) through the American Association of Critical Care Nurses (AACN). We have a very active local chapter of the AACN through the Greater Richmond Area Chapter (GRAC) that meets regularly and provides continuing education on new innovations in critical care nursing.

Summary of Primary Function/General Purpose of Position

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.

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 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.

• 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)

Many of our opportunities reward* your hard work with:

Comprehensive, affordable medical, dental and vision plans

Prescription drug coverage

Flexible spending accounts

Life insurance w/AD&D

Employer contributions to retirement savings plan when eligible

Paid time off

Educational Assistance

And much more

*Benefits offerings vary according to employment status

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com

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