Registered Nurse- RN- D4

Job Overview

The RN independently provides direct nursing care to patients and their families in accordance with established policies, procedures, and practices.

D4 Cardiac Unit
- Step Down Unit
- Main Campus

36 Hours
- Full Time

Days/Evenings 11:00AM- 11:00PM

D4 is a 30 bed intermediate care/stepdown unit. This unit cares primarily for cardiac patients in need of cardiac catheterizations, post STEMI/angioplasty, NSTEMI, post pacemaker insertion, CHF patient’s, Atrial Fibrillation or other cardiac arrhythmia’s and hyper/hypotensive patients, not meeting ICU admission criteria.

The RN is responsible for administering and monitoring drips independently. Care for vascular patients pre/post-surgery including carotid endarterectomies and Fem-pops and other diseases/diagnosis’s requiring close monitoring; such as sepsis, respiratory patients requiring BIPAP or High-flow oxygen, renal disease with/without HD, Neurological diagnosis’s, patients withdrawing from substance abuse and OB emergencies.

The Community RN Career Direct Care Pathway placement is comprised of four levels based on a RN’s minimum experience, education, and qualifications.

• Level I – 0 – Less than 12 Months of RN Experience.
• Level II – 12 Months - Less than 3 Years of RN Experience.
• Level III – 3 Years - Less than 8 Years of RN Experience.
• Level IV – 8 Years of RN Experience.

• Participates in and maintains awareness of performance improvement initiatives.
• Conscientiously evaluates and integrates evidence-based practice and research into clinical practice.
• Conducts and documents accurate clinical assessments.
• Develops, implements, and evaluates the patient’s individualized plan of care.
• Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s needs.
• Manages own patient assignment by delegating and effectively based on patient needs and skills of team members.
• Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources, and documents according to department standards.
• Recognizes patient/family rights through support of their informed decisions and advanced directives.
• Continually evaluates and revises the care plan according to changes in the patient’s health status.
• Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources.
• Supports the development of new staff members and helps facilitate their transition into unit.
• Guides the professional growth of department staff through precepting.
• Participates in professional development by identifying learning needs and seeking appropriate education.
• Participates in departmental committees as needed.

• Massachusetts RN Licensure.
• 12 Months - Less than 3 Years of RN Experience.
• Current Basic Life Support (BLS) Certification.
• Department Specific:
  Certification(s) relevant to the department and the type of patient care being provided may be required.

• New Competitive Pay!

$37.50 - $68.47