Registered Nurse, RN - Medical Step Down Unit

## Registered Nurse, RN - Medical 3 Step Down Unit Apply:
Melrose Wakefield Hospital:
Full time:
Posted Today:
R25439
** Unit

Summary:

** 28 Bed Telemetry Unit.

* This unit cares primarily for cardiac patients in need of cardiac catheterizations, post STEMI/angioplasty, NSTEMI, post pacemaker insertion, CHF, Atrial Fibrillation, and other cardiac arrhythmias, along with hyper/hypotensive patients not meeting ICU admission criteria.
* Neurological, renal, GI and patients withdrawing from substance abuse are also placed on this floor.
* Patients can be on high flow oxygen, continuous bipap, with continuous oxygen saturation monitoring.
* Patients transferring out of ICU are often cared for on this floor as well.
* The nurse patient ratio is less than on the med/surg floors, allowing for patient to be more closely monitored.  
*
* Hours:

36 hours/week, Night Shift, Every third weekend
** 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.  
** Job Profile Summary
** This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders.  In addition, this role focuses on performing the following Clinical Nurse duties:
Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed.  Provides professional nursing care to patients. Requires a nursing license.
A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs.  The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education.
** Job Overview
** The RN independently provides direct nursing care to patients and their families in accordance with established policies, procedures, and practices.  
** Job Description
***
* Minimum Qualifications:

** 1. Massachusetts RN Licensure.
2. Current Basic Life Support (BLS) Certification.
3. Department Specific:
Certification(s) relevant to the department and the type of patient care being provided may be required.
4. Experience based on level (I, II, III, or IV).  
*
* Preferred Qualifications:

** 1. Bachelor of Science in Nursing (BSN).
*
* Duties and Responsibilities:

** The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.  Other duties and responsibilities may be assigned.  
1. Participates in and maintains awareness of performance improvement initiates.
2. Conscientiously evaluates and integrates evidence-based practice and research into clinical practice.
3. Conducts and documents accurate clinical assessments.
4. Develops, implements, and evaluates the patient’s individualized plan of care.
5. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's needs.
6. Manages own patient assignment by delegating and effectively based on patient needs and skills of team members.
7. Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources, and documents according to department standards.
8. Recognizes patient/family rights through support of their informed decisions and advanced directives.
9. Continually…