Registered Nurse (RN) – Med-Surg / Stepdown

Position Overview

We are seeking an experienced Registered Nurse to provide direct patient care in our Rapid Evaluation Unit (REU), where patient stays typically range from 24–72 hours. This role requires a minimum of two years of Step-Down nursing experience, strong clinical judgment, and the ability to manage care in a fast-paced environment with high patient turnover.

The RN uses the nursing process to assess patient needs, develop and implement individualized care plans, and evaluate patient outcomes. This position is responsible and accountable for planning, delegating, supervising, and coordinating care for assigned patients in accordance with Department of Nursing standards, hospital policies, and multidisciplinary care practices.

Candidates must be comfortable floating to Medical-Surgical units as needed.

Key Responsibilities

Patient Assessment and Care Planning

1. Assess the immediate and ongoing physical, psychosocial, spiritual, and educational needs of patients and their families or significant others.
2. Develop and maintain comprehensive, individualized care plans that incorporate patient teaching, discharge planning, and age-specific needs.
3. Identify and address patient responses to actual or potential health problems through assessment, health teaching, counseling, and nursing interventions that support or restore health and well-being.
4. Establish care priorities in collaboration with the multidisciplinary team and follow up to ensure timely treatment and interventions.

Direct Patient Care and Monitoring

1. Provide direct patient care based on assessed needs, the prescribed medical regimen, and established nursing standards.
2. Perform EKGs, obtain lab draws, and provide ongoing assessment and monitoring.
3. Apply cardiac rhythm monitoring, interpretation, and treatment skills, including medication dosage calculations and administration of continuous medication infusions.
4. Provide care for patients requiring ventilator or tracheostomy management, gastrostomy tube care, and wound care.
5. Observe, evaluate, document, and communicate patient responses to illness and treatment.
6. Reassess patients promptly following interventions or significant changes in condition or diagnosis.
7. Maintain accountability for nursing interventions and outcomes based on professional clinical judgment.

Care Coordination and Team Collaboration

1. Coordinate the overall plan of care to ensure nursing interventions are consistent with the medical regimen.
2. Delegate and supervise care provided by LPNs, registered nurses on permit, nursing attendants, technicians, and supplemental staff within their respective scopes of practice.
3. Communicate clearly and compassionately with patients, families, and members of the care team.
4. Support patient coverage by assisting colleagues, providing relief, and floating to Medical-Surgical or other assigned units.
5. Assume charge responsibilities as delegated by the Nurse Manager or designee.
6. Maintain a safe, therapeutic environment for patients, visitors, and staff.

Professional Practice and Development

1. Participate in quality improvement initiatives and the development of nursing and hospital standards.
2. Assist with nursing staff orientation and serve as a clinical resource for student nurses.
3. Participate in meetings, committees, conferences, educational programs, and Nursing Department-supported research or pilot projects.
4. Maintain professional growth through continuing education, staff development, advanced nursing education, and relevant certifications.
5. Participate in appropriate professional and community organizations.

Required Qualifications

1. Bachelor of Science in Nursing (BSN).
2. Minimum of two years of Step-Down nursing experience.
3. Experience caring for cardiac patients requiring continuous electronic monitoring.
4. Current Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certifications.
5. Proficiency in cardiac rhythm monitoring and interpretation, medication dosage calculations, and continuous medication infusions.
6. Competency in ventilator and tracheostomy care, gastrostomy tube care, and wound management.
7. Ability to perform EKGs, obtain lab draws, and provide hands-on patient care.
8. Strong critical thinking, prioritization, and clinical assessment skills.
9. Ability to work effectively in a fast-paced, high-turnover setting and manage stressful situations appropriately.
10. Strong interpersonal skills and effective communication with patients, families, and multidisciplinary teams.
11. Willingness and ability to float to Medical-Surgical units as needed.

Preferred Qualifications

1. Relevant nursing board certification.
2. Experience in a Level I or Level II Trauma Center.

Join our team and make a difference in patients' lives. Apply now to become an integral part of our team!

Contact Us: (929)405-9972

PIEETS is a leading healthcare staffing agency that caters to all specialty areas within the healthcare sector. Our focus lies in recruiting, placing, and forming partnerships with various nursing professionals and various healthcare professionals.

At PIEETS, we address the dynamic staffing needs of healthcare organizations, ensuring they have access to qualified and reliable professionals. This flexibility allows healthcare facilities to maintain high standards of patient care while managing fluctuations in staffing requirements.