Registered Nurse Stepdown Unit Night Shift

Job Summary

Provide professional nursing care within an assigned unit and coordinate care planning with other disciplines.

Stepdown is a 15-bed adult intermediate care unit treating acutely ill patients with medical problems related to renal disease, cardiac disease, respiratory disease, and other medical issues including post-surgical and dialysis patients. The stepdown unit requires BLS upon hire and ACLS within 6 months of hire. Nurses on this unit manage medication drips such as insulin and cardiac medications per physician orders.

In addition to the main unit, we have a stepdown overflow with an additional 9 beds.

36 hours per week (3 × 12‑hour shifts). Every other weekend obligation.

Medical University Hospital Authority (MUHA).

Night shifts (United States of America).

• Documents initial nursing histories, assesses patients’ conditions per policy requirements and develops individual care plans for patients taking into consideration their physical, psycho‑social, environmental, cultural, and spiritual needs.
• Assists physicians with examinations, procedures and other processes related to direct patient care according to established policies and procedures.
• Evaluates outcomes of patient care, consults with other specialists as required and revises nursing care processes as necessary to obtain optimal patient care.
• Coordinates discharge planning.
• Monitors and records patients’ condition.
• Maintains confidentiality.
• Using an interdisciplinary approach, formulates a teaching plan based on identified learning needs and evaluates effectiveness of learning (including family teaching) as appropriate.
• Coordinates patients’ ordered diagnostic and therapeutic services.
• Communicates patients’ condition during hand‑offs.
• Performs other miscellaneous and related duties as assigned by the director of nursing, charge nurse and/or medical staff.
• Performs charge duties as requested by director, after six (6) months nursing experience and appropriate training as required.
• Rounds on patients per policy to improve clinical outcome.
• Orients or mentors new staff members.
• Listens effectively to the patient to facilitate care requirements.
• Provides first line customer service response.
• Follows the MUSC Standards of Behaviors.
• Other duties as assigned.

Must be able to stand up to twelve (12) hours, walk, sit, use hands, reach, stoop, kneel, talk, hear and smell. Must be able to lift or exert energy up to 35 pounds. The Regional Medical Center has purchased patient transfer/lift devices to reduce the physical lifting of patients. Safe patient handling equipment is to be utilized for the transfer and lifting of patients greater than 35 pounds.

Close vision (clear vision at 20 inches or less), distance vision (clear vision at 20 feet or more), color vision (ability to identify and distinguish colors), peripheral vision (ability to observe area that can be seen move up/down or left/right) and depth perception (three‑dimensional vision, ability to judge distances).

Must possess the ability to read and interpret business or safety manuals, clinical or technical procedures or regulations. Ability to write reports, correspondence and/or manuals. Ability to effectively present information and respond to questions from groups, patients, families, other employees and medical staff. Ability to perform more complex math functions (add, subtract, multiply and divide) to include calculating percentages, averages, volume, ratio and interpreting graphs - using numbers and units of measure.

Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to deal with concrete and abstract concepts and interpret verbal, nonverbal and written instructions. Ability to multitask and prioritize assigned and assumed responsibilities to complete patient care as necessary.

This position primarily interacts with all age groups and provides direct patient care. All staff members must be able to demonstrate the knowledge and skill necessary to meet the physical, psycho/social, educational, safety, and related needs of…