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)-Full Time**
**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.
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