Registered Nurse, Stepdown, Full-time nights, Clarksville

United States·Clarksvillemid

HealthcareNurse

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Quick Summary

Overview

Discover Vanderbilt Health: With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system.

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HealthcareNurse

VCH Step Down

Applies the nursing process to plan and implement the care of patients, including patient and family education and continuum of care planning. Effectively communicates pertinent patient/family information to the health care team. Collaborates in establishing patient goals and evaluates progress to ensure effective outcomes. Furthers professional growth by engaging in learning activities according to the Board of Nursing standards.

Hours of Position:

Full-time (36 hours/week), nights (6:45p - 6:45a)

We are seeking a compassionate, highly skilled Registered Nurse (RN) to join our 21-bed Stepdown/Telemetry Unit. This unit specializes in caring for acutely ill but stable patients who require continuous cardiac monitoring and a higher level of nursing assessment and intervention. The ideal candidate thrives in a fast-paced, collaborative environment and is committed to delivering exceptional patient- and family-centered care.

Our Stepdown Unit is a 21-bed hardwired telemetry department that cares for patients with a broad range of:

Cardiac and vascular conditions
Medical-surgical diagnoses
Cardiac arrhythmias
Patients requiring bedside cardioversion
Sepsis and stroke management
Withdrawal management
Oxygenation and respiratory support
Post-operative recovery and monitoring
Patients requiring titratable medications and specialized interventions

With a nurse-to-patient ratio of 4:1, nurses are empowered to provide comprehensive, high-quality care while developing strong clinical expertise.

Preferred experience with:

Hardwired ECG telemetry monitoring
Cardiac rhythm interpretation
Bedside cardioversions

BiPAP therapy
High-flow oxygen therapy
End-tidal CO2 (EtCO2) monitoring

Alaris infusion pumps
PCA (Patient-Controlled Analgesia) pumps
Epidural management
Bladder scanners

Cardiac drips
Sedation infusions
Intravenous fluids
Blood product administration
Total Parenteral Nutrition (TPN)

Requirements

~1 min read

Current Registered Nurse (RN) license in applicable state.
Graduate of an accredited nursing program.

Previous experience in telemetry, stepdown, progressive care, cardiac, or acute care nursing.
Telemetry rhythm interpretation experience.
Professional nursing certifications related to cardiac, medical-surgical, or progressive care nursing.
Experience caring for complex medical and cardiovascular patients.
BLS, ACLS

Responsibilities:

Certifications:

LIC-Registered Nurse - Licensure-Others

Work Experience:

Relevant Work Experience

Experience Level:

Less than 1 year

Education:

Graduate of an approved discipline specific program

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.

Our team is committed to continuous learning, professional growth, and clinical excellence. Nurses are encouraged to participate in:

Shared governance councils
Quality and safety initiatives
Professional certification programs
Multidisciplinary rounds
Evidence-based practice projects
Ongoing education and career development opportunities

New team members receive a comprehensive 8-12 week orientation program, tailored to individual nursing experience and designed to build confidence and clinical competence within the Stepdown environment.

The successful candidate will be:

A critical thinker with strong clinical judgment
Team-oriented and collaborative
Adaptable in a fast-paced environment
Passionate about patient- and family-centered care
Committed to lifelong learning and professional development
An excellent communicator who thrives in interdisciplinary teamwork

Join a highly engaged team dedicated to delivering exceptional care to complex patients while fostering a culture of collaboration, safety, and continuous improvement.

KEY RESPONSIBILITIES

Collaborates in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum.
Analyzes comprehensive information pertinent to the patient's care and management to determine nursing diagnosis.
Continually utilizes the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes.
Employs strategies to promote health and a safe and healthy environment.
The responsibilities listed are a general overview of the position and additional duties may be assigned.

Responsibilities

~2 min read

Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.