step down nurse

Mercy Health

<div>Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities.
Registered Nurse (RN) &ndash; Progressive Care (Step Down) &ndash; Anderson Hospital
***RNs could receive a sign-on bonus up to $15,000 with 1 year prior experience in specialty. New Grad RNs could receive a sign-on bonus of up to $7,500***
Job Summary:
The Progressive Care (Step down) Registered Nurse (RN) position is responsible for delivering exceptional nursing care to patients by:<ul><li>
Utilizing strong organizational and leadership skills to assess patient status</li><li>
Acting as the service line between Med-Surg and ICU units</li><li>
Determining the priority of the patient&rsquo;s problems and needs</li><li>
Developing and performing patient care plans to enhance and improve outcomes</li><li>
Ensuring a safe and therapeutic environment</li></ul>
Essential Functions:
<ul><li>Collaborate with the interdisciplinary care team</li><li>
Conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatment, and evaluates treatment effectiveness</li><li>
Serves as point of contact for patients' care coordination throughout hospital departments</li><li>
Acts as a patient safety advocate by participating in ongoing quality improvement in the department</li><li>
Administer medications in a safe manner consistent with the State of Practice and the organization&rsquo;s policies and procedures</li><li>
Other duties as assigned</li></ul>
Education:<ul><li>
Bachelor of Science Nursing (preferred, not required)</li></ul>
Certifications:<ul><li>
Current state licensure as a Registered Nurse (RN)</li><li>
BLS Basic Life Support or ACLS Advanced Cardiac Life Support (preferred at hire, must obtain from approved source prior to direct patient care, ACLS required within 6 months of hire)</li></ul>
Experience:<ul><li>
1 year of RN experience (required)</li><li>
6 months RN experience in an acute care hospital setting (preferred)</li></ul>
As a Mercy Health associate, you're part of a Mission that matters. We support your well-being&mdash;personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer
<ul><li>Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)</li>
<li>Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts</li>
<li>Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders</li>
<li>Tuition assistance, professional development and continuing education support</li>
</ul>Benefits may vary based on the market and employment status.
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health &ndash; Youngstown, Ohio or Bon Secours &ndash; Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com</div>

Registered Nurse (RN) - Progressive Care (Step Down) - Anderson Hospital

lamb

Any traveler not currently in possession of an active State of HI license must apply upon acceptance of offer. Candidate must have Hawaii License by start of assignment. Medical and religious exemption requests will not be accepted in lieu of documented proof of immunity. General Job duties. Types of procedures required. Flex Rn Floats between various medical and surgical units Shift or schedule requirements. 12-hour shifts - Days (0645 to 1915) - Scheduled 36 hours per week following first week of orientation. No guarantee of hours. Equipment utilized in the unit/dept. Meditech EMR; pyxis; wound vac; chest tubes. Required skills and minimum years of experience. 2-10 years' experience Specific licensures and certifications/registrations required. BLS, ACLS (Preferred: PALS, Procedural Sedation, TNCC, ENPC) Floating to other units/departments. Medical Unit; Laulima Unit; Cardiovascular Unit (on rare occasions) Bed size/number of rooms for this unit/dept. Medical - 77; Laulima (surgical Acute) - 18; Cardiovascular Unit - 15 Nurse to patient ratio of this unit. Medical 1:6 for days and eves, 1:8 for nights Laulima 1:6 Cardiovascular 1:4 Ratio may vary due to unexpected leaves Dress Code. Professional nursing attire - clean scrubs Tell us about the unit/department specific training and orientation program. Orientation time provided for each unit
 
Shift: 12-hour shifts - Days (0645 to 1915) - Scheduled 36 hours per week following first week of orientation. No guarantee of hours.
 
Specialty Type: Nursing
 
Sub Specialties: Med-surg Adult, Step Down
 
General Certifications: General Certifications(ACLS,BLS/BCLS)
 
Please CLICK HERE to view details.
 
You'll never receive recurrent notifications, aggressive phone calls, or overbearing messages from us. Just support! Info@lambstaffing.com www.lambstaffing.com A US based healthcare staffing firm, Lamb Company has been serving healthcare workers so that healthcare workers may serve their patients since 2019. Our team consists of individuals with likeminded goals to have a heart for providing quality care for patients that without our help, may not receive any. Our job is to find a site that matches well with you and develop a plan to safely and effectively get you implemented into that system. As a small company with owners that are healthcare workers themselves, we understand the difficulty of starting new and finding a home where you are appreciated. We are always available and aim to find you the employment of your dreams. Please reach out with any questions which you may have!

RN - Flex Pool - Days - $64/hr

St. Charles Health System

Full-Time, Nights
 
ST. CHARLES HEALTH SYSTEM
 JOB DESCRIPTION
 
TITLE: RN – Critical Care - System
 REPORTS TO POSITION: Department Manager/Director
 DEPARTMENT: Varies
 DATE LAST REVIEWED: April 18, 2024
 
OUR VISION: Creating America’s healthiest community, together
 
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
 
OUR VALUES: Accountability, Caring and Teamwork
 
DEPARTMENTSUMMARY: TheCritical Care RNpositions include bedside RNs on various units throughout St. Charles Health System. These departments include all Intensive Care Units, the Intermediate Care Unit, Progressive Care Unit and Critical Care Floats. These departments provide 24/7 specialized care to patients throughout their hospitalization and discharge.
 
POSITION OVERVIEW: TheRNprovides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System mission, philosophy, policies, and procedures. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others. As a nurse, this position will oversee the work of other caregivers, providing specific care to assigned patient(s) throughout the shift, as required under the scope of the RN licensure.
 
ESSENTIAL FUNCTIONS AND DUTIES: 
Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with St. Charles Health System policies and procedures and within laws and regulations governing nursing practice in the State of Oregon.
 
Assesses the patient’s condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient’s/family’s physical, emotional, spiritual, social, and intellectual needs; and evaluates patient’s progress.
 
Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration.
 
Documents all patient care with proficiency in compliance with hospital policies, procedures and regulatory agencies.
 
Demonstrates awareness of and supports St. Charles departmental and operating unit goals through participation in continuous quality improvement and departmental activities.
 
Participates in activities that promote professional growth and development of self and others.
 
Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests.
 
Identifies work-related problems with possible solutions and implements solution(s) within scope of practice, as appropriate.
 
Supports the vision, mission and values of the organization in all respects.
 
Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
 
Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
 
Participates in creating intentional relationships and demonstrates focused attitudes and behaviors that enhance the care experience.
 
Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient’s care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, communicating effectively and appropriately through touch, eye contact, etc.
 
Provides and maintains a safe environment for caregivers, patients and guests
 
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
 
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
 
Performs stand by callback as assigned. Varies by department.
 
May perform additional duties of similar complexity within the organization, as required or assigned.
 
EDUCATION
 
Required: As required by RN licensure.
 Preferred: BSN
 
LICENSURE/CERTIFICATION/REGISTRATION
 Required: Current Oregon RN license.
 AHA Basic Life Support for Healthcare Provider certification.
 ACLS
 Preferred: Department specific acute care certification (i.e. CCRN, PCCN, CEN)
 
BEND-INTERMEDIATE CARE UNIT:Additional Requirements: 
Basic ECG course, 12 Lead ECG course, or successful completion of Basic ECG competency test for internal applicants.
 12 Lead ECG course within 6 months of hire.
 
EXPERIENCE
 
Required: See below
 Preferred: Department specific acute care experience.
 
BEND-INTERMEDIATE CARE UNIT: 
Additional Requirements: One-year Progressive Care Unit, Step Down, Intensive Care Unit or one year of Emergency Department experience within the past five years. Per the hiring manager’s assessment, previous experience must enable performance of the full scope of the position.
 Preferred: Experience working with cardiovascular patient population.
 
PERSONAL PROTECTIVE EQUIPMENT
 Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
 
ADDITIONAL POSITION INFORMATION:General: 
Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.
 Excellent organizational and multitasking skills.
 Strong teamwork and collaborative skills.
 Strong analytical, problem solving and decision making skills.
 Basic to intermediate ability and experience with computer applications, specifically electronic medical records system and MS Office.
 
PHYSICAL REQUIREMENTS: 
Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.
 Frequently (50%): Sitting,lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers.
 Occasionally (25%): Bending,stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead,lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.
 Rarely (10%): Climbing stairs.
 Never (0%): Climbing ladder/step-stool (varies by area), operation of a motor vehicle.
 Exposure to Elemental Factors
 Rarely (10%): Wet/slippery area, chemical solution.
 Never (0%): Heat, cold, noise, dust, vibration, uneven surface.
 Blood-Borne Pathogen (BBP) Exposure Category
 Risk for Exposure to BBP
 
Schedule Weekly Hours: 
36
 
Caregiver Type: 
Regular
 
Shift: 
Third Shift (United States of America)
 
Is Exempt Position?
 No
 
Job Family: 
REGISTERED NURSE CRITICAL CARE
 
Scheduled Days of the Week: 
Variable; includes every other weekend and holidays
 
Shift Start End Time: 
1900-0730

RN Intermediate Care Unit

Main Line Health

<div>Could you be our next Per Diem Stepdown Nurse at Paoli Hospital?
Why work as a Per Diem, Stepdown Nurse at Paoli Hospital?
Make an Impact!
As a part of our Interdisciplinary Team working within the 16 bed unit, your care and treatment of these patients is an integral part of their Patient Experience. As a Registered Nurse, you would be caring for the Stepdown/Progressive Care patient population.
Develop and Grow Your Career!
You are encouraged to attend MLH Education &amp; Development Classes that offer a variety of relevant courses, tools, and resources to help achieve your personal and professional goals. On-going feedback and career development are provided by your Manager through the use of performance appraisals and 1:1 communication to further develop yourself professionally.
Get Involved!
Become engaged by joining hospital &amp; system-wide Nursing Committees, Unit Councils, evidence-based research projects, precepting new staff, and pursuing the Clinical Ladder program.
Join the Team!
Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a common purpose: providing superior service and care.
Position-Specific Benefits include:
We offer a number of employee discounts to various activities, services and vendors... And parking is always free!
Position:
Registered Nurse (RN) - Stepdown/Progressive Care (PCU)
Shift:
Per Diem/Tier 2, Minimum 72 hours per 6 week schedule, of which, 24 hours need to be worked over a weekend; Additional hours available for pick-up if desired. Rates = $60.00/Days, $64.50/Evenings, and $67.00/Nights.
Experience:
One year(s) of recent Stepdown/Progressive Care Nurse experience required.
Education:
RN Diploma, ASN required; BSN preferred.
Licensures/Certifications:
1. PA RN license OR a multi-state license verified in one of the approved states through the Nursing Licensure Compact.
2. Provider BLS (American Heart Assoc/American Red Cross) required.</div>

Registered Nurse (RN) - Stepdown

American Traveler

<div><h3 class="jobSectionHeader">Assignment Overview</h3><ul><li>
Shift: Nights, 3x12hrs</li><li>
Hours: 36 hrs/wk</li><li>
Start Date: Mar 3, 2026</li><li>
Length: 8 weeks</li><li>
Openings: 8</li></ul><h3 class="jobSectionHeader">
Description</h3>
American Traveler is seeking an experienced RN for a Cardiovascular ICU (CVICU) Float Rapid Response position with a minimum of 2 years of experience, working night shifts at an HCA facility in Asheville, NC.<h3 class="jobSectionHeader">
Details</h3><ul><li>
CVICU (unit 650) in an acute care hospital setting in Asheville, NC</li><li>
Float position covering CVICU, cardiac step-down/progressive care (E4), and cath lab recovery</li><li>
Rapid response role requiring capability with ECMO, LVAD, and cath lab recovery patients</li><li>
Night shift: 7:00 PM &ndash; 7:00 AM</li><li>
8-week contract</li><li>
No RTO or special scheduling accommodations will be made</li></ul><h3 class="jobSectionHeader">
Requirements</h3><ul><li>
Active NC RN license or a compact RN license currently in hand</li><li>
Minimum 2 years of recent CVICU or relevant cardiovascular nursing experience</li><li>
Current BLS certification (AHA or ARC accepted; must not expire within the first 30 days of start)</li><li>
Current ACLS certification (AHA or ARC accepted)</li><li>
NIH Stroke Scale (NIHSS) certification required for CVICU RNs</li><li>
Experience with ECMO, LVAD, and/or cath lab recovery required</li><li>
US SSN and date of birth required for consideration &mdash; Canadian SSNs are not accepted</li><li>
One professional reference required (two required if licensed in Florida or Missouri)</li><li>
No gaps in work history of 90 days or more within the past 12 months</li></ul><h3 class="jobSectionHeader">
Additional Information</h3><ul><li>
Candidates must reside more than 50 miles from the facility &mdash; local candidates are not eligible</li><li>
Orientation consists of a 4-hour hospital orientation followed by an 8-hour on-unit shift</li><li>
RNs are required to wear all navy, all white, or a combination of navy and white scrubs</li><li>
Tobacco use is prohibited on all campus properties, including personal vehicles in campus parking areas</li></ul></div>

Travel RN - Cardiovascular ICU

Trinity Health

<div>
 
 Employment Type
 
 
 
 Full time
 
 
 
 Shift
 
 
 
 Day Shift
 
 
 
 Description
 
 
 
 The Staff RN is responsible for assessing, planning, implementing and evaluating the care of patients. Functions as the leader for a nursing unit and assumes responsibility as Charge Nurse when assigned this task.
 
 
 
 Position Purpose
 
 
 
 Registered Nurse &ndash; Intermediate Care Unit RN works in a collaborative environment at St Mary&rsquo;s Health Care System to deliver excellent patient care as part of an interdisciplinary team providing evidence-based medicine and individualized patient care. A Registered Nurse RN is expected to facilitate all aspects of the patient visit experience. Great opportunity for a Registered Nurse RN professional to work in an organization that focuses on treating the whole person, physically, emotionally, and spiritually.
 
 
 
 What You Will Do
 
 
 
 <ul>
 <li>
 IMCU is a 28 bed intermediate unit that cares for patients with acute pulmonary, medical, surgical and cardiac conditions. This unit is a TogetherTeam unit which is partnered with virtual nurses.
 </li>
 <li>
 Under limited supervision, the Registered Nurse is responsible for assessing patients, including developing, evaluating, and modifying the care plan. The RN interprets and performs complex patient-care procedures specific to their expertise.
 </li>
 <li>
 RNs are members of the Care Team and Support Team and have accountability to function as a team to accomplish patient outcomes identified in the pathway/plan of care.
 </li>
 <li>
 The Registered Nurse is a professional caregiver who assumes responsibility and accountability for the care given to a group of patients for a designated time frame.
 </li>
 <li>
 The RN provides care to those patients via therapeutic use of self, the nursing process, the environment/technology, and other healthcare team members, according to established standards.
 
 
 </li>
 </ul>
 
 Minimum Qualifications
 
 
 
 <ul>
 <li>
 A current license to practice as a Registered Nurse in the State of Georgia.
 </li>
 <li>
 Graduation from an accredited nursing education program approved by the Board of Nursing or found by the Board to be substantially equivalent to the programs in Georgia.
 </li>
 <li>
 Successful completion of a refresher course within the past 6 months if nursing practice has not occurred within the past 5 years.
 </li>
 <li>
 Prior experience in preferred. New Graduates considered.
 
 
 </li>
 </ul>
 
 Position Highlights And Benefits
 
 
 
 <ul>
 <li>
 Comprehensive benefit packages available on Day One of employment including medical, dental, vision, paid time off, 403B, and education assistance
 </li>
 <li>
 We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities
 </li>
 <li>
 We live and breathe our guiding behaviors: we support each other in serving, we communicate openly, honestly, respectfully, and directly, we are fully present, we are all accountable, we trust and assume goodness in intentions, and we are continuous learners communicate openly, honestly, respectfully, and directly, we are fully present, we are all accountable, we trust and assume goodness in intentions, and we are continuous learners
 </li>
 <li>
 Is based in beautiful Athens, Georgia, a regional hub and city of 128,000 that is home to the University of Georgia and is nationally known for its arts, sports, recreational, cultural and educational amenities.
 
 
 </li>
 </ul>
 
 Ministry/Facility Information
 
 
 
 A member of Trinity Health, the third largest non-for-profit health system in the U.S.
 
 
 St Mary&rsquo;s Health Care System is a regional not-for-profit Catholic teaching healthcare system inclusive of three hospitals, St Mary&rsquo;s Medical Group, Graduate Medical Education, Home Health, Hospice Services, Senior Living, extensive outpatient services, auxiliary/volunteer services and clinical affiliations with the University of Georgia/Augusta University.
 
 
 
 Our Commitment
 
 
 
 Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
</div>

Registered Nurse RN Days Step Down Unit

<div><h3 class="jobSectionHeader">Assignment Overview</h3><ul><li>
Shift: Days, 3x12hrs</li><li>
Hours: 36 hrs/wk</li><li>
Start Date: Apr 13, 2026</li><li>
Length: 13 weeks</li><li>
Openings: 1</li></ul><h3 class="jobSectionHeader">
Description</h3>
American Traveler is seeking an experienced RN for a Flex Pool position in Hawaii, floating across medical and surgical units, with a minimum of 2 years of experience and an active HI RN license required by start date.<h3 class="jobSectionHeader">
Details</h3><ul><li>
Flex Pool RN role floating between the Medical Unit (77 beds), Laulima Surgical Acute Unit (18 beds), and Cardiovascular Unit (15 beds, rare occasions)</li><li>
Adult med/surg and step-down patient population</li><li>
Nurse-to-patient ratios: Medical Unit 1:6 (days/evenings) and 1:8 (nights); Laulima Unit 1:6; Cardiovascular Unit 1:4 &mdash; ratios may vary due to unexpected leaves</li><li>
12-hour day shifts, 0645&ndash;1915</li><li>
Scheduled 36 hours per week following the first week of orientation</li><li>
Meditech EMR in use</li><li>
Equipment includes Pyxis, wound vac, and chest tubes</li></ul><h3 class="jobSectionHeader">
Requirements</h3><ul><li>
Active Hawaii RN license required by start of assignment &mdash; candidates without one must apply upon offer acceptance</li><li>
Minimum 2 years of RN experience required</li><li>
Required certifications: BLS/BCLS and ACLS</li><li>
Preferred certifications: PALS, Procedural Sedation, TNCC, and ENPC</li><li>
Experience with med/surg and/or step-down patient care</li><li>
Familiarity with wound vac and chest tube management preferred</li></ul><h3 class="jobSectionHeader">
Additional Information</h3><ul><li>
Orientation is provided for each unit prior to independent assignment</li><li>
All travelers must report to Employee Health 48&ndash;72 hours before their start date &mdash; this appointment is scheduled at Hilo Employee Health and attendance is mandatory</li><li>
Travelers should plan to arrive in Hawaii the Thursday before a Monday start in order to report to Employee Health on Friday morning</li><li>
Documented proof of immunity is required &mdash; medical and religious exemption requests will not be accepted in lieu</li><li>
Professional nursing attire (clean scrubs) required</li><li>
COVID-19 vaccination is not required for this position</li></ul></div>

Travel RN - Med/Surg

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