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RN Med Surg Stepdown

Aimic Inc • Full-time • Middleburg Heights, US • 3w ago

Job Title: Level 2 RN Med Surg Stepdown

Location: Middleburg Heights,OH

Duration: 13 weeks

Pay rate: $51-$57 hr on W2

Scheduled Notes: Straight Days 7A-7:30P EOW and Holiday

Required:

BLS
1 Yr of RN Oncology Experience
RN License

The Cardiac Stepdown RN is responsible for monitoring vitalsigns, administering medications, managing cardiac devices, and collaboratingwith the healthcare team to ensure optimal recovery and patient outcomes.

Key Responsibilities:

Cardiac Monitoring and Assessment:
- Continuously monitor patients’ cardiovascular status, including heart rate, blood pressure, rhythm, and oxygen saturation, using telemetry or other monitoring devices.
- Assess for signs of cardiac complications, such as arrhythmias, ischemia, heart failure, or myocardial infarction, and respond appropriately.
- Regularly evaluate patients’ overall health, including fluid balance, respiratory function, and vital signs.
- Conduct thorough assessments of patients’ response to cardiac treatments and interventions.
Medication Administration and Management:
- Administer prescribed medications, including antiarrhythmics, anticoagulants, pain management, and other cardiac medications.
- Monitor for adverse reactions to medications, such as hypotension, bradycardia, or bleeding, and adjust care accordingly.
- Ensure accurate administration of IV medications, including drips for cardiac support (e.g., vasopressors, antiarrhythmic drugs).
- Educate patients on their medications, including dosages, timing, and potential side effects.
Patient Care and Recovery Support:
- Provide post-surgical and post-procedural care to patients recovering from heart surgeries, stent placements, pacemaker implantation, and other cardiac interventions.
- Assist patients in managing post-operative pain, including administering pain medications and helping with non-pharmacological pain management techniques.
- Monitor for and address common post-cardiac procedure complications, such as bleeding, infection, or graft failure.

Assess wound sites, including those from catheter insertion, pacemaker implantation, or heart surgery, and provide care as needed.
Post-Cath lab patient management skills such as pacer management, post ablation management, femoral site management post sheath removal, and TR band management.

4.Patient Education:

- Educate patients and their families on cardiac conditions, medications, lifestyle modifications, and long-term care strategies to prevent further cardiac events.
- Provide guidance on diet, exercise, stress management, and other factors contributing to cardiovascular health.
- Prepare patients for discharge by teaching them about home care needs, follow-up appointments, and when to seek medical attention.
- Address concerns about cardiac rehabilitation and support the transition to outpatient care.
Collaboration and Communication:
- Collaborate with cardiologists, cardiac surgeons, physical therapists, and other healthcare providers to develop and implement comprehensive care plans.
- Communicate effectively with patients, families, and the interdisciplinary team regarding the patient’s progress, treatment plan, and any changes in condition.
- Participate in daily rounds to discuss patient progress, treatment strategies, and next steps in care.
- Document patient care, interventions, and progress in electronic health records (EHRs) in a timely and accurate manner.
Emergency Response and Critical Care:
- Respond to emergent situations such as arrhythmias, cardiac arrest, or respiratory failure by providing immediate interventions like CPR or defibrillation.
- Assist in resuscitation efforts and coordinate with the team to stabilize the patient.
- Monitor and manage patients on life-support equipment (e.g., ventilators, intra-aortic balloon pumps) when necessary.
Infection Control and Safety:
- Follow infection control protocols to prevent hospital-acquired infections, particularly in patients with cardiac devices or post-surgical wounds.
- Ensure patient safety by monitoring for signs of complications such as pressure ulcers, deep vein thrombosis (DVT), and falls.
- Adhere to all safety guidelines for handling medications, equipment, and sterile procedures.

Qualifications:

Education:
- Registered Nurse (RN) with a valid state nursing license.
Experience:
- Previous experience in cardiac care, critical care, or telemetry nursing is required
- Experience working with post-cardiac surgery or interventional cardiology patients is beneficial.
- Knowledge of cardiac medications, arrhythmia management, and cardiac monitoring is highly desirable.
Certifications and Skills:
- Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certification are required.
- Cardiac nursing certification (e.g., CCRN, CNOR) may be preferred
- Strong clinical assessment and critical thinking skills.
- Proficient in using cardiac monitoring equipment, telemetry, and medical devices.
- Ability to recognize and manage emergency situations with swift decision-making.
- Excellent communication skills for interacting with patients, families, and healthcare teams.

Working Conditions:

Cardiac Stepdown RNs typically work in a hospital's stepdown or telemetry unit, providing care for patients recovering from serious cardiac conditions or surgeries.
The role involves working in a fast-paced environment with fluctuating patient acuity and long shifts, which may include weekends, and holidays.
Physical demands may include standing or walking for long periods, lifting or assisting patients, and handling medical equipment.
The nurse may be exposed to infectious diseases, requiring adherence to safety protocols and the use of personal protective equipment (PPE).

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