RN - Cardiothoracic Surgery Stepdown
Company: Cleveland Clinic
Posted on: November 22, 2021
Since 1995, no hospital in the country has ranked higher than
Cleveland Clinic in cardiac care. Each year, patients travel from
all 50 states and 135 countries to Cleveland Clinic's Sydell and
Arnold Miller Family Heart, Vascular & Thoracic Institute for
expert care and exceptional outcomes.-Our five Cardiothoracic
Surgery Step-down Units encompass 120 beds staffed for superior
nursing care. Our nurses exemplify professional practice through
continuing education, innovation, research and multidisciplinary
team collaboration to provide patient-centered care that promotes
quality and best outcomes for our patients. These units see the
most complex cardiac cases worldwide.-The J51, J53 and J62 units
each feature 24 beds and are dedicated to the care of the patient
receiving coronary artery bypass surgery, valve repair or
replacement and minimally invasive or off-pump coronary bypass
surgery. In addition to this post-operative open heart patient
population, we also care for all cardiac-related admissions,
including Ventricular Assist Devices (LVAD/RVAD) on all three
units, Total Artificial Hearts (TAH) on J51/J53, and nitroglycerin
drips to manage chest pain on J62.Provides direct nursing care in
accordance with established policies, procedures and protocols of
the healthcare organization.Responsibilities:
- Provides direct nursing care in accordance with established
policies, procedures and protocols of the healthcare organization.
Implements and monitors patient care plans.
- Monitors, records and communicates patient condition as
- Monitors and documents patient's condition and effectiveness
and timeliness of care and/or interventions.
- Evaluates, updates and revises plan of care to facilitate
achievement of planned and expected outcomes.
- Serves as a primary coordinator of all disciplines for
well-coordinated patient care.
- Administers prescribed medications and treatments in accordance
with approved nursing protocol.
- Notes and carries out physician and nursing orders.
- Assesses and coordinates patient's discharge planning needs
with members of the healthcare team.
- Assesses educational needs of the patient and significant
others considering cultural issues and other special concerns.
- Provides teaching and educational material as appropriate.
- Validates and documents patient and family understanding of
- Maintains professional growth and development through ongoing
formal and informal education and clinical nursing study.
- Other duties as assigned.Education:
- Graduate from an accredited school of professional nursing. BSN
- Current state licensure as Registered Nurse (RN).
- Proof of Basic Life Support (BLS) through American Heart
Association (AHA) must be presented upon hire.
- If in a Critical Care area an Advanced Cardiac Life Support
(ACLS) through American Heart Association (AHA) Certification must
be presented upon hire or within first year of employment.
- Within one year of hire RNs in Children's Hospital and
Children's Hospital for Rehabilitation will achieve and maintain
Pediatric Advanced Life Support (PALS) through American Heart
Association (AHA) with the exception of the Neonatal Intensive Care
Unit RNs who must achieve and maintain Neonatal Resuscitation
Program (NRP) through American Heart Association (AHA) provider
status and RNs in the Special Delivery Unit, who must achieve and
maintain Advanced Cardiac Life Support (ACLS) through American
Heart Association (AHA).
- ONS Chemo/Bio course complete within 1 year of employment if
employed on units inpatient and/or outpatient where chemo is
- If in an Adult/Combined EDs, ACLS upon hire or within one year
of beginning work in the Emergency Department.
- If in an ED, Pediatric Advanced Life Support (PALS) through
American Heart Association (AHA) upon hire or within one year of
beginning work in the Emergency Department.
- In Dedicated Trauma Centers, Trauma Nursing Core Course (TNCC -
adult) or Emergency Nurse Pediatric Course (ENPC - pediatric) upon
hire or within 24 months of beginning work in the Emergency
- Vascular Access Registered Nurse (VARN) program attendance
required and obtains either a Certified Registered Nurse Infusion
(CRNI) or Vascular Access Board Certified (VA-BC) certification
upon hire or within a year of hire in Peripherally Inserted Central
Catheter (PICC) areas.
- Any registered nurse or advanced practice nurse must obtain a
cancer specific certification or demonstrate ongoing qualifying
education within the timeframe of the facilities accreditation
cycle, if they work in -medical oncology, radiation oncology,
-cancer center or cancer clinic and/or administer chemotherapy
within an accredited Cleveland Clinic facility.Complexity of Work:
- Requires critical thinking skills, decisive judgment and the
ability to work with minimal supervision.
- Must be able to work in a stressful environment and take
appropriate action.Work Experience:
- Minimum one year current acute care RN experience in a hospital
setting required for acute care settings.
- Minimum one year current acute care RN experience and/or
skilled nursing facility (SNF) experience required for SNF care
- Minimum one year current acute care RN experience and/or rehab
experience required for rehab care settings.
- Minimum one year current acute care RN experience and/or
Emergency Department (ED) experience required for ED settings.
- Will consider licensed military RN experience.Physical
- Requires full range of body motion including handling and
lifting patient, manual and finger dexterity, and eye-hand
- Requires standing and walking for extended periods of
- Requires corrected vision and hearing to normal range.
- Requires working under stressful conditions and irregular
- Exposure to communicable diseases and/or body fluids.
- Medium Work - Exerting 20 to 50 pounds of force occasionally,
and/or 10 to 25 pounds of force frequently, and/or greater than
negligible up to 10 pounds of force constantly to move
- Physical Demand requirements are in excess of those for Light
Work.Personal Protective Equipment:
- Follows standard precautions using personal protective
equipment as required.KEYWORDS: Cardiac, Heart, HVTI, HVI
The policy of Cleveland Clinic Health System and its system
hospitals (Cleveland Clinic Health System) is to provide equal
opportunity to all of our employees and applicants for employment
in our tobacco free and drug free environment. All offers of
employment are followed by testing for controlled substance and
nicotine. Job offers will be rescinded for candidates for
employment who test positive for nicotine. Candidates for
employment who are impacted by Cleveland Clinic Health System's
Smoking Policy will be permitted to reapply for open positions
after 90 days.
Decisions concerning employment, transfers and promotions are made
upon the basis of the best qualified candidate without regard to
color, race, religion, national origin, age, sex, sexual
orientation, marital status, ancestry, status as a disabled or
Vietnam era veteran or any other characteristic protected by law.
Information provided on this application may be shared with any
Cleveland Clinic Health System facility.
Please review the
Cleveland Clinic Health System is pleased to be an equal employment
employer: Women / Minorities / Veterans / Individuals with
Schedule: Full Time
Keywords: Cleveland Clinic, Cleveland , RN - Cardiothoracic Surgery Stepdown, Healthcare , Medina, Ohio
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