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Registered Nurse Level IV - Complex Medical Cardiac Care (5100)

Description

HOW WE CARE FOR YOU:

At Rochester Regional Health, we are dedicated to getting healthcare right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.

  • Health & Wellness Benefits starting Your First Day

  • Personal Time that includes Vacation Time, Sick Time & Holidays

  • Retirement Savings Program

  • Same Day Pay through DailyPay

  • Student Loan Repayment Program

  • Tuition Assistance & Reimbursement

  • Recognition of Professional Growth through the Clinical Ladder

  • Certification

  • Enhanced Shift Differentials

  • Free Parking

SUMMARY:

As a Registered Nurse Level IV, you will leverage your clinical expertise and leadership skills to develop and implement comprehensive care plans for patients. Additionally, you will serve as a mentor to fellow team members, providing guidance and support to ensure the highest standards of care on the unit.

The 5100 Unit at Rochester General Hospital is a 26-telemetry bed, high-acuity medical cardiac unit specializing in complex patients with heart issues and arrhythmias. We provide exceptional, patient-centered care to a diverse patient population with multiple cardiac conditions, making our unit a dynamic and rewarding environment for nurses and healthcare professionals seeking to advance their clinical skills.

This unit offers a unique, fast-paced setting that enables nurses to develop and strengthen expertise in caring for medically cardiac complex patients. Our team is committed to providing evidence-based, compassionate care while fostering a collaborative and supportive environment for both new and experienced nurses. Our nurses thrive on continuous learning, critical thinking, and interdisciplinary teamwork.

Diverse and High-Acuity Patient Population: Our unit provides care to patients with a variety of complex cardiac conditions, including:

  • Complex cardiac patients, often presenting with multiple co-existing medical conditions, who require specialized cardiac gtts, which may include amiodorone, cardizem, dobutamine, milrinone, nitroglycerin <150 mcg, lidocaine, and angiomax.
  • Intermediate care for cardiac patients, requiring temporary external pacing wires or a defib at bedside for life-saving measures that require specialized, unit-based training from highly skilled nurses.
  • Patients with chronic heart failure, requiring specialized and compassionate care such as Sensivest readings for fluid measurements
  • Patients experiencing acute myocardial infarctions (MI) who require stabilization and transitioned to cardiac rehab when appropriate.
  • Complex cath lab patients requiring post device care (pacemakers, AICDs, stents), and sometimes including arterial lines or femoral arterial sheaths for continuous blood pressure monitoring or pacemaker interrogations performed by nurses
  • Complex Electrophysiology (EP) patients, requiring continues telemetry monitoring post atrial fibrillation or ventricular tachycardia ablations and/or cardioversions
  • Advanced Valvular and Structural heart disease patients, where our team provides specialized care post valve replacements with management of surgical sites
  • Telemetry and acute medical conditions, requiring close monitoring and intervention including continuous O2 monitoring, the use of bair hugger devices for continuous temperature monitoring, and chest tube management

The 5100 Unit provides nurses with the opportunity to enhance their expertise in both acute medical care and cardiac nursing, making it an ideal setting for those looking to develop a well-rounded skill set. There is a comprehensive onboarding process to support nurses at all levels and advanced telemetry and cardiac training enhance skills and critical thinking.

This role is part of the Registered Nurse Level IV / Clinical Nurse IV must complete the following:

  • Complete the Clinical Ladder binder within 12 months of employment

  • Minimum of 5 activities in each Pillar (Leadership, Quality, and Organizational Contribution)

  • 15 Continuing education units (CEU's)

  • 20 Flex items

STATUS: Full Time

LOCATION: Rochester General Hospital


DEPARTMENT: Complex Medical Cardiac Care Unit (5100)


SCHEDULE: Day/Evening/Night - Every other weekend / holiday

DESIRED ATTRIBUTES:

  • Bachelor’s degree in nursing required.

  • Minimum of 6 months experience as a registered nurse.

  • Basic Life Support (BLS) certification

RESPONSIBILITIES

  • Assessment. Perform initial and ongoing assessment of the patient; demonstrate exceptional clinical judgment and advanced assessment skills; communicate and document assessment with interdisciplinary team; utilize all available resources in order to meet the needs of the patient and family
  • Planning & Implementation. Develop and document plan of care, treatment and services; collaborate interdisciplinary health team to deliver care; maintains an appropriate nurse-patient relationship and provides an exceptional experience for the patient and family
  • Evaluation & Education. Evaluate, communicate and document patient responses to care; revise plan of care based on ongoing evaluations; ensure the patient receives and understands education/training specific to their needs and abilities
  • Training. Provide training for new team members on the unit; assume role of teacher for nursing students and other students shadowing on the unit; act as a resource for other team members for both clinical and non-clinical matters

EDUCATION:

  • BS: Nursing (Required)

PHYSICAL REQUIREMENTS: M - 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 objects; Requires frequent walking, standing or squatting.

LICENSES/CERTIFICATIONS:

  • RN - Registered Nurse - New York State Education Department (NYSED)
  • BLS - Basic Life Support - American Heart Association (AHA)

PAY RANGE: $37.18 - $49.92

The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran
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