With 16 patient beds, the H62/H63 Neurological Step-down Nursing Unit provides treatment for neurological medical and surgical patients. Our nursing caregiver staff is comprised of highly trained specialists in advanced neurological assessment techniques. The Neurological Step-down Unit is certified as part of the Comprehensive Stroke Center within Cleveland Clinic's nationally ranked Neurological Institute.
Located on Cleveland Clinic's Main Campus, the patient population of H62/H63, includes young adult through geriatric patients with diagnoses of conditions such as: ischemic and hemorrhagic strokes, subdural hematomas, status epilepticus/seizures, brain tumors, neuromuscular disorders and spinal injuries. Our nursing caregivers commonly perform complex neurological procedures that include intracranial pressure monitoring, seizure monitoring, lumbar punctures and central/arterial line placement.
A highly diverse unit, our nurses are an integral part of promoting early patient mobility, which is facilitated with modern equipment such as ceiling lifts and other devices to ensure caregiver and patient safety. The unit touts an individualized orientation process that enhances the learning experience by allowing new nurses to observe and take part in a wide-range of procedures. New nursing caregivers are also supported with one-on-one preceptors, as well as weekly progress meetings.
Provides direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization.
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 appropriate.
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 teaching.
Maintains professional growth and development through ongoing formal and informal education and clinical nursing study.
Other duties as assigned.
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 2 years of employment if employed on units inpatient and/or outpatient where chemo is administered.
If in an Adult/Combined EDs, ACLS upon hire or within one year of beginning work in the Emergency Department.
If in a Pediatric ED, PALS 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 Department.
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.
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.
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 settings.
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.
Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination.
Requires standing and walking for extended periods of time.
Requires corrected vision and hearing to normal range.
Requires working under stressful conditions and irregular hours.
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 objects.
Physical Demand requirements are in excess of those for Light Work.
Personal Protective Equipment:
The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) 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'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 facility.
Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities