Registered Nurse ED Hold Unit

Registered Nurse – Transitional Care Unit

A Med-Surg Role With Variety, Teamwork, and a 5:1 Ratio

Join our Transitional Care Unit, where nurses care for admitted medical-surgical patients who are awaiting placement in an inpatient bed. This unit offers the variety of the hospital setting with a defined scope of care and a manageable 5:1 nurse-to-patient ratio.

This is a great opportunity for nurses who enjoy medical-surgical nursing, patient education, care coordination, and working closely with a multidisciplinary team.

What You Can Expect

5:1 nurse-to-patient ratio
Medical-surgical level patients
Admitted patients who have already completed their initial emergency evaluation
Collaboration with hospitalists, physicians, case management, pharmacy, respiratory therapy, and other support departments
Opportunities to strengthen assessment, time-management, and care-coordination skills

Clearly Defined Patient Acuity

This unit does not accept:

Stepdown patients
ICU patients
Patients requiring titratable drips
Patients needing a higher level of monitoring or intervention than a medical-surgical unit can safely provide

Patients requiring escalation of care will be transferred to the appropriate higher-acuity unit.

Primary Responsibilities

Complete ongoing nursing assessments
Administer medications and treatments
Monitor for changes in patient condition
Provide patient and family education
Coordinate care with the interdisciplinary team
Prepare patients for discharge or transfer to an inpatient medical-surgical bed
Support safe and efficient patient flow throughout the hospital

Who We Are Looking For

We are seeking nurses who:

Enjoy caring for a diverse medical-surgical population
Value teamwork and communication
Demonstrate strong assessment and critical-thinking skills
Provide compassionate, patient-centered care
Thrive in an organized, collaborative environment
Are comfortable recognizing and escalating changes in patient condition

Why Join the Transitional Care Unit?

Consistent 5:1 staffing ratio
Clearly defined medical-surgical scope of care
No ICU assignments
No stepdown assignments
No titratable drips
Diverse patient population
Supportive leadership and collaborative teamwork
Opportunities for professional growth and skill development

Join Our Team

If you are looking for a medical-surgical nursing role with variety, a manageable patient ratio, and a clearly defined level of care, the Transitional Care Unit may be the right fit for you.

Help patients move safely through the next step of their care while providing the quality, attention, and compassion they deserve.Join us as a Registered Nurse (RN) - ED, Full-time Days 7am-7pm, Grandview Medical Center. 

• Unit: ED

• Shift: Days, 7am-7pm

   

• Up to $20K Student Loan Contribution
• Other incentives include: Medical, Vision, Dental, 401k match & more available for Full and Part-Time roles.

Job Summary 

The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. 

Essential Functions

• Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.
• Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members.
• Utilizes knowledge of human growth and development to provide age-appropriate care and education.
• Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice.
• Assists physicians during procedures within the scope of documented competency and skill level.
• Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
• Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate.
• Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery.
• Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions.
• Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections.
• Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety.
• Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff.
• Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements.
• Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies.
• Documents patient care and education thoroughly and promptly in the medical record.
• Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations.

• Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery.

   

• Emergency Services RN:
  • Rapid Assessment and Triage: Evaluate patients' conditions quickly to determine the severity of their injuries or illnesses and prioritize care accordingly.
  • Conducts emergency procedures such as intubation, wound care, and suturing.
  • Implements interventions to stabilize patients, including administering medications, starting IV lines, and providing respiratory support.
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Qualifications

• 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required

Knowledge, Skills and Abilities

• Strong knowledge of the nursing process and clinical nursing practices.
• Ability to perform thorough patient assessments and communicate findings effectively.
• Proficient in administering medications and monitoring for side effects.
• Effective communication and interpersonal skills to collaborate with interdisciplinary teams.
• Strong organizational skills and attention to detail in documenting patient care.
• Knowledge of safety standards, infection control, and quality improvement initiatives.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required
• BCLS - Basic Life Support required
• ACLS - Advanced Cardiac Life Support preferred
• PALS - Pediatric Advanced Life Support preferred
• NRP - Neonatal Resuscitation preferred
• Refer to facility or unit-specific guidelines for additional requirements.