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As a nurse at Deaconess, you will be a part of a caring, compassionate team, dedicated to exceptional patient care.  Deaconess provides nursing opportunities for general, advanced practice and specialties throughout our health system that includes six-hospitals and over 40 sites of care. Cardiology Unit The Heart Floor at The Heart Hospital at Deaconess Gateway is a 24 Universal bed concept devoted to the care of Cardiovascular Thoracic Medical and Surgical patients. Every room is hard wired for monitoring critical patients if needed. The patient stays in the same room from admission through discharge eliminating the need for transfers. There are three levels of Care on the floor identified as Telemetry, Step-Down and Critical Care. The Heart Floor cares for patient conditions including Myocardial Infarctions, Chest Pain, PTCA’s, Open Heart Surgery, AAA, Carotids, Thoracic, CRRT, etc. This is the only floor with this format in the Tri-State area   SUMMARY OF THE JOB The Registered Nurse provides direct patient care; demonstrates the knowledge, critical thinking and judgement of and integrates the use of evidence-based outcomes for Nursing practice; supervises care delivered; coordinates plan of care; provides education for patients, families and staff, and collaborates with other disciplines.   EDUCATION AND EXPERIENCE                      Graduate from a nationally accredited school of professional nursing, no experience required. If graduate of non-nationally accredited school of professional nursing, then at least one year of professional nursing experience is required. BSN is preferred, or an education action plan in place.   Newly hired RNs on or after October 1, 2014 with five (5) years or less nursing experience are required to receive their BSN within five (5) years from date of hire.   CERTIFICATES, LICENSES, AND CERTIFICATIONS Current licensure as a Registered Nurse in the State of Indiana required.    Deaconess uses the  EPIC   Medical Record System Deaconess Hospital is Magnet Recognized by the American Nurses Credentialing Center.      Magnet designation is the highest level of recognition that a health care organization can attain that provides the service of registered professional nurses.  The Magnet program promotes excellence in nursing practice.   It recognizes and supports evidence-based practice, enhancing positive outcomes for both the patient and the nurse.

As a nurse at Deaconess, you will be a part of a caring, compassionate team, dedicated to exceptional patient care.  Deaconess provides nursing opportunities for general, advanced practice and specialties throughout our health system that includes six-hospitals and over 40 sites of care. Cardiovascular Care Center The Cardiovascular Care Center (CVCC) cares for cardiac telemetry and Stepdown patients, including the following: cardiac arrhythmia, unstable angina, pre/post pacemaker insertion, pre/post ICD insertion, circulatory diseases, MI, pre open-heart surgery, stents, congestive heart failure and stroke. Our patient population offers a great variety of opportunities related to rhythms and EKG’s, bedside cardioversions, and medications with titration of various drips. We welcome new and experienced staff and enjoy teaching. We promote a healthy work environment and have an active unit based shared governance. Teamwork is a priority on our busy unit as we strive to provide safe and high quality care to our patients.   SUMMARY OF THE JOB The Registered Nurse provides direct patient care; demonstrates the knowledge, critical thinking and judgement of and integrates the use of evidence-based outcomes for Nursing practice; supervises care delivered; coordinates plan of care; provides education for patients, families and staff, and collaborates with other disciplines.   EDUCATION AND EXPERIENCE                      Graduate from a nationally accredited school of professional nursing, no experience required. If graduate of non-nationally accredited school of professional nursing, then at least one year of professional nursing experience is required. BSN is preferred, or an education action plan in place.   Newly hired RNs on or after October 1, 2014 with five (5) years or less nursing experience are required to receive their BSN within five (5) years from date of hire.   CERTIFICATES, LICENSES, AND CERTIFICATIONS Current licensure as a Registered Nurse in the State of Indiana required.    Deaconess uses the  EPIC   Medical Record System Deaconess Hospital is Magnet Recognized by the American Nurses Credentialing Center.      Magnet designation is the highest level of recognition that a health care organization can attain that provides the service of registered professional nurses.  The Magnet program promotes excellence in nursing practice.   It recognizes and supports evidence-based practice, enhancing positive outcomes for both the patient and the nurse.

As a nurse at Deaconess, you will be a part of a caring, compassionate team, dedicated to exceptional patient care.  Deaconess provides nursing opportunities for general, advanced practice and specialties throughout our health system that includes six-hospitals and over 40 sites of care. Cardiology Unit The Heart Floor at The Heart Hospital at Deaconess Gateway is a 24 Universal bed concept devoted to the care of Cardiovascular Thoracic Medical and Surgical patients. Every room is hard wired for monitoring critical patients if needed. The patient stays in the same room from admission through discharge eliminating the need for transfers. There are three levels of Care on the floor identified as Telemetry, Step-Down and Critical Care. The Heart Floor cares for patient conditions including Myocardial Infarctions, Chest Pain, PTCA’s, Open Heart Surgery, AAA, Carotids, Thoracic, CRRT, etc. This is the only floor with this format in the Tri-State area   SUMMARY OF THE JOB The Registered Nurse provides direct patient care; demonstrates the knowledge, critical thinking and judgement of and integrates the use of evidence-based outcomes for Nursing practice; supervises care delivered; coordinates plan of care; provides education for patients, families and staff, and collaborates with other disciplines.   EDUCATION AND EXPERIENCE                      Graduate from a nationally accredited school of professional nursing, no experience required. If graduate of non-nationally accredited school of professional nursing, then at least one year of professional nursing experience is required. BSN is preferred, or an education action plan in place.   Newly hired RNs on or after October 1, 2014 with five (5) years or less nursing experience are required to receive their BSN within five (5) years from date of hire.   CERTIFICATES, LICENSES, AND CERTIFICATIONS Current licensure as a Registered Nurse in the State of Indiana required.    Deaconess uses the  EPIC   Medical Record System Deaconess Hospital is Magnet Recognized by the American Nurses Credentialing Center.      Magnet designation is the highest level of recognition that a health care organization can attain that provides the service of registered professional nurses.  The Magnet program promotes excellence in nursing practice.   It recognizes and supports evidence-based practice, enhancing positive outcomes for both the patient and the nurse.

As a nurse at Deaconess, you will be a part of a caring, compassionate team, dedicated to exceptional patient care.  Deaconess provides nursing opportunities for general, advanced practice and specialties throughout our health system that includes six-hospitals and over 40 sites of care. Cardiology Unit The Heart Floor at The Heart Hospital at Deaconess Gateway is a 24 Universal bed concept devoted to the care of Cardiovascular Thoracic Medical and Surgical patients. Every room is hard wired for monitoring critical patients if needed. The patient stays in the same room from admission through discharge eliminating the need for transfers. There are three levels of Care on the floor identified as Telemetry, Step-Down and Critical Care. The Heart Floor cares for patient conditions including Myocardial Infarctions, Chest Pain, PTCA’s, Open Heart Surgery, AAA, Carotids, Thoracic, CRRT, etc. This is the only floor with this format in the Tri-State area   SUMMARY OF THE JOB The Registered Nurse provides direct patient care; demonstrates the knowledge, critical thinking and judgement of and integrates the use of evidence-based outcomes for Nursing practice; supervises care delivered; coordinates plan of care; provides education for patients, families and staff, and collaborates with other disciplines.   EDUCATION AND EXPERIENCE                      Graduate from a nationally accredited school of professional nursing, no experience required. If graduate of non-nationally accredited school of professional nursing, then at least one year of professional nursing experience is required. BSN is preferred, or an education action plan in place.   Newly hired RNs on or after October 1, 2014 with five (5) years or less nursing experience are required to receive their BSN within five (5) years from date of hire.   CERTIFICATES, LICENSES, AND CERTIFICATIONS Current licensure as a Registered Nurse in the State of Indiana required.    Deaconess uses the  EPIC   Medical Record System Deaconess Hospital is Magnet Recognized by the American Nurses Credentialing Center.      Magnet designation is the highest level of recognition that a health care organization can attain that provides the service of registered professional nurses.  The Magnet program promotes excellence in nursing practice.   It recognizes and supports evidence-based practice, enhancing positive outcomes for both the patient and the nurse.

As a nurse at Deaconess, you will be a part of a caring, compassionate team, dedicated to exceptional patient care.  Deaconess provides nursing opportunities for general, advanced practice and specialties throughout our health system that includes six-hospitals and over 40 sites of care. Cardiovascular Care Center The Cardiovascular Care Center (CVCC) cares for cardiac telemetry and Stepdown patients, including the following: cardiac arrhythmia, unstable angina, pre/post pacemaker insertion, pre/post ICD insertion, circulatory diseases, MI, pre open-heart surgery, stents, congestive heart failure and stroke. Our patient population offers a great variety of opportunities related to rhythms and EKG’s, bedside cardioversions, and medications with titration of various drips. We welcome new and experienced staff and enjoy teaching. We promote a healthy work environment and have an active unit based shared governance. Teamwork is a priority on our busy unit as we strive to provide safe and high quality care to our patients.   SUMMARY OF THE JOB The Registered Nurse provides direct patient care; demonstrates the knowledge, critical thinking and judgement of and integrates the use of evidence-based outcomes for Nursing practice; supervises care delivered; coordinates plan of care; provides education for patients, families and staff, and collaborates with other disciplines.   EDUCATION AND EXPERIENCE                      Graduate from a nationally accredited school of professional nursing, no experience required. If graduate of non-nationally accredited school of professional nursing, then at least one year of professional nursing experience is required. BSN is preferred, or an education action plan in place.   Newly hired RNs on or after October 1, 2014 with five (5) years or less nursing experience are required to receive their BSN within five (5) years from date of hire.   CERTIFICATES, LICENSES, AND CERTIFICATIONS Current licensure as a Registered Nurse in the State of Indiana required.    Deaconess uses the  EPIC   Medical Record System Deaconess Hospital is Magnet Recognized by the American Nurses Credentialing Center.      Magnet designation is the highest level of recognition that a health care organization can attain that provides the service of registered professional nurses.  The Magnet program promotes excellence in nursing practice.   It recognizes and supports evidence-based practice, enhancing positive outcomes for both the patient and the nurse.

Title:   Registered Nurse - Labor & Delivery   Shift:   Full-Time, Nights.    This position will be scheduled in the Labor and Delivery unit on 9 West at The Christ Hospital Health Network main campus located at 2139 Auburn Avenue, Cincinnati, Ohio 45219.   Unit Description: The Christ Hospital Labor and Delivery unit has approximately 3100 deliveries and 2100 ambulatory patients per year. Labor and Delivery is a 29 bed unit which delivers care to a complex range of patients varying in age from newborn infants to teens, young adults and adults. Within the unit, there are 12 labor and delivery beds, 4 high-risk beds, 6 post-op recovery beds, 3 surgical suites and a 4 bed Triage unit. Patients are triaged, admitted, stabilized, delivered or transferred to a level III facility as appropriate. When patients are admitted to L&D, routine care may include, but is not limited to:  an admission assessment, continuous or intermittent fetal surveillance, and referrals to support services, induction/augmentation and pain management.  The patient’s plan is developed at the time of admission and then modified anytime her comfort level changes during labor, delivery, and recovery.  RN’s utilize the pain scale and document location and characteristics along with their interventions/plan of care and the patient’s response to the interventions.  Nursing provides many diverse comfort measure for labor support such as the use of rocking chairs, birthing balls, water therapy and ambulation with telemetry.  Analgesics are administered as directed by the physician including continuous epidural anesthesia/analgesia.  Anesthesia coverage is available 24/7. To enhance couplet care, SCN nurses/NNPs  attend all deliveries, complete initial assessments, and promote skin to skin appropriately. The SCN RN assesses the newborns at the mothers’ bedside in L&D at approximately 1 hour of life for physical and gestational assessments and complete procedures such as eye prophylaxis, injections, and thermo stabilization.  The couplet is then transferred to the postpartum unit. Job Overview: The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care.  All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act.   The RN may perform the following duties: Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model.   Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs.   Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals.   Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals.  Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals.   Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during “handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation – Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team.   Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development – Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members.   Assumes responsibility and accountability for professional growth and development.  Contributes to the professional development of peers, colleagues, and others.  Participates in 75% of staff meetings and 75% of council meetings as appropriate.  Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital.  Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency.  . Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program.  Certification specific to work area of professional practice when eligible.  Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities.  Participation in community service activities.  Employee Responsibilities   Complies with organization and department policies and required training.   Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (HealthStream education 100% on-time completion and attendance for annual education day).  Submits required tests and paperwork in a timely manner without management interventions. Attendance   Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc.    Education: Graduate of an accredited school of nursing.   The Christ Hospital Health Network does hire AD and Diploma nurses, however; All nurses must obtain their BSN within 5 years of the date of hire, A MSN or DNP are not required but supersede the requirement for the BSN.   Experience : L/D experience strongly preferred.   Licensure and Certifications:  The RN holds a current licensure to practice nursing in Ohio.  Membership in professional organizations is desirable.  BLS certification is required prior to patient contact.  NRP required.  NRP certification course offered upon hire.  Certification in area of clinical specialty is required within five years of hire.   Required Skills and Knowledge:   The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education.  The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality.   The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting.             There are many ways to define excellence. For us at The Christ Hospital, it’s all about our patients...And making healthcare what they want it to be. Accessible. Personal. Affordable.   Our commitment to exceptional outcomes, affordable care and the finest patient experiences is recognized yearly with numerous awards from leading healthcare organizations and publications. At the top of our list of honors are the 17 consecutive years that we’ve been named to U.S. News & World Report’s list of Best Hospitals and being named the Most Preferred Hospital by the Greater Cincinnati community for 21 consecutive years (National Research Corporation).   What does this mean for you?   GROWTH - opportunities to learn, develop, and impact.   VALUE  - a robust employee package that provides you the ability to maintain a healthy work-life balance, competitive compensation, flexible and meaningful benefits, development opportunities so you can be your best self, and a culture of compassion.   PRIDE - from all that we have accomplished in our past, and all that we’re positioned for in the future.   CHALLENGE - we are in one of the most competitive markets in the nation, yet continue to rise to the top through our incredible employees and transformational results. We seek individuals motivated by what it takes to be a part of a winning team.   Named #24 on Forbes 500 America’s Best Employers for 2017, we are transforming care…inspired by you.