ICU/Stepdown Registered Nurse


Job Title: ICU/Stepdown Registered Nurse

Hours: 7:00AM- 7:00PM OR 7:00PM-7:00AM, 12 hour shifts with rotating weekends

Location: Baltimore, MD


Type of Hire: 13-week contract with potential to extend

Start Date: ASAP



General Purpose:       

ICU/Stepdown Registered Nurse possesses the skills needed to manage the care of adult patients experiencing life-threatening problems requiring complex assessment, high intensity therapies, and interventions. The ICU/Stepdown Registered Nurse performs acts, which require  substantial  specialized  knowledge,  judgment,  and  nursing  skills  based  upon  principles  of  psychological, biological, physical, and social sciences.  The professional nurse is responsible and accountable for making decisions that  are  based  on  the  individual’s  educational  preparation  and  experience  in  nursing.   They  are  responsible  for performing  tasks  and  procedures  that  are:  within  the  scope  of  his/her  educational  preparation  and  knowledge; permitted by the policies and procedures of Level One and the facility requesting the services; and permitted by other local, state, and federal guidelines.


Essential Functions:

          Responsible for:  assisting providers with patient examinations, therapeutic measures, and procedures.  Monitor and record physiological measurements.  Provide treatment to patients per protocols.

          Activities may include:

-          Application  of  the  nursing  process  in  assessment,  planning,  implementing  and  evaluating  patients  and patient care.

-          Identifying and providing for physical, emotional, and developmental patient needs.

-          Counseling and providing health teaching to patients and their families; explaining the procedures planned for the patient.

-          Maintaining a clean and safe environment.

-          Following Universal Precautions and Infection Control Procedures.

-          Ability to establish communication with appropriate sources in response to emergency situations.

-          Providing for and respecting the patient’s privacy and confidentiality.

-          Admitting and discharging patients.

-          Receiving and transcribing doctor’s order.

-          Notifying appropriate persons promptly of unusual reactions and changes in conditions.

-          Documenting all pertinent information appropriately.

-          Receiving and giving report.

-          Safeguarding and inventorying equipment and supplies.

-          Demonstrating courteous, cooperative, and respectful behavior.

-          With the education and/or documented skills, may perform certain treatments/procedures, provided that the institution’s policies and the state/provincial regulatory acts allow their performance such as venipuncture and initiation and/or administration of IV therapy.

-          Certain assignments require special experience and proven competency and only Registered Nurses with documented experience are assigned to such roles as Charge Nurse and Team Leader.

-          Certain units require special training, skills and proven competency, in addition to the usual skills of the Registered Nurse.   Only  Registered  Nurses  with  documentation  of  the  appropriate  skills  are  assigned  to these areas.

          RN Level 1 – Behavioral, Clinical Decision/Observation, General Peds, Home Health, Hospice, LTC, Rehab, Med/Surg, Mother/Baby, Oncology, Ortho, Post-Partum, SNF, Sub Acute

          RN Specialty Level 1 – CCU, Ambulatory Surgery, Cardiac Step Down, Dialysis, ED, Endoscopy, ICU, ICU step down, L&D, NICU, PACU, PCU, PICU, Radiology, Tele and Trauma

          RN Specialty Level 2 – Cath Lab, CICU, CVICU, CVOR, RN first assist


          The Registered Nurse accepts responsibility for his/her own actions and:

-          Assists in determining skills and specialties.

-          Accepts only assignments for which qualified.

-          Verbalizes knowledge and purpose of patient rights and responsibilities.

-          Practices safely and competently within the job description.

-          Complies with an institution’s policies and procedures.

-          Communication with Level One and their supervisor about problems and other concerns.

-          Informs supervisor of patient changes or needs.

-          Complies with state/provincial regulatory acts.

-          Follows the physician’s and multidisciplinary plan of care. 

          3:1 patient /nurse ratio

          Provide patient care as well as education and support to the patient's family.

          Ensure proper functioning of life support equipment such as ventilators and feeding tubes.

          Observe the patient's heart rate, blood pressure and respiration for signs of distress.

          Administer medication, IVs, and insert catheters as needed.

          Meticulous documentation of medication administration.

          Assist in emergency nursing procedures necessary for prompt control of changes in patient’s physical condition.

          Perform cardiopulmonary resuscitation accurately and effectively.

          ICU-29 bed unit, daily interdisciplinary rounds with unit medical, neuro and surgical intensivists; patient ratio of 1:2

          Unified by the core purpose of creating a healthier community one person at a time, the members of the Division of Patient Care Services commit themselves to sustaining a culture focused on achieving optimal patient outcomes

          Each employee is obligated to deliver highly reliable care while adhering to all National Patient Safety Goals. This occurs within a learning environment that is supportive and just, where each employee is valued for their contribution to collective safety of patients, staff, and visitors. Of equal importance is each employee's commitment to the value of teamwork in order to promote a unified and spirited workplace.


Minimum Requirements:       

          Education:  Graduate of an accredited School of Nursing.

          Licensing:  Licensed to practice as a Registered Nurse with active license in the state(s) in which employed and practices.

          Eighteen months of recent experience in an Acute Care ICU setting

          Maintenance  of  current  Cardio  Pulmonary  Resuscitation  (CPR)  for  HealthCare  Workers  or Basic  Cardiac Life Support (BCLS) certification for HealthCare workers.

          BLS & ACLS Certification

          BSN or ASN with 2+ years of experience required; working knowledge of theory and practice within a specialized field Educated on and compliant with HIPAA regulations; maintains strict confidentiality of client information.

          Complies with Infection Control, Standard Precautions and OSHA standards for the healthcare professional.

          Able to wear personal protective equipment (e.g., face mask, goggles, latex/non-latex gloves) as needed.

          Ability to work effectively within role independently and with other team members.

          Ability to organize and complete work in a timely manner.

          Ability to read, write and effectively communicate in English.

          Ability to understand medical/surgical terminology.

          Health Requirements- In good health and able to work without restrictions as evidenced by Health Statement.

          Compliance  with pre-assignment  and  medical  requirements  including:  current  TB screen, or Chest X-ray and questionnaire if proof of positive TB screen; Measles/Mumps/Rubella immunizations or  titers  indicating  immunity;  Hepatitis  B  Information  or  Waiver;  and  any  additional  state  or  facility  medical requirements.

          Physical  Demands-Stooping,  turning,  bending,  squatting,  kneeling  and  the  ability  to  lift  up  to  50  pounds; constant/repetitive  standing;  requires  normal,  correctable  vision  and  hearing,  and  the  ability  to  accurately discern color as necessary to perform job functions.

          BLS, ACLS (both must be AHA issued) 

          The NIHSS + additional stroke ed hours to equal 8 is still required. 

          Nurses should have experience in critical care or a busy stepdown unit.   

          Minimum of 2.5 yrs experience, but prefer at least 4 yrs 

          EKG testing is required once offer is accepted 

          Must have experience/be proficient with:

-          Microsoft Office Suite

-          Cerner

-          Healthstream

-          Standard Office Equipment

-          Medical terminology

-          Nursing Process skills based on MD Nurse Practice Act

-          Critical thinking skills

-          Medical equipment.

-          Other requirements to be determined by our client facility


Level One Personnel is an equal opportunity and affirmative action employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.



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