Registered Nurse - Cardiac Step-Down

KDMC Ashland Hospital Corporation; United States; On-site; USD 55,000 - 78,000; Full time

Job summary

UK King’s Daughters in Ashland, KY, seeks an RN to deliver comprehensive patient‑centered care on the Cardiac Step‑Down unit. You will assess, plan, implement, and evaluate care while coordinating with a multidisciplinary team to ensure safety and quality outcomes.

Responsibilities include medication administration, patient education, accurate documentation, and ongoing professional development to maintain licensure and certifications.

Qualifications

• Current and active RN license with applicable state practice.
• BLS and ACLS certifications required; CPI, stroke scale certs may be required by unit.
• Associate degree in nursing; BSN preferred for advancement.

Responsibilities

• Assesses patients and screens health status; documents changes per protocol.
• Plans, implements, and evaluates individualized care with the care team.
• Administers medications safely and monitors responses and adverse effects.
• Educates patients and families about treatments, risks, and self-care.
• Documents all care activities accurately in the medical record.
• Collaborates with interdisciplinary teams to improve patient outcomes.
• Participates in ongoing professional development and maintains licensure.

Skills

Nursing assessments

Care planning

Medication administration

Patient education

Interdisciplinary collaboration

Documentation

Education

Associate degree in nursing

BSN preferred

Tools

EMR systems

Job description

At UK King's Daughters, we’re not just a healthcare facility — we’re a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We’re more than just a place to work; we’re a place to grow, thrive, and contribute to our community.

Job Description:

Job Summary

Responsible for delivering comprehensive, patient-centered nursing care across diverse clinical settings. Assesses, plans, implements, and evaluates individualized care plans to ensure quality and safety. Educates patients and families, coordinates care with multidisciplinary teams, and delegates tasks to support staff. Adheres to organizational policies, regulatory standards, and best practices. Promotes collaborative communication to enhance patient outcomes and satisfaction.

Essential Functions

• Conducts comprehensive patient assessments and screenings, documenting findings and changes in condition using standard tools and protocols.
• Develops, implements, and evaluates individualized care plans in collaboration with patients, families, and the healthcare team to address identified needs and goals.
• Administers medications and treatments safely, adhering to organizational policies and best practices, and monitors for effectiveness and adverse reactions.
• Provides patient and family education tailored to care, treatment, and identified risks, ensuring understanding and documenting outcomes.
• Demonstrates knowledge of disease management, clinical interventions, and specialty procedures relevant to the assigned work area.
• Ensures timely and accurate documentation of all patient care activities, interventions, and outcomes in accordance with regulatory and organizational standards.
• Models service excellence and maintains therapeutic relationships with patients, families, and colleagues, fostering a respectful and supportive environment.
• Collaborates with interdisciplinary teams to achieve quality, safety, and patient-centered care goals, participating in process improvement initiatives.
• Engages in ongoing professional development, maintains required licensure and certifications, and completes mandatory competencies and training.
• Performs other duties as assigned.

Education Requirement

Associate’s degree in nursing Bachelor’s degree in nursing (BSN) is preferred

Experience Requirement

0-2 years of experience in nursing, or a relevant area. An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures

Current and active Registered Nurse (RN) license, Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Based on assigned area: Non-Violent Crisis Intervention (CPI), NIH Stroke Scale Certified, Oncology Nurse Certified (AOCN, BMTCN, CPHON, CPON, CBCN, OCN), Neonatal Resuscitation Program (NRP), Pediatric Advanced Life Support (PALS), TNCC or BTLS, Mental Health Nurse Certified

Working Conditions

• A. Lifting, pushing, and/or pulling objects up to 50lbs: 3. Intermittent (10% - 50% of the time)
• B. Lifting, pushing, and/or pulling objects over 50lbs: 2. Occasional (< 10% of the time)
• C. Standing or walking with objects up to 10lbs: 4. Regular (> 50% of the time)
• D. Standing or walking with objects up to 25lbs: 3. Intermittent (10% - 50% of the time)
• E. Sitting at computer workstation for extended periods: 2. Occasional (< 10% of the time)
• F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials: 3. Intermittent (10% - 50% of the time)
• G. Repetitive motion: 3. Intermittent (10% - 50% of the time)
• H. Working at heights above 4 feet: 1. Never
• I. Working in confined spaces: 1. Never
• J. Risk of injuries from use of equipment on the job: 3. Intermittent (10% - 50% of the time)
• K. Job-related travel: 2. Occasional (< 10% of the time)
• L. Loud noises: 2. Occasional (< 10% of the time)
• M. Temperature extremes: 2. Occasional (< 10% of the time)
• N. Hazardous chemicals and fumes including waste: 2. Occasional (< 10% of the time)
• O. Radiation: 2. Occasional (< 10% of the time)
• P. Burns: 2. Occasional (< 10% of the time)
• Q. Cuts/Punctures: 3. Intermittent (10% - 50% of the time)
• R. Bloodborne/airborne pathogens: 3. Intermittent (10% - 50% of the time)
• S. Recombinant DNA or viral vectors: 1. Never
• T. Combative/violent people: 3. Intermittent (10% - 50% of the time)
• U. Animal handling (including carcasses): 1. Never
• V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

Physical Demands

This position requires regular standing or walking with objects weighing up to 10 pounds; intermittent standing or walking with objects weighing up to 25 pounds; intermittent lifting, pushing, and/or pulling objects weighing up to 50 pounds; occasional lifting, pushing, and/or pulling objects over 50 pounds; occasional sitting at a computer workstation for extended periods of time; and performing tasks with repetitive motions. Also involves intermittent risk of back injury from moving, lifting, or positioning patients, equipment, or materials; intermittent risk of injuries from use of equipment on the job; intermittent exposure to cuts/punctures and bloodborne or airborne pathogens; and occasional exposure to hazardous chemicals and fumes including waste, burns, radiation, loud noises, temperature extremes, job-related travel, and combative or violent people.

Additional Job Descriptions

N/A Department: Cardiac Step-Down (4J) Shift: Flex (United States of America) Time Type: Full time Address: 2201 Lexington Avenue City, State: Ashland, Kentucky

Our growth is creating opportunities! Our team is expanding, and we want to hire the most talented people we can. Continued success depends on it! Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful.