Registered Nurse (RN), 4B Orthopedic Surgery

UPMC; Pittsburgh (Allegheny County); On-site; USD 70,000 - 100,000; Full time

Job summary

UPMC St. Margaret’s 4B orthopedic unit seeks a Professional Staff Nurse to care for patients after joint replacements, fractures, and other orthopedic procedures. This role focuses on sharpening assessment, prioritization, and teamwork in a fast-paced environment.

Shifts rotate 6:00 AM–6:00 PM and 6:00 PM–6:00 AM, with 72 hours per pay period and weekends/holidays per unit guidelines. Whether new graduate or seasoned RN, you’ll grow through collaboration and dedicated patient care.

Qualifications

• RN licensure required or pending eligibility.
• Ability to apply evidence-based practice to patient care.
• Strong clinical assessment and priority-setting skills.

Responsibilities

• Participates in quality improvement efforts and promotes patient satisfaction with care and service.
• Applies nursing process within Relationship Based Care to plan and deliver holistic care.
• Communicates effectively with care team, patients, and families; documents care thoroughly.
• Contributes to patient safety, staff development, and collaborative practice.
• Advances professional development and supports governance and change processes to improve care.

Skills

Assessment skills

Time management

Teamwork

Patient care

Education

RN license

Job description

Looking for a nursing role where you'll build strong clinical skills, care for a high-volume patient population, and be part of an award-winning team?

Join 4B at UPMC St. Margaret, home to the highest-volume orthopedic department in the UPMC system and recipient of the 2026 Team DAISY Award! 4B is a fast-paced orthopedic unit where nurses care for patients recovering from joint replacements, fractures, and other orthopedic procedures. This is an excellent opportunity to sharpen your assessment skills, strengthen your time management abilities, and work alongside a highly collaborative team dedicated to exceptional patient care.

This position works a rotating schedule of 6:00 AM to 6:00 PM and 6:00 PM to 6:00 AM shifts. Staff are scheduled for 72 hours per pay period, including rotating weekends and holidays per unit guidelines.

We're seeking adaptable, patient-focused nurses who thrive in a team environment and can effectively prioritize care in a busy setting. Whether you're a new graduate or an experienced RN, come grow your career on a unit where teamwork, professional development, and outstanding patient care are at the heart of everything we do!

The Professional Staff Nurse is a valued step in the UPMC nursing career ladder, with opportunities for continued growth and advancement. Title and salary will be determined based upon education and nursing experience.

Responsibilities:

• Actively participates in department or unit-specific quality improvement efforts. Identifies opportunity for quality improvement to colleagues and management. Takes personal responsibility in improving patient satisfaction with the quality of care and service. Utilizes research and evidence-based practice to support improvement in clinical care: identifies research issues or articles related to clinical specialty or areas of interest, discusses opportunities for quality improvement at multidisciplinary rounds, and influences patients' plans of care.
• Applies the nursing process within the framework of Relationship Based Care to create a healing environment. Formulates daily goals and a plan of care for patients that involves the patient as partner and considers the individual needs of the patient in a holistic manner. Demonstrates critical thinking in the identification of clinical, social, safety, psychological and spiritual issues for the patient care within an episode of care. Practices solid communication skills, and is able to articulate and translate the patient's condition to other care providers and to negotiate and make recommendations for changes in patient care and unit practices. Patient documentation is comprehensive and promotes communication between caregivers. Incorporates national professional organization as well as business unit and health system's goals to improve patient safety, quality and satisfaction. Creates a caring and compassionate patient focused experience by building healing relationships with patients, families and colleagues.
• Develops and maintains productive working relationships internally and externally by demonstrating accountability for actions, enthusiasm, motivation and commitment to patients and colleagues. Demonstrates an understanding of cultural differences and holds peers accountable for healthy relationships. Maintains a conscious balance between work and personal life. Models safe work hours, time management and healthy lifestyle. Communicates with peers and management any safety hazards identified in the workplace.
• Demonstrates accountability for professional development that improves the quality of professional practice and the quality of patient care. Actively participates in unit-based shared governance, goal setting and supports the change and transition process to improve quality of care and the practice environment. Serves as a highly engaged and full partner on the care team and responds willingly to care team member needs for assistance and partnership. Participates in work that improves patient care and the professional practice environment. Adapts to change and demonstrates flexibility with the change process.
• Demonstrates knowledge of adult learning principles (and/or teaching children if applicable) and applies in teaching of patients, families, students and new staff. Provides detailed and appropriate teaching to patients and families to effectively guide them through the episode of care as well as transition to another level of care and/or home. Supports the development of students, new staff and colleagues, may serve as a preceptor. Creates an environment of open dialogue, inquiry and continuous development by asking for feedback and improving practice.