Registered Nurse, StepDown, Full time Nights, Clarksville INCREASED NIGHT DIFFERENTIAL!

Vanderbilt Health; Clarksville (TN); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Health plan (medical)

Dental/vision plan

403(b) retirement plan

Paid time off

Tuition reimbursement

Backup childcare

Job summary

Vanderbilt Health in Tennessee is seeking an RN for the Step Down unit on the night shift. This full-time role (36 hours/week) requires close monitoring, with patients experiencing cardiac, vascular, and medical conditions. Night differential applies, and orientation is 8–12 weeks based on nursing experience.

The team engages in daily rounds with providers, case managers, and leaders to ensure safe, high-quality patient care. Strong communication and collaborative skills are essential.

Qualifications

• Must hold RN licensure in Tennessee.
• Graduate of an approved nursing program.
• RN licensure required; BLS/ACLS as appropriate.

Responsibilities

• Collaborates in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum.
• Analyzes comprehensive information pertinent to the patient\'s care and management to determine nursing diagnosis.
• Continually utilizes the nursing process to evaluate patient\'s progress towards goals and applies appropriate interventions to ensure effective outcomes.
• Employs strategies to promote health and a safe and healthy environment.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

Skills

Nursing assessment

Patient education

Care planning

Nutrition practice

Education

Graduate of an approved nursing program

Job description

Discover Vanderbilt Health

With eight hospitals and over 180 clinics, we are the region's largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world‑class care to the people of the Mid‑South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you'll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization:

VCH Step Down

Job Summary:

Responsible for planning, organizing, and administering patient care within the scope of his/her training and expertise, collaborating with other professional disciplines to ensure effective and efficient patient care delivery and achievement of desired patient outcomes is met. This is done in conjunction with the objectives and policies of the hospital and the Nurse Practice Act of the State of Tennessee.

NEW INCREASED NIGHT SHIFT DIFFERENTIAL TO $10/HOUR FOR NIGHT RNs!

Hours of Position:

Full‑time (36 hours/week), nights (6:45p - 6:45a)

Stepdown is a 21 bed hardwired telemetry unit that focuses on acutely ill but stable patients requiring closer monitoring. We care for patients with a variety of cardiac, vascular and medical diagnoses with specialized needs such as cardiac arrhythmias, bedside cardioversions, titrated medications, oxygenation management, withdrawal, sepsis, stroke, and post‑operative care.

Our staff is dedicated to provide excellent care to our patients. Our environment is challenging, fast‑paced, team oriented, and patient and family centered. Our staff is very engaged with problem‑solving and identifying ways to improve patient care. They have a desire to continue learning, have strong communication skills, and collaborate with the team to provide excellent patient care.

Daily interdisciplinary rounds include the provider, registered nurse, case manager, and a nurse leader. Each shift begins with a safety huddle to look back and forward 24 hours to review safety and quality concerns.

Ratio 4:1

Certifications: BLS, ACLS, NIH

Orientation: We offer 8‑12 week orientation based on nursing experience.

Professionalism: critical thinking, collaboration, multidisciplinary rounding, bedside shift report, shared governance, certifications.

Medical equipment: ECG hardwired, alaris, pca, epidural, Etc02, bladder scanner, bipap, high flow oxygen therapy.

Drips: cardiac, IV fluids, blood products, sedation, TPN

KEY RESPONSIBILITIES

• Collaborates in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum.
• Analyzes comprehensive information pertinent to the patient's care and management to determine nursing diagnosis.
• Continually utilizes the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes.
• Employs strategies to promote health and a safe and healthy environment.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES

• NURSING PATIENT ASSESSMENT & EVALUATION HOME CARE(NOVICE): Possesses ample fundamental proficiency to successfully demonstrate the ability to assess and evaluate patients in practical applications of moderate difficulty in the home setting. The RN Home Care works autonomously to provide safe, thorough and effective physician‑ordered care in the home setting. Conducts primary care patient interviews, assesses the safety of the home environment and performs a comprehensive physical assessment. The RN Home Care demonstrates appropriate acumen to recognize problems, ask questions and to contact the patient's primary care provider.
• Nursing Patient Education (Novice): Possesses sufficient fundamental proficiency in providing patient education in practical applications of moderate difficulty.
• Care Planning (Novice): Demonstrates ability to anticipate resource needs, identify distinct tasks, set priorities, schedule activities, meet deadlines, and organize work within areas of direct responsibility. Competently handles multiple assignments often simultaneously by prioritizing work into manageable and measurable units. Ability to adapt to changes to patient care and area needs with minimal disruption and loss of productivity. Follows up to assure problems and issues are resolved.
• Evidence‑Based Nutrition Practice (Novice): Possesses sufficient fundamental proficiency to successfully search for nutrition evidence to answer clinical questions. Generally works under the direction of others while accomplishing assignments.

Our Nursing Philosophy:

We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center's mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well‑being.

As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered:

• Affordable High Quality Health Plan Options
• Dental and /or vision plan
• 403 (b) retirement plan
• Paid Time off (flex PTO)
• Tuition Reimbursement and adoption assistance (maximums applied)
• Short‑Long term disability
• Subsidized backup childcare
• And many more... Ask us about our current inpatient nursing supplemental Pay Program!

Achieve the Remarkable:

Learn more about VUMC Nursing here.

Core Accountabilities:

Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members.

Core Capabilities :

Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short‑term challenges.- Adapt to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.

Certifications:

LIC‑Registered Nurse - Licensure‑Others

Work Experience:

Relevant Work Experience

Experience Level:

Less than 1 year

Education:

Graduate of an approved discipline specific program

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well‑being and professional growth.

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.