RN Clinical Decision Unit

HCA Healthcare; Smyrna (TN); On-site; USD 65,000 - 85,000; Full time

Job summary

HCA Healthcare seeks an Observation Unit Nurse in Smyrna, TN, delivering high-quality, patient-centered care in collaboration with the care team. You will assess patients on admission and each shift, administer meds, document care, and educate families to ensure clear understanding of treatment plans.

The role requires TN RN licensure, Bachelor’s degree, and timely certification in BCLS, ACLS, and NIHSS within stated timelines.

Qualifications

• Active Registered Nurse license in Tennessee or compact state.
• Ability to perform and document nursing care per standards.
• Commitment to patient-centered, high-quality care.

Responsibilities

• Assess patient condition on admission and each shift; report changes promptly.
• Administer medications and document care; monitor therapeutic responses.
• Respond to patient requests promptly and anticipate needs.
• Educate patients and families about conditions, treatments, and follow-up.

Skills

Registered Nurse

CPR/BCLS within 30 days

ACLS within 30 days

NIHSS Stroke Certification within 30 d

Education

Bachelor's Degree

Job description

As a Acute Care Nurse, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing.

Job Summary and Qualifications

Observation Unit Nurse

As a Registered Nurse, you will be responsible for delivering high-quality, patient-centered care in line with the requirements of the department and the standards of practice for the relevant state and specialty. Collaborating with medical providers and the care team, you will provide personalized, comprehensive, and compassionate care, following established nursing models such as "Assess, Perform, Teach, and Manage." You will also act as an advocate for patients, families, and caregivers, embodying the organization's vision, mission, and values to ensure an outstanding patient experience and positive clinical outcomes.

What you will do in this role:

• Assess the patient's condition during admission and each scheduled shift, promptly identifying and reporting any changes in patient status.

• Perform procedures, monitoring, or other functions as ordered by the medical provider(s), and ensure thorough and timely documentation of care administration in the patient's medical record. - Administer prescribed medications, monitor the patient for therapeutic response, and take appropriate action in the event of an unintended response to the medication.

• Provide exceptional care by responding promptly to patient requests, proactively anticipating patient needs, and resolving them.

• Educate patients, families, and caregivers about the patient's medical condition, treatment plan, medications, possible side effects, and follow-up measures, ensuring complete understanding by translating complex medical terminology.

What qualifications you will need:

• Registered Nurse

• Bachelors Degree

• Basic Cardiac Life Support, or BCLS Instructor, or CPR must be obtained within 30 days of employment start date

• ACLS with 30 days of hire

• NIHSS Stroke Certification within 30 days of hire

Benefits

TriStar StoneCrest Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services

• Wellbeing support, including free counseling and referral services

• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence

• Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling

• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing

• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

"Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future."

Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC

Senior Vice President and Chief Nurse Executive

HCA Healthcare

TriStar StoneCrest proudly serves Rutherford County, Tennessee. Our 100 bed hospital offers complete medical care for adults and children. This includes emergency, surgical, and many other services. Our medical staff of about 500 physicians includes more than 45 specialties. Many physicians have offices on the hospital campus. Our staff is committed to providing quality patient care. We offer compassion and comfort in our modern facility.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.