RN - Observation Unit

Lexington Health; West Columbia (SC); On-site; USD 41,000 - 62,000; Full time

Benefits offered by this job

Sign-On Bonus

Relocation Assistance

Tuition reimbursement

Student loan forgiveness

Magnet distinctions

Job summary

Lexington Health in West Columbia, SC is opening a new Observation Unit and seeks a Registered Nurse to join the team on the 7p-7a shift. This full-time night position emphasizes high-quality patient care, collaboration with physicians, and supportive family-centered care for 24- to 48-hour stays.

You will apply the nursing process, document care, and participate in performance improvement initiatives. Lexington Health offers a $20,000 sign-on bonus, relocation assistance, tuition reimbursement,

Qualifications

• Active RN license to practice in South Carolina.
• Minimum education: ADN, Diploma or BSN in Nursing.
• 1+ year experience in Critical Care, Medical/Surgical or ED preferred.
• Night shift availability required.

Responsibilities

• Utilize the nursing process to promote and restore health.
• Collaborate with physicians and multidisciplinary team members.
• Provide physical and psychological support to patients and families.
• Document all patient care activities accurately and timely.
• Participate in quality improvement activities and infection-control policies.

Skills

Nursing assessment

Clinical judgment

Patient education

Interdisciplinary collaboration

Education

ADN/ Diploma/ BSN in Nursing

Job description

Registered Nurse - Observation Unit (NEW UNIT opening November 2027, Short-Term Patient Care, 24-48 Hour Stays)

Observation Unit |Full Time | Night Shift (7p-7a)

Sign-On Bonus: 20,000.00 & Relocation Assistance Eligible

Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer.

Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.

Why Nurses Choose Lexington Health

• $20,000 Sign-On Bonus
• Magnet with Distinction® – first hospital in South Carolina to earn this honor
• Named one of South Carolina’s Best Places to Work
• Certification pay, clinical differentials and shared governance
• Tuition reimbursement, student loan forgiveness and leadership development
• Self-scheduling, including weekend-only options
• Supportive leadership, strong mentorship and a collaborative culture
• Located in the heart of the Midlands, two hours from beaches or mountains
• A Wonderful Place to Live: Big-city amenities, small-town charm, low cost of living, and ranked the Best Place to Live in South Carolina by Travel + Leisure

Job Summary

Utilizes the nursing process to promote and restore patient’s health status; collaborates with physicians and multidisciplinary team members; provides physical and psychological support to patients, family members and significant others; and supervises assigned team members. Uses a systematic critical-thinking approach to guide data gathering, assessment, nursing judgement, intervention and evaluation of human responses to actual and potential health problems through activities such as health teaching and the provision of care, supportive and restorative care and/or support of a peaceful death. All responsibilities are carried out in accordance with the mission, vision, strategic imperatives and standards of the Lexington County Health District, American Nurses Association Standards and in accordance with the provisions/statues set forth by the South Carolina Nurse Practice Act.

Essential Functions

PATIENT CARE AND SUPPORT

• Establishes positive rapport with patient and family.
• Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.
• Promotes patient's independence by establishing patient care goals; provides education to patient, and family in a manner they can understand their condition, medications, and self-care skills, etc. and provides them ample opportunity to ask questions.
• Serves as patient/family advocate
• Maintains continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs.
• Uses a systematic critical-thinking approach to guide data gathering, assessment, nursingjudgement, intervention and evaluation of human responses to actual and potential health problems.
• Identifies, synthesizes and interprets sources of data using reasonable clinical judgement to respond to dynamic situations in a timely and effective manner.
• Maintains patient confidence and protects operations by keeping information confidential.
• Uses ethical decision making processes and advocates for acceptable patient outcomes.
  

CLINICAL WORK QUALITY

• Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.
• Resolves patient problems and needs by utilizing multidisciplinary team strategies.
  Participates in process/performance improvement activities and initiatives utilizing evidence based practice to maintain and/or improve quality of care and safe patient care systems and processes.
• Maintains safe and clean working environment by complying with procedures, rules, and regulations; calling for assistance from health care support personnel.
• Protects patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.
• Documents all patient care activities accurately and timely.
• Provides safe, appropriate, quality of care and support to patients and family members.
• Protects patients and employees by adhering to infection-control policies and protocols medication administration and storage procedures, and controlled substance regulations.

Duties & Responsibilities

RESOURCE MANAGEMENT

• Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques.
• Appropriately utilizes all nursing supplies and equipment.
• Demonstrates effective teamwork skills and maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods.
• Promptly responds to all communication devices in order to meet patient needs.
• Assists in performing and documenting environmental checks as required by LMC policy and regulatory agencies.

PROFESSIONAL RESPONSIBILITIES

• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
• Meets or exceeds all LMC requirements for attendance and service expectations.
• Maintains required certifications.
• Completes yearly safety training and other mandatory classes.
• Complies with all annual employee health requirements.
• Ensure Hazardous Waste or Hazardous Waste Pharmaceuticals are discarded, stored, and managed with other compatible waste streams in containers that are properly labeled and closed prior to being shipped offsite for proper disposal. Initial RCRA training is received within 6 months of the hire date and continuing with annual RCRA training.
• Earns a minimum of 15 hours of continuing education annually within specialty.

We are committed to offering quality, cost-effective benefits choices for our benefit eligible employees and their families

• Day ONE medical, dental and life insurance benefits
• Health care and dependent care flexible spending accounts (FSAs)
• Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
• Employer paid life insurance – equal to 1x salary
• Employee may elect supplemental life insurance with low cost premiums up to 3x salary
• Adoption assistance
• LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
• Tuition reimbursement
• Student loan forgiveness

Equal Opportunity Employer

It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee’s desires and abilities and the hospital’s needs.

Minimum Qualifications

Minimum Education: ADN, Diploma or Bachelors of Science in Nursing

Minimum Years of Experience: 1-year Critical Care, Medical/Surgical, Intermediate, or Emergency Department experience

Required Certifications/Licensure: Current RN license to practice in the State of South Carolina.