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RN - Cardiothoracic Surgery Step-down Unit

                    

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job Title

RN - Cardiothoracic Surgery Step-down Unit

                        

Location

Cleveland

                    

Facility

Cleveland Clinic Main Campus

                     

Department

J5-1 Cardiovasc Surg Stepdown-Main Campus Hospital

                      

Job Code

F00165

                     

Shift

Day/Night Rotation

                       

Schedule

7:00am-7:30pm/7:00pm-7:30am

                       

Job Summary

                         

Job Details

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. The J53/J51 nursing units for Cardiothoracic Surgery Step-down are part of Cleveland Clinic’s Heart, Vascular and Thoracic institute. Since 1995, Cleveland Clinic has been recognized as one of the top hospitals in the country for Cardiology. 



As a Registered Nurse in the Cardiothoracic Surgery Step-down unit, you will provide care to patients receiving coronary artery bypass surgery, valve repair or replacement and minimally invasive or off-pump coronary bypass surgery. An RN in this role is familiar with complex medical histories, innovative surgical procedures, pain modalities, and comprehensive nutritional support. Your primary duties will include: 

Providing direct nursing care. 

Monitoring, recording and communicating patients’ conditions as appropriate. 

Preparing patient care plans. 

Administering prescribed medications.  

Performing bedside hand-off reports and thorough bedside daily rounds. 



The ideal future caregiver is someone who: 

Is a team player. 

Has good communication skills. 

Can adapt to change. 

Has an interest in growing leadership skills. 

Can critically think and problem solve for patients’ best interests. 



This is an excellent opportunity for already established RNs to discover Cleveland Clinic’s Sydell and Arnold Miller Family Heart, Vascular & Thoracic Institute, and gain hands-on experience in this rewarding unit.  



At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare. 



Responsibilities:

  • Provides direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization. Implements and monitors patient care plans.
  • Monitors, records and communicates patient condition as appropriate.
  • Monitors and documents patient's condition and effectiveness and timeliness of care and/or interventions.
  • Evaluates, updates and revises plan of care to facilitate achievement of planned and expected outcomes.
  • Serves as a primary coordinator of all disciplines for well-coordinated patient care.
  • Administers prescribed medications and treatments in accordance with approved nursing protocol.
  • Notes and carries out physician and nursing orders.
  • Assesses and coordinates patient's discharge planning needs with members of the healthcare team.
  • Assesses educational needs of the patient and significant others considering cultural issues and other special concerns.
  • Provides teaching and educational material as appropriate.
  • Validates and documents patient and family understanding of teaching.
  • Maintains professional growth and development through ongoing formal and informal education and clinical nursing study.
  • Other duties as assigned.

Education:

  • Graduate from an accredited school of professional nursing. BSN preferred.

Certifications:

  • Current state licensure as Registered Nurse (RN).
  • Proof of Basic Life Support (BLS) through American Heart Association (AHA) must be presented upon hire.
  • If in a Critical Care area an Advanced Cardiac Life Support (ACLS) through American Heart Association (AHA) Certification must be presented upon hire or within first year of employment.
  • Within one year of hire RNs in Children's Hospital and Children's Hospital for Rehabilitation will achieve and maintain Pediatric Advanced Life Support (PALS) through American Heart Association (AHA) with the exception of the Neonatal Intensive Care Unit RNs who must achieve and maintain Neonatal Resuscitation Program (NRP) through American Heart Association (AHA) provider status and RNs in the Special Delivery Unit, who must achieve and maintain Advanced Cardiac Life Support (ACLS) through American Heart Association (AHA).
  • ONS Chemo/Bio course completed within two years of hire if employed on units where chemo is administered.
  • If in an Adult/Combined EDs, ACLS upon hire or within one year of beginning work in the Emergency Department.
  • If in an ED, Pediatric Advanced Life Support (PALS) through American Heart Association (AHA) upon hire or within one year of beginning work in the Emergency Department.
  • In Dedicated Trauma Centers, Trauma Nursing Core Course (TNCC - adult) or Emergency Nurse Pediatric Course (ENPC - pediatric) upon hire or within 24 months of beginning work in the Emergency Department.
  • Any registered nurse or advanced practice nurse must obtain a cancer specific certification or demonstrate ongoing qualifying education within the timeframe of the facilities accreditation cycle, if they work in  medical oncology, radiation oncology,  cancer center or cancer clinic and/or administer chemotherapy within an accredited Cleveland Clinic facility.

Complexity of Work:

  • Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
  • Must be able to work in a stressful environment and take appropriate action.

Work Experience:

  • Minimum one year current acute care RN experience in a hospital setting required for acute care settings.
  • Minimum one year current acute care RN experience and/or skilled nursing facility (SNF) experience required for SNF care settings.
  • Minimum one year current acute care RN experience and/or rehab experience required for rehab care settings.
  • Minimum one year current acute care RN experience and/or Emergency Department (ED) experience required for ED settings.
  • Will consider licensed military RN experience.

Physical Requirements:

  • Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination.
  • Requires standing and walking for extended periods of time.
  • Requires corrected vision and hearing to normal range.
  • Requires working under stressful conditions and irregular hours.
  • Exposure to communicable diseases and/or body fluids.
  • Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects.
  • Physical Demand requirements are in excess of those for Light Work.

Personal Protective Equipment:

  • Follows standard precautions using personal protective equipment as required.

                       

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

Please review the Equal Employment Opportunity poster

                  

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

Average salary estimate

$70000 / YEARLY (est.)
min
max
$60000K
$80000K

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What You Should Know About RN - Cardiothoracic Surgery Step-down Unit, CCF

As a Registered Nurse in the Cardiothoracic Surgery Step-down Unit at Cleveland Clinic Main Campus, you will play a pivotal role in transforming patient experiences and delivering top-notch care to those recovering from complex heart surgeries. Imagine being part of a dedicated team at one of the country's leading hospitals for Cardiology, where each day offers new opportunities to help, heal, and improve lives. You’ll have the chance to cater to patients post-coronary artery bypass surgery, valve repair, and more, working in an environment committed to excellence. Your role will involve not only direct nursing care but also collaborating with multidisciplinary teams to create comprehensive patient care plans. You'll monitor vital signs, administer medications, and provide essential education to patients and their families, ensuring they feel informed and supported throughout their recovery. This position is perfect for RNs seeking to develop their leadership skills and expand their clinical expertise, all while being part of a caregiver family that values growth and well-being. At Cleveland Clinic, we truly invest in our caregivers, offering resources for professional development and a robust array of benefits tailored to your health and future. Join us, where you can make a real difference in the lives of patients every day.

Frequently Asked Questions (FAQs) for RN - Cardiothoracic Surgery Step-down Unit Role at CCF
What are the primary responsibilities of an RN in the Cardiothoracic Surgery Step-down Unit at Cleveland Clinic?

As an RN in the Cardiothoracic Surgery Step-down Unit at Cleveland Clinic Main Campus, your primary responsibilities include providing direct nursing care to patients recovering from surgery, monitoring their conditions, creating and updating patient care plans, administering medications, and conducting thorough bedside hand-offs to ensure continuity of care. You'll also coordinate with various healthcare disciplines to facilitate a smooth recovery process for your patients.

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What qualifications are required to become an RN in the Cardiothoracic Surgery Step-down Unit at Cleveland Clinic?

To qualify for the RN position in the Cardiothoracic Surgery Step-down Unit at Cleveland Clinic, you need to be a graduate from an accredited nursing school with a current state licensure as a Registered Nurse. A Bachelor of Science in Nursing (BSN) is preferred, and specific certifications such as Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) may be required depending on your role within the unit.

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What opportunities for professional growth are available to an RN in the Cardiothoracic Surgery Step-down Unit at Cleveland Clinic?

At Cleveland Clinic Main Campus, RNs in the Cardiothoracic Surgery Step-down Unit have numerous opportunities for professional growth. The organization invests in ongoing education and training, encouraging nurses to participate in workshops, seminars, and other learning experiences. Additionally, there's a strong emphasis on leadership development, making it an ideal environment for those aspiring to advance their careers.

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How does team collaboration work for RNs in the Cardiothoracic Surgery Step-down Unit at Cleveland Clinic?

Collaboration is at the heart of nursing in the Cardiothoracic Surgery Step-down Unit at Cleveland Clinic. RNs work alongside a multidisciplinary team, including physicians, nurse practitioners, and other healthcare professionals, to create a cohesive care strategy for each patient. Effective communication and teamwork are crucial to ensure patient safety and optimize recovery outcomes.

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What is the work environment like for an RN in the Cardiothoracic Surgery Step-down Unit at Cleveland Clinic?

The work environment for RNs in the Cardiothoracic Surgery Step-down Unit at Cleveland Clinic is dynamic and supportive. You will be part of a passionate caregiver family that prioritizes patient-first care and values open communication. The unit is designed to foster teamwork, and the culture promotes resilience and proactive problem-solving, ensuring nurses feel equipped to handle the complexities of patient care.

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Common Interview Questions for RN - Cardiothoracic Surgery Step-down Unit
How do you prioritize tasks when caring for multiple patients in the Cardiothoracic Surgery Step-down Unit?

In an interview, demonstrating effective prioritization requires explaining your ability to assess patient needs quickly and determine which tasks impact patient safety and well-being most. Mention using tools such as patient acuity scales and prioritization matrices while highlighting your communication with other caregivers to streamline care.

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Can you describe a challenging situation you faced in an acute care setting and how you handled it?

When answering this question, provide a specific example from your experience that highlights your critical thinking and problem-solving skills. Detail the situation, your assessment, the actions you took, and the outcomes. Emphasize teamwork and collaboration, aspects crucial in the Cardiothoracic Surgery Step-down Unit.

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What approach do you take to educate patients and their families about their care?

Explain that your approach to patient education involves assessing their knowledge levels, employing teach-back methods to ensure understanding, and providing educational materials. Highlight the importance of adapting your communication style to fit patients' individual needs, especially in the context of complex conditions like those encountered in cardiothoracic surgery.

Join Rise to see the full answer
How do you deal with stress in high-pressure situations, especially in a step-down unit?

Discussing your stress management techniques is vital; focus on staying organized, using time management strategies, and seeking support from your team. Talk about how you take breaks when possible and practice mindfulness to maintain composure in fast-paced environments like the Cardiothoracic Surgery Step-down Unit.

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What are some key signs that a patient in your care may be experiencing deterioration?

In your answer, note the importance of recognizing subtle changes in vital signs, patient reports of discomfort, or alterations in mental status. Stress the value of thorough assessments and the importance of timely communication with the healthcare team, ensuring that you are proactive in care.

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How do you ensure accurate administration of medications?

For this question, discuss your adherence to the 'Five Rights' of medication administration—right patient, right drug, right dose, right route, and right time—as well as using technology for double-checking medications. Share your commitment to continuous learning about medications and their effects in cardiothoracic care.

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How would you advocate for a patient when their family is not in agreement with the care plan?

In answering this question, illustrate your communication and negotiation skills. Explain how you would facilitate an open dialogue with family members, ensuring they understand the clinical rationale behind the care plan while emphasizing the patient's preferences and best interests.

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What motivates you to work in the Cardiothoracic Surgery Step-down Unit?

Describe your passion for helping others and how you find fulfillment in witnessing patients recover from significant surgeries. Highlight your drive to work in a fast-paced, challenging environment where you can continuously learn and make impactful contributions to patient care.

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How do you stay updated on best practices in nursing care, particularly in cardiothoracic surgery?

Mention your commitment to professional development through attending workshops, reading current literature, participating in nursing forums, and utilizing resources from reputable organizations. Explain how you apply new knowledge to enhance your practices in the Cardiothoracic Surgery Step-down Unit.

Join Rise to see the full answer
What is your experience with electronic health records (EHR) systems, and how do they assist in patient care?

Share your experience with EHR systems and how they improve patient care by enhancing documentation accuracy, facilitating communication among healthcare providers, and tracking patient progress. Emphasize your adaptability to technological advances in the nursing field, especially within high-acuity areas like cardiothoracic care.

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EMPLOYMENT TYPE
Full-time, on-site
DATE POSTED
April 21, 2025

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