Registered Nurse Level IV - Pulmonary Care & Telemetry Unit (4100/4200)

Registered Nurse Level IV

At Rochester Regional Health, we are dedicated to getting healthcare right. Our robust benefits and total rewards foster employee wellbeing, professional development, and personal growth. We care for your career while caring for the community.

As a Registered Nurse Level IV, you will leverage your clinical expertise and leadership skills to develop and implement comprehensive care plans for patients. Additionally, you will serve as a mentor to fellow team members, providing guidance and support to ensure the highest standards of care on the unit.

The 4100/4200 Unit at Unity Hospital is a moderately-acute telemetry unit that specializes in the care of patients with a wide range of medical conditions, with a particular focus on pulmonary care. We provide patient-centered care to a diverse population, offering unique opportunities for nurses and healthcare professionals to advance their clinical expertise in both telemetry and respiratory care. This unit is dynamic, challenging, and deeply rewarding for those passionate about delivering high-quality, compassionate care.

Key Features of the 4100/4200 Unit:

• Diverse and High-Acuity Patient Population: Care for patients requiring continuous monitoring for a variety of acute medical conditions, with a strong emphasis on cardiac and respiratory monitoring.
• Pulmonary Care: Specializes in the care of ventilator patients and other high-acuity respiratory conditions. The unit works closely with the Pulmonology and Respiratory Therapy teams to manage patients with complex respiratory illnesses such as ARDS, COPD exacerbations, and pulmonary edema.
• Drug & Alcohol Withdrawal: Assessment using the CIWA protocol, stabilization, and transitioning patients to appropriate rehabilitation care when necessary.
• Complex Wound Care: Expertise in managing patients with wound vacs, pressure ulcers, and other complex wound care needs.
• Critical Infusions & Pain Management: Management of patients requiring insulin drips, Cardizem drips, Heparin drips, and Patient-Controlled Analgesia (PCA) for pain relief.

• Interdisciplinary Collaboration: The unit emphasizes interdisciplinary teamwork, ensuring collaboration between nurses, physicians, social workers, respiratory therapists, wound care experts, and other healthcare professionals. This ensures a holistic approach to patient care, especially for those with complex, multi-system conditions.

• Empowering Work Environment: Nurse Autonomy & Empowerment: Nurses on the 4100/4200 Unit have the autonomy to make critical decisions and act as advocates for their patients, all while being supported by a strong leadership team.
• Comprehensive Onboarding & Mentoring: Our onboarding process is designed to support new nurses, ensuring they are well-prepared to succeed. Continuous mentorship and ongoing professional support are key aspects of career development on this unit.
• Inclusive & Positive Culture: We foster a work environment where every team member is valued and supported. Our nurses recognize the emotional and physical challenges of caring for high-acuity patients, and we actively promote work-life balance and well-being.

• Professional Development: Nurses are encouraged to pursue continuing education in pulmonary care, telemetry monitoring, and wound management, with opportunities for advanced certifications and training.

Why Choose the 4100/4200 Unit? The 4100/4200 Unit offers a unique and dynamic environment for nurses who wish to specialize in both pulmonary care, telemetry, and high-acuity patient management. Nurses on this unit gain invaluable experience in managing ventilator patients, acute respiratory distress, complex telemetry monitoring, and multi-system patient care. With a strong team-oriented culture, nurse autonomy, and robust professional development opportunities, the 4100/4200 Unit is an ideal setting for nurses looking to grow their skills in a highly collaborative and patient-centered environment.

This role is part of the Registered Nurse Level IV/Clinical Nurse IV must complete the following:

• Complete the Clinical Ladder binder within 12 months of employment
• Minimum of 5 activities in each Pillar (Leadership, Quality, and Organizational Contribution)
• 15 Continuing education units (CEU's)
• 20 Flex items

Status: Full Time

Location: Unity Hospital

Department: Pulmonary Care & Telemetry Unit (4100/4200)

Schedule: Day/Evening/Night - Every other weekend/holiday

Desired Attributes:

• Bachelor's Degree in Nursing required.
• Minimum of 6 months experience as a registered nurse.
• Basic Life Support (BLS) certification

Responsibilities:

• Assessment: Perform initial and ongoing assessment of the patient; demonstrate exceptional clinical judgment and advanced assessment skills; communicate and document assessment with interdisciplinary team; utilize all available resources in order to meet the needs of the patient and family
• Planning & Implementation: Develop and document plan of care, treatment, and services; collaborate interdisciplinary health team to deliver care; maintains an appropriate nurse-patient relationship and provides an exceptional experience for the patient and family
• Evaluation & Education: Evaluate, communicate, and document patient responses to care; revise plan of care based on ongoing evaluations; ensure the patient receives and understands education/training specific to their needs and abilities
• Training: Provide training for new team members on the unit; assume role of teacher for nursing students and other students shadowing on the unit; act as a resource for other team members for both clinical and non-clinical matters

Education: BS: Nursing (Required)

Licenses/Certifications: BLS - Basic Life Support - American Heart Association (AHA), RN - Registered Nurse - New York State Education Department (NYSED)

Physical Requirements: M - 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; Requires frequent walking, standing, or squatting.

Pay Range: $37.18 - $49.92

City: Rochester

Postal Code: 14626