Registered Nurse - D4 Cardiac Step Down

Unit Summary

D4 is a 30 bed intermediate care/stepdown unit. This unit cares primarily for cardiac patients in need of cardiac catheterizations, post STEMI/angioplasty, NSTEMI, post pacemaker insertion, CHF patient’s, Atrial Fibrillation or other cardiac arrhythmia’s and hyper/hypotensive patients, not meeting ICU admission criteria.

Hours: 36 Hours, Full Time

Shift: Nights - 7:00PM-7:30AM

The Community RN Career Direct Care Pathway placement is comprised of four levels based on a RN’s minimum experience, education, and qualifications.

Level I - 0 – Less than 12 Months of RN Experience.

Level II - 12 Months - Less than 3 Years of RN Experience.

Level III - 3 Years - Less than 8 Years of RN Experience.

Level IV - 8 Years of RN Experience.

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.  Other duties and responsibilities may be assigned.

• Participates in and maintains awareness of performance improvement initiates.
• Conscientiously evaluates and integrates evidence-based practice and research into clinical practice.
• Conducts and documents accurate clinical assessments.
• Develops, implements, and evaluates the patient’s individualized plan of care.
• Uses professional nursing judgment to individualize the plan of care based on assessment of the patient's needs.
• Manages own patient assignment by delegating and effectively based on patient needs and skills of team members.
• Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources, and documents according to department standards.
• Recognizes patient/family rights through support of their informed decisions and advanced directives.
• Continually evaluates and revises the care plan according to changes in the patient’s health status.
• Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources.
• Supports the development of new staff members and helps facilitate their transition into unit. 
• Guides the professional growth of department staff through precepting.
• Participates in professional development by identifying learning needs and seeking appropriate education.
• Participates in departmental committees as needed.

Physical Requirements: 
1. Occasional lifting of 30-35 lbs and turning patients.

2. Prolonged standing and walking.

3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting.

4. Exposure to infectious disease and possible carcinogenic chemicals.

5. Exposure of blood-borne pathogens.

6. Requires fine manual dexterity to lift and maneuver patients.

7. Requires visual and aural acuity necessary to monitor patient care.

Skills & Abilities:
1. Ability to effectively communicate with patients, families, physicians, and healthcare team.

2. Knowledge of and application of the nursing process.

About Lowell General

For more than 125 years, Lowell General has served the Greater Lowell community with pride. We balance the first-rate care of a premier medical center with the warmth of a four-time Magnet®-recognized community hospital. As a member of our team, you’ll join over 3,000 dedicated care providers to offer complete, connected care, when and where patients need it most.

About Tufts Medicine

A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being.

At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.

At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.

The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.

Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it.

Pay Range:

$37.50 - $68.47

based on full-time equivalent