Registered Nurse - Surgical Step Down Unit

Job Title: Registered Nurse - Surgical Step Down Unit

Department: Critical Care - Surgical Step Down

Location: Rochester General Hospital

Hours Per Week: Full-Time (36 hours per week)

Schedule: Nights, Every Other Weekend, Every Other Holiday

SUMMARY: As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health. You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect and compassion.

The Surgical Step Down Unit provides specialized, high-acuity care for patients recovering from complex vascular procedures, amputations, and a variety of advanced surgical interventions. Registered Nurses care for medically complex patients requiring close monitoring, including Medical ICU step-down patients and individuals who are ventilator-dependent. This fast-paced unit offers an exceptional opportunity to develop advanced assessment skills, strengthen critical thinking, and gain experience caring for patients with complex post-operative and critical care needs. Nurses work alongside a highly collaborative interdisciplinary team, making this an ideal environment for those seeking to expand their clinical expertise while delivering exceptional, patient-centered care.

CLINICAL LADDER LEVEL I-IV

The RN level will be determined at the time of hire based on the candidate’s qualifications and ability to meet Clinical Ladder requirements. An established compensation add-on is applied to each RN level.

Level expectations include

• RN Level II: Minimum 6 months RN experience; AAS in Nursing; completion of Clinical Ladder requirements within 12 months, including 3 activities per pillar (Leadership, Quality, Organizational Contribution), 9 CEUs, and 6 flex items.
• RN Level III: Minimum 1 year RN experience; AAS in Nursing; demonstrated clinical and leadership skills; preceptor and/or charge experience; completion of 4 activities per pillar, 12 CEUs, and 15 flex items.
• RN Level IV: Minimum 1 year experience in the specialty hired into; BS in Nursing required; expanded leadership role (charge, preceptor, mentor); completion of Clinical Ladder requirements within 12 months, including 5 activities per pillar, 15 CEUs, and 20 flex items.

RESPONSIBILITIES

• Provides high-quality, patient-centered, clinical care
• Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient).
• Communicates and documents assessment of patient with the interdisciplinary team. Utilizes all available resources in order to meet the needs of the patient and family.
• Develops and documents plan of care, treatment and services which is individualized and appropriate for the patient needs, strengths, limitations and goals.
• Complies with organizational policies, procedures and protocols including policies governing safety, medication administration and documentation.
• Revises plan of care based on ongoing evaluations and updates documentation appropriately.
• Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States. Compliance
• Completes a minimum of 5 nationally approved contact hours (CNE or CEU) per year.
• Completes mandatory in-services and health screens in timely manner.
• Maintains Basic Life Support (BLS) certification.

REQUIRED QUALIFICATIONS

• Diploma or Associate’s Degree in Nursing
• Registered Nurse license in New York State.
• Basic Life Support (BLS) certification.

PREFERRED QUALIFICATIONS

• Bachelor’s Degree in Nursing preferred.
• At least 6 months RN experience preferred.

EDUCATION

AS: Nursing (Required)

LICENSES / CERTIFICATIONS:

BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - NYS Office of ProfessionsNew York State Education Department (NYSED)

PHYSICAL REQUIREMENTS

Moderate - Clinical - Moderate clinical roles are patient facing roles that require continual movement, including standing, walking, and lifting 20–50 lbs., along with pushing and pulling medical equipment and assisting with patient positioning. Employees perform frequent bending, twisting, and reaching while completing fine motor tasks in busy or confined clinical environments. High sensory acuity is essential for monitoring patient status and responding to alarms or safety concerns. Emotional and cognitive demands are substantial, involving decision-making under pressure, responding to emergencies, and maintaining sustained focus. Environmental exposures include infectious agents, bodily fluids, chemicals, and radiation. TB testing, mask-fit testing, and physical exams are common requirements.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE

$40.94 - $54.58

CITY

Rochester

POSTAL CODE

14621

The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.