Registered Nurse (RN -CN 1), MSD, Flex, ONA

Job Description

Registered Nurse (RN -CN 1), Flex Shift, Medical Step Down Unit, ONA

Medical Step-Down Unit (MSD)- 12-bed unit

Population Served: The Medical Step-Down Unit (MSD) provides an intermediate level of care between the Intensive Care Unit (ICU) and the Medical-Surgical Unit. Most commonly seen diagnoses include but are not limited to our Rapid Response patients that have deteriorated on the medical surgical floors, Renal failure, advanced respiratory illness, GIB, alcohol withdrawal, pulmonary hypertension, sepsis, medication overdoses, end-of-life care, and mental status changes of unknown origin. Bedside procedures- bronchs, desensitization, high-risk medication initiation, and titration.

Medical Step Down nurses provide care as follows but are not limited to: critical care assessments, patient education, cardiac monitoring, hemodynamic monitoring, medication gtts, and trach to vent patients. This unit requires nurses to be oriented in the MICU, ACLS certified, and attend a 15-week intensive course for critical care nursing. There is a collaboration of interdisciplinary teams which is essential to the care provided to these patient populations. The goal of the unit is to provide a critical care environment to stabilize sick patients with chronic and complex needs and promote wellness. MSD patients have transferred out of MSD to LTAC (Long term acute care) environment or to the med/surg floor.

About the University of Cincinnati Medical Center

As part of the Clifton Campus of UC Health, Greater Cincinnati's academic health system, the University of Cincinnati Medical Center has served Greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care team. Our experts utilize the most advanced medical knowledge and technology available, providing a level of specialty and subspecialty medical care that is not available anywhere else in Greater Cincinnati.

UC Medical Center is also home to medical breakthroughs- our physician experts conduct basic, translational, and clinical research, leading to new therapies and care protocols, and connecting patients to the latest and most advanced treatments. UC Medical Center houses Greater Cincinnati's only Level I adult trauma center, which includes the right mix of specialist and medical resources available at a moment's notice for a wide variety of the most complex medical conditions and injuries.


Job Responsibilities

The Registered Nurse (RN) is an individual who holds a current state license to practice nursing. The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. The care is culturally based and age-specific.

  • Prepares, implements evaluates, revises, and coordinates interdisciplinary plan of care for each assigned patient in a collaborative effort with the other healthcare team members and patient/family within the time frame indicated by the unit's standards of practice.
  • Communicates formulated plan of care, as appropriate, to all levels of associates involved in the patient's care, and demonstrates the ability to establish priorities of care based on the patient's assessment and needs.
  • Gives clear instructions to patients/family regarding treatment, and involves family/guardian in the assessment, initial treatment, and continuing care of the patient.
  • Identifies and responds appropriately to different patient needs resulting from behavioral health problems, unique psychological needs, or those associated with religious/cultural norms.
  • Demonstrates critical thinking, accountability, flexibility, and a cooperative attitude in meeting the needs of the unit.
  • The nursing process is accurately and concisely documented, including evaluation of treatment and in accordance with hospital policy and procedure.
  • Acts as a resource person and mentor for new personnel, floater, and/or supplemental staff working on the unit.
  • Assumes responsibility for personal and professional development and contributes to the professional development of peers, colleagues, and others.


Education and Experience Requirements:
  • Graduate from an accredited school of nursing
  • Associate's Degree minimum required
  • Bachelor of Science in Nursing preferred
  • Current OH RN License

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About UC Health

UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at