Registered Nurse, Stepdown, Full-time nights, Clarksville at Vanderbilt Health

  • Company: Vanderbilt Health
  • Location: Clarksville, TN
  • Job type: full time
  • Workplace: onsite
  • Posted: 2026-10-31

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Job description

Discover Vanderbilt Health : With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region. Organization: VCH Step Down Job Summary: Applies the nursing process to plan and implement the care of patients, including patient and family education and continuum of care planning. Effectively communicates pertinent patient/family information to the health care team. Collaborates in establishing patient goals and evaluates progress to ensure effective outcomes. Furthers professional growth by engaging in learning activities according to the Board of Nursing standards. . Hours of Position: Full-time (36 hours/week), nights (6:45p - 6:45a) We are seeking a compassionate, highly skilled Registered Nurse (RN) to join our 21-bed Stepdown/Telemetry Unit. This unit specializes in caring for acutely ill but stable patients who require continuous cardiac monitoring and a higher level of nursing assessment and intervention. The ideal candidate thrives in a fast-paced, collaborative environment and is committed to delivering exceptional patient- and family-centered care. About the Unit Our Stepdown Unit is a 21-bed hardwired telemetry department that cares for patients with a broad range of: Cardiac and vascular conditions Medical-surgical diagnoses Cardiac arrhythmias Patients requiring bedside cardioversion Sepsis and stroke management Withdrawal management Oxygenation and respiratory support Post-operative recovery and monitoring Patients requiring titratable medications and specialized interventions With a nurse-to-patient ratio of 4:1 , nurses are empowered to provide comprehensive, high-quality care while developing strong clinical expertise. Clinical Skills and Equipment Experience Preferred experience with: Cardiac Monitoring & Procedures Hardwired ECG telemetry monitoring Cardiac rhythm interpretation Bedside cardioversions Respiratory Support BiPAP therapy High-flow oxygen therapy End-tidal CO2 (EtCO2) monitoring Medical Equipment Alaris infusion pumps PCA (Patient-Controlled Analgesia) pumps Epidural management Bladder scanners Medication & Infusion Management Cardiac drips Sedation infusions Intravenous fluids Blood product administration Total Parenteral Nutrition (TPN) Required Qualifications Current Registered Nurse (RN) license in applicable state. Graduate of an accredited nursing program. Preferred Qualifications Previous experience in telemetry, stepdown, progressive care, cardiac, or acute care nursing. Telemetry rhythm interpretation experience. Professional nursing certifications related to cardiac, medical-surgical, or progressive care nursing. Experience caring for complex medical and cardiovascular patients. BLS, ACLS Professional Practice Environment Our team is committed to continuous learning, professional growth, and clinical excellence. Nurses are encouraged to participate in: Shared governance councils Quality and safety initiatives Professional certification programs Multidisciplinary rounds Evidence-based practice projects Ongoing education and career development opportunities Orientation & Development New team members receive a comprehensive 8-12 week orientation program , tailored to individual nursing experience and designed to build confidence and clinical competence within the Stepdown environment. Ideal Candidate The successful candidate will be: A critical thinker with strong clinical judgment Team-oriented and collaborative

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