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Registered Nurse (Neuro Stepdown)

Marrero, LouisianaContract
$44.06+ hourly
About the Job
Registered Nurse (Neuro Stepdown (SDU)) - Marrero, LA (#SM0114).

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Location: Marrero, LA.
Employment Type: Per-Diem.
Hourly Rate: $44.06 per hour.

Position Overview:
We are currently seeking a Registered Nurse (Neuro Stepdown (SDU)) to fill an opening at a hospital located in Marrero, LA. This role is ideal for an RN who specializes in caring for patients transitioning from the Neuro ICU to medical-surgical floors, managing those with acute neurological conditions requiring frequent monitoring but not critical care intensity.

Why Join Us?:
  • Competitive Compensation: $44.06 per hour.
  • Work Schedule: 7:30 AM - 5:00 PM CDT (includes a 30-minute break) – Per-diem.
  • Professional Growth: Gain valuable experience in a collaborative, innovative, and supportive environment.
  • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes.

Qualifications:
  • Education: Completion of an accredited Registered Nursing (RN) program (Associate's or Bachelor's degree).
  • Licensure: Active Louisiana state RN license and current BLS Certification.
  • Experience: At least one year of relevant experience is required.
  • Technical Skills: Proficient in telemetry monitoring, neurological assessments (including GCS), oxygen therapy, tracheostomy care, suctioning, IV medication administration, and management of IV drips such as heparin or nicardipine (non-titratable).
  • Soft Skills: Strong clinical judgment; excellent time management; ability to prioritize a 4-6 patient assignment; compassionate communication with patients experiencing cognitive or physical deficits; team-oriented mindset.

Key Responsibilities:
  • Perform frequent neurological assessments (every 2-4 hours), including pupil checks, motor strength, sensation, coordination, and Glasgow Coma Scale (GCS) scoring.
  • Monitor patients with acute ischemic stroke, post-tPA (without ICU transfer), transient ischemic attacks (TIAs), seizure disorders, brain tumors, post-neurosurgical patients (stable), and head trauma with mild deficits.
  • Manage continuous cardiac telemetry monitoring, identifying and responding to arrhythmias or changes in vital signs.
  • Administer medications including anti-epileptics (levetiracetam, phenytoin), anticoagulants, anti-hypertensives (labetalol, hydralazine), and IV fluids.
  • Provide post-thrombectomy or post-craniotomy care for stable patients transitioning out of the ICU.
  • Assist patients with activities of daily living (ADLs) while maintaining safety precautions for those with weakness, altered mental status, or fall risk.
  • Educate patients and families on stroke prevention, medication management, rehabilitation goals, and discharge planning.
  • Recognize early signs of neurological deterioration and escalate care to the Neuro ICU or Rapid Response Team as needed.
  • Document all assessments, interventions, and patient education in the EMR accurately and in a timely manner.