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Be ready to walk through stepdown scenarios (desat, chest pain, post-procedure care), how you prioritize a full assignment, and examples of teamwork on a busy day shift. Ask about nurse-to-patient ratios, orientation length, float expectations, and documentation systems at VUMC Medicine Stepdown.
Strong fit if you want day-shift inpatient nursing in a large Nashville academic medical center (VUMC), prefer stepdown acuity over general floor or ICU extremes, and are comfortable in a high-volume non-profit system with research and teaching activity nearby.
As a Registered Nurse on Medicine Stepdown (full-time days) at VUMC, a typical shift centers on intermediate-acuity med-surg patients: assessments, meds, IV therapy, telemetry-style monitoring, and rapid escalation when status changes. Days usually mean handoffs with nights, coordinating with physicians, case management, and ancillary teams, charting, patient/family education, and keeping stepdown ratios and protocols tight in a high-volume academic hospital.
Build stepdown-ready strengths: prioritization of multi-patient assignments, cardiac/respiratory assessment, drip titration awareness, early deterioration recognition, and clear SBAR communication. No certification catalog or costs were supplied for this listing—confirm unit-required credentials (e.g., BLS/ACLS) with VUMC hiring contacts.
No. The listing is on-site in Nashville, TN (remote flag is 0).
Medicine Stepdown—intermediate-acuity medical patients, full-time day shifts as a Registered Nurse at VUMC.
Vanderbilt University Medical Center is a major Nashville non-profit health system affiliated with Vanderbilt University, with multi-hospital and regional clinic operations.
Website: mc.vanderbilt.edu
The Vanderbilt University Medical Center (VUMC) is a medical provider with multiple hospitals in Nashville, Tennessee, as well as clinics and facilities throughout Middle Tennessee. VUMC is an independent non-profit organization but maintains academic affiliations with Vanderbilt University. As of 2023, the health system had more than 3 million patient visits a year, a workforce of 40,000, and 1,741 licensed hospital beds.
Public cache only — not an employee review.
Vumc is seeking a dedicated Registered Nurse. Medicine Stepdown, Full Time Days to join the team in Nashville, TN. This full time days opportunity focuses on high-quality patient care in a stepdown setting. The Opportunity Step into a full time days Registered Nurse. Medicine Stepdown role at Vumc in Nashville, TN, where you will support patients transitioning from intensive care and contribute to coordinated medical management. Candidates searching for Registered Nurse. Medicine Stepdown, Full Time Days jobs in Nashville, TN or Vumc careers will find a position that prioritizes clinical excellence, patient safety, and collaborative practice during daytime shifts. This Registered Nurse. Medicine Stepdown, Full Time Days near me listing offers the chance to apply your nursing skills in a structured hospital environment. Core Duties Perform comprehensive assessments and continuous monitoring of patients on the medicine stepdown unit Administer medications, treatments, and therapies according to established protocols and physician orders Document patient status, interventions, and responses accurately in the electronic medical record Collaborate with physicians, charge nurses, and interdisciplinary team members to develop and adjust care plans Educate patients and families on conditions, medications, and discharge preparation Recognize and escalate changes in patient condition promptly to ensure timely intervention Maintain a safe environment by following infection control, fall prevention, and unit safety standards Support unit operations during full time days shifts through efficient prioritization of multiple patients Qualifications Current registered nurse license valid for practice in Tennessee Proven clinical competence in acute or intermediate-level medical nursing care Strong assessment, critical thinking, and communication skills suitable for a medicine stepdown setting Ability to manage full time days schedule and respond effectively to dynamic patient needs Familiarity with electronic documentation systems and interdisciplinary collaboration Commitment to evidence-based practice and continuous professional development as a Registered Nurse. Medicine Stepdown More About Vumc Vumc is hiring for this role and offers a supportive team environment. How to Apply To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.
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