Registered Nurse - Clinical Decision Unit

Registered Nurse – Observation Unit/ Clinical Decision Unit

Requisition ID: 309687

Location: Bethesda North Hospital – 10500 Montgomery Rd, Montgomery, OH 45242

Job Type: Full‑Time -Nights-  6:30 pm-7:00 am

Sign‑On Bonus: $5,000

About TriHealth & This Role

TriHealth is committed to supporting nurses in delivering exceptional, patient‑centered care grounded in teamwork, clinical excellence, and compassion. In the Observation Unit (also known as CDU), you will care for patients requiring short‑term monitoring and evaluation. As a Registered Nurse, you'll apply the full nursing process, collaborate with providers, and help guide patients and their families through fast‑paced clinical decisions. Your role directly influences patient flow, safety, and outcomes.

The Observation Unit/ Clinical Decision Unit

Stepping into the Clinical Decision Unit (CDU) at Bethesda North Hospital, you will find a dedicated team that provides thoughtful, high-quality care for adult and geriatric patients, adhering to Medicare guidelines. This 35-bed unit is a hub for patients requiring further diagnostic testing and treatments, including medical, pre/post-surgical, and cardiac interventions. Every moment counts here, as the team focuses on efficient care delivery, seamless teamwork, and close monitoring of each patient’s progress. For nurses joining the CDU, the journey begins with a warm welcome and a comprehensive orientation experience. Your first week includes corporate orientation, followed by personalized one-on-one onboarding with the Nurse Manager or Educator. This ensures every new team member feels supported and ready to start hands-on training with a preceptor. Unit orientation is tailored to individual experience levels, spanning 4-8 weeks of in-depth, competency-based training. Nurses gain expertise through NIHSS certifications, ACLS/BLS training, ECG/telemetry skills, SIM code readiness exercises, and immersive shadowing opportunities. Whether you’re a new graduate or an experienced RN, the CDU fosters professional growth through robust support, teamwork, and continuous learning. The unit operates on a 6-week scheduling cycle, including every third weekend and holiday rotations (A, B, C). Flexible options like weekend programs and PRN/Optional scheduling provide a supportive work-life balance. Nurses and Acute Care Technicians (ACTs) collaborate closely, This teamwork ensures compassionate, safe, and attentive care for every patient. What makes the CDU truly unique? It's the culture of collaboration, the shared commitment to excellence, and the opportunity to make a difference every day—one patient at a time

Why You’ll Love Working Here

• Collaborative, collegial environment with strong nurse‑physician partnerships.
• Opportunity to sharpen rapid assessment and decision‑making skills in a fast‑moving CDU setting.
• Autonomy to apply holistic, evidence‑based nursing care across diverse patient populations. 
• Support for professional development, including BSN attainment and specialty certification. 
• A culture that prioritizes patient dignity, safety, and the voices of frontline nurses.

Key Responsibilities

• Perform initial and ongoing patient and family assessments; document per unit and TriHealth standards.
• Develop and update individualized plans of care, including both short‑ and long‑term goals.
• Provide safe, therapeutic, culturally sensitive patient care while protecting autonomy and dignity. 
• Recognize and respond appropriately to emergency or rapidly evolving clinical situations. 
• Complete all assigned patient care and documentation within scheduled timeframes. 
• Communicate effectively with physicians, interdisciplinary team members, patients, and families.
• Serve as a resource to staff by sharing specialty knowledge and supporting clinical learning. 

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