Nov 17, 2023

PRN-RN Tier 1 - 5 Main - Vascular Surgery Stepdown

  • Spartanburg Regional Healthcare System
  • Spartanburg, SC, USA
General Nursing

Job Description


Position Summary

Under general supervision, the RN demonstrates and utilizes knowledge and skills to provide direct age-specific and culturally appropriate patient care through the use of the nursing process based on knowledge of principles of growth and development, serves as a clinical resource, participates in patient and staff education, demonstrates leadership, and serves as a preceptor. Employees are encouraged to support Spartanburg Regional Healthcare System’s involvement in the community we serve.


A PRN Tier 1 Nurse will work on an as-needed basis.

Unit Description

What we are:

5 Main is a 36-bed stepdown intermediate care unit that specializes in vascular surgery, telemetry and stroke. 5 Main is part of the Cardiovascular Division at Spartanburg Medical Center (SMC). Staffing is comprised of RNs, PCAs (patient care associates) and UAs (unit ambassadors).

What we do:

Some of 5 Main’s vascular surgeries include aortic aneurysm repair, carotid endarterectomy, femoral bypass surgeries and amputations. 5 Main is the secondary stroke unit at SMC and all the nurses on 5 Main are NIHSS certified, which we help you obtain during your orientation period. All the beds on 5 Main are monitored beds. 5 Main cares for a variety of patients with telemetry needs, providing an environment conducive to extensive learning and skill development. You will be exposed to many types of patients on 5 Main aiding in your ability to provide great care to anyone that chose Spartanburg Medical Center to meet their healthcare needs.

Nurse to patient ratio on 5 Main is 1:4.

Who we are/unit culture:

This team believes that teamwork is essential to providing excellent patient care. Here you will find a warm group of willing, and clinically proficient individuals to assist you in adapting to your potential role as a registered nurse. In addition to regular staffing, 5 Main has a free Charge Nurse and Admission Discharge Nurse that are available to assist in directing and coordinating patient care, staff development and support, as well as leading day to day unit operations. 5 Main consistently has outstanding staff engagement scores. Patient and family satisfaction and quality care is the core of 5 Main’s mission and vision.

Our unit leadership:

5 Main’s nurse manager has been a nurse for 19 years with all of those years of experience on 5 Main. She has been in unit leadership for 13 years in various positions such as charge nurse, clinical resource nurse, assistant nurse manager and now manager. Our assistant nurse manager has been an RN for 10 years - all of her experience has also been on 5 Main. She has been assistant nurse manager for 3 years. They are very active and visible on the unit, interacting with staff and providing support daily. They encourage strong teamwork and teambuilding activities on a regular basis including contests and events, both at work and outside of work.

Minimum Requirements


  • Graduate of an accredited school of nursing; Baccalaureate Degree preferred


  • Minimum of 1 year of experience required to work PRN


  • Current R.N. licensure in the state of South Carolina or Compact State
  • BLS Required
  • ACLS and PALS/NRP as determined by Unit patient demographics

Preferred Requirements

Preferred Education

  • BSN

Core Job Responsibilities

  • Initiates and facilitates interdisciplinary collaboration to enhance outcome
  • Seeks necessary assistance in completing nursing interventions to assure positive patient outcomes
  • Responsible for demonstrating competency for all new equipment and procedures.
  • Provides clinical guidance to students and ancillary staff
  • Successfully completes hospital and unit-based orientation programs
  • Formulates a plan for professional growth
  • Ensures compliance with all clinical expectations regarding regulatory requirements
  • Identifies appropriate standards of care, and/or collaborative clinical pathways to guide the plan of care
  • Complies with established policies and procedures
  • Identifies the need to develop or revise policies and procedures pertaining to specialized patient populations and/or unit and hospital-based practices
  • Serves on unit-based committees
  • Educates peers with a minimum of one in-service per year
  • Demonstrates knowledge of professional nursing practice and theory.
  • Assures continuity of care through effective decision making resulting in quality patient care
  • Documents all aspects of patient care by following established charting procedure to show the patient’s progress or any change in the patient’s condition
  • Collaborates with patients, families, and other members of the health care team to determine patient priorities and treatments

Additional Information

Spartanburg Regional Healthcare System (SRHS) offers a full spectrum of services through six hospital campuses: Spartanburg Medical Center, Spartanburg Medical Center — Mary Black Campus, Pelham Medical Center, Cherokee Medical Center, Spartanburg Hospital for Restorative Care and Union Medical Center. SRHS also includes Ellen Sagar Nursing Center and Woodruff Manor. SRHS provides unparalleled cancer care through Gibbs Cancer Center & Research Institute, with locations in Spartanburg, Greer, Union and Gaffney. The multidisciplinary Medical Group of the Carolinas has more than 600 physicians across Upstate South Carolina and western North Carolina. SRHS employs more than 9,000 associates and offers outpatient surgery centers and a Level I Trauma Center.

Founded on Aug. 29, 1921, as Spartanburg General Hospital, Spartanburg Regional celebrates over 100 years of excellence.