Registered Nurse - Clinical - Medical/Surgical

Job Summary The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities and Requirements Position Accountabilities And Performance Criteria Perform comprehensive nursing assessment/reassessment. Perform age-appropriate admission assessment or transfer assessment. Obtain input from family/guardian when appropriate. Accurately and completely document findings. Perform assessment of post‑op/post‑invasive procedure patients. Assess and document education and discharge needs of patient and family on admission and throughout hospitalization. Provide patient reassessment, documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. Establish, coordinate, and evaluate a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Identify short- and long‑term goals based on patient care needs. Formulate nursing interventions to achieve desired patient outcomes. Incorporate disease‑specific evidence‑based practice into nursing care plan and other documentation. Provide and document nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Collaborate with appropriate health team members for coordination of daily plan of care for assigned patients. Provide, coordinate and communicate patient care, including accurate handoff communication reports. Administer and document medications accurately according to policies and procedures. Monitor, maintain and document accurate IV fluids and parenteral nutrition according to policies and procedures. Complete referrals as indicated by assessment data. Request consultation for special needs, equipment, or information for patient and/or family. Provide patient/family education and discharge planning per documentation guidelines and protocol. Clarify all physician orders as warranted. Acknowledge and implement physician orders in an accurate and timely manner as evidenced by documentation in the medical record. Assist physician with procedures/treatments as requested or delegate to Care Partner as appropriate. Document "Readback" for all telephone/­verbal orders. Takes telephone/­verbal orders only in emergency situations. Recognize changes in patient’s condition and take appropriate nursing actions. Involve the family/guardian when providing care and in decision‑making as appropriate. Recognize risks for patient and take appropriate action. Incorporate infection‑control practices in daily care. Document and/or communicate nursing care and/or changes in patient condition. Perform and document ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. Evaluate and document effectiveness of patient/family education. Evaluate plan of care and modify as indicated. Recognize significant changes in patient’s clinical parameters and report immediately to physician and others as indicated. Identify problems, gather pertinent data, suggest solutions, communicate using appropriate lines of authority, and work toward problem resolution. Report variation from care/treatment following the occurrence reporting policy and procedures. Provide specialized care to patients at high risk for injury. Restraint Care: Initiate/evaluate alternatives to restraint prior to application; apply restraints consistent with the approved procedure; monitor and assess patient’s response throughout the restraint period at the appropriate intervals; provide specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis; provide consultation for peers to determine alternatives to restraints and 1:1 observation; document restraint use and associated care thoroughly. Pain Management: Assess patient for presence of pain on admission and during assessments/reassessments; incorporate patient’s cultural/spiritual beliefs regarding pain into pain management plan; implement pain management techniques; focus on prevention rather than treatment; include patient and/or family members in developing a pain management plan; consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. Abuse Assessment: Be aware of abuse recognition criteria and incorporate it into assessments; report signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work; take appropriate action to support patient safety when signs of abuse are noted. Adhere to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. Participate in learning experiences that increase professional competence. Demonstrate appropriate technical and cognitive skills for area of practice. Maintain currency in all hospital/unit information, communication, policies and procedures. Attend staff meetings; review minutes when absent. Participate in committee(s), shared governance, work team(s), in a leadership and/or membership role. Review hospital/nursing publications; keep up to date with policies and procedures; participate in shared governance and unit‑based practice council activities and information; contribute to requests for feedback. Demonstrate ability to change and adapt to changing work demands; respond positively to change; provide assistance and support to peers, co‑workers and other team members; adapt positively to changes in unplanned workload and job demands; relate to coworkers in a professional and appropriate manner. Orient and/or precept new employees when required. Participate in and maintain a collaborative team approach toward work. Function as a resource person to co‑workers, patients/families, medical staff and other members of the health‑care team. Effectively assume and delegate care and other activities to the appropriate team member. Redirect clinical staff when the medical plan of care is altered. Communicate the plan of care to be followed on each individual patient in a precise and professional manner. Responsible for the supervision and teaching of students/new staff nurses. Practice standard precautions and dispose of hazardous wastes per established guidelines; maintain a safe, clean, comfortable, and therapeutic environment for patients/families/employees; maintain clutter‑free environment; follow hand hygiene procedures; utilize safe patient‑handling techniques and equipment; keep personal conversations/background noise to a minimum; adhere to dress code; report risk management concerns using eSRM; assume responsibility for completing all annual mandatory requirements. Annual Blood Borne Pathogens training (if required); maintain license and certifications; maintain up to date BLS and HI; annual TB screening and influenza vaccination; annual ethics training; annual safety training; required information security course; required abuse & neglect course; coursework as assigned; annual competency; age/patient‑specific competency (if applicable); orientation competency (if new hire); service‑specific; report variations from care/treatment following the occurrence reporting policy and procedure. Provide service excellence to the customers of Saint Louis University Hospital by delivering timely, high‑quality care in a courteous and respectful manner. Demonstrate care and courtesy; provide prompt, respectful, courteous service; meet physical, spiritual, psychological and emotional needs of patients and families; work with other members of the health‑care team to ensure call lights are answered promptly; apologize for mix‑up and delay; communicate effectively and maintain confidentiality; listen to staff/patient/family concerns and address needs; explain procedures and all education in a manner that staff/patient/family understand; allow time for questions; demonstrate competence and collaboration; provide accurate handoff reports; provide quality care in accordance to standards; share knowledge with other departments to facilitate workflow and continuity; provide cost‑effective services; use resources wisely; recommend changes in practice that increases efficiency and minimizes waste; ensure customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit"; incorporate performance improvement and evidence‑based practice into individual professional practice. Assist in developing and implementing nursing unit goals; remain current with evidence‑based practice initiatives; identify opportunities for improvement, participate in data collection when requested, suggest solutions, communicate using appropriate lines of authority and work toward problem resolution; participate in the performance/process improvement process; assist in developing unit‑based performance improvement and action plans; lead a performance improvement team when requested; contribute to data collection; participate in evaluation of performance improvement results; participate in nursing research activities; participate in departmental and hospital performance improvement activities when warranted; participate in occurrence reviews; contribute to the maintenance/improvement of all nursing quality indicators; age‑appropriate care: provide age‑appropriate care to adults and geriatric patients; demonstrate knowledge and skills of normal growth and development necessary to provide services to the age of the patient served by the department; demonstrate ability to assess and interpret age‑specific data to identify patient needs; utilize communication skills necessary to interpret age‑specific responses to service and interaction; involve family or significant other in decision‑making related to services provided; demonstrate ability to provide service needed for the age groups routinely served by the department assigned; cost‑effective services: use resources efficiently; recommend changes in practice that increase efficiency and minimize waste; document chargeable supplies and equipment used to provide care; prioritize responsibilities and complete work on time; utilize non‑clinical time in a constructive manner (e.g. completing chart audits, education requirements). Minimum Education Licensed to work as an RN in the state of Missouri. Job Specifications May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. Occasional prolonged standing/walking; occasionally lifts, positions, pushes and/or transfers patients; occasional reaching, stooping, bending, kneeling, crouching. Work Shift Day Shift (United States of America) Job Type Employee Department 1004000037 Med Surg- Bordley 9S Scheduled Weekly Hours 36 Benefits Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro‑rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Practice Agreement As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of our hospital, our patients and my co‑workers I will conduct myself according to this agreement at all times. Required Professional Licenses and/Or Certifications State of Work Location: Illinois – Basic Life Support HealthCare Provider (BLS HCP) – American Heart Association (AHA) and Registered Professional Nurse (RN) – Illinois Department of Financial and Professional Regulation (IDFPR). State of Work Location: Missouri – Basic Life Support HealthCare Provider (BLS HCP) – American Heart Association (AHA) and Registered Nurse (RN) – Missouri Division of Professional Registration or Registered Nurse (RN) Issued by Compact State. State of Work Location: Oklahoma – Basic Life Support HealthCare Provider (BLS HCP) – American Heart Association (AHA) and Registered Nurse (RN) Issued by Compact State or Registered Nurse (RN) – Oklahoma Board of Nursing (OBN). State of Work Location: Wisconsin – Basic Life Support HealthCare Provider (BLS HCP) – American Heart Association (AHA) and Registered Nurse (RN) Issued by Compact State or Registered Nurse (RN) – Wisconsin Department of Safety and Professional Services. Equal Opportunity Statement SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. #J-18808-Ljbffr SSM Health