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. Key Responsibilities Report risk management concerns using eSRM. Complete annual Blood Borne Pathogens training (if required). Perform comprehensive nursing assessment and reassessment. Conduct age‑appropriate admission or transfer assessments and obtain input from families or guardians when appropriate. Accurately and completely document findings. Assess post‑operative and post‑invasive procedure patients. Assess and document education and discharge needs of patients and families at admission and throughout hospitalization. Provide patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, response to care, procedures, and standards of care. Establish, coordinate, and evaluate a plan of care based on assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols, and other relevant information. Identify short‑ and long‑term goals based on patient care needs. Formulate nursing interventions to achieve desired patient outcomes. Integrate disease‑specific evidence‑based practice into nursing care plans and documentation. Document and implement nursing interventions based on assessed needs, plan of care, and changes in patient status. Collaborate with health‑team members to coordinate the daily plan of care for assigned patients. Communicate patient care, including accurate hand‑off communication reports. Administer and document medications accurately according to policies and procedures. Monitor 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 patients and/or families. Provide patient/family education and discharge planning per documentation guidelines and protocol. Clarify physician orders as warranted and implement them accurately and timely, documenting in the record. Assist physicians with procedures/treatments as requested or delegate to a care partner when appropriate. Document “readback” for all telephone/ verbal orders and take such orders only in emergency situations. Recognize changes in patient condition and take appropriate nursing actions. Involve family or guardians in care and decision‑making when appropriate. Recognize patient risks and take appropriate action. Utilize infection control practices in daily care. Document or communicate changes in patient condition or nursing care. Evaluate the effectiveness of care based on assessment data, patient response to medications, treatments and procedures, and modify plans of care as needed. Evaluate the effectiveness of education provided to patients and families. Identify problems, gather pertinent data, suggest solutions, and work toward problem resolution. Report variations from care or treatment following the occurrence reporting policy and procedures. Provide specialized care to patients at high risk for injury, including restraint care, pain management, and abuse assessment. Initiate and evaluate alternatives to restraints prior to application. Monitor patient response during restraint periods and provide specified patient care (toileting, skin care, hydration, feeding, etc.). Provide pain assessment on admission and throughout care, incorporating cultural and spiritual beliefs into the pain management plan, and implement non‑pharmacologic techniques such as repositioning, massage, and music therapy. Recognize signs of possible abuse or neglect and report to appropriate authorities. Adhere to quality and performance standards, participate in learning activities, maintain currency in all policies and procedures, and attend staff meetings and committees. Support and mentor teammates, supervise new staff or students, and contribute to shared governance and unit‑based practice council activities. Practice safety and infection control, dispose of hazardous waste per guidelines, maintain a safe and therapeutic environment, and follow hand‑ hygiene and safe patient handling procedures. Maintain all mandatory requirements, including current license and certifications (e.g., BLS, HI, TB screening, influenza vaccination, ethics training, safety training, information security, abuse & neglect course, blood‑borne pathogens training if required, and annual competency). Provide service excellence by delivering timely, high‑quality care in a courteous and respectful manner. Qualifications Licensed Registered Nurse in the state of Missouri (minimum education). Current license and certifications (BLS, HI, and other mandated trainings). Experience in medical‑surgical nursing preferred. Working Conditions & Physical Requirements May be exposed to blood‑borne diseases, unpleasant elements, emergency and crisis situations, irregular hours; occasional prolonged standing, walking, lifting, transferring, reaching, stooping, bending, kneeling, crouching. Shift & Hours Shift: Night Shift (United States of America). Type: Employee. Scheduled Weekly Hours: 24. Benefits Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro‑rated based on FTE). Flexible Payment Options: voluntary benefit through DailyPay offering hourly team members instant access to earned, unpaid base pay prior to payday. Upfront Tuition Coverage: FlexPath Funded tuition coverage for eligible team members. Explore All Benefits. 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