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Registered Nurse - Clinical Float - Medical / Surgical

SSM Health

Job Description

It's more than a career, it's a calling

MO-SSM Health Saint Louis University Hospital 1201 Grand\n

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Worker Type:

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Regular\n

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Job Highlights:

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Join a team where your work matters—every moment, every patient, every community. At SSM Health, you’ll be empowered to grow, supported to thrive, and inspired to make a lasting impact.

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In this role, you will provide hands-on support in a fast-paced care

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environment where every shift makes a direct impact on patients and

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families. Your attention to detail, compassion, and ability to work

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closely with clinical teams will help create a safer, smoother care

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experience. If you enjoy interacting with patients and want to grow in a

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collaborative care setting, this role is perfect for you.

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Department: Medical / Surgical Float Pool

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Schedule: 7am - 7pm with weekend and holiday rotation.

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Sign-On Bonus: Ask your recruiter about sign-on bonus eligibility

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Apply today. SSM Health – We bring out the incredible in you, every day.

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Job Summary:

The Registered Nurse (RN), Medical Surgical Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and motivated to support the success of Saint Louis University Hospital.\n

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Job Responsibilities and Requirements:

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POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time)

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Essential Functions: The following are essential job accountabilities and performance criteria:

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Position Accountabilities

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1) Performs comprehensive nursing assessment/reassessment.

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Criteria

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A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate.

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B) Accurately and completely documents findings.

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C) Performs assessment of post-op / post-invasive procedure patients.

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D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization.

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E) Provides 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.

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2) Establishes, coordinates and evaluates 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.

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Criteria

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A) Identifies short and long term goals based on patient care needs.

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B) Formulates nursing interventions to achieve desired patient outcome.

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C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation.

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3) Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status.

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Criteria

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A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients.

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B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc.

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C) Administers and documents medications accurately according to policies and procedures.

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D) Monitors, maintains and documents accurate IV fluids, blood, blood products and parenteral nutrition according to policies and procedures.

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E) Completes referrals as indicated by assessment data.

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F) Requests consultation for special needs, equipment, or information for patient and/or family.

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G) Restraint Care

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1. Initiates/evaluates alternatives to restraint prior to application.

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2. Applies restraints consistent with the approved procedure.

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3. Monitors and assesses patient’s response throughout the restraint period at the appropriate intervals.

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4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis.

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5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation.

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6. Documents restraint use and associated care thoroughly.

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H) Provides patient/family education and discharge planning per documentation guidelines and protocol.

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I) Pain Management

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1. Assess patient for presence of pain on admission and during Assessments/reassessments.

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2. Incorporates patient’s cultural/spiritual beliefs regarding pain into pain management plan.

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3. Implement pain management techniques. Focus on prevention rather than treatment.

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4. Include patient and/or family members in developing a pain management plan.

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5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy.

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J) Abuse Assessment

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1. Is aware of abuse recognition criteria and incorporates it into assessments.

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2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work.

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3. Takes appropriate action to support patient safety when signs of abuse are noted.

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K) Clarifies all physician orders as warranted.

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L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record.

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M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate.

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N) Documents “Read back” for all telephone/verbal orders.

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O) Takes telephone/verbal orders only in emergency situations.

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P) Recognizes changes in patient’s condition and takes appropriate nursing actions.

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Q) Uses Chain of Command when indicated.

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R) Involves the family/guardian when providing care and in decision-making as appropriate.

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S) Recognizes risks for patient and takes appropriate action.

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T) Completes and or incorporates use of Infection Control Bundles in daily care.

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U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place.

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1. Completes Fall and Skin Audits when indicated.

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4) Documents and or communicates nursing care and or changes in patient condition.

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Criteria

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A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient’s response to medications, treatments and procedures.

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B) Evaluates and documents effectiveness of patient / family education.

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C) Evaluates plan of care and modifies as indicated in "A" above.

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D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated.

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E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution.

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F) Reports variation from care / treatment following the occurrence reporting policy and procedures.

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5) Specialized Care: Provides specialized care to patients at high risk for injury.

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Criteria

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A) Restraint Care

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1. Initiates/evaluates alternatives to restraint prior to application.

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2. Applies restraints consistent with the approved procedure.

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3. Monitors and assesses patient’s response throughout the restraint period at the appropriate intervals.

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4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis.

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5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation.

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6. Documents restraint use and associated care thoroughly.

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B) Pain Management

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1. Assess patient for presence of pain on admission and during assessments/reassessments. 2/16/09

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2. Incorporates patient’s cultural/spiritual beliefs regarding pain into pain management plan.

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3. Implement pain management techniques. Focus on prevention rather than treatment.

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4. Include patient and/or family members in developing a pain management plan.

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5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy.

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C) Abuse Assessment

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1. Is aware of abuse recognition criteria and incorporates it into assessments.

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2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work.

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3. Takes appropriate action to support patient safety when signs of abuse are noted.

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6) Demonstrates accountability for own professional practice.

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Criteria

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A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care.

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1. Participates in learning experiences that increases professional competence.

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B) Demonstrates appropriate technical and cognitive skills for area of practice.

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C) Maintains currency in all hospital/unit information, communication, policies and procedures.

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1. Attends staff meetings/reviews minutes when absent.

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2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role.

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3. Reviews Hospital / Nursing publications.

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4. Keeps up to date with policies and procedures.

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5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback.

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D) Demonstrates ability to change and adapt to changing work demands.

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1. Responds positively to change.

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2. Provides assistance and support to peers, co-workers and other team members.

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3. Adapts positively to changes in unplanned work load and job demands.

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7) Ability to relate to coworkers in a professional and appropriate manner.

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Criteria

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A) Orients and/or precepts new employees when required.

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B) Participates in and maintains a collaborative team approach toward work.

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C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team.

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D) Effectively assumes and delegates care and other activities to the appropriate team member.

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E) Redirects clinical staff when the medical plan of care is altered.

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F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner.

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G) Responsible for the supervision and teaching of students/new staff nurses.

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8) Safety/Infection Control: Performs job in accordance with safety and infection control policies.

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Criteria

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A) Practices standard precautions and disposes of hazardous wastes per established guidelines.

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B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/families/employees in accordance to hospital standards.

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1. Maintains clutter free environment.

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2. Keeps personal conversations/background noise to a minimum.

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3. Adheres to dress code.

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C) Reports risk management concerns using eSRM.

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D) Assumes responsibility for completing all annual mandatory requirements:

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1. Maintains current license and certifications

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2. Maintain up to date BLS

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3. Annual TB Screening and Influenza vaccination

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4. Annual Ethics Training (Initial Ethics, if new employee)

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5. Annual Safety Training

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6. Required Information Security course

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7. Required Abuse & Neglect course

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8. Annual Blood Borne Pathogens training (if required)

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9. Coursework as assigned for .Edu

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10. Annual competency

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11. Age/Population specific competency (if applicable)

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12. Orientation competency (if new hire)

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13. Service Specific

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E) Reports variations from care/treatment following the occurrence reporting policy and procedure.

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9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous, and respectful manner.

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Criteria

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A) Demonstrates care and courtesy.

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1. Provides prompt, respectful, courteous service.

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2. Meets physical, spiritual, psychological and emotional needs of patients and families.

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3. Works with other members of the health care team to see that call lights are answered promptly.

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4. Apologizes for mix-up and delay.

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B) Communicates effectively and maintains confidentiality.

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1. Listens to staff/patient / family concerns and addresses needs.

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2. Explains procedures and all education in a manner that staff/patient/family understand.

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3. Allows time for questions.

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C) Demonstrates competence and collaboration.

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1. Provides accurate handoff reports.

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2. Provides quality care in accordance to standards. 2/16/09

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3. Shares knowledge with other departments to facilitate work flow and continuity.

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D) Provides cost effect services.

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1. Uses resources wisely.

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2. Recommends changes in practice that increases efficiency and minimizes waste.

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E) Ensures that customer satisfaction is maintained through the use of the “Principles and Commitments” of the hospital AIDET and “One Mission, One Spirit”.

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10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice.

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Criteria

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A) Assist in developing and implementing nursing goals.

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B) Remains current with evidenced based practice initiatives.

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C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution.

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D) Participates in the performance/process improvement process.

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1. Assists in developing unit based Performance Improvement and action plans.

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2. Leads a performance improvement team when requested.

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3. Contributes to data collection.

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4. Participates in evaluation of Performance Improvement results.

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E) Participates in nursing research activities.

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F) Participates in Departmental and Hospital Performance Improvement activities when warranted.

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G) Participates in occurrence

Vacancy posted 8 days ago
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