Registered Nurse - Critical Care

It’s more than a career, it’s a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular 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. This job performs duties in the Intensive Care Units. Job Responsibilities and Requirements

POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA

Essential Functions: Performs comprehensive nursing assessment/reassessment. Criteria: A) Performs age‑appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post‑op/post‑invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. 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. 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. Criteria: A) Identifies short and long term goals based on patient care needs. B) Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidence‑based practice into nursing care plan and other documentation. Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria: A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate handoff communication reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents “Readback” for all telephone/verbal orders. L) Takes telephone/verbal orders only in emergency situations. M) Recognizes changes in patient’s condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision‑making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of infection control practices in daily care. Documents and/or communicates nursing care and or changes in patient condition. Criteria: A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in “A” above. D) Recognizes significant changes in patient’s clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. Specialized Care: Provides specialized care to patients at high risk for injury. Restraint Care Initiates/evaluates alternatives to restraint prior to application. Applies restraints consistent with the approved procedure. Monitors and assesses patient’s response throughout the restraint period at the appropriate intervals. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis. Provides consultation for peers to determine alternatives to restraints and 1:1 observation. Documents restraint use and associated care thoroughly. Pain Management Assess patient for presence of pain on admission and during assessments/reassessments. Incorporates 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 Is aware of abuse recognition criteria and incorporates it into assessments. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work. Takes appropriate action to support patient safety when signs of abuse are noted. Demonstrates accountability for own professional practice. Criteria: A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. D) Demonstrates ability to change and adapt to changing work demands. Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria: A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/families/employees in accordance to hospital standards. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: Maintains current license and certifications Maintain up to date BLS and HI Annual TB Screening and Influenza vaccination Annual Ethics Training (Initial Ethics, if new employee) Annual Safety Training Required Information Security course Required Abuse & Neglect course Annual Blood Borne Pathogens training (if required) Coursework as assigned for .edu Annual competency Age/Population specific competency (if applicable) Orientation competency (if new hire) Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. Service Excellence: Criteria: A) Demonstrates care and courtesy. B) Commits to prompt, respectful, courteous service. C) Meets physical, spiritual, psychological and emotional needs of patients and families. D) Provides timely response to patient requests. E) Maintains confidentiality and safety. Incorporates Performance Improvement and Evidence-Based Practice into individual professional practice. Criteria: A) Assist in developing and implementing nursing unit goals. B) Remains current with evidence‑based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process: Assists in developing unit based performance improvement and action plans. Leads a performance improvement team when requested. Contributes to data collection. Participates in evaluation of performance improvement results. E) Participates in nursing research activities. F) Participates in departmental and hospital performance improvement activities when warranted. G) Participates in occurrence reviews. H) Contributes to the maintenance/improvement of all nursing quality indicators. Age Appropriate Care: Provides age‑appropriate care to adult and geriatric patients. Criteria: A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B) Demonstrates ability to assess and interpret age‑specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age‑specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E) Demonstrates ability to provide service needed for the age groups routinely served by the department. Cost Effective Services: Criteria: A) Uses resources efficiently. B) Recommends changes in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non‑clinical time in a constructive manner, i.e., completing chart audits, .edu, mandatory education requirements. Demonstrates professional accountability and effectiveness in practice. Criteria: A) Participates in learning experiences that increase professional competence. B) Engages in committee, shared governance, and unit based practice council activities. C) Provides clear handoff reports and documentation. Job Specifications Minimum Education: Licensed to work as an RN in the state of Missouri Minimum Experience: One year of registered nurse experience required Working Conditions: 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. Physical Requirements: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Benefits SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. 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. Explore All Benefits 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. Click here to learn more. Required Licenses and Certifications State of Work Location: Illinois Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) 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) Registered Nurse (RN) - Missouri Division of Professional Registration Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) Registered Nurse (RN) Issued by Compact State Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) Registered Nurse (RN) Issued by Compact State Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Employment Details Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1300010037 ICU - 3S Scheduled Weekly Hours: 24 #J-18808-Ljbffr Dormont Manufacturing Co