Lead Registered Nurse (RN) - Surgical ICU Stepdown - $36-58 per hour

BJC HealthCare is seeking a Registered Nurse (RN) Surgical ICU Stepdown Lead for a nursing job in Saint Louis, Missouri.

Job Description & Requirements

• Specialty: Surgical ICU Stepdown
• Discipline: RN
• Duration: Ongoing
• Employment Type: Staff

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Additional Information About the Role

Clinical Nurse | 16300 Surgical Progressive/Intermediate Care Unit

Full-Time | Days & Nights Available
New Graduates and Experienced RNs Welcome
Sign-On Bonus Up to $15,000

Join our specialized 19-bed Surgical Progressive Care Unit (PCU) caring for high-acuity patients recovering from:

• Abdominal Transplant (TXP): Kidney, liver, and pancreas transplants
• Hepatobiliary Surgery (HPB): Liver resections, Whipple procedures, and pancreatectomies
• ENT Surgery: Fresh tracheostomies, laryngectomies, free flaps, and complex head and neck surgeries
• Plastic & Orthopedic Microsurgery: Limb and digit replants, flap procedures, nerve transfers, and leech therapy
• General Surgery/Trauma/Geriatric Trauma (ACCS): MVC, polytrauma, GSW, TBI, SDH s/p falls, emergent VHR

Why 163PCU?

• Care for a unique and complex surgical patient population
• Great opportunity to build advanced clinical skills and prepare for future ICU critical care advancement
• Strong teamwork culture with consistently high employee engagement scores
• Supportive environment for both experienced nurses and new graduates

About Our Leadership Team

Our leadership team includes a Clinical Nurse Manager, three Assistant Nurse Managers, and a Clinical Educator. Most of our leaders previously worked at the bedside on 163PCU, giving them a firsthand understanding of the challenges and rewards of nursing. We are committed to supporting our staff, fostering professional growth, and maintaining a positive team culture.

If you're looking for a challenging and rewarding unit where you'll be supported, grow your skills, and make a meaningful impact, we'd love to meet you.

Overview

Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.

163PCU is a 19 bed surgical progressive care unit. The patient population is comprised of acutely ill surgical patients requiring a higher level of nursing care and monitoring. This unit primarily cares for post-op patients admitted to the Abdominal Transplant, Hepatobiliary Surgery, ENT/Plastics Surgery and Ortho-micro Surgery teams. Secondary, this unit manages critical care needs for patients admitted to the Trauma/ACCS/Geriatric Trauma Surgery teams, Orthopedic-Spine/Recon/Hand etc. teams as well as Vascular Surgery and other overflow teams.

Preferred Qualifications

Role Purpose

Under the direction of manager, plans, directs, and coordinates activities of a unit on a designated shift. Performs direct patient care as needed and functions as clinical resource to nursing and support staff. Assesses, plans, evaluates and documents the nursing process of assigned unit as needed.

Responsibilities

Facilitates identification and resolution of gaps in care from hospitalization, at discharge, and into the ambulatory care setting. Critically assess patient data to proactively mitigate impending changes in condition and establishes consults to interprofessional team as appropriate.

Leads the development and implementation of complex individual plans of care with defined goals in collaboration with other members of the interprofessional team and the patient, family, or caregiver in accordance with the established guidelines and standards of nursing care. Plan of care reflects application of expert holistic clinical knowledge and skill to anticipate and prioritize complex care needs, anticipate barriers, incorporating interprofessional team and caregiver/family input, and identifies opportunities to improve patient outcomes.

Actively utilizes and champions scientific inquiry for evidence-based practices (e.g., participates in journal club, facilitates practice change based on new knowledge, recommends new standards of care or revisions to current standards, conduct a literature search to support unit or organizational goals, disseminate new knowledge obtained from relevant conference or continuing education). Explore opportunities to advance nursing practice (e.g., support a community service health event as a representative of the healthcare profession, patient/family education group, community advisory board, member of Ethics Advisory Committee, serve as adjunct faculty, leadership board in specialty organization).

Analyzes gap in practice standards and provides feedback to peers in collaboration with leadership to enhance safe patient care. Leads the evaluation of the patient and family experience, and adjusts care provided to improve patient satisfaction and quality of care.

BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Minimum Requirements

Education

Nursing Diploma/Associate's

• Nursing

Experience

2-5 years

Supervisor Experience

No Experience

Licenses & Certifications

RN

Preferred Requirements

Education

Bachelor's Degree

• Nursing

Experience

5-10 years

Benefits and Legal Statement

BJC Total Rewards

At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance* paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

To learn more, go to our Benefits Summary.

*Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

BJC HealthCare Job ID #111379. Posted job title: Team Lead Charge Surgical PCU

About BJC HealthCare

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.