RN-Stepdown/Critical Care

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. Responsibilities Reports risk management concerns using eSRM. Annual Blood Borne Pathogens training (if required). Performs comprehensive nursing assessment and reassessment. Performs age‑appropriate admission or transfer assessment, obtaining input from family/guardian when appropriate. Accurately and completely documents findings. Performs assessment of post‑op/post‑invasive procedure patients. Assesses and documents education and discharge needs of patient and family upon admission and throughout hospitalization. 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. Identifies short and long term goals based on patient care needs. Formulates nursing interventions to achieve desired patient outcome and 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. Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. Provides, coordinates and communicates patient care, including accurate handoff communication reports. Administers and documents medications accurately according to policies and procedures. Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. Completes referrals as indicated by assessment data. Requests consultation for special needs, equipment, or information for patient and/or family. Provides patient/family education and discharge planning per documentation guidelines and protocol. Clarifies all physician orders, acknowledges and implements them in a timely manner, and documents "readback" for all telephone/verbal orders. Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. Recognizes changes in patient's condition and takes appropriate nursing actions, including involving family/guardian in decision‑making and recognizing risks for patient. Incorporates infection control practices daily and documents and/or communicates nursing care and changes in patient condition. Performs ongoing evaluation of effectiveness of care, evaluates patient/family education, and modifies plan of care as indicated. Reports variation from care/treatment following the occurrence reporting policy and procedures. Provides specialized care to patients at high risk for injury, including restraint care, pain management, and abuse assessment as specified. Restraint Care: initiates/evaluates alternatives, applies restraints, monitors patient response, provides specified care, and documents restraint use. Pain Management: assess patient for presence of pain, incorporate cultural/spiritual beliefs, implement pain management techniques, and involve patient/family in pain management plan. Abuse Assessment: identify abuse criteria, report signs of possible abuse/neglect to appropriate authorities, take appropriate action for patient safety. Adheres to quality and performance standards, participates in learning experiences, demonstrates technical and cognitive skills, maintains currency, attends staff meetings, participates in committees, and responds positively to change. Provides assistance and support to peers, co‑workers, and other team members, and adapts to changes in workload. Orients and precepts new employees, maintains a collaborative team approach, and serves as a resource to coworkers, patients/families, medical staff, and other team members. Performs safety and infection control duties: standard precautions, safe patient handling, hand hygiene, minimizes clutter, adheres to dress code, reports risk management concerns, and maintains annual mandatory requirements (licensure, BLS/HI, TB screening, influenza vaccination, ethics training, safety training, information security, abuse & neglect, blood‑borne pathogens). Provides service excellence by delivering timely, high‑quality care in a courteous and respectful manner, listening to staff/patient/family concerns, and maintaining confidentiality. Qualifications Licensed Registered Nurse in the state of Missouri. State licensure in additional states (Illinois, Oklahoma, Wisconsin) as applicable (BLS HCP, RN). Compassionate, competent, and able to provide evidence‑based, patient‑centered care. Working Conditions & Physical Requirements Exposure to blood borne diseases and hazardous materials. Irregular hours, including shift work, overnight, and on‑call duties. Occasional prolonged standing/walking, lifting, pushing, and transferring patients, and occasional reaching, stooping, bending, kneeling, crouching. Benefits Paid parental leave (one week pro‑rated based on FTE). Flexible payment options via DailyPay for eligible hourly workers. Upfront tuition coverage through FlexPath for eligible team members. Equal Opportunity Employer 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