RN - Rapid Response - Nights

It‘s more than a career, it‘s a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Benefits: Competitive, affordable health insurance including but not limited to: Benefits effective 31 days from date of hire. Wellness Programs Retirement savings program Professional development and continuing education opportunities PTO accrual begins day one Employee assistance programs (EAP) Note: Benefits and eligibility can vary by position, exclusions may apply. Job Summary The Registered Nurse (RN), Rapid Response 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. Job Responsibilities and Requirements Performs comprehensive nursing assessment/reassessment. 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. 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. 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 (bedside shift report, ticket to ride, SBAR, daily huddles, patient care conferences, etc.). C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products 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) Restraint Care:

1. Initiates/evaluates alternatives to restraint prior to application.
2. Applies restraints consistent with the approved procedure.
3. Monitors and evaluates patient’s response throughout restraint period at appropriate intervals.
4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis.
5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation.
6. Documents restraint use and associated care thoroughly.

H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) Pain Management:

1. Assess patient for presence of pain on admission and during assessments/reassessments.
2. Incorporate patient’s cultural/spiritual beliefs regarding pain into pain management plan.
3. Implement pain management techniques, focusing on prevention rather than treatment.
4. Include patient and/or family members in developing a pain management plan.
5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy.

J) Abuse Assessment:

1. Is aware of abuse recognition criteria and incorporates it into assessments.
2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work.
3. Takes appropriate action to support patient safety when signs of abuse are noted.

K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders accurately and in a timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision‑making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and/or works with Care Partner to assure all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 4. Documents and/or communicates nursing care and/or changes in patient condition. Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient’s response to medications, treatments and procedures. A) Evaluates effectiveness of patient/family education. B) Evaluates plan of care and modifies as indicated. C) Recognizes significant changes in patient’s clinical parameters and reports immediately. D) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. E) Reports variation from care/treatment following the occurrence reporting policy and procedures. Specialized Care: Restraint Care, Pain Management, Abuse Assessment (see above). Demonstrates accountability for own professional practice, adheres to quality and performance standards, participates in learning experiences, and maintains currency in all hospital/unit information. Demonstrates appropriate technical and cognitive skills, adapts to changing work demands, collaborates with team, and provides supervision and teaching for students/new staff nurses. Performs job in accordance with safety and infection control policies, maintains a safe, clean, comfortable environment, and reports risk management concerns. Provides service excellence to customers of Saint Louis University Hospital by delivering high‑quality care in a courteous and respectful manner, communicating effectively, maintaining confidentiality, and using resources wisely. Incorporates performance improvement and evidence‑based practice into individual professional practice, participates in unit‑based improvement plans and nursing research activities. Provides age‑appropriate care to infants, children, adolescents, adults, and geriatric patients and demonstrates knowledge of normal growth and development for each age group. Uses resources efficiently, recommends changes in practice to increase efficiency, documents chargeable supplies, and prioritizes responsibilities. Performs other related duties as assigned or requested. The above statements are not exhaustive and may be updated by the medical center. Job Specifications Minimum Education: Licensed to work as an RN in the state of Missouri. Working Conditions: May be exposed to risk of blood‑borne diseases, unpleasant elements, unpredictable situations, emergency and crisis situations, irregular hours. Physical Requirements: Occasional prolonged standing/walking, occasional lifting, positioning, pushing and/or transferring patients, occasional reaching, stooping, bending, kneeling, crouching. Licensing and Certifications State of Work Location: Illinois – BLS HCP, RN – IDFPR. State of Work Location: Missouri – BLS HCP, RN – Missouri Division of Professional Registration or RN issued by Compact State. State of Work Location: Oklahoma – BLS HCP, RN issued by Compact State or RN – Oklahoma Board of Nursing. State of Work Location: Wisconsin – BLS HCP, RN issued by Compact State or RN – Wisconsin Department of Safety and Professional Services. Work Details Work Shift: Night Shift (United States of America) Job Type: Employee Department: Nursing Float Pool Scheduled Weekly Hours: (Not specified) #J-18808-Ljbffr Confidential