Registered Nurse - Clinical - Transplant

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 1) Comprehensive Nursing Assessment and Reassessment 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 plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2) Plan of Care Development 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 relevant information. Criteria: A) Identifies short- and long-term goals based on patient care needs. B) Formulates nursing interventions to achieve desired patient outcomes. C) Incorporates disease-specific evidence-based practice into nursing care plan and other documentation. 3) Nursing Interventions and 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. 4) Documentation and Communication of Patient Condition 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. 5) Specialized Care – Restraint, Pain Management and Abuse Assessment 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. Implements pain management techniques focusing on prevention rather than treatment. Includes patient and/or family members in developing a pain management plan. Considers 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. 6) Professional Practice Accountability 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. 7) Interpersonal Relationships with Coworkers and Team Ability to relate to coworkers in a professional and appropriate manner. Criteria: A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co‑workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8) Safety and 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 with hospital standards. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements including licensure, BLS/HI, TB screening, influenza vaccination, ethics training, safety training, information security course, abuse & neglect course, bloodborne pathogens training, competency training, orientation competency, service specific competency, and required coursework. E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9) Service Excellence Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria: A) Demonstrates care and courtesy: provides prompt, respectful, courteous service; meets physical, spiritual, psychological and emotional needs; works with team to answer call lights promptly; apologizes for mix‑ups and delays. B) Communicates effectively and maintains confidentiality: listens to staff/patient/family concerns; explains procedures and education clearly; allows time for questions. C) Demonstrates competence and collaboration: provides accurate handoff reports; provides quality care; shares knowledge with other departments. D) Provides cost-effective services: uses resources wisely; recommends changes in practice that increase efficiency and minimize waste. E) Ensures customer satisfaction through the hospital’s Principles and Commitments, AIDET and One Mission, One Spirit. 10) Performance Improvement and Evidence-Based Practice Incorporates performance improvement and evidence-based practice into individual professional practice. Criteria: A) Assists in developing and implementing nursing unit goals. B) Remains current with evidence-based practice initiatives. C) Identifies opportunities for improvement, participates in data collection, suggests solutions, communicates appropriately, and works toward problem resolution. D) Participates in the performance/process improvement process: assists in developing unit-based performance improvement and action plans, leads improvement teams when requested, contributes to data collection, participates in evaluation of results, participates in nursing research activities, departmental and hospital performance improvement activities, occurrence reviews, and maintains/improves all nursing quality indicators. 11) Age Appropriate Care Provides age-appropriate care to adult and geriatric populations. 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 services needed for the age groups routinely served by the department assigned. 12) Cost Effective Services Criterion: Uses resources efficiently; recommends changes in practice that increase efficiency and minimize waste; documents chargeable supplies and equipment used; prioritizes responsibilities and completes work on time; utilizes non-clinical time constructively (chart audits, mandatory education requirements, etc.). Qualifications Licensed registered nurse (RN) in the state of Missouri. Experienced in patient assessment, wound care, medication administration, infection control, and interdisciplinary teamwork. Proficient with electronic medical records and documentation standards. Committed to continuous learning and evidence-based practice. Strong communication and collaboration skills. Working Conditions May be exposed to risks of blood-borne diseases and unpleasant elements (accidents, injuries, and illness). Works in unpredictable situations and handles emergencies and crises. Irregular hours are possible. Requires occasional prolonged standing, walking, lifting, positioning, pushing, and transferring patients, reaching, stooping, bending, kneeling, and crouching. Licensure & Certifications Registered Nurse (RN) – Missouri Division of Professional Registration. Basic Life Support – American Heart Association (BLS HCP). Annual TB Screening and Influenza Vaccination. Annual Ethics Training, Safety Training, Information Security Course, Abuse & Neglect Course, Blood Borne Pathogens Training. Other required competencies and coursework as assigned. Shift & Hours Day shift. Approx. 24 weekly hours. Scheduled weekly hours may vary. Scheduling is flexible to meet unit needs. Benefits Paid parental leave: one week for newborns or newly adopted children (pro-rated based on FTE). Flexible payment options via DailyPay for eligible hourly team members. Upfront tuition coverage through FlexPath for eligible team members. Comprehensive benefits package to fit employee needs. EEO 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 SSM-SLUH, Inc