Registered Nurse - Clinical Float - Critical Care

Job Summary The Registered Nurse (RN), Medical Surgical 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. Responsibilities and Requirements Position Accountabilities and Performance Criteria (% of time) Performs comprehensive nursing assessment/reassessment. Performs age-appropriate admission assessment or transfer assessment. Obtains 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 on 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. 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 such as bedside shift report, ticket to ride, SBAR, daily huddles, patient care conferences, etc. Administers and documents medications accurately according to policies and procedures. Monitors, maintains and documents accurate IV fluids, blood, blood products 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. 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 on a timely basis; provides consultation for peers to determine alternatives to restraints and 1:1 observation; documents restraint use and associated care thoroughly; provides patient/family education and discharge planning per documentation guidelines and protocol. 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 such as 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 physician, Risk Management and Social Work; takes appropriate action to support patient safety when signs of abuse are noted; clarifies all physician orders as warranted; transcribes and implements physician orders in an accurate and timely manner; assists physician with procedures/ treatments as requested or delegates to Care Partner; documents “Read back” for all telephone/verbal orders; takes telephone/verbal orders only in emergency situations; recognizes changes in patient’s condition and takes appropriate nursing actions; uses chain of command when indicated; involves the family/guardian when providing care and in decision‑making as appropriate; recognizes risks for patient and takes appropriate action. Infection Control: Implements and/or works with Care Partner to assure that all interventions related to fall and skin injury prevention are in place; completes fall and skin audits when indicated; 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. Evaluates and documents effectiveness of patient/family education. Evaluates plan of care and modifies as indicated. Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. Reports variation from care/treatment following the occurrence reporting policy and procedures. Specialized Care: Provides specialized care to patients at high risk for injury. Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. Participates in learning experiences that increases professional competence. Demonstrates appropriate technical and cognitive skills for area of practice. Maintains currency in all hospital/unit information, communication, policies and procedures. Attends staff meetings/reviews minutes when absent. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and/or in membership role. Reviews Hospital / Nursing publications. Keeps up to date with policies and procedures. Participates and/or keeps up to date with Shared Governance and Unit Based Practice Board activities and information. Contributes to requests for feedback. Demonstrates ability to change and adapt to changing work demands. Responds positively to change. Provides assistance and support to peers, co‑workers and other team members. Adapts positively to changes in unplanned work load and job demands. Ability to relate to coworkers in a professional and appropriate manner. Orients and/or precepts new employees when required. Participates in and maintains a collaborative team approach toward work. Functions as a resource person to co‑workers, patients/families, medical staff and other members of the health care team. Effectively assumes and delegates care and other activities to the appropriate team member. Redirects clinical staff when the medical plan of care is altered. Communicates the plan of care to be followed on each individual patient in a precise and professional manner. Responsible for the supervision and teaching of students/new staff nurses. Practices standard precautions and disposes of hazardous wastes per established guidelines. Maintains a safe, clean, comfortable, and therapeutic environment for patients/families/employees in accordance to hospital standards. Maintains clutter‑free environment. Keeps personal conversations/background noise to a minimum. Adheres to dress code. Reports risk management concerns using eSRM. Assumes responsibility for completing all annual mandatory requirements: Maintains current license and certifications; Maintain up to date BLS; 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. Reports variations from care/treatment following the occurrence reporting policy and procedure. Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous, and respectful manner. Demonstrates care and courtesy. Provides prompt, respectful, courteous service. Meets physical, spiritual, psychological and emotional needs of patients and families. Works with other members of the health care team to see that call lights are answered promptly. Apologizes for mix‑up and delay. Communicates effectively and maintains confidentiality. Listens to staff/patient/family concerns and addresses needs. Explains procedures and all education in a manner that staff/patient/family understand. Allows time for questions. Demonstrates competence and collaboration. Provides accurate handoff reports. Provides quality care in accordance to standards. Shares knowledge with other departments to facilitate workflow and continuity. Provides cost‑effective services. Uses resources wisely. Recommends changes in practice that increases efficiency and minimizes waste. Ensures that customer satisfaction is maintained through the use of the “Principles and Commitments” of the hospital AIDET and “One Mission, One Spirit”. Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Assists in developing and implementing nursing goals. Remains current with evidenced based practice initiatives. Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. 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. Participates in nursing research activities. Participates in Departmental and Hospital Performance Improvement activities when warranted. Participates in occurrence reviews. Contributes to the maintenance/improvement of all nursing quality indicators. Age Appropriate Care: Provides age‑appropriate care to infant, child, adolescent, adult, geriatric patients. Demonstrates knowledge and skills of normal growth and development necessary to provide services to the age of the patient served by the department. Demonstrates ability to assess and interpret age specific data to identify patient needs. Utilizes communication skills necessary to interpret age specific responses to service and interaction. Involves family or significant other in decision making related to services provided. Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. Uses resources efficiently. Recommends change in practice that increase efficiency and minimize waste. Documents chargeable supplies and equipment used to provide care. Prioritizes responsibilities and completes work on time. Utilizes non‑clinical time in a constructive manner, i.e. completing chart audits, .Edu, mandatory education requirements. Perform other related duties as assigned or requested. The above statements are intended to describe the general nature and level of work being performed. They are not to be construed as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. Minimum Education Licensed to work as an RN in the state of Missouri. Job Specifications 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. Required Professional Licenses and Certifications State of Work Location: Illinois – Basic Life Support HealthCare Provider (BLS HCP) – American Heart Association (AHA); and 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); and Registered Nurse (RN) – Missouri Division of Professional Registration; or Registered Nurse (RN) Issued by Compact State. State of Work Location: Oklahoma – Basic Life Support HealthCare Provider (BLS HCP) – American Heart Association (AHA); and Registered Nurse (RN) Issued by Compact State; or Registered Nurse (RN) – Oklahoma Board of Nursing (OBN). State of Work Location: Wisconsin – Basic Life Support HealthCare Provider (BLS HCP) – American Heart Association (AHA); and Registered Nurse (RN) Issued by Compact State; or Registered Nurse (RN) – Wisconsin Department of Safety and Professional Services. Work Schedule Work Shift: Weekend Shift (United States of America). Job Type: Employee. Department: View phone number on click.appcast.io Nursing Float Pool. Scheduled Weekly Hours: 36. Benefits 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. 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. #J-18808-Ljbffr