Graduate Nurse - Registered Nurse (RN)

Company MO-SSM Health Saint Louis University Hospital Job Highlights Acute Care of the Elderly – SSM Health St. Louis University Hospital, St. Louis, MO Schedule: Full time, 7p‑7a varying nights with every 3rd weekend, holiday requirement, no on‑call requirement Eligibility Graduate of an accredited nursing program Eligible to practice as determined by the State Board of Nursing Less than one year of experience working as an RN Job Summary Pre‑licensure graduate of an accredited nursing program who actively participates in the SSM Health Saint Louis University Hospital New Graduate Nurse Residency Program. Under the direction of an RN, provides care to patients within scope of role and professional standards. Responsible for the delivery of age‑appropriate care for assigned patients with a wide variety of medical conditions. Job Responsibilities and Requirements 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. 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 as warranted. Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. Assists physician with procedures/treatments as requested or delegates to care partner as appropriate. Documents “Readback” for all telephone/verbal orders. Takes telephone/verbal orders only in emergency situations. Recognizes changes in patient’s condition and takes appropriate nursing actions. Involves the family/guardian when providing care and in decision‑making as appropriate. Recognizes risks for patient and takes appropriate action. Incorporates use of infection control practices in daily care. 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 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. Provides specialized care to patients at high risk for injury. Restraint Care: Initiates/evaluates alternatives to restraint prior to application, applies restraints consistent with approved procedure, monitors and assesses patient’s response throughout the restraint period, provides specified patient care, and documents restraint use thoroughly. Pain Management: Assesses patient for presence of pain on admission and during assessments/reassessments, incorporates patient’s cultural/spiritual beliefs regarding pain into pain management plan, plans and implements pain management techniques, includes patient and/or family members in developing a pain management plan, and considers other methods of pain control such as massage, repositioning, immobilization and music therapy. Abuse Assessment: Is aware of abuse recognition criteria, incorporates it into assessments, and reports signs of possible abuse/neglect to appropriate personnel. Demonstrates accountability for own professional practice. 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 committees, shared governance, work teams, in a leadership and/or 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 council 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 workload and job demands. Maintains a safe, clean, comfortable, therapeutic environment for patients/families/employees in accordance with hospital standards. Practices standard precautions and disposes of hazardous wastes per established guidelines. Follows hand hygiene procedures, utilizes safe patient handling techniques and equipment. 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: maintaining current license and certifications, BLS/HI, annual TB screening and influenza vaccination, ethics training, safety training, information security course, abuse & neglect course, blood‑borne pathogens training (if required), coursework as assigned for .edu, annual competency, age/patient specific competency, orientation competency, service specific competency, reports variations from care/treatment, works in a constant state of alertness and safe manner, and provides service excellence to the customers of Saint Louis University Hospital. Demonstrates care and courtesy: provides prompt, respectful, courteous service, meets physical, spiritual, psychological and emotional needs of patients and families, works with other team members, apologizes for mix‑ups and delays, communicates effectively and maintains confidentiality, listens to staff/patient/family concerns and addresses needs, explains procedures and education clearly, allows time for questions, demonstrates competence and collaboration, provides accurate handoff reports, provides quality care in accordance to standards, shares knowledge, provides cost effective services, uses resources wisely, recommends changes to practice to increase efficiency and minimize waste, ensures customer satisfaction through the AIDET and “One Mission, One Spirit” principles, incorporates performance improvement and evidence‑based practice. Assists in developing and implementing nursing unit goals, remains current with evidence‑based practice initiatives, identifies opportunities for improvement, participates in data collection and performance improvement processes, leads performance improvement teams, contributes to data collection and evaluation of improvement results, participates in nursing research and hospital-wide performance improvement activities. Provides age‑appropriate care to adults and geriatric patients, demonstrates knowledge and skills of normal growth and development, assesses and interprets age‑specific data, involves family or significant other in decision making related to services, demonstrates ability to provide services needed for the age groups routinely served. Uses resources efficiently, recommends changes in practice to 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 constructively. Required Professional Licenses and Certifications State of Work Location: Illinois – Basic Life Support HealthCare Provider (BLS HCP) and, in the future, Basic Life Support Healthcare Provider within 90 days, and Registered Professional Nurse within 3 months of official NCLEX pass date, with Official NCLEX Pass Letter. State of Work Location: Missouri and Oklahoma – Basic Life Support HealthCare Provider and, in the future, within 90 days; status of fail on NCLEX within 3 months of graduation and NCLEX test date within 30 days. State of Work Location: Wisconsin – Basic Life Support HealthCare Provider and, in the future, within 90 days; status of fail on NCLEX within 3 months of graduation and NCLEX test date within 30 days; WI Nursing Temporary Permit. Benefits Paid Parental Leave: one week (pro‑rated) for newborns or newly adopted children. Flexible Payment Options: voluntary benefit through DailyPay for eligible hourly staff. Upfront Tuition Coverage: through FlexPath Funded for eligible team members. SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. 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 SSM Health