RN-Stepdown/Critical Care

Job Summary Registered Nurse – Saint Louis University Hospital, MO-SSM Health. Provides comprehensive nursing assessment, care planning, and coordination with multidisciplinary teams using a patient‑centered approach during hospital stays. Responsibilities Comprehensive Assessment and Documentation Complete age‑appropriate admission, transfer, and post‑operative assessments. Document findings accurately and fully in the electronic record. Assess education and discharge needs for patients and families. Reassess patients regularly and record changes in condition and response to care. Plan of Care Development and Implementation Analyze assessment data, lab results, and physician orders to set short‑ and long‑term goals. Formulate evidence‑based nursing interventions. Incorporate disease‑specific best practices into care plans. Nursing Interventions and Care Delivery Coordinate daily care with the care team and communicate via handoff reports. Administer medications and maintain accurate IV and parenteral nutrition records. Provide referrals, consultations, and patient/family education per protocol. Clarify and execute physician orders accurately and timely. Utilize infection‑control practices and document changes in patient status. Communication and Documentation Document ongoing evaluation of care effectiveness and modify the plan as needed. Report significant changes or concern promptly to physicians and other team members. Document variations from care and participate in incident reporting. Specialized Care Restraint Care – plan, document, and monitor restraint use and provide necessary care. Pain Management – assess pain, incorporate cultural considerations, and implement multimodal strategies. Abuse Assessment – recognize signs of abuse, report, and support patient safety. Professional Accountability and Development Adhere to quality standards, policies, and procedures. Participate in learning activities and committee work. Maintain current certifications and knowledge of hospital policies. Team Collaboration Orient new staff and serve as a resource to colleagues. Delegate responsibilities appropriately and maintain a collaborative team environment. Provide supervision and educational support to students and new staff. Safety and Infection Control Follow standard precautions and safe patient‑handling techniques. Report risk management concerns using the eSRM system. Fulfill annual mandatory training and competency requirements. Service Excellence Deliver courteous, respectful care and communicate effectively with patients and families. Maintain confidentiality and uphold professional standards. Utilize AIDET and hospital principles to improve customer satisfaction. Performance Improvement Assist in developing unit‑based performance goals and data collection. Lead improvement projects when requested and participate in research activities. Age‑Appropriate Care Deliver appropriate care for adults and geriatric populations. Apply age‑specific assessments and involve family in decision making. Cost‑Effective Services Use resources efficiently and document chargeable supplies. Prioritize tasks to complete duties on time. Qualifications and Requirements Licensed Registered Nurse in the State of Missouri (other state licenses may be accepted). Basic Life Support (BLS) certification. Current nursing license with all mandatory continuing education completed. Experience in acute care nursing environment preferred. Job Specifications Work Type: Regular. Shift: Night shift, 24 hours per week (approx. 24 scheduled weekly hours). Regular, irregular, and emergency situations may occur. Working Conditions: Exposure to blood‑borne diseases, unpleasant or hazardous environments, and unpredictable patient acuity. Physical Requirements: Standing, walking, lifting, pushing, transferring, stooping, bending, and kneeling as needed. Benefits SSM Health provides a comprehensive benefits package including paid parental leave, voluntary benefit programs, tuition coverage, and standard health, dental, vision, and retirement benefits. Specific details are available upon request. Equal Opportunity Employment SSM Health is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, nationality, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. #J-18808-Ljbffr