Registered Nurse - Clinical Float - Medical / Surgical

It’s more than a career, it’s a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type Regular Job Highlights Join a team where your work matters—every moment, every patient, every community. At SSM Health, you’ll be empowered to grow, supported to thrive, and inspired to make a lasting impact. In this role, you will provide hands‑on support in a fast‑paced care environment where every shift makes a direct impact on patients and families. Your attention to detail, compassion, and ability to work closely with clinical teams will help create a safer, smoother care experience. If you enjoy interacting with patients and want to grow in a collaborative care setting, this role is perfect for you. Department: Medical / Surgical Float Pool Schedule: 7am - 7pm with weekend and holiday rotation. Sign‑On Bonus: Ask your recruiter about sign‑on bonus eligibility 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. Job Responsibilities and Requirements POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions The following are essential job accountabilities and performance criteria: 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 evidenced 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 i.e. 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 (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. 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. Implement pain management techniques. Focus on prevention rather than treatment. Include patient and/or family members in developing a pain management plan. Consider 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 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 as evidenced by documentation in the medical record. Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. 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. Completes and or incorporates use of Infection Control Bundles in daily care. 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 effectiveness of patient / family education. Evaluates plan of care and modifies as indicated in “A” above. 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. Criteria Comments and additional performance criteria include the previously‐listed responsibilities as well as additional administrative and quality improvement activities, credentialing requirements, and patient advocacy tasks detailed in the full list. DISCLAIMER Performs 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. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri 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. Practice Agreement For Nursing Staff: Please read the below standards and expectations. Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Isolating per policy Consistently adhering to proper infection control practices and I will educate patients and visitors of the same. Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures. Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc. Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy. Vaccinate per policy. Notify my super‑visor if I see anyone or anything that puts my patient at risk. Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. Contributing in a positive way to the functioning of the patient care team. Taking an active role in practice development through participation in unit based and hospital committees. Ensuring that documentation of patient care is consistently thorough and legible. Rounding with a purpose on each patient. Modeling practice excellence to new employees. Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Maintaining a neat, clean and organized work environment. Keeping the nursing station, bathroom, and break room neat and clean. Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return. If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it. Giving hand‑off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health. Demonstrate my respect to my colleagues and co‑condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs. Come to work with a positive attitude. Offer constructive criticism to co‑workers when addressing concerns, praising in public and criticizing in private when necessary. Be part of the solution not part of the problem. Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch). Follow up on patient concerns every time to the appropriate person. Respond promptly to patient requests. Always refer to physicians as Dr. ____. Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . ) Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non‑verbal means that I am here to help. (Service) Introduce myself to all my patients and family members. Take time to tell them what to expect and keep them informed. Answer lights promptly to meet a patient's needs and prevent patient falls. The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co‑workers I will conduct myself according to this agreement at all times. Required Professional License And/Or 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 Shift: Day Shift (United States of America) Job Type: Employee Department: View phone number on click.appcast.io Nursing Float Pool Scheduled Weekly Hours: 36 SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law. #J-18808-Ljbffr SSM Health