Graduate Nurse

Job Title Registered Nurse – New Graduate Employer MO-SSM Health Saint Louis University Hospital, 1201 Grand, St. Louis, MO Worker Type Regular – Full time Schedule 7 a.m.–7 p.m. varying days with every third 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 Licensed new graduate nurse from an accredited nursing program who actively participates in the SSM Health Saint Louis University Hospital New Graduate Nurse Residency Program. Provides professional nursing care to patients, which includes assessing, planning, implementing, coordinating, delegating and monitoring tasks assigned to other members of the care team in accordance with professional nursing standards. Responsible for the delivery of age‑appropriate care for assigned patients with a wide variety of medical conditions. Job Responsibilities Perform comprehensive nursing assessment and reassessment. Perform age‑appropriate admission or transfer assessment, obtaining input from family/guardian when appropriate. Accurately and completely document findings. Assess post‑operative and post‑invasive procedure patients. Assess and document education and discharge needs of patient and family on admission and throughout hospitalization. Provide patient reassessment documenting pertinent observations according to the patient plan of care and changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. Establish, coordinate and evaluate 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. Identify short‑ and long‑term goals based on patient care needs. Formulate nursing interventions to achieve desired patient outcomes. Incorporate disease‑specific evidence‑based practice into the nursing care plan and other documentation. Provide and document nursing interventions based on assessed patient needs, plan of care and changes in patient status. Collaborate with appropriate health‑team members for coordination of daily plan of care for assigned patients. Provide, coordinate and communicate patient care, including accurate handoff communication reports. Administer and document medications accurately according to policies and procedures. Monitor, maintain and document accurate IV fluids and parenteral nutrition according to policies and procedures. Complete referrals as indicated by assessment data. Request consultation for special needs, equipment or information for patient and/or family. Provide patient/family education and discharge planning per documentation guidelines and protocol. Clarify all physician orders as warranted. Acknowledge and implement physician orders in an accurate and timely manner as evidenced by documentation in the medical record. Assist physician with procedures/treatments as requested or delegate to care partner as appropriate. Document “Readback” for all telephone/verbal orders. Takes telephone/verbal orders only in emergency situations. Recognize changes in patient’s condition and take appropriate nursing actions. Involve family/guardian when providing care and in decision‑making as appropriate. Recognize risks for patient and take appropriate action. Incorporate use of infection control practices in daily care. Document and/or communicate nursing care and/or changes in patient condition. Perform and document ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. Evaluate and document effectiveness of patient/family education. Evaluate plan of care and modify as indicated in the previous steps. Recognize significant changes in patient’s clinical parameters and report immediately to physician and others as indicated. Identify problems, gather pertinent data, suggest solutions, communicate using appropriate lines of authority, and work toward problem resolution. Report variations from care/treatment following the occurrence reporting policy and procedures. Provide specialized care to patients at high risk for injury, including restraint care, pain management, and abuse assessment. Restraint care: initiate/evaluate alternatives to restraint prior to application, apply restraints consistently with the approved procedure, monitor and assess patient’s response throughout the restraint period at appropriate intervals, provide specified patient care on a timely basis, provide consultation to peers to determine alternatives to restraints and 1:1 observation, document restraint use and associated care thoroughly. Pain management: assess patient for presence of pain, incorporate patient’s cultural/spiritual beliefs regarding pain into plan, implement pain management techniques focusing on prevention, include patient and/or family in developing plan, consider other methods of pain control such as massage, repositioning, immobilization, and music therapy. Abuse assessment: recognize abuse, incorporate criteria into assessments, report signs of possible abuse or neglect, take appropriate action to support patient safety. Adhere to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. Participate in learning experiences that increase professional competence. Demonstrate appropriate technical and cognitive skills for area of practice. Maintain currency in all hospital/unit information, communication, policies and procedures. Attend staff meetings and review minutes when absent. Participate in committee(s), shared governance, work team(s) in a leadership or membership role. Review hospital/nursing publications and keep up to date with policies and procedures. Participate and keep up to date with shared governance and unit‑based practice council activities, contribute to feedback. Demonstrate ability to change and adapt to changing work demands and respond positively to change. Provide assistance and support to peers, co‑workers and other team members. Adapt positively to changes in unplanned workload and job demands. Relate to coworkers in a professional and appropriate manner. Orient and precept new employees when required. Maintain a collaborative team approach toward work. Function as a resource person to co‑workers, patients/families, medical staff and other members of the health care team. Effectively assume and delegate care and other activities to the appropriate team member. Redirect clinical staff when the medical plan of care is altered. Communicate the plan of care to be followed on each individual patient in a precise and professional manner. Be responsible for the supervision and teaching of students/new staff nurses. Practice standard precautions and dispose of hazardous wastes per established guidelines. Maintain a safe, clean, comfortable, and therapeutic environment for patients/families/employees in accordance with hospital standards. Maintain clutter‑free environment, follow hand hygiene procedures, utilize safe patient handling techniques and equipment, keep personal conversations/background noise to a minimum, adhere to dress code, report risk management concerns using eSRM. Complete all annual mandatory requirements: maintain current license and certifications, maintain up to date BLS and HI, annual TB screening and influenza vaccination, annual ethics training, annual safety training, required information security course, required abuse & neglect course, annual blood‑borne pathogens training (if required), coursework as assigned, annual competency, age/population‑specific competency, orientation competency, service specific. Provide service excellence to the customers of Saint Louis University Hospital by delivering timely, high‑quality care in a courteous and respectful manner. Pay attention to customer satisfaction through the principles of AIDET and One Mission, One Spirit. Encourage improvement and participation in performance/process improvement activities, data collection, and suggestion implementation. Ensure age‑appropriate care for adult and geriatric patients. Maintain knowledge and skills of normal growth and development for age groups, assess and interpret age‑specific data, involve family or significant other, provide appropriate service. Utilize resources efficiently; recommend changes to increase efficiency and minimize waste; document chargeable supplies and equipment; prioritize responsibilities and complete work on time; utilize non‑clinical time constructively. Minimum Requirements RN licensure in the State of Missouri, or new graduate of an accredited school of nursing who must obtain licensure within 90 days of graduation. Working Conditions May be exposed to blood‑borne diseases, unpleasant elements, irregular hours, emergency and crisis situations. Physical Requirements Occasional prolonged standing/walking; occasionally lifts, positions, pushes and/or transfers patients; occasional reaching, stooping, bending, kneeling, crouching. Benefits Competitive, affordable health insurance and benefits designed to support you and your family. Paid parental leave: one week for newborns or newly adopted children (pro‑rated based on FTE). Flexible payment options: voluntary benefit through DailyPay offering instant access to earned, unpaid base pay (fees may apply). Up‑front tuition coverage via 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. #J-18808-Ljbffr