*Urgent Need* Registered Nurse (Adults Unit) Day Shift

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Department: Ambulatory Surgery Schedule: With s tart times of 5:30am, 7am or 8am. No holidays or Weekends. Preferred Experience: At least one year of RN experience Location: SSM Health Saint Louis University Hospital, 1205 Grand Blvd Saint Louis, MO 63110 Job Summary: The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1) Performs comprehensive nursing assessment/reassessment. B) Accurately and completely documents findings. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) 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. 2) 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. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone / verbal orders. L) Takes telephone / verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4) Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Provides specified patient care (toileting, skin care, hydration, feeding, etc.) Documents restraint use and associated care thoroughly. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. C) Maintains currency in all hospital/unit information, communication, policies and procedures. Attends staff meetings/reviews minutes when absent 2. Reviews Hospital/Nursing publications 4. Keeps up to date with policies and procedures 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Provides assistance and support to peers, co-workers and other team members 3.C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8) Safety/Infection Control: Performs job in accordance with safety and infection control policies. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/ families/employees in accordance to hospital standards. Utilizes Safe Patient Handling techniques and equipment. C) Reports risk management concerns using eSRM. Annual TB Screening and Influenza vaccination 4. Annual Ethics Training (Initial Ethics, if new employee) 5. Annual Safety Training 6. Annual Blood Borne Pathogens training (if required) 9. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. 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. Listens to staff/patient/family concerns and addresses needs. Explains procedures and all education in a manner that staff/patient/ family understand. Provides quality care in accordance to standards. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. Assists in developing unit based Performance Improvement and action plans. Leads a performance improvement team when requested 3. Contributes to data collection 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11) Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Documents chargeable supplies and equipment used to provide care. May be exposed to the risk of blood borne diseases. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. 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) Expectations (So I will . . .) Achieve Excellence in Infection Control By: 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. 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 supervisor if I see anyone or anything that puts my patient at risk. Achieve Excellence in Nursing Practice By: 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. Own and Respect My Environment By: Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). Keeping the nursing s