Registered Nurse - RN - Float Pool

It's more than a career,

it's a calling

MO-SSM Health Saint

Louis University Hospital

Worker Type : Regular

Job

Highlights : Sign-on

Bonus :   Please speak with your recruiter about sign

on bonus eligibility!

Schedule Options :

Full Time, Part Time, Weekend Option & PRN available

Schedule Time Options :

7a-7p, 7p-7a, Variable

Benefits

: Competitive, affordable health insurance including but

not limited to : Getting paid every

day!

Access up to $5,250 in tuition coverage

per year

Paid maternity & paternity

coverage

Adoption assistance

Various competitive health insurance options

& wellness plans

Retirement benefits

including employer matching plans

Long &

short-term disability

Employee assistance

programs

(EAP)

• Please

note, benefits and eligibility can vary by position, exclusions may

apply.

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 : Position

Accountabilities

1) Performs comprehensive

nursing assessment / reassessment.

Criteria

A) Performs age-appropriate

admission assessment or transfer assessment. Obtains input from

family / guardian when appropriate.

B) Accurately

and completely documents findings.

C) Performs

assessment of post-op / post-invasive procedure patients.

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 i.e.

Bedside shift report, ticket to ride, SBAR, daily huddles, Patient

Care Conferences, etc.

C) Administers and

documents medications accurately according to policies and

procedures.

D) Monitors, maintains and

documents accurate IV fluids, blood, blood products 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) Restraint Care

1.

Initiates / evaluates alternatives to restraint prior to application.

2. Applies restraints consistent with the

approved procedure.

3. Monitors and assesses

patient’s response throughout the restraint period at the

appropriate intervals.

4. Provides specified

patient care (toileting, skin care, hydration, feeding, etc.) on a

timely basis.

5. Provides consultation for peers

to determine alternatives to restraints and 1 : 1 observation.

6. Documents restraint use and associated care

thoroughly.

H) Provides patient / family

education and discharge planning per documentation guidelines and

protocol.

I) Pain Management

1. Assess patient for presence of pain on

admission and during Assessments / reassessments.

2. Incorporates patient’s cultural / spiritual

beliefs regarding pain into pain management plan.

3. Implement pain management techniques. Focus

on prevention rather than treatment.

4. Include

patient and / or family members in developing a pain management plan.

5. Consider other methods of pain control when

developing plan of care : massage, repositioning, immobilization,

and music therapy.

J) Abuse Assessment

1. Is aware of abuse recognition criteria and

incorporates it into assessments.

2. Reports

signs of possible abuse / neglect to the physician, Risk Management

and Social Work.

3. Takes appropriate action to

support patient safety when signs of abuse are noted.

K) Clarifies all physician orders as warranted.

L) Transcribes and implements physician orders

in an accurate and timely manner as evidenced by documentation in

the medical record.

M) Assists physician with

procedures / treatments as requested or delegates to Care Partner as

appropriate.

N) Documents “Read back” for all

telephone / verbal orders.

O) Takes

telephone / verbal orders only in emergency situations.

P) Recognizes changes in patient’s condition

and takes appropriate nursing actions.

Q) Uses

Chain of Command when indicated.

R) Involves

the family / guardian when providing care and in decision-making as

appropriate.

S) Recognizes risks for patient

and takes appropriate action.

T) Completes and

or incorporates use of Infection Control Bundles in daily care.

U) Implements and or works with Care Partner to

assure that all interventions related to Fall and Skin Injury

Prevention are in place.

1. Completes Fall and

Skin Audits when indicated.

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’s

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. Applies restraints consistent with the

approved procedure.

3. Monitors and assesses

patient’s response throughout the restraint period at the

appropriate intervals.

4. Provides specified

patient care (toileting, skin care, hydration, feeding, etc.) on a

timely basis.

5. Provides consultation for peers

to determine alternatives to restraints and 1 : 1 observation.

6. Documents restraint use and associated care

thoroughly.

B) Pain Management

1. Assess patient for presence of pain on

admission and during assessments / reassessments.

2 / 16 / 09

2. Incorporates patient’s

cultural / spiritual beliefs regarding pain into pain management

plan.

3. Implement pain management techniques.

Focus on prevention rather than treatment.

4.

Include patient and / or family members in developing a pain

management plan.

5. Consider other methods of

pain control when developing plan of care : massage, repositioning,

immobilization, and music therapy.

C) Abuse

Assessment

1. Is aware of abuse recognition

criteria and incorporates it into assessments.

2. Reports signs of possible abuse / neglect to

the physician, Risk Management and Social Work.

3. Takes appropriate action to support patient

safety when signs of abuse are noted.

6) Demonstrates

accountability for own professional practice.

Criteria

A) Adheres to all quality and performance standards, policies,

procedures, protocols when implementing clinical and technical

aspects of care.

1. Participates in learning

experiences that increases professional competence.

B) Demonstrates appropriate technical and

cognitive skills for area of practice.

C)

Maintains currency in all hospital / unit information, communication,

policies and procedures.

1. Attends staff

meetings / reviews minutes when absent.

2.

Participates in Committee(s), Shared Governance, Work Team(s), in a

leadership and or in membership role.

3. 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. Contributes

to requests for feedback.

D) Demonstrates

ability to change and adapt to changing work demands.

1. Responds positively to change.

2. Provides assistance and support to peers,

co-workers and other team members.

3. Adapts

positively to changes in unplanned work load and job demands.

7) Ability to relate to

coworkers in a professional and appropriate manner.

Criteria

A) Orients and / or precepts new employees when required.

B) Participates in and maintains a

collaborative team approach toward work.

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.

Criteria

A) Practices standard precautions and

disposes of hazardous wastes per established guidelines.

B) Maintains a safe, clean, comfortable, and

therapeutic environment for patients / families / employees in

accordance to hospital standards.

1. Maintains

clutter free environment.

2. Keeps personal

conversations / background noise to a minimum.

3.

Adheres to dress code.

C) Reports risk

management concerns using eSRM.

D) Assumes

responsibility for completing all annual mandatory requirements :

1. Maintains current license and certifications

2. Maintain up to date BLS

3.

Annual TB Screening and Influenza vaccination

4.

Annual Ethics Training (Initial Ethics, if new

employee)

5. Annual Safety Training

6. Required Information Security course

7. Required Abuse & Neglect course

8. Annual Blood Borne Pathogens training (if

required)

9. Coursework as assigned for .Edu

10. Annual competency

11.

Age / Population specific competency (if

applicable)

12. Orientation competency (if new

hire)

13. Service Specific

E)

Reports variations from care / treatment following the occurrence

reporting policy and procedure.

9) Service : 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. Provides prompt, respectful, courteous

service.

2. Meets physical, spiritual,

psychological and emotional needs of patients and families.

3. Works with other members of the health care

team to see that call lights are answered promptly.

4. Apologizes for mix-up and delay.

B) Communicates effectively and maintains

confidentiality.

1. Listens to staff / patient /

family concerns and addresses needs.

2. Explains

procedures and all education in a manner that staff / patient / family

understand.

3. Allows time for questions.

C) Demonstrates competence and collaboration.

1. Provides accurate handoff reports.

2. Provides quality care in accordance to

standards. 2 / 16 / 09

3. Shares knowledge with other

departments to facilitate work flow and continuity.

D) Provides cost effect services.

1. Uses resources wisely.

2.

Recommends changes in practice that increases efficiency and

minimizes waste.

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 goals.

B) Remains current

with evidenced based practice initiatives.

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.

1. Assists in developing

unit based Performance Improvement and action plans.

2. 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 :

____Infant

___Child ____Adolescent _____Adult _____Geriatric

Criteria

A) Demonstrates knowledge and skills of normal growth and

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) Utilizes communication skills

necessary to interpret age specific responses to service and

interaction.

D) Involves family or significant

other in decision making related to services provided.

E) Demonstrates ability to provide service

needed for the age groups routinely served by the department

assigned.

12) Cost Effective

Services

Criteria

A) Uses resources efficiently.

B) Recommends change in practice that increase

efficiency and minimize waste.

C) Documents

chargeable supplies and equipment used to provide care.

D) Prioritizes responsibilities and completes

work on time. 2 / 16 / 09

E) Utilizes non-clinical

time in a constructive manner, i.e. completing chart audits, .Edu,

mandatory education requirements.

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.

Employee___________________________________________Date____________

Supervisor__________________________________________Date_____________

Department Director

__________________________________Date_____________

Administration________________________________________Date_____________

Practice Agreement

For Nursing Staff

Please read the below standards and expectations.

Standard (I understand that . .

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.

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 supervisor 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.

​ 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.

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.

​ 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.).

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)

Expectations (So I will . .

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- vernal means that I am here

to help. (Service)

Expectations (So I will . .

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.

Respect the patient's privacy and

modesty - close curtains, cover patient, reduce traffic in

patient's room during procedures.

Explain all procedures, test, medications and monitoring equipment,

etc to each patient and discuss plan of care for the day / shift with

patient and family.

Be compassionate and

empathetic to their concerns at all times.

Work in a constant state of

alertness and safe manner.

​ 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.

Staff

Signature __________________________________________ Print Name

___________________________________________ Date

_______________

Manager

Signature _________________________________________ Print Name

_________________________________________ Date

______________

2 / 16 / 09

REQUIRED PROFESSIONAL

LICENSE AND / OR CERTIFICATIONS

State of Work Location :

Illinois

Basic Life Support

HealthCare Provider (BLS HCP) - American Heart Association

(AHA)

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)

Registered Nurse (RN) Issued by Compact

State

Registered Nurse (RN) - Wisconsin Department of Safety and

Professional Services

Work Shift :

Day Shift (United States of

America)

Job Type : Employee

Department :

Scheduled Weekly Hours :

36

Benefits : SSM

Health values our exceptional employees by offering a comprehensive

benefits package to fit their needs.

Paid Parental Leave : we offer eligible team members one

week of paid parental leave for newborns or newly adopted children

(pro-rated based on

FTE).

Flexible Payment Options : our voluntary benefit offered

through DailyPay offers eligible hourly team members instant access

to their earned, unpaid base pay (fees may apply) before

payday.

Upfront

Tuition Coverage : we provide upfront tuition coverage

through 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. Click here

to learn more.