Registered Nurse - Med Surg Float Pool - Weekend Program - Daysd

It's more than a career, it's a calling.

MO-SSM Health Saint Louis University Hospital 1201 Grand

Worker Type : Regular

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

• 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.

H) Provides patient / family education and discharge planning per documentation guidelines and protocol.

I) Pain Management

Assessments / reassessments.

J) Abuse Assessment

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.

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

B) Pain Management

assessments / reassessments.

2 / 16 / 09

C) Abuse Assessment

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.

B) Demonstrates appropriate technical and cognitive skills for area of practice.

C) Maintains currency in all hospital / unit information, communication, policies and procedures.

D) Demonstrates ability to change and adapt to changing work 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.

conversations / background

noise to a minimum.

C) Reports risk management concerns using eSRM.

D) Assumes responsibility for completing all annual mandatory requirements :

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.

B) Communicates effectively and maintains confidentiality.

C) Demonstrates competence and collaboration.

D) Provides cost effect services.

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.

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

And

Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)

State of Work Location : Missouri

And

Registered Nurse (RN) - Missouri Division of Professional Registration

Or

Registered Nurse (RN) Issued by Compact

State

State of Work Location : Oklahoma

And

Registered Nurse (RN) Issued by Compact State

Or

Registered Nurse (RN) - Oklahoma Board of Nursing

(OBN)

State of Work Location : Wisconsin

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 :

8452000037 Nursing Float Pool

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.

Explore All Benefits

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 statusor any other characteristic protected by applicable law. Click here to learn more.