Registered Nurse - Intensive Care Unit

SSM Health; St. Louis (MO); On-site; USD 60,000 - 90,000; Full time

Job summary

SSM Health Saint Louis University Hospital is seeking a Registered Nurse (PRN) to provide expert nursing care during hospital stays. You will assess, manage, and direct nursing care while coordinating with other disciplines to support patient-centered outcomes.

The role requires documenting assessments, planning and implementing care, and ensuring adherence to policies, infection control, and safety standards within a dynamic inpatient environment.

Responsibilities

• Perform comprehensive nursing assessment and reassessment.
• Document findings accurately and completely.
• Coordinate and evaluate a plan of care with the health team.
• Administer and document medications per policies.
• Maintain infection control practices and patient safety.

Job description

• Reports risk management concerns using eSRM.
• Annual Blood Borne Pathogens training (if required)

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

MO-SSM Health Saint Louis University Hospital 1201 Grand

Worker Type:

PRN

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.

Job Responsibilities and Requirements:

Position Accountabilities And Performance Criteria

Essential Functions: The following are essential job accountabilities and performance criteria:

• Performs comprehensive nursing assessment/reassessment.

Criteria

• 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.

Criteria

• Identifies short and long term goals based on patient care needs.


• Formulates nursing interventions to achieve desired patient outcome.


• Incorporates disease specific evidence 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.

Criteria

• 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.


• Administers and documents medications accurately according to policies and procedures.


• Monitors, maintains and documents accurate IV fluids 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.


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


• Clarifies all physician orders as warranted.


• Acknowledges 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 \"Readback\" for all telephone/verbal orders.


• Takes telephone/verbal orders only in emergency situations.


• Recognizes changes in patient's condition and takes appropriate nursing actions.


• Involves the family/guardian when providing care and in decision-making as appropriate.


• Recognizes risks for patient and takes appropriate action.


• Incorporates use of Infection Control practices in daily care.


• Documents and or communicates nursing care and or changes in patient condition.

Criteria

• Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures.


• Evaluates and documents 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

• 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.


• 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 Administrative Director of Behavioral Health, physician, Risk Management and Social Work.


• Takes appropriate action to support patient safety when signs of abuse are noted.


• Demonstrates accountability for own professional practice.

Criteria