RN, Surgery Unit, 2nd shift

SSM Health; St. Louis (MO); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Adoption assistance

Health insurance

Retirement benefits with employer-mm

Long & short-term disability

Employee assistance programs (EAP)

Job summary

SSM Health is seeking a Registered Nurse for night shift to assess, plan, and deliver comprehensive nursing care during hospital stays. The RN will coordinate with multidisciplinary teams, document assessments and interventions, and ensure safe medication administration and discharge planning.

The role emphasizes patient-centered care and adherence to infection control and safety standards. The position requires Missouri RN licensure, BLS certification, and compliance with applicable state

Qualifications

• Licensed to practice as an RN in Missouri.
• BLS certification required.
• Multiple state licenses may be applicable depending on location.

Responsibilities

• Performs comprehensive nursing assessment/reassessment.
• Coordinates and evaluates plan of care based on data and standards.
• Delivers and documents nursing interventions and education.
• Ensures accurate medication administration and handoff communications.
• Maintains infection control practices and safety standards.

Education

Missouri RN license (active)

BLS HCP (AHA)

RN licensure in Illinois/Wisconsin/OK/Compact as applicable

Job description

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.

Benefits

• Competitive, affordable health insurance including but not limited to:
• Adoption assistance
• Various competitive health insurance options & wellness plans
• Retirement benefits including employer matching plans
• Long & short-term disability
• Employee assistance programs (EAP)

Position Accountabilities and Performance Criteria

1. 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. 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.

   • 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. 3) Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status.

   • 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.
   • H) Clarifies all physician orders as warranted.
   • 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. 4) Documents and or communicates nursing care and or changes in patient condition.

   • 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. 5) Specialized Care: Provides specialized care to patients at high risk for injury.

   • A) Restraint Care
   • # Initiates/evaluates alternatives to restraint prior to application
   • # 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.

# 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.

# Reviews Hospital/Nursing publications

# Keeps up to date with policies and procedures

# 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

# 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.

6. 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.
   • # Follows hand hygiene procedures.
   • # Utilizes Safe Patient Handling techniques and equipment.
   • # Keeps personal conversations/background noise to a minimum.
   • # C) Reports risk management concerns using eSRM.
   • Annual TB Screening and Influenza vaccination
   • Annual Ethics Training (Initial Ethics, if new employee)
   • Annual Safety Training
   • Annual Blood Borne Pathogens training (if required)
   • # E) Reports variations from care/treatment following the occurrence reporting policy and procedure.

7. 10) Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice.

   • 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
   • # Contributes to data collection
   • # Participates in evaluation of Performance Improvement results.

8. E) Participates in nursing research activities.

9. F) Participates in Departmental and Hospital Performance Improvement activities when warranted.

10. H) Contributes to the maintenance/improvement of all nursing quality indicators.

11. 11) Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric

    • 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) Demonstrates ability to provide service needed for the age groups routinely served by the department assigned.
    • E) Documents chargeable supplies and equipment used to provide care.
    • E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits.

Qualifications

• Licensed to work as an RN in the state of Missouri
• May be exposed to the risk of blood borne diseases.
• Handles emergency and crisis situations.
• Further duties and responsibilities subject to change.
• Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
• Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
• Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
• Registered Nurse (RN) - Missouri Division of Professional Registration
• Registered Nurse (RN) Issued by Compact State
• Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)
• 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

Employment Details

Work Shift: Night Shift (United States of America)

Equal Opportunity Employer

SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law.