Registered Nurse - Intensive Care Unit (ICU) - Medical

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 Worker Type: Regular Job Summary:

The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. This job performs duties in the Intensive Care Units.

Job Responsibilities and Requirements: Position Accountabilities And Performance Criteria Essential Functions:

• Performs comprehensive nursing assessment/reassessment.
• 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.
• 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.
• 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.
• 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.
• 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.
• Provides specialized care to patients at high risk for injury.
• 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; 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: assesses patient for presence of pain on admission and during assessments/reassessments; incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan; implements pain management techniques focused on prevention rather than treatment; includes patient and/or family members in developing a pain management plan; considers other methods of pain control such as 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.
• Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care.
• Participates in learning experiences that increase professional competence.
• Demonstrates appropriate technical and cognitive skills for area of practice.
• Maintains currency in all hospital/unit information, communication, policies and procedures.
• Attends staff meetings/reviews minutes when absent.
• Participates in committee(s), shared governance, work team(s) in a leadership and/or membership role.
• 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; contributes to requests for feedback.
• Demonstrates ability to change and adapt to changing work demands; responds positively to change; provides assistance and support to peers, co‑workers and other team members; adapts positively to changes in unplanned workload and job demands; relates to coworkers professionally and appropriately.
• Orients and/or precepts new employees when required.
• Participates in and maintains a collaborative team approach toward work; functions as a resource person to co‑workers, patients/families, medical staff and other members of the health care team; effectively assumes and delegates care and other activities to the appropriate team member; redirects clinical staff when the medical plan of care is altered; communicates the plan of care to be followed on each individual patient precisely and professionally; responsible for the supervision and teaching of students/new staff nurses.
• Safety/infection control: performs job in accordance with safety and infection control policies; practices standard precautions; disposes of hazardous wastes per established guidelines; maintains a safe, clean, comfortable, and therapeutic environment for patients/families/employees in accordance with hospital standards; maintains clutter‑free environment; follows hand hygiene procedures; utilizes safe patient handling techniques and equipment; keeps personal conversations/background noise to a minimum; adheres to dress code; reports risk management concerns using eSRM; assumes responsibility for completing all annual mandatory requirements (maintains current license and certifications; BLS and HI; annual TB screening and influenza vaccination; annual ethics training; annual safety training; required information security course; required abuse & neglect course; annual Blood Borne Pathogens training; coursework as assigned for .edu; annual competency; age/population specific competency; orientation competency; service specific; reports variations from care/treatment).
• Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high‑quality care in courteous and respectful manner.

Demonstrates care and courtesy:

• Provides prompt, respectful, courteous service.
• Meets physical, spiritual, psychological and emotional needs of patients and families.
• Works with other members of the health care team to ensure call lights are answered promptly.
• Apologizes for mix‑ups and delays.
• Communicates effectively and maintains confidentiality.
• Listens to staff/patient/family concerns and addresses needs.
• Explains procedures and all education in a manner that staff/patient/family understand.
• Allows time for questions.
• Demonstrates competence and collaboration.
• Provides accurate handoff reports and quality care according to standards; shares knowledge; provides cost‑effective services; uses resources wisely; recommends changes to increase efficiency and minimize waste; ensures that customer satisfaction is maintained through principles and commitments of the hospital AIDET and One Mission, One Spirit.
• Incorporates performance improvement and evidence‑based practice into individual professional practice.

Assists in developing and implementing nursing unit goals; remains current with evidence‑based practice initiatives; identifies opportunities for improvement; participates in data collection; communicates appropriately; works toward problem resolution; participates in performance/process improvement; leads a performance improvement team; contributes to data collection; participates in evaluation of performance improvement results; participates in nursing research activities;
… (brevity) Disclaimers, Job Specifications, Minimum Education and Experience:

• State of Missouri: Licensed to work as an RN in Missouri.
• One year of registered nurse experience required.

Working Conditions:

• May be exposed to risk of blood‑borne diseases.
• Exposure to unpleasant elements, accidents, injuries, illnesses.
• Handles emergency and crisis situations; subject to irregular hours.

Physical Requirements:

• Occasional prolonged standing/walking; lifts, positions, pushes and/or transfers patients; reaches, stoops, bends, kneels, crouches.

Professional Licenses and Certifications:

• BLS HCP (American Heart Association).
• RN – Missouri Division of Professional Registration.
• ALS – American Heart Association.

Benefits:

• Paid Parental Leave.
• Flexible Payment Options via DailyPay.
• Up‑front tuition coverage via FlexPath Funded.

Equal Opportunity Employer Statement: 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.

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