RN - Med-Surg Float
Company: SSM Health
Location: Saint Louis
Posted on: August 7, 2022
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Job Description:
FT, Nights2 years of RN experience requiredGreat
benefits!$15,000 sign on bonusThe 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.POSITION ACCOUNTABILITIES AND PERFORMANCE
CRITERIA (% of time)
Essential Functions: The following are essential job
accountabilities and performance criteria:
Position Accountabilities1) Performs comprehensive nursing
assessment/reassessment.CriteriaA) 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.CriteriaA) 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.CriteriaA) 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 Care1. 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 Management1. 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 Assessment1. 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.CriteriaA) 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.CriteriaA) Restraint Care1. 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 Management1. Assess patient for
presence of pain on admission and during assessments/reassessments.
2/16/092. 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 Assessment1. 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.CriteriaA) 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.CriteriaA) 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.CriteriaA) 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 certifications2.
Maintain up to date BLS3. Annual TB Screening and Influenza
vaccination4. Annual Ethics Training (Initial Ethics, if new
employee)5. Annual Safety Training6. Required Information Security
course7. Required Abuse & Neglect course8. Annual Blood Borne
Pathogens training (if required)9. Coursework as assigned for
.Edu10. Annual competency11. Age/Population specific competency (if
applicable)12. Orientation competency (if new hire)13. Service
SpecificE) 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.CriteriaA) 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. 2/16/093. 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.CriteriaA) 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
_____GeriatricCriteriaA) 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 ServicesCriteriaA) 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. 2/16/09E) 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 SpecificationsMINIMUM EDUCATION: RN licensure in the State of
MissouriWORKING 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 AgreementFor 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:
---Achieve Excellence in Nursing Practice By:
---Own and Respect My Environment By:
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 . . .)
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 . . .)
---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
Keywords: SSM Health, St. Louis , RN - Med-Surg Float, Healthcare , Saint Louis, Missouri
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