Med/Surg RN Days
Company: SSM Health
Location: Saint Louis
Posted on: August 7, 2022
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.POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA
Essential Functions: The following are essential job
accountabilities and performance criteria:
1) 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
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. 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
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 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 application2.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 Management 1. 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.C)
Abuse Assessment 1. Is aware of abuse recognition criteria and
incorporates it into assessments. 2. Reports signs of possible
abuse/neglect to the Administrative Director of Behavioral Health,
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 members3.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. Follows hand hygiene procedures. 3. Utilizes Safe
Patient Handling techniques and equipment. 4. Keeps personal
conversations/background noise to a minimum. 5. 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 certifications 2. Maintain up to date
BLS and HI 3. Annual TB Screening and Influenza vaccination 4.
Annual Ethics Training (Initial Ethics, if new employee) 5. Annual
Safety Training 6. Required Information Security course7. Required
Abuse & Neglect course 8. Annual Blood Borne Pathogens training (if
required) 9. Coursework as assigned for .edu 10. Annual competency
11. Age/Population specific competency (if applicable) 12.
orientation competency (if new hire) 13. Service Specific 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. CriteriaA)Demonstrates care
and courtesy1. 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. 3. 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 unit 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:
_____Adult _____Geriatric CriteriaA) 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) 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 CriteriaA) 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. E) Utilizes non-clinical time in a constructive manner,
i.e. completing chart audits, .edu, mandatory education
DISCLAIMER: Performs other related duties as assigned or
Job SpecificationsMINIMUM EDUCATION: RN licensure in the State of
Missouri, or new graduate of accredited school of nursing and must
obtain licensure within 90 days of graduation. 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.
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.
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:
- 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
- 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,
- 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
- Maintaining a neat , clean and organized work environment.
- Keeping the nursing station, bathroom, and break room neat and
- 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
- 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
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
- Come to work with a positive attitude.
- Offer constructive criticism to co-workers when addressing
concerns, praising in public and criticizing in private when
- 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
- 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
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
- Answer lights promptly to meet a patient's needs and prevent
- Respect the patient's privacy and modesty - close curtains,
cover patient, reduce traffic in patient's room during
- 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
---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
Keywords: SSM Health, St. Louis , Med/Surg RN Days, Healthcare , Saint Louis, Missouri
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