RN Cardiac Stepdown
Company: SSM Health
Location: Saint Louis
Posted on: March 20, 2023
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Job Description:
It's more than a career, it's a callingMO-SSM Health Saint Louis
University Hospital 1201 GrandWorker Type:RegularJob Highlights:
This position is 7:00 p.m. - 7:00 a.m. SIGN ON BONUS AVAILABLE FOR
QUALIFIED EXTERNAL CANDIDATES!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: 1) Performs
comprehensive nursing assessment/reassessment. Criteria A) 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. Criteria 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)Provides and documents nursing
interventions based on assessed patient needs, plan of care, and
changes in patient status. Criteria 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) Documents and or communicates nursing
care and or changes in patient condition. Criteria 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)Specialized Care:
Provides specialized care to patients at high risk for injury.
Criteria A) Restraint Care 1. 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
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. Criteria A) 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. Criteria A) 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. Criteria A) 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 course 7. 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. . click apply for full job
details
Keywords: SSM Health, St. Louis , RN Cardiac Stepdown, Healthcare , Saint Louis, Missouri
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