RN Float - All Units
Company: SSM Health
Location: Saint Louis
Posted on: March 20, 2023
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Job Description:
Job Description:
It's more than a career, it's a callingMO-SSM Health Saint Louis
University Hospital Worker Type: Regular Job Highlights: Sign-On
Bonus up to $30,000! Must Haves:One year of med-surg
experienceWillingness to float between different areas of
hospital.Must be highly energetic, flexible and motivated to
support the success of Saint Louis University Hospital. Job
Summary:The 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. Job
Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND
PERFORMANCE CRITERIA (% of time) Essential Functions: The following
are essential job accountabilities and performance criteria:
Position Accountabilities 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 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
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. H) Provides
patient/family education and discharge planning per documentation
guidelines and protocol. I) 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. J)
Abuse Assessment 1. 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. Criteria A) 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. 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. 2/16/09 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 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. 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
certifications 2. Maintain up to date BLS 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. 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. Criteria A)
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. 2/16/09 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. Criteria A) 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 _____Geriatric Criteria A)
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 Eff...
Keywords: SSM Health, St. Louis , RN Float - All Units, Healthcare , Saint Louis, Missouri
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