POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of
Essential Functions: The following are essential job
accountabilities and performance criteria:
1) General Patient Care:
A) Carries out the patient's plan of care as it relates to the
patient's physical needs under the direction of the Registered
B) Delivers care requiring broad knowledge of aseptic technique,
medical terminology and equipment.
C) Assists nurses and physicians with procedures.
D) Maintains knowledge of and operates equipment used in patient
E) Retrieves patient care items that are not routinely available
on the unit.
F) Retrieves, recovers or follows up on patient care needs.
G) Completed unit clerical duties including the coordination of
designated unit activities, transcription of orders, medical record
maintenance and serving as a unit receptionist.
H) Prepares rooms prior to admissions and following discharges.
Completes patient's belongings list on admission and transfer.
I) Directs prompt and courteous attention to the needs of
patients, families, and visitors.
J) Rounds with purpose.
K) Engages in service recovery activities referring unusual
problems to Nurse Manager/ Designate.
L) Rounds after dietary trays are passed to ensure all meals are
appropriate or as required for patient satisfaction /care
M) Takes appropriate action when necessary including the
resolution of issues related to late or wrong trays.
N) Feeds and sets up trays as needed.
O) Recognizes needs and initiates appropriate action in regard
to maintaining supplies and equipment
P) Notifies appropriate department in order to maintain a clean
safe environment (housekeeping, maintenance, dietary, etc.)
Q) Functions as a resource person to co-workers,
patients/families, medical staff, and ancillary personnel.
2) Safety and Comfort
A) Correctly places restraints; observes for constriction of
circulation, changes to skin integrity, adequate breathing; knows
when and how to change position; provides range of motion (ROM) and
skin care, toileting, and opportunities for socialization.
B) Operates Cardiac Monitor i.e.
- Lead placement
3) Vital Signs/Measurement
A) Completes Point of Care Testing as approved by hospital and
B) Obtains vital signs including temperature
C) Measures abdominal girth
D) Weighs patients
E) Measures intake and output
4) Mobility and Exercise:
A) Applies Pneumatic Air Stockings / Ted Hose
B) Ambulates, turns and positions patients.
5) Respiratory Care
A) Assists with incentive spirometry and cough / deep
B) Sets up oxygen therapy such as, nasal cannula or mask as
directed by Registered Nurse.
C) Monitors pulse oximetry
D) Completes tracheostomy care
E) Performs suctioning
- Tracheal: When the patient is assessed by the Registered Nurse
to be stable.
6) Wound Care
A) Places patient on specialty bed
B) Performs dressing changes (sterile and clean)
C) Cares for pin care site after assessment has been completed
by the Registered Nurse. Assists in monitoring that traction
weights are hanging freely and in good alignment.
7) Bowel and Bladder Elimination
A) Administers enemas
B) Performs straight catheterization. Provides catheter
Hygiene and grooming daily
Mouth care (including dentures) at least twice/day.
Fresh water at 0800, 1600, 2400 and as needed
9) Specimen Collection
Midstream (clean-voided) urine specimen.
Timed urine specimen
Sterile urine specimen from an indwelling catheter
Urine specific gravity (5 South and 5 ICU only)
Expectorated sputum specimens
Blood specimens by venipuncture
- Stool specimens
A) Answers phone within 3 rings identifying self, title and
nursing unit. Does not keep person on hold for extended
B) Provides directions to physicians, hospital personnel, and
visitors to patient's room.
C) Notifies the physician and nursing staff of new patient's
arrival to unit.
D) Assists in the receiving of articles brought to the nursing
E) Answers pneumatic tube promptly and returns carriers to the
F) Prepares a daily worksheet and confirms all appointments
concerning daily work (including blood work) and updates worksheet
on each shift.
G) Verifies census sheet, maintains and updates as
H) Informs Admitting Department of all transfers, discharges,
admissions, room changes, and deaths through the computer. Includes
disposition of appropriate paperwork.
I) Informs staff/charge nurses / nurse manager of nursing unit
activities: return of patients to the floor, physician stat orders,
new admissions, etc.
J) Assist nursing staff and ancillary personnel to ensure
appropriate and complete specimen labels/requisition orders.
K) Reports critical lab values to appropriate personnel.
L) Initiates and completes secretarial portion of the pre-op
M) Completes the administrative data screen for all new
admissions and updates daily.
N) Assists the nursing staff with paperwork involved in the
patient transfer and discharge procedure to include movement of
O) Gives a full report to the oncoming person. (Leaves a written
report if unable to give verbal). Informs the Charge Nurse if
additional orders are left for the night shift.
P) Checks patient chart periodically throughout the shift for
"stat", flagged and un-flagged orders.
Q) Checks physician orders daily for unsigned verbal/telephone
orders and places appropriate flag.
R) Enters orders into the computer accurately.
S) Calls departments to order tests, procedures, and consults
which cannot be ordered through the computer.
T) Transcribes orders for tests/procedures/consults onto the
TESTS/PROCEDURES section of the profile.
U) Ensures labels are correctly placed on all forms
V) Transcribes medication orders to the medication
administration record accurately.
W) Places all physician orders in pharmacy bin. Faxes all
physician orders to pharmacy during night shift.
X) Signs orders to indicate orders were taken off with date,
time, signature and title
Y) Utilizes appropriate backup systems in the event of computer
Z) Ensures that stat and timed orders are transcribed
AA) Initiates and assembles charts
BB) Keeps chart in order; thins chart as needed and places in
CC) Obtains old charges from Medical Records through the
DD) Ensures that Medical Records picks up old charts by placing
them in assigned pick up area on day of discharge.
EE) Completes medical record checklist and ensures that the
complete chart is sent to Medical Records within 24 hours of
discharge and immediately upon patient death.
FF) Sends complete chart including thinned chart and old chart
on transfer to patient.
GG) Ensures allergy, and isolation cards are posted in charts
HH) Completes and signs secretarial portion of death
11) Safety/Infection Control: Performs job in accordance with
safety and infection control policies. (5,8) 5%
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
Maintains clutter free environment.
Keeps personal conversations/background noise to a minimum.
- Adheres to dress code.
C) Reports risk management concerns.
D) Assumes responsibility for completing all annual mandatory
Yearly TB Screening
Annual Ethics Training (Initial Ethics, if new employee)
Annual Safety Training
Required Information Security course
Required Abuse & Neglect course
Annual Blood Borne Pathogens training (if required)
Coursework as assigned for .edu
Age/Population specific competency (if applicable)
Orientation competency (if new hire)
- Unit Specific
E) Obtains report from Registered Nurse and informs nurse of
changes in patient's condition.
F) Communicates concerns or patient complaints to Registered
Nurse and other team members as appropriate.
G) Documents all procedures and care concisely and legibly on
chart forms according to chart form guidelines.
H) Identifies problems, gathers pertinent data, suggests
solutions, communicates using appropriate lines of authority, and
works toward problem resolution.
I) Empties soiled linen containers.
12) Service: Provides service excellence to the customers of
Saint Louis University Hospital by delivering timely, high quality
care in a courteous, and respectful manner. (1, 2, 3, 4, 5) 10%
A) Demonstrates care and courtesy
- Provides prompt, respectful, courteous service.
2.Meets physical, spiritual, psychological and emotional needs
of patients and families as directed by Registered Nurse.
Responds to call lights promptly.
- Apologizes for mix-up and delay.
B) Communicates effectively and maintains confidentiality
Listens to staff/patient / family concerns and addresses needs
within scope of responsibility.
Explains procedures and all education in a manner that staff /
patient/ family understands.
- Allows time for questions.
C) Demonstrates competence and collaboration
Provides accurate change of shift report.
Provides quality care in accordance to standards.
- Shares knowledge with other departments to facilitate work flow
D) Provides cost effect services
Uses resources wisely.
- Recommends changes in practice that increases efficiency and
13) Personal Accountability: Demonstrates accountability for own
job performance. (6) 5%
A) Adheres to and incorporates all customer service standards in
patient care and work practices.
B) Participates in additional learning experiences to increase
Mandatory in-services and educational programs
- Evaluation of self-performance by identifying strengths and
areas for improvement.
C) Assists in identifying and implementing nursing unit
14) Performance Improvement (PI): Incorporates Performance
Improvement into one's job performance. (6) 5%
A) Identifies problems, participation in data collection when
requested, suggests solutions, communicates using appropriate lines
of authority and works toward problem resolution.
B) Participates in the performance / process improvement
Assists in developing unit based PI plan.
Participates in discussion of PI outcomes.
- Collaborates in developing and implementing action plans.
C) Incorporates Performance Improvement and Commitment to
Quality (C2Q) results into job performance
D) Offers suggestions for improvement of unit activities.
E) Participates in discussion of PI C2Q data outcomes.
F) Collects PI C2Q data as assigned
G) Participates in research activities on the nursing unit as
15) Age Appropriate Care: Provides age-appropriate care to:
Infant _Child __Adolescent
A) 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.
F) Position specific: Need to enter those responsibilities
specific for position
16) Specialized Care: Provides specialized care to patients at
high risk for injury.
(1, 2, 4, 5, 8) <1%
A) Restraint Care
Initiates/evaluates alternatives to restraint prior to
Applies restraints consistent with the approved procedure.
Monitors and assesses patient's response throughout the
restraint period at the appropriate intervals.
Provides specified patient care (toileting, skin care,
hydration, feeding, etc.) on a timely basis.
- Provides for trail release and removal of restraint as soon as
B) Pain Management
Follows pain management plan of care, e.g.: repositioning,
message, immobilization, music therapy etc.
- Reports patient complaints of pain to the nursing staff and/or
C) Abuse Assessment
Is aware of abuse recognition criteria and incorporates it into
- Reports signs of possible abuse/neglect to the physician & Risk
Management, and recommends appropriate consultations (psychiatric,
Social Work) for evaluation.
DISCLAIMER: Performs other related duties as assigned or
Rationale for Essential Functions:
1) The performance of this function is the reason the job
2) There are limited employees among whom the performance of
this function can be distributed.
3) This function occupies a great deal of the employee's
4) This function is highly specialized. Employees are hired for
the skill/ability to perform this function.
5) Failure to perform this function may have serious
6) The function was performed by past employees, and is
performed by current employees.
7) Exposure to blood borne pathogens that require the use of
8) Exposure to tuberculosis that requires the use of protective
"Work requiring the knowledge and skills necessary to provide
direct patient care appropriate to patient population of
MINIMUM EDUCATION: High School graduate or GED equivalent and at
least 18 years of age. Post High School vocational/specialized
MINIMUM EXPERIENCE: None
REQUIRED COURSE: Completion of learning program with 80% passing
score on written and skills performance examination.
- Regular exposure to the risk of blood-borne diseases.
- Contact with patients under wide variety of circumstances.
- Exposure to unpleasant elements (accidents, injuries,
- Subject to trying and unpredictable situations.
- May perform emergency care.
- Subject to irregular hours.
- Pressure due to multiple competing demands.
- Prolonged, extensive, or considerable standing/walking.
- Lifts, positions, pushes, and/or transfers patients.
- Lifts supplies/equipment.
- Considerable reaching, stooping, bending, kneeling, crouching,
lifting, pushing, pulling 100+ pounds.
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.
For 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 patient'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-workers through
effective communication about patients' condition and concerns,
mentoring new employees, resolving conflicts constructively, and
proactively scheduling shifts to meet unit needs.
- 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 01 hour 0
30 minutes 0 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
To qualify for this position, candidates must have one of the
- 2 years of experience in a skilled nursing facility or
- A certificate as a nursing assistant or medical assistant
This position is 7:00 a.m. - 7:00 p.m.
Care Partners are responsible for meeting the basic needs of
patients by providing skilled levels of bedside patient care under
the direction of the Registered Nurse. Care Partners also perform
clerical duties necessary to the functioning of the nursing