RN Medical ICU
Company: SSM Health
Location: Saint Louis
Posted on: November 23, 2021
This position is 7:00 a.m. - 7:00 p.m.
We are offering a $10,000 sign on bonus for experienced nurses to
join our team!
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.
A) Performs age-appropriate admission assessment or transfer
assessment. Obtains input from family/guardian when
B) Accurately and completely documents findings.
C) Performs assessment of post-op/post-invasive procedure
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
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.
A)Identifies short and long term goals based on patient care
B)Formulates nursing interventions to achieve desired patient
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.
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
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
M) Recognizes changes in patient's condition and takes appropriate
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
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
C) Evaluates plan of care and modifies as indicated in "A"
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
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.
A) Restraint Care
1. Initiates/evaluates alternatives to restraint prior to
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
2. Incorporates patient's cultural/spiritual beliefs regarding pain
into pain management plan.
3. Implement pain management techniques. Focus on prevention rather
4. Include patient and/or family members in developing a pain
5. Consider other methods of pain control when developing plan of
care: massage, repositioning, immobilization, and music
C) Abuse Assessment
1. Is aware of abuse recognition criteria and incorporates it into
2. Reports signs of possible abuse/neglect to the Administrative
Director of Behavioral Health, physician, Risk Management and
3. Takes appropriate action to support patient safety when signs of
abuse are noted.
6) Demonstrates accountability for own professional practice.
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
B) Demonstrates appropriate technical and cognitive skills for area
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
1. Responds positively to change
2. Provides assistance and support to peers, co-workers and other
3.Adapts positively to changes in unplanned work load and job
7) Ability to relate to coworkers in a professional and appropriate
A) Orients and/or precepts new employees when required.
B) Participates in and maintains a collaborative team approach
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
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
8) Safety/Infection Control: Performs job in accordance with safety
and infection control policies.
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
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
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.
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.
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
2. Explains procedures and all education in a manner that
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
D) Provides cost effect services
1. Uses resources wisely.
2. Recommends changes in practice that increases efficiency and
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.
A) 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
D) Participates in the performance/process improvement process.
1. Assists in developing unit based Performance Improvement and
2. Leads a performance improvement team when requested
3. Contributes to data collection
4. Participates in evaluation of Performance Improvement
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
11) Age Appropriate Care: Provides age-appropriate care to:
A) Demonstrates knowledge and skills of normal growth & development
necessary to provide services to the age of the patient served by
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
A) Uses resources efficiently.
B) Recommends change in practice that increase efficiency and
C) Documents chargeable supplies and equipment used to provide
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
MINIMUM 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.
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, suctioning,
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
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 do
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 informed.
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 procedures.
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 times.
---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 , RN Medical ICU, Other , Saint Louis, Missouri
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