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Registered Nurse - RN ICU

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SSM Health

2024-09-20 00:49:55

Job location Saint Louis, Missouri, United States

Job type: fulltime

Job industry: Healthcare & Medical

Job description

It's more than a career, it's a calling

MO-SSM Health Saint Louis University Hospital

Worker Type:

Regular

Job Highlights:

Saint Louis University Hospital has four unique Intensive Care Units, caring for patients in our Level 1 Trauma Center. We are currently adding RNs to our team in our CVICU, Neuro ICU, Medical ICU, and Trauma ICU!

Full Time Days & Nights Available (every third weekend requirement); Part Time, Weekend Option, & PRN

Please ask your recruiter if you are eligible for a sign on bonus up to $30,000!

CVICU

Step into the forefront of cardiac care at 4N CVICU, where advanced technology meets exceptional medical expertise. This cardiac ICU is a haven for those who are masters of cardiac devices or eager to expand their skills. With the use of groundbreaking tools like ECMO and Impella heart pumps, our unit operates at the pinnacle of cardiac healing.

Work alongside some of the world's most talented cardiologists and cardiothoracic surgeons, as you engage in continuous advancements and educational opportunities in cardiac recovery. Here, our nurses are not just caregivers; they are perpetual learners and teachers, constantly enhancing their craft. If you're ready to immerse yourself in an environment of innovation and excellence, 4N CVICU is the place to be. Join us and be part of a team dedicated to pushing the boundaries of cardiac care.

Neuro ICU

Welcome to the 3 North ICU at St. Louis University Hospital, where advanced care meets a passion for excellence. As a high acuity neuro ICU within our Level 1 stroke center, our unit is at the forefront of neurological treatment. Here, you'll encounter diverse cases-from stroke recovery and post-operative brain tumor care to managing hemorrhages and spinal trauma.

Our team is composed of some of the brightest minds in neurology nursing and medicine. Joining us means stepping into an environment where learning never stops, and collaboration with top-tier neuro professionals is part of everyday life. If you're eager to deepen your expertise, teach others, and grow alongside a dedicated team in a supportive community, 3 North ICU is the ideal place for you. Come be a part of something extraordinary and make a meaningful impact on countless lives.

Medical ICU

Are you a nurse eager to make a difference in the lives of acutely ill patients while working alongside some of the most knowledgeable physicians in the world? Join our state-of-the-art medical ICU, where advanced medical practices are at the heart of patient care. Here, you'll collaborate with exceptional nurses, physicians, and healthcare professionals, embracing opportunities to teach and continuously expand your nursing skills. Take pride in being part of an elite team dedicated to advancing the art of healing and making a meaningful impact every day.

Trauma ICU

Explore the elite world of 3S, the cornerstone of our Level 1 Trauma Center. This prestigious unit is where patients begin their journey to recovery from severe traumatic incidents, under the care of some of the most esteemed trauma surgeons and medical teams globally. If trauma care is your passion, this is your platform to learn, teach, and practice in a state-of-the-art ICU.

Join a team that thrives on collaboration and precision, dealing with the most advanced trauma cases worldwide. Whether you're looking to sharpen your skills or immerse yourself in cutting-edge trauma treatment, 3S offers an unparalleled opportunity to make a difference in the lives of those who need it most. Your path to exceptional trauma care begins here-come be a part of something extraordinary.

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
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