Registered Nurse - Med Surg Vascular ENT - Nights

Job Summary

MO-SSM Health Saint Louis University Hospital
Worker Type: Regular

Essential Functions:

• Comprehensive Nursing Assessment
  • Performs age‑appropriate admission or transfer assessment. Obtains input from family/guardian when appropriate.
  • Accurately documents findings.
  • Assesses post‑op/post‑invasive procedure patients.
  • Documents education and discharge needs on admission and throughout hospitalization.
  • Provides reassessment based on plan of care, changes in condition, status, diagnosis, response to care, procedures, etc.
• Plan of Care Development
  • Establishes, coordinates, and evaluates a plan based on assessment data, patient diagnosis, lab data, tests, procedures, orders, protocols, and standards.
  • Identifies short and long‑term goals based on patient needs.
  • Formulates nursing interventions to achieve desired outcome.
  • Incorporates disease‑specific evidence‑based practice into care plan and documentation.
• Interventions and Documentation
  • Provides and documents interventions based on plan of care.
  • Collaborates with health team for daily plan coordination.
  • Communicates patient care and handoff reports accurately.
  • Administers medications and documents per policies.
  • Maintains IV fluids and parenteral nutrition per procedures.
  • Completes referrals, requests consultations, provides education and discharge planning per guidelines.
  • Clarifies and implements physician orders timely and accurately.
  • Assists physicians with procedures or delegates to Care Partner as appropriate.
  • Documents readback for telephone/verbal orders and takes orders only in emergencies.
  • Recognizes changes in condition and acts appropriately; involves family/guardian when providing care.
  • Recognizes risks and applies infection‑control practices daily.
• Evaluation of Care
  • Documents and communicates changes in patient condition.
  • Evaluates effectiveness of care and education, and modifies plan as needed.
  • Reports significant changes to physicians immediately.
  • Identifies problems, gathers data, suggests solutions, and works toward resolution.
  • Reports variations from care/treatment as per policy.
• Specialized Care
  • Restraint Care:
    Initiates/evaluates alternatives, applies restraints per procedure, monitors response, provides required care, consults peers, documents use.
  • Pain Management:
    Assesses pain, incorporates cultural beliefs, implements techniques, includes family in plan, considers alternative methods.
  • Abuse Assessment:
    Recognizes criteria, reports signs to appropriate authorities, takes actions to support patient safety.
• Professional Practice Standards
  • Adheres to quality and performance standards, policies, and protocols.
  • Participates in learning experiences; maintains competence.
  • Keeps current with hospital/unit information, communications, policies, and procedures.
  • Participates in committees, governance, shared teams, and unit-based practice councils.
  • Demonstrates adaptability to change.
  • Assists in change management; supports peers.
• Teamwork and Leadership
  • Provides orientation and precepting for new staff.
  • Maintains collaborative team approach.
  • Serves as resource to co‑workers, patients, families, and staff.
  • Delegates and assumes care responsibilities appropriately.
  • Redirects clinical staff when plan changes.
  • Communicates care plans precisely and professionally.
  • Supervises and teaches students/new staff.
• Safety / Infection Control
  • Practices standard precautions and disposes of hazards per guidelines.
  • Maintains safe, clean, therapeutic environment; follows hand hygiene, safe handling techniques, and dress code.
  • Reports risk management concerns via eSRM.
  • Completes all mandatory requirements: license/certification, BLS, HI, TB screening, influenza vaccination, ethics, safety, information security, abuse & neglect, blood‑borne pathogens, education, competencies, service‑specific training.
• Service Excellence
  • Provides courteous, respectful service; meets patient emotional, physical, spiritual needs.
  • Coordinates teamwork to answer call lights promptly.
  • Apologizes for delays; communicates effectively and confidentially.
  • Provides accurate handoff reports and shares knowledge to facilitate workflow.
  • Uses resources wisely and recommends efficiency…