Registered Nurse - Cardiac Stepdown - Nights

Registered Nurse - Cardiac Stepdown - Nights

Join to apply for the Registered Nurse - Cardiac Stepdown - Nights role at SSM Health.

It’s more than a career, it’s a calling.

MO-SSM Health Saint Louis University Hospital 1201 Grand

Regular

The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach.

• Perform comprehensive nursing assessment/reassessment.
• Perform age‑appropriate admission assessment or transfer assessment. Obtain input from family/guardian when appropriate.
• Accurately and completely document findings.
• Perform assessment of post‑op/post‑invasive procedure patients.
• Assess and document education and discharge needs of patient and family on admission and throughout hospitalization.
• Provide 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.
• Establish, coordinate and evaluate 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.
• Identify short and long term goals based on patient care needs.
• Formulate nursing interventions to achieve desired patient outcome.
• Incorporate disease‑specific evidence‑based practice into nursing care plan and other documentation.
• Provide and document nursing interventions based on assessed patient needs, plan of care, and changes in patient status.
• Collaborate with appropriate health team members for coordination of daily plan of care for assigned patients.
• Provide, coordinate and communicate patient care, including accurate handoff communication reports.
• Administer and document medications accurately according to policies and procedures.
• Monitor, maintain and document accurate IV fluids and parenteral nutrition according to policies and procedures.
• Complete referrals as indicated by assessment data.
• Request consultation for special needs, equipment, or information for patient and/or family.
• Provide patient/family education and discharge planning per documentation guidelines and protocol.
• Clarify all physician orders as warranted.
• Acknowledge and implement physician orders in an accurate and timely manner as evidenced by documentation in the medical record.
• Assist physician with procedures/treatments as requested or delegate to care partner as appropriate.
• Document “Readback” for all telephone/verbal orders.
• Takes telephone/verbal orders only in emergency situations.
• Recognize changes in patient’s condition and take appropriate nursing actions.
• Involve the family/guardian when providing care and in decision‑making as appropriate.
• Recognize risks for patient and take appropriate action.
• Incorporate use of infection control practices in daily care.
• Document and/or communicate nursing care and/or changes in patient condition.
• Perform and document ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures.
• Evaluate and document effectiveness of patient/family education.
• Evaluate plan of care and modify as indicated.
• Recognize significant changes in patient’s clinical parameters and report immediately to physician and others as indicated.
• Identify problems, gather pertinent data, suggest solutions, communicate using appropriate lines of authority, and work toward problem resolution.
• Report variation from care/treatment following the occurrence reporting policy and procedures.
• Restraint Care:
  • Initiate/evaluate alternatives to restraint prior to application.
  • Apply restraints consistent with the approved procedure.
  • Monitor and assess patient’s response throughout the restraint period at the appropriate intervals.
  • Provide specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis.
  • Provide consultation for peers to…