SSM Health
Registered Nurse - Cardiac Stepdown - Days
SSM Health, Saint Louis, Missouri, United States, 63146
Registered Nurse - Cardiac Stepdown - Days
Join to apply for the Registered Nurse - Cardiac Stepdown - Days role at SSM Health. Job Summary:
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. Job Responsibilities and Requirements
Performs comprehensive nursing assessment/reassessment. Performs age‑appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. Accurately and completely documents findings. Performs assessment of post‑op/post‑invasive procedure patients. Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. 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. 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. Identifies short and long term goals based on patient care needs. Formulates nursing interventions to achieve desired patient outcome. Incorporates disease specific evidence‑based practice into nursing care plan and other documentation. Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. Administers and documents medications accurately according to policies and procedures. Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. Completes referrals as indicated by assessment data. Requests consultation for special needs, equipment, or information for patient and/or family. Provides patient/family education and discharge planning per documentation guidelines and protocol. Clarifies all physician orders as warranted. Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. Documents “Readback” for all telephone/verbal orders. Takes telephone/verbal orders only in emergency situations. Recognizes changes in patient's condition and takes appropriate nursing actions. Involves the family/guardian when providing care and in decision‑making as appropriate. Recognizes risks for patient and takes appropriate action. Incorporates use of Infection Control practices in daily care. Documents and or communicates nursing care and or changes in patient condition. Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. Evaluates effectiveness of patient/family education. Evaluates plan of care and modifies as indicated. Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. Reports variation from care/treatment following the occurrence reporting policy and procedures. Provides specialized care to patients at high risk for injury. Restraint Care: Initiates/evaluates alternatives to restraint prior to application; applies restraints consistent with the approved procedure; monitors and assesses patient's response throughout the restraint period at appropriate intervals; provides specified patient care; and documents restraint use and associated care thoroughly. Pain Management: Assess patient for presence of pain on admission and during assessments; incorporate patient's cultural/spiritual beliefs; implement pain management techniques; and involve family in plan. Abuse Assessment: Recognize abuse and report signs to appropriate authorities; take appropriate action to support patient safety. Demonstrates accountability for own professional practice; adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care; participates in learning experiences; demonstrates technical and cognitive skills; maintains currency; attends staff meetings; participates in committees; keeps up to date with policies; supports peers; adapts to changing demands. Coaches and mentors: Orients and precepts new employees; serves as resource; delegates appropriately; redirects clinical staff; communicates plan of care; supervises and teaches students/new staff nurses. Ensures safety / infection control; performs job in accordance with safety; practices standard precautions; maintaining safe environment; donning proper personal protective equipment; reporting risk management concerns via eSRM. Maintains a safe, clean, comfortable, and therapeutic environment; removes clutter; follows hand hygiene; utilizes safe patient handling; keeps noise to minimal; adheres to dress code; reports risk management concerns via eSRM. Completes all mandatory requirements: maintains current license and certifications; BLS and HIP; annual TB screening and influenza vaccination; annual ethics training; safety training; information security; abuse & neglect course; annual competency; aging/ population specific competency; orientation competency; service specific; reports variations from care/treatment. Service excellence: Provides prompt, respectful, courteous service; meets physical, spiritual, psychological, emotional needs of patients/families; answers call lights promptly; apologizes for delays; maintains confidentiality; listens and addresses needs; explains procedures; shares knowledge; uses resources wisely; recommends changes to increase efficiency and minimize waste; ensures customer satisfaction via AIDET and One Mission, One Spirit; incorporates performance improvement and evidence based practice. Assists in developing and implementing nursing unit goals; remains current with evidence based initiatives; identifies opportunities for improvement; participates in performance and process improvement; leads improvement teams; contributes to data collection; evaluates improvement results; participates in nursing research; participates in departmental and hospital improvement activities; contributes to nursing quality indicators. Age appropriate care: Provides age‑appropriate care to adult or geriatric patients; demonstrates knowledge of growth & development; assesses age‑specific data; involves family in decision making; ensures service needed for age groups; uses resources efficiently; recommends practice changes; documents chargeable supplies and equipment; prioritizes responsibilities; utilizes non‑clinical time for audits and mandatory education. Work Shift
Days , 7 am - 7 pm Benefits
Benefits are effective 31 days from date of hire. Wellness Programs Retirement savings program Professional development and continuing education opportunities PTO accrual begins day one Employee assistance programs (EAP) Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro‑rated based on FTE). Flexible Payment Options: voluntary benefit— DailyPay for hourly staff. Upfront Tuition Coverage: via FlexPath Funded. Sign‑on Bonus: Bonuses up to $30,000. Speak with recruiter about eligibility. Job Specifications
Minimum Education:
Licensed to work as an RN in the state of Missouri Working Conditions:
May be exposed to 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. Required Professional License And/Or Certifications
Basic Life Support HealthCare Provider (BLS HCP) – American Heart Association (AHA) Registered Nurse (RN) – Missouri Division of Professional Registration (or Compact State) Other Details
Job Type:
Employee Department:
1403000037 Prog - 8N Scheduled Weekly Hours:
36 SSM Health is an equal‑opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law.
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Join to apply for the Registered Nurse - Cardiac Stepdown - Days role at SSM Health. Job Summary:
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. Job Responsibilities and Requirements
Performs comprehensive nursing assessment/reassessment. Performs age‑appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. Accurately and completely documents findings. Performs assessment of post‑op/post‑invasive procedure patients. Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. 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. 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. Identifies short and long term goals based on patient care needs. Formulates nursing interventions to achieve desired patient outcome. Incorporates disease specific evidence‑based practice into nursing care plan and other documentation. Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. Administers and documents medications accurately according to policies and procedures. Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. Completes referrals as indicated by assessment data. Requests consultation for special needs, equipment, or information for patient and/or family. Provides patient/family education and discharge planning per documentation guidelines and protocol. Clarifies all physician orders as warranted. Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. Documents “Readback” for all telephone/verbal orders. Takes telephone/verbal orders only in emergency situations. Recognizes changes in patient's condition and takes appropriate nursing actions. Involves the family/guardian when providing care and in decision‑making as appropriate. Recognizes risks for patient and takes appropriate action. Incorporates use of Infection Control practices in daily care. Documents and or communicates nursing care and or changes in patient condition. Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. Evaluates effectiveness of patient/family education. Evaluates plan of care and modifies as indicated. Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. Reports variation from care/treatment following the occurrence reporting policy and procedures. Provides specialized care to patients at high risk for injury. Restraint Care: Initiates/evaluates alternatives to restraint prior to application; applies restraints consistent with the approved procedure; monitors and assesses patient's response throughout the restraint period at appropriate intervals; provides specified patient care; and documents restraint use and associated care thoroughly. Pain Management: Assess patient for presence of pain on admission and during assessments; incorporate patient's cultural/spiritual beliefs; implement pain management techniques; and involve family in plan. Abuse Assessment: Recognize abuse and report signs to appropriate authorities; take appropriate action to support patient safety. Demonstrates accountability for own professional practice; adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care; participates in learning experiences; demonstrates technical and cognitive skills; maintains currency; attends staff meetings; participates in committees; keeps up to date with policies; supports peers; adapts to changing demands. Coaches and mentors: Orients and precepts new employees; serves as resource; delegates appropriately; redirects clinical staff; communicates plan of care; supervises and teaches students/new staff nurses. Ensures safety / infection control; performs job in accordance with safety; practices standard precautions; maintaining safe environment; donning proper personal protective equipment; reporting risk management concerns via eSRM. Maintains a safe, clean, comfortable, and therapeutic environment; removes clutter; follows hand hygiene; utilizes safe patient handling; keeps noise to minimal; adheres to dress code; reports risk management concerns via eSRM. Completes all mandatory requirements: maintains current license and certifications; BLS and HIP; annual TB screening and influenza vaccination; annual ethics training; safety training; information security; abuse & neglect course; annual competency; aging/ population specific competency; orientation competency; service specific; reports variations from care/treatment. Service excellence: Provides prompt, respectful, courteous service; meets physical, spiritual, psychological, emotional needs of patients/families; answers call lights promptly; apologizes for delays; maintains confidentiality; listens and addresses needs; explains procedures; shares knowledge; uses resources wisely; recommends changes to increase efficiency and minimize waste; ensures customer satisfaction via AIDET and One Mission, One Spirit; incorporates performance improvement and evidence based practice. Assists in developing and implementing nursing unit goals; remains current with evidence based initiatives; identifies opportunities for improvement; participates in performance and process improvement; leads improvement teams; contributes to data collection; evaluates improvement results; participates in nursing research; participates in departmental and hospital improvement activities; contributes to nursing quality indicators. Age appropriate care: Provides age‑appropriate care to adult or geriatric patients; demonstrates knowledge of growth & development; assesses age‑specific data; involves family in decision making; ensures service needed for age groups; uses resources efficiently; recommends practice changes; documents chargeable supplies and equipment; prioritizes responsibilities; utilizes non‑clinical time for audits and mandatory education. Work Shift
Days , 7 am - 7 pm Benefits
Benefits are effective 31 days from date of hire. Wellness Programs Retirement savings program Professional development and continuing education opportunities PTO accrual begins day one Employee assistance programs (EAP) Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro‑rated based on FTE). Flexible Payment Options: voluntary benefit— DailyPay for hourly staff. Upfront Tuition Coverage: via FlexPath Funded. Sign‑on Bonus: Bonuses up to $30,000. Speak with recruiter about eligibility. Job Specifications
Minimum Education:
Licensed to work as an RN in the state of Missouri Working Conditions:
May be exposed to 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. Required Professional License And/Or Certifications
Basic Life Support HealthCare Provider (BLS HCP) – American Heart Association (AHA) Registered Nurse (RN) – Missouri Division of Professional Registration (or Compact State) Other Details
Job Type:
Employee Department:
1403000037 Prog - 8N Scheduled Weekly Hours:
36 SSM Health is an equal‑opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law.
#J-18808-Ljbffr