RN -Med Surg 8S - Nights
On-siteSt. Louis, Missouri, United States
Job Summary
Conduct comprehensive nursing assessments, including admission, transfer, and post-operative evaluations, while accurately documenting findings and patient education needs. Establish and evaluate individualized plans of care based on physician orders, lab data, and evidence-based practices to achieve desired patient outcomes. Provide and document nursing interventions, administer medications, monitor IV fluids, and coordinate daily care through precise handoff communication reports. Manage specialized care for high-risk patients, including restraint protocols, pain management strategies, and abuse assessments, while maintaining strict infection control and safety standards.
Required Qualifications
- Maintains current license and certifications
- Maintain up to date BLS and HI
- Annual TB Screening and Influenza vaccination
- Annual Ethics Training (Initial Ethics, if new employee)
- Annual Safety Training
- Required Information Security course
- Required Abuse & Neglect course
- Annual Blood Borne Pathogens training (if required)
- Coursework as assigned for .edu
- Annual competency
- Age/Population specific competency (if applicable)
- orientation competency (if new hire)
- Service Specific
- Maintains currency in all hospital/unit information, communication, policies and procedures
- Attends staff meetings/reviews minutes when absent
- Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role
- Reviews Hospital/Nursing publications
- Keeps up to date with policies and procedures
- Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback
- Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care
- Participates in learning experiences that increases professional competence
- Demonstrates appropriate technical and cognitive skills for area of practice
- Demonstrates ability to change and adapt to changing work demands
- Responds positively to change
- Provides assistance and support to peers, co-workers and other team members
- Adapts positively to changes in unplanned work load and job demands
- Participates in and maintains a collaborative team approach toward work
- Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team
- Effectively assumes and delegates care and other activities to the appropriate team member
- Communicates the plan of care to be followed on each individual patient in a precise and professional manner
- Responsible for the supervision and teaching of students/new staff nurses
- Practices standard precautions and disposes of hazardous wastes per established guidelines
- Maintains a safe, clean, comfortable, and therapeutic environment for patients/ families/employees in accordance to hospital standards
- Maintains clutter free environment
- Follows hand hygiene procedures
- Utilizes Safe Patient Handling techniques and equipment
- Keeps personal conversations/background noise to a minimum
- Adheres to dress code
- Reports risk management concerns using eSRM
- Reports variations from care/treatment following the occurrence reporting policy and procedure
- Provides specialized care to patients at high risk for injury
- 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 the appropriate intervals
- Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis
- Provides consultation for peers to determine alternatives to restraints and 1:1 observation
- Documents restraint use and associated care thoroughly
- Assess patient for presence of pain on admission and during assessments/reassessments
- Incorporates patient‘s cultural/spiritual beliefs regarding pain into pain management plan
- Implement pain management techniques. Focus on prevention rather than treatment
- Include patient and/or family members in developing a pain management plan
- Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy
- Is aware of abuse recognition criteria and incorporates it into assessments
- Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work
- Takes appropriate action to support patient safety when signs of abuse are noted
- Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department
- Demonstrates ability to assess and interpret age specific data to identify patient needs
- Utilizes communication skills necessary to interpret age specific responses to service and interaction
- Involves family or significant other in decision making related to services provided
- Demonstrates ability to provide service needed for the age groups routinely served by the department assigned
- Uses resources efficiently
- Recommends change in practice that increase efficiency and minimize waste
- Documents chargeable supplies and equipment used to provide care
- Prioritizes responsibilities and completes work on time
- Utilizes non-clinical time in a constructive manner, i.e. comple
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