RN - Stepdown - Weekend Program - Nights
$30,000–$30,000 year
On-siteSt. Louis, Missouri, United States
Job Summary
Conduct comprehensive nursing assessments and reassessments for post-op and invasive procedure patients during weekend night shifts. Establish, coordinate, and evaluate patient care plans based on assessment data, physician orders, and protocols while administering medications and monitoring IV fluids. Provide specialized care for high-risk patients, including pain management and restraint protocols, and ensure strict adherence to infection control and safety standards. Document all interventions, changes in patient condition, and handoff communications accurately. Collaborate with the health team to deliver age-appropriate care and support discharge planning for patients and families.
Required Qualifications
- Current license and certifications
- Up to date BLS (Basic Life Support)
- Up to date HI (Hepatitis B Immunity)
- Annual TB Screening
- Annual Influenza vaccination
- Annual Ethics Training
- 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 competency
- Ability to maintain current currency in all hospital/unit information, communication, policies and procedures
- Ability to change and adapt to changing work demands
- Ability to relate to coworkers in a professional and appropriate manner
- Ability to demonstrate appropriate technical and cognitive skills for area of practice
- Ability to incorporate Performance Improvement and Evidenced Based Practice into individual professional practice
- Ability to demonstrate knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department
- Ability to assess and interpret age specific data to identify patient needs
- Ability to utilize communication skills necessary to interpret age specific responses to service and interaction
- Ability to involve family or significant other in decision making related to services provided
- Ability to demonstrate ability to provide service needed for the age of the patient served by the department
- Ability to perform comprehensive nursing assessment/reassessment
- Ability to perform age-appropriate admission assessment or transfer assessment
- Ability to accurately and completely document findings
- Ability to perform assessment of post-op/post-invasive procedure patients
- Ability to assess and document education and discharge needs of patient and family on admission and throughout hospitalization
- Ability to 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
- Ability to 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
- Ability to identify short and long term goals based on patient care needs
- Ability to formulate nursing interventions to achieve desired patient outcome
- Ability to incorporate disease specific evidenced based practice into nursing care plan and other documentation
- Ability to provide and document nursing interventions based on assessed patient needs, plan of care, and changes in patient status
- Ability to collaborate with appropriate health team members for coordination of daily plan of care for assigned patients
- Ability to provide, coordinate and communicate patient care, including accurate Handoff Communication Reports
- Ability to administer and document medications accurately according to policies and procedures
- Ability to monitor, maintain and document accurate IV fluids and parenteral nutrition according to policies and procedures
- Ability to complete referrals as indicated by assessment data
- Ability to request consultation for special needs, equipment, or information for patient and/or family
- Ability to provide patient/family education and discharge planning per documentation guidelines and protocol
- Ability to clarify all physician orders as warranted
- Ability to acknowledge and implement physician orders in an accurate and timely manner as evidenced by documentation in the medical record
- Ability to assist physician with procedures/treatments as requested or delegate to Care Partner as appropriate
- Ability to document 'Readback' for all telephone/verbal orders
- Ability to take telephone/verbal orders only in emergency situations
- Ability to recognize changes in patient's condition and take appropriate nursing actions
- Ability to involve the family/guardian when providing care and in decision-making as appropriate
- Ability to recognize risks for patient and take appropriate action
- Ability to incorporate use of Infection Control practices in daily care
- Ability to perform and document ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures
- Ability to evaluate and document effectiveness of patient/family education
- Ability to evaluate plan of care and modify as indicated
- Ability to recognize significant changes in patient's clinical parameters and report immediately to physician and others as indicated
- Ability to identify problems, gather pertinent data, suggest solutions, communicate using appropriate lines of authority, and work toward problem resolution
- Ability to report variation from care/treatment following the occurrence reporting policy and procedures
- Ability to provide specialized care to patients at high risk for injury
- Ability to initiate/evaluate alternatives to restraint prior to application
- Ability to apply restraints consistent with the approved procedure
- Ability to monitor and assess patient's response throughout the restraint period at the appropriate intervals
- Ability to provide specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis
- Ability to provide consultation for peers to determine alternatives to restraints and 1:1 observation
- Ability to document restraint use and associated care thoroughly
- Ability to assess patient for presence of pain on admission and during assessments/reassessments
- Ability to incorporate patient's cultural/spiritual beliefs regarding pain into pain management plan
- Ability to implement pain management techniques. Focus on prevention rather than treatment
- Ability to include patient and/or family members in developing a pain management plan
- Ability to consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy
- Ability to be aware of abuse recognition criteria and incorporate it into assessments
- Ability to report signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work
- Ability to take appropriate action to support patient safety when signs of abuse are noted
- Ability to practice standard precautions and dispose of hazardous wastes per established guidelines
- Ability to maintain a safe, clean, comfortable, and therapeutic environment for patients/families/employees in accordance to hospital standards
- Ability to maintain clutter free environment
- Ability to follow hand hygiene procedures
- Ability to utilize Safe Patient Handling techniques and equipment
- Ability to keep personal conversations/background noise to a minimum
- Ability to adhere to dress code
- Ability to report risk management concerns using eSRM
- Ability to assume responsibility for completing all annual mandatory requirements
- Ability to demonstrate care and courtesy
- Ability to provide prompt, respectful, courteous service
- Ability to meet physical, spiritual, psychological and emotional needs of patients and families
- Ability to work with other members of the health care team to see that call lights are answered promptly
- Ability to apologize for mix-up and delay
- Ability to communicate effectively and maintain confidentiality
- Ability to listen to staff/patient/family concerns and address needs
- Ability to explain procedures and all education in a manner that staff/patient/family understand
- Ability to allow time for questions
- Ability to provide accurate handoff reports
- Ability to provide quality care in accordance to standards
- Ability to share knowledge with other departments to facilitate work flow and continuity
- Ability to provide cost effect services
- Ability to use resources wisely
- Ability to recommend changes in practice that increases efficiency and minimizes waste
- Ability to ensure that customer satisfaction is maintained through the use of the 'Principles and Commitments' of the hospital AIDET and 'One Mission, One Spirit'
- Ability to assist in developing and implementing nursing unit goals
- Ability to remain current with evidenced based practice initiatives
- Ability to identify opportunities for improvement, participate in data collection when requested, suggest solutions, communicate using appropriate lines of authority and work toward problem resolution
- Ability to participate in the performance/process improvement process
- Ability to assist in developing unit based Performance Improvement and action plans
- Ability to lead a performance improvement team when requested
- Ability to contribute to data collection
- Ability to participate in evaluation of Performance Improvement results
- Ability to participate in nursing research activities
- Ability to participate in Departmental and Hospital Performance Improvement activities when warranted
- Ability to participate in occurrence reviews
- Ability to contribute to the maintenance/improvement of all nursing quality indicators
- Ability to demonstrate ability to assess and interpret age specific data to identify patient needs
- Ability to utilize communication skills necessary to interpret age specific responses to service and interaction
- Ability to involve family or significant other in decision making related to services provided
- Ability to demonstrate ability to provide service needed for the age of the patient served by the department
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