RN - Oncology/Hemat - Weekend Option Days
Company: SSM Health
Location: Florissant
Posted on: May 26, 2023
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Job Description:
It's more than a career, it's a calling. MO-SSM Health Saint
Louis University Hospital Worker Type: Regular Job Summary: The
Registered Nurse is a professional practitioner who assesses,
manages, directs, and provides nursing care care activities during
the patient's hospital stay and coordinates planning with other
disciplines utilizing a patient/customer driven approach. Job
Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND
PERFORMANCE CRITERIA Essential Functions: The following are
essential job accountabilities and performance criteria: 1)
Performs comprehensive nursing assessment/reassessment. Criteria A)
Performs age-appropriate admission assessment or transfer
assessment. Obtains input from family/guardian when appropriate. B)
Accurately and completely documents findings. C) Performs
assessment of post-op/post-invasive procedure patients. D) Assesses
and documents education and discharge needs of patient and family
on admission and throughout hospitalization. E) 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. 2) 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. Criteria A)Identifies short
and long term goals based on patient care needs. B)Formulates
nursing interventions to achieve desired patient outcome. C)
Incorporates disease specific evidenced based practice into nursing
care plan and other documentation 3)Provides and documents nursing
interventions based on assessed patient needs, plan of care, and
changes in patient status. Criteria A) Collaborates with
appropriate health team members for coordination of daily plan of
care for assigned patients. B) Provides, coordinates and
communicates patient care, including accurate Handoff Communication
Reports. C) Administers and documents medications accurately
according to policies and procedures. D) Monitors, maintains and
documents accurate IV fluids and parenteral nutrition according to
policies and procedures. E) Completes referrals as indicated by
assessment data. F) Requests consultation for special needs,
equipment, or information for patient and/or family. G) Provides
patient/family education and discharge planning per documentation
guidelines and protocol. H) Clarifies all physician orders as
warranted. I) Acknowledges and implements physician orders in an
accurate and timely manner as evidenced by documentation in the
medical record. J) Assists physician with procedures/treatments as
requested or delegates to Care Partner as appropriate. K) Documents
"Readback" for all telephone / verbal orders. L) Takes telephone /
verbal orders only in emergency situations. M) Recognizes changes
in patient's condition and takes appropriate nursing actions. N)
Involves the family/guardian when providing care and in
decision-making as appropriate. O) Recognizes risks for patient and
takes appropriate action. P) Incorporates use of Infection Control
practices in daily care. 4) Documents and or communicates nursing
care and or changes in patient condition. Criteria A) Performs and
documents ongoing evaluation of effectiveness of care based on
assessment data, nursing interventions, patient response to
medications, treatments and procedures. B) Evaluates and documents
effectiveness of patient/family education. C) Evaluates plan of
care and modifies as indicated in "A" above. D) Recognizes
significant changes in patient's clinical parameters and reports
immediately to physician and others as indicated. E) Identifies
problems, gathers pertinent data, suggests solutions, communicates
using appropriate lines of authority, and works toward problem
resolution. F) Reports variation from care/treatment following the
occurrence reporting policy and procedures. 5)Specialized Care:
Provides specialized care to patients at high risk for injury.
Criteria A) Restraint Care 1. Initiates/evaluates alternatives to
restraint prior to application 2.Applies restraints consistent with
the approved procedure. 3. Monitors and assesses patient's response
throughout the restraint period at the appropriate intervals. 4.
Provides specified patient care (toileting, skin care, hydration,
feeding, etc.) on a timely basis. 5. Provides consultation for
peers to determine alternatives to restraints and 1:1 observation.
6. Documents restraint use and associated care thoroughly. B) Pain
Management 1. Assess patient for presence of pain on admission and
during assessments/reassessments. 2. Incorporates patient's
cultural/spiritual beliefs regarding pain into pain management
plan. 3. Implement pain management techniques. Focus on prevention
rather than treatment. 4. Include patient and/or family members in
developing a pain management plan. 5. Consider other methods of
pain control when developing plan of care: massage, repositioning,
immobilization, and music therapy. C) Abuse Assessment 1. Is aware
of abuse recognition criteria and incorporates it into assessments.
2. Reports signs of possible abuse/neglect to the Administrative
Director of Behavioral Health, physician, Risk Management and
Social Work. 3. Takes appropriate action to support patient safety
when signs of abuse are noted. 6) Demonstrates accountability for
own professional practice. Criteria A) Adheres to all quality and
performance standards, policies, procedures, protocols when
implementing clinical and technical aspects of care. 1.
Participates in learning experiences that increases professional
competence. B) Demonstrates appropriate technical and cognitive
skills for area of practice. C) Maintains currency in all
hospital/unit information, communication, policies and procedures.
1. Attends staff meetings/reviews minutes when absent 2.
Participates in Committee(s), Shared Governance, Work Team(s), in a
leadership and or in membership role 3. Reviews Hospital/Nursing
publications 4. Keeps up to date with policies and procedures 5.
Participates and or keeps up to date with Shared Governance and
Unit Based Practice Council activities and information. Contributes
to requests for feedback. D) Demonstrates ability to change and
adapt to changing work demands 1. Responds positively to change 2.
Provides assistance and support to peers, co-workers and other team
members 3.Adapts positively to changes in unplanned work load and
job demands 7) Ability to relate to coworkers in a professional and
appropriate manner. Criteria A) Orients and/or precepts new
employees when required. B) Participates in and maintains a
collaborative team approach toward work. C) Functions as a resource
person to co-workers, patients/families, medical staff and other
members of the health care team. D) Effectively assumes and
delegates care and other activities to the appropriate team member.
E) Redirects clinical staff when the medical plan of care is
altered. F) Communicates the plan of care to be followed on each
individual patient in a precise and professional manner. G)
Responsible for the supervision and teaching of students/new staff
nurses. 8) Safety/Infection Control: Performs job in accordance
with safety and infection control policies. Criteria A) Practices
standard precautions and disposes of hazardous wastes per
established guidelines. B) Maintains a safe, clean, comfortable,
and therapeutic environment for patients/ families/employees in
accordance to hospital standards. 1. Maintains clutter free
environment. 2. Follows hand hygiene procedures. 3. Utilizes Safe
Patient Handling techniques and equipment. 4. Keeps personal
conversations/background noise to a minimum. 5. Adheres to dress
code. C) Reports risk management concerns using eSRM. D) Assumes
responsibility for completing all annual mandatory requirements: 1.
Maintains current license and certifications 2. Maintain up to date
BLS and HI 3. Annual TB Screening and Influenza vaccination 4.
Annual Ethics Training (Initial Ethics, if new employee) 5. Annual
Safety Training 6. Required Information Security course 7. Required
Abuse & Neglect course 8. Annual Blood Borne Pathogens training (if
required) 9. Coursework as assigned for .edu 10. Annual competency
11. Age/Population specific competency (if applicable) 12.
orientation competency (if new hire) 13. Service Specific E)
Reports variations from care/treatment following the occurrence
reporting policy and procedure. 9) Service: Provides service
excellence to the customers of Saint Louis University Hospital by
delivering timely, high quality care in a courteous and respectful
manner. Criteria A)Demonstrates care and courtesy 1. Provides
prompt, respectful, courteous service. 2. Meets physical,
spiritual, psychological and emotional needs of patients and
families. 3.Works with other members of the health care team to see
that call lights are answered promptly. 4. Apologizes for mix-up
and delay. B) Communicates effectively and maintains
confidentiality 1. Listens to staff/patient/family concerns and
addresses needs. 2. Explains procedures and all education in a
manner that staff/patient/ family understand. 3. Allows time for
questions. C) Demonstrates competence and collaboration 1. Provides
accurate handoff reports. 2. Provides quality care in accordance to
standards. 3. Shares knowledge with other departments to facilitate
work flow and continuity. D) Provides cost effect services 1. Uses
resources wisely. 2. Recommends changes in practice that increases
efficiency and minimizes waste. E) Ensures that customer
satisfaction is maintained through the use of the "Principles and
Commitments" of the hospital AIDET and "One Mission, One Spirit".
10) Incorporates Performance Improvement and Evidenced Based
Practice into individual professional practice. Criteria A) Assist
in developing and implementing nursing unit goals. B) Remains
current with evidenced based practice initiatives. C) Identifies
opportunities for improvement, participates in data collection when
requested, suggests solutions, communicates using appropriate lines
of authority and works toward problem resolution. D) Participates
in the performance/process improvement process. 1. Assists in
developing unit based Performance Improvement and action plans. 2.
Leads a performance improvement team when requested 3. Contributes
to data collection 4. Participates in evaluation of Performance
Improvement results. E) Participates in nursing research
activities. F) Participates in Departmental and Hospital
Performance Improvement activities when warranted. G) Participates
in occurrence reviews H) Contributes to the maintenance/improvement
of all nursing quality indicators. 11) Age Appropriate Care:
Provides age-appropriate care to: _____Adult _____Geriatric
Criteria A) Demonstrates knowledge and skills of normal growth &
development necessary to provide services to the age of the patient
served by the department. B)Demonstrates ability to assess and
interpret age specific data to identify patient needs. C) Utilizes
communication skills necessary to interpret age specific responses
to service and interaction. D) Involves family or significant other
in decision making related to services provided. E)Demonstrates
ability to provide service needed for the age groups routinely
served by the department assigned. 12) Cost Effective Services
Criteria A) Uses resources efficiently. B) Recommends change in
practice that increase efficiency and minimize waste. C) Documents
chargeable supplies and equipment used to provide care. D)
Prioritizes responsibilities and completes work on time. E)
Utilizes non-clinical time in a constructive manner, i.e.
completing chart audits, .edu, mandatory education requirements.
DISCLAIMER: Performs other related duties as assigned or requested.
Job Specifications MINIMUM EDUCATION: RN licensure in the State of
Missouri WORKING CONDITIONS: May be exposed to the 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.
Employee___________________________________________Date____________
Supervisor__________________________________________Date_____________
Department Director
__________________________________Date_____________
Administration________________________________________Date_____________
The above statements are intended to describe the general nature
and level of work being performed. They are not to be construed, as
an exhaustive list of all duties, responsibilities, and skills
required of personnel so classified. An individual working in their
job classification must also perform specific tasks upon request by
supervisor personnel. Furthermore, the duties and responsibilities
for this job classification are subject to change at the discretion
of the medical center. Practice Agreement For Nursing Staff Please
read the below standards and expectations. Standard (I understand
that . . .) Our patients deserve care that sets the standard for
excellence and meets the needs of each and every patient whose care
is our primary purpose and mission. (Quality) Expectations (So I
will . . .) Achieve Excellence in Infection Control By: Isolating
per policy Consistently adhering to proper infection control
practices and I will educate patients and visitors of the same.
Taking responsibility to read, learn, follow, enforce and remain up
to date on Saint Louis University Hospital policies and procedures.
Practicing excellent hand washing technique - Wash or gel my hands
when going into and coming out of patient rooms and between glove
use, especial when it relates to dressing changes, suctioning, etc.
Change dressings when they need to be changed now rather than later
and maintain all invasive lines as directed by policy. Vaccinate
per policy. Notify my supervisor if I see anyone or anything that
puts my patient at risk. Utilizing safe practices during crisis
situations (i.e. codes) and transport to other departments, e.g.
masks, 02 tanks. ? Achieve Excellence in Nursing Practice By:
Contributing in a positive way to the functioning of the patient
care team. Taking an active role in practice development through
participation in unit based and hospital committees. Ensuring that
documentation of patient care is consistently thorough and legible.
Rounding with a purpose on each patient. Modeling practice
excellence to new employees. Ensuring that licensure,
certifications, and other mandatory requirements are completed
within assigned deadlines. ? Own and Respect My Environment By:
Maintaining proper care of and treat all equipment with respect
(clean up after using the microwave, not hit the walls with beds
etc.). Maintaining a neat , clean and organized work environment.
Keeping the nursing station, bathroom, and break room neat and
clean. Leaving my patent's room in good order, with supplies in
place, and ready for the next shift and my work area in the same
condition as I would like to see when I return. If I see something
out of order I will pick it up, fix it, or call to have it
repaired. I will not assume that someone else will do it. Giving
hand-off report to another nurse before I leave the unit with
another patient or for any other errand. Standard (I understand
that . . .) Treating my colleagues, our patients, visitors, and
business partners with respect and dignity is necessary to create
an environment where excellence in caring and nursing practice can
thrive. (People) Expectations (So I will . . .) Show empathy to
every patient and communicate my commitment to assist in their
comfort, safety, and restoration to health. Demonstrate my respect
to my colleagues and co- condition and concerns, mentoring new
employees, resolving conflicts constructively, and proactively
scheduling shifts to meet unit needs. Come to work with a positive
attitude. Offer constructive criticism to co-workers when
addressing concerns, praising in public and criticizing in private
when necessary. Be part of the solution not part of the problem.
Not complain to or complain in front of my patients/families and
staff (i.e. too busy or short staffed, no lunch). Follow up on
patient concerns every time to the appropriate person. Respond
promptly to patient requests. Always refer to physicians as Dr.
____. Make sure that my patients are checked at least every ___ 1
hour ___ 30 minutes ___ 15 minutes per clinical standard and as
appropriate. Standard (I understand that . . ) ? Patients and their
families are scared and vulnerable. It is my responsibility to
communicate through verbal and non- vernal means that I am here to
help. (Service) Expectations (So I will . . .) Introduce myself to
all my patients and family members. Take time to tell them what to
expect and keep them informed. Answer lights promptly to meet a
patient's needs and prevent patient falls. Respect the patient's
privacy and modesty - close curtains, cover patient, reduce traffic
in patient's room during procedures. Explain all procedures, test,
medications and monitoring equipment, etc to each patient and
discuss plan of care for the day/shift with patient and family. Be
compassionate and empathetic to their concerns at all times. ? The
intent of this agreement is not to provide a complete list of job
responsibilities. Its intent rather is to be a positive statement
of concrete actions which will ensure that nursing practice at
Saint Louis University Hospital sets the benchmark for excellence
in service, quality, and people. As a member of the nursing staff
at Saint Louis University Hospital, I understand that on behalf of
my hospital, our patients and my co-workers I will conduct myself
according to this agreement at all times. Staff Signature
__________________________________________ Print Name
___________________________________________ Date _______________
Manager Signature _________________________________________ Print
Name _________________________________________ Date ______________
2/16/09 Licenses / Certifications: Registered Nurse (RN) - State of
Work Location or Compact Multi-State License Work Shift: Day Shift
(United States of America) Job Type: Employee Department:
1080000037 Prog - 7N Scheduled Weekly Hours: 36 SSM Health complies
with applicable Federal civil rights laws and does not discriminate
on the basis of race, color, national origin, age, disability or
sex. Learn more here
Keywords: SSM Health, Florissant , RN - Oncology/Hemat - Weekend Option Days, Healthcare , Florissant, Missouri
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