Advanced Practice Nurse - Emergency Room (Nights)

SSM Health

United States

United States

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MO-SSM Health Saint Louis University Hospital 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. POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1) Performs comprehensive nursing assessment/reassessment. B) Accurately and completely documents findings. 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. 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. 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. 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. A) Restraint Care Initiates/evaluates alternatives to restraint prior to application Provides specified patient care (toileting, skin care, hydration, feeding, etc.) Documents restraint use and associated care thoroughly. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work. A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 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. Provides assistance and support to peers, co-workers and other team members 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. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/ families/employees in accordance to hospital standards. Follows hand hygiene procedures. Utilizes Safe Patient Handling techniques and equipment. Keeps personal conversations/background noise to a minimum. C) Reports risk management concerns using eSRM. Annual TB Screening and Influenza vaccination Annual Ethics Training (Initial Ethics, if new employee) Annual Safety Training Annual Blood Borne Pathogens training (if required) E) Reports variations from care/treatment following the occurrence reporting policy and procedure. Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. A)Demonstrates care and courtesy Meets physical, spiritual, psychological and emotional needs of patients and families. Works with other members of the health care team to see that call lights are answered promptly. Provides quality care in accordance to standards. 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. A) Assist in developing and implementing nursing unit goals. 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. Assists in developing unit based Performance Improvement and action plans. Leads a performance improvement team when requested Contributes to data collection Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. H) Contributes to the maintenance/improvement of all nursing quality indicators. 11) Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric 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. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. C) Documents chargeable supplies and equipment used to provide care. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .Licensed to work as an RN in the state of Missouri May be exposed to the risk of blood borne diseases. Handles emergency and crisis situations. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. For Nursing Staff 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) 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. 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. 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. Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.). 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. Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. 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. (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. Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary. Always refer to physicians as Dr. ____. It is my responsibility to communicate through verbal and non- vernal means that I am here to help. (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. 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. Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) Registered Nurse (RN) - Missouri Division of Professional Registration Registered Nurse (RN) Issued by Compact State Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) Registered Nurse (RN) Issued by Compact State Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) Registered Nurse (RN) Issued by Compact State Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. 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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