Registered Nurse - Behavioral Health

SSM Health • St. Louis, MO

4d • Onsite

About The Position

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.

Requirements

• Licensed to work as an RN in the state of Missouri
• Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
• Registered Nurse (RN) - Missouri Division of Professional Registration
• Or 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
• Or 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
• Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services
• Occasional prolonged standing/walking.
• Occasionally lifts, positions, pushes and/or transfers patients.
• Occasional reaching, stooping, bending, kneeling, crouching.
• 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.
• Assesses 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.
• 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 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.
• 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 evidenced 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.
• Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures.
• Evaluates and documents effectiveness of patient/family education.
• Evaluates plan of care and modifies as indicated in "A" above.
• 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.
• 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 that increases professional competence.
• Demonstrates appropriate technical and cognitive skills for area of practice.
• 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.
• 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.
• Orients and/or precepts new employees when required.
• 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.
• Redirects clinical staff when the medical plan of care is altered.
• 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.
• Assumes responsibility for completing all annual mandatory requirements: 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.
• Reports variations from care/treatment following the occurrence reporting policy and procedure.
• Demonstrates care and courtesy.
• Provides prompt, respectful, courteous service.
• 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.
• Apologizes for mix-up and delay.
• Communicates effectively and maintains confidentiality.
• Listens to staff/patient/family concerns and addresses needs.
• Explains procedures and all education in a manner that staff/patient/family understand.
• Allows time for questions.
• Demonstrates competence and collaboration.
• Provides accurate handoff reports.
• Provides quality care in accordance to standards.
• Shares knowledge with other departments to facilitate work flow and continuity.
• Provides cost effect services.
• Uses resources wisely.
• Recommends changes in practice that increases efficiency and minimizes waste.
• Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit".
• Assist in developing and implementing nursing unit goals.
• Remains current with evidenced based practice initiatives.
• Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution.
• 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.
• Participates in nursing research activities.
• Participates in Departmental and Hospital Performance Improvement activities when warranted.
• Participates in occurrence reviews.
• Contributes to the maintenance/improvement of all nursing quality indicators.
• 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. completing chart audits, .edu, mandatory education requirements.

Nice To Haves

• Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
• Registered Nurse (RN) Issued by Compact State
• Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)
• Registered Nurse (RN) Issued by Compact State
• Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services

Responsibilities

• Performs comprehensive nursing assessment/reassessment.
• 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.
• Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status.
• Documents and or communicates nursing care and or changes in patient condition.
• Provides specialized care to patients at high risk for injury.
• Demonstrates accountability for own professional practice.
• Ability to relate to coworkers in a professional and appropriate manner.
• Safety/Infection Control: Performs job in accordance with safety and infection control policies.
• Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner.
• Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice.
• Age Appropriate Care: Provides age-appropriate care to: Adult, Geriatric.
• Cost Effective Services

Benefits

• Competitive, affordable health insurance including but not limited to: 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)
• 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.
• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed