Registered Nurse First Assist Senior

BJC HealthCare • Des Peres, MO

12h • Onsite

About The Position

Missouri Baptist Medical Center, an acute care hospital in St. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management services. The hospital has a 24-hour adult emergency department and cares for pediatric patients at a separate emergency department in collaboration with St. Louis Children’s Hospital. Missouri Baptist is the first and only hospital in St. Louis County to be named a Magnet® hospital by the American Nurses Credentialing Center (ANCC). The prestigious designation is the highest credential a health care organization can receive for nursing excellence and quality patient care. This recognition has been accomplished by less than nine percent of hospitals nationwide. Additionally, U.S. News & World Report ranked the hospital #2 in the St. Louis metro area. Known for its exceptional heart surgery program, Missouri Baptist Medical Center continually ranks among the very top hospitals for cardiac surgery in the state of Missouri. Our heart team of surgeons, anesthesiologists and nurses have performed more than 14,000 heart surgeries since the program was established in 1984. According to HealthGrades, Missouri Baptist is five-star rated for both Coronary Interventions and Treatment of Heart Attack. In fact, Missouri Baptist is the only St. Louis area hospital to receive a 5-star rating for better than average mortality rates for in-hospital, 30-days post-discharge and 180-days post-discharge. Missouri Baptist has been five-star-rated for treatment of heart attack for seven years in a row (2005-2011). Procedures include Aneurysm Repair, Valve Replacement/Repair, Atrial Fibrillation Surgery / Pulmonary Vein Isolation, Carotid Endarterectomy, Congenital Heart Surgery, Coronary Artery Bypass Grafting (CABG), Transmyocardial Laser Revascularization and Vascular Surgeries.

Requirements

• Bachelor's Degree in Nursing
• 2-5 years of experience
• RN License
• Certified Nurse OR (CNOR)

Nice To Haves

• CT or cath lab experience
• 5-10 years of experience
• Certified First Assistant

Responsibilities

• Performs an expanded perioperative role as a first assistant to cardiovascular/cardiothoracic surgeons during surgical procedures in the Cardiothoracic operating room (CTOR).
• Pre-operatively performs a focused nursing assessment in reference to planned procedure.
• Analyzes the assessment data to determine nursing diagnosis.
• Identifies and communicates desired patient outcomes throughout the perioperative continuum.
• Functions as a member of the cardiothoracic surgical team and contributes to the overall efficiency of the perioperative department.
• Considers factors related to safety, effectiveness, efficiency, the environments and the cost in planning, delivering, and evaluating patient care.
• Provides First Assistant support in complex cardiac cases and procedures including, but not limited to: cardiac bypass surgery, aortic-valve surgery, and transcatheter aortic valve replacement (TAVR).
• Additionally, responsible for harvesting vessel for bypass procedures.
• Integrates knowledge, skills, and experiences to meet the needs of patients and families throughout the continuum to include patient and family education.
• Incorporates research findings into practice.
• Practices in an ethical manner using available resources to formulate ethical decisions.
• Advocates for individuals and groups related to perioperative health safety.
• Provides leadership in the profession and professional practice setting.
• Monitors patients response and modifies plan of care accordingly.
• Administers Medications according to standard nursing practice.
• Develops and manages an individual plan of care that directs the intervention(s) of the RNFA.
• Implements, manages, and coordinates the perioperative plan of care related to RNFA interventions.
• Evaluates patient progress towards attaining outcomes.
• Systematically evaluates quality of nursing practice.
• Participates in professional development and life long learning.
• Seeks out and participates in learning opportunities.
• Evaluates their practice in context with current professional practice standards, rules and regulations.
• Contributes to the professional growth of peers, colleagues and others.
• The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Benefits

• Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date
• Disability insurance paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance
• Signing bonus

What This Job Offers

• Job Type: Full-time
• Career Level: Senior