Management supervisor jobs in Missouri - Page 2

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 3421000037 Apheresis Scheduled Weekly Hours:40 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1080000037 Prog - 7N Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time, Part Time, Weekend Option & PRN available Schedule Time Options: 7a-7p, 7p-7a, Benefits: Competitive, affordable health insurance including but not limited to: • Getting paid every day!, • Paid maternity & paternity coverage, • Adoption assistance, • Various competitive health insurance options & wellness plans, • Retirement benefits including employer matching plans, • Long & short-term disability, • Employee assistance programs (EAP) Please note: benefits and eligibility can vary by position, exclusions may apply. Fulfill your calling and be a part of the SSM Health team, Apply Today! 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1002000037 Med Surg -Bordley 6S Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1020000037 Med Surg - 7S Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1011000037 Med Surg -Short Stay Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Department: Specialty Transplant Clinic Patient Population: Transplant - liver, kidney and GI Sign On Bonus: Sign-On Bonus Available - please check with your recruiter for eligibility requirements. Schedule: Monday - Friday 8am - 4:30pm Location: SSM Health Saint Louis University Hospital At SSM Health, we know the healing power of presence begins with compassionate employees like you. As an RN in our Specialty Transplant Clinic, you’ve chosen a career where patients matter–a lot. Our Mission and Values put the patient first and place you in a position to improve each day. Our Specialty & Transplant Clinic cares for many different specialties such as Liver and Kidney. The position is Full-Time, with flexible day shift hours. 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 2066000037 Transplant (Multidisc) Clinic CSM Scheduled Weekly Hours:40 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time, Part Time, Weekend Option & PRN available Schedule Time Options: 7a-7p, 7p-7a, Benefits: Competitive, affordable health insurance including but not limited to: • Getting paid every day!, • Paid maternity & paternity coverage, • Adoption assistance, • Various competitive health insurance options & wellness plans, • Retirement benefits including employer matching plans, • Long & short-term disability, • Employee assistance programs (EAP) Please note: benefits and eligibility can vary by position, exclusions may apply. Fulfill your calling and be a part of the SSM Health team, Apply Today! Job Summary: The Registered Nurse (RN) is a professional practitioner who manages and directs nursing care activities in the areas of cath lab and interventional radiology. Must be energetic and highly motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (%of time) Essential Functions: The following are essential job accountabilities and performance criteria. 1. Assessment: Performs comprehensive nursing assessment as the database. (1, 2, 3, 4, 5) 20% Criteria A) Completes assessment of new admission or transfer upon arrival to PACU. B) Accurately performs and documents patient assessments. C) Provides timely ongoing patient reassessment documenting pertinent observations. 2. Planning: Establishes and coordinates a plan of care based on analysis of the initial assessment data, patient diagnosis, and physician orders. (1, 2, 3, 4, 5) 10% Criteria A) Identifies patient care needs. B) Formulates nursing interventions to achieve desired patient outcomes. C) Identifies and initiates individualized care plans. D) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. 3. Implementation: Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient condition. (1, 2, 3, 4, 5, 6, 7, 8) 30% Criteria A) Coordinates, communicates and documents patient care with other disciplines. B) Provides and documents patient education and discharge planning correctly on PACU flow sheet. C) Reviews and initiates physician orders in an accurate and timely manner. D) Recognizes changes in patient's condition, takes appropriate nursing actions. E) Adheres to medication/parenteral therapy administration and documentation per policy guidelines. F) Performs blood-drawing technique to obtain lab specimens including blood cultures. G) Anesthesia and surgical physicians notified of significant changes in patient condition. H) Assist physicians with procedures, examinations, and other processes related to patient care. 4. Evaluation: Documents effectiveness of nursing care and modifies plan of care as patient progresses toward expected outcomes. (1, 2, 3, 4, 5) 10% 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 education including level of understanding. C) Evaluates plan of care and modifies as indicated. D) Evaluates effectiveness of pain medication and then takes appropriate nursing action. 5. Professional/Leadership: Demonstrates accountability for own professional practice. (3, 5) 10% Criteria A) Participates in additional learning experience to increase professional competence including 1. Committee membership, 2. Staff meetings, 3. Mandatory in-services and other educational programs, 4. Evaluation of self and peer performance by identifying strengths and areas for improvement. B) Is at work as scheduled and begins duties promptly at start of shift. C) Functions as a resource person to co-workers, patients/families, medical staff and ancillary personnel. D) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. E) Directs care delivered by Care Partners. F) Adheres to and incorporates all customer service standards in patient care and work practices. 6. Safety/Infection Control: Practices according to safety and infection control policies. (1, 2, 3, 4, 5, 6, 7, 8) 5% Criteria A) Practices universal precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable and therapeutic environment for patients/families/employees in accordance with hospital standards. 1. Maintains clutter free environment., 2. Keeps conversations and background noise to a minimum, 3. Adheres to dress code. C) Reports risk management concerns. D) Assumes responsibility for completing all annual mandatory requirements: 1. Safety/Fire, 2. Blood Borne Pathogen, 3. Hazardous Communication, 4. TB, 5. Department Specific, 6. Age Appropriate Care (for clinical staff only), 7. EMTALA C) Works in a constant state of alertness and safe manner. D) Works in a constant state of alertness and safe manner. 7. Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous, and respectful manner. (1, 3, 5, 6) 10% 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. Responds to patient needs promptly., 4. Apologizes for mix-ups and delays. B) Communicates Effectively and Maintains Confidentiality 1. Listens to patient/family concerns and addresses needs., 2. Explains procedures and all education in a manner that patient/family understands., 3. Allows time for questions. C) Demonstrates Competence and Collaboration 1. Provides accurate report., 2. Provides quality care in accordance to standards., 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides Cost Effective Services 1. Uses resources wisely., 2. Recommends changes in practice that increases efficiency and minimizes waste., 3. Minimizes overtime and utilizes time well. Criteria, 4. Quality Improvement (QI): Incorporates Quality Assessment into one’s daily work. (1, 2, 3, 4, 5, 6) 5% Criteria A) Assists in developing unit based PI plan. B) Collects PI data as assigned. C) Participates in discussion of PI outcomes. D) Collaborates in developing and implementing action plans. E) Participates in research activities on the nursing unit. Criteria 9. Age Appropriate Care: Provides age-appropriate care to: ____Infant __Child __x__ Adolescent __x___ Adult __x_ 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. 10. Specialized Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5) <1% 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 for trail release and removal of restraint as soon as possible. B) Pain Management (licensed personnel) 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 plans., 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 physician & Risk Management, and recommends appropriate consultations (psychiatric, Social Work) for evaluation. DISCLAIMER: Performs other related duties as assigned or requested. Rationale for Essential Functions 1. The performance of this function is the reason the job exists., 2. There are limited employees among whom the performance of this function can be distributed., 3. This function occupies a great deal of the employee’s time., 4. This function is highly specialized. Employees are hired for the skill/ability to perform this function., 5. Failure to perform this function may have serious consequences., 6. The function was performed by past employees, and is performed by current employees., 7. Exposure to blood borne pathogens that require the use of protective equipment, 8. Exposure to tuberculosis that requires the use of protective equipment Job Specifications MINIMUM EDUCATION: Graduate of accredited school of nursing or education equivalency for licensing MINIMUM EXPERIENCE: One year medical surgical experience required. Critical Care or Post Anesthesia Care experience preferred. REQUIRED COURSE: ALS WORKING CONDITIONS: 1. Regular exposure to the risk of blood borne diseases., 2. Contact with patients under wide variety of circumstances., 3. Exposure to unpleasant elements (accidents, injuries, illness)., 4. Subject to varying and unpredictable situations., 5. Handles emergencies or crisis situations. May perform emergency care., 6. Subject to irregular hours., 7. Pressure due to multiple competing demands., 8. Exposure to latex, risk of developing PHYSICAL REQUIREMENTS: 1. Prolonged, extensive, or considerable standing/walking., 2. Lifts, positions, pushes, and/or transfers patients., 3. Must be able to lift 50 pounds and pull 100 pounds., 4. Considerable reaching, stooping, bending, kneeling, crouching. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation, • (IDFPR), • And, • Advanced Life Support (ALS) - American Heart Association (AHA) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State, • And, • Advanced Life Support (ALS) - American Heart Association (AHA) State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN), • And, • Advanced Life Support (ALS) - American Heart Association (AHA) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services, • And, • Advanced Life Support (ALS) - American Heart Association (AHA) Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director _____________________ 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. Work Shift: Evening Shift (United States of America) Job Type: Employee Department: 3001000037 Cardiac Cath Lab Scheduled Weekly Hours:40 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign on Bonus Eligible! Schedule Options: Full Time Schedule Time Options: Weekend Shifts Benefits: Competitive, affordable health insurance including but not limited to: • Getting paid every day!, • Paid maternity & paternity coverage, • Adoption assistance, • Various competitive health insurance options & wellness plans, • Retirement benefits including employer matching plans, • Long & short-term disability, • Employee assistance programs (EAP) Please note: benefits and eligibility can vary by position, exclusions may apply. Fulfill your calling and be a part of the SSM Health team, Apply Today! 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Weekend Shift (United States of America) Job Type: Employee Department: 1020000037 Med Surg - 7S Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: The clinic hours are 8:00 – 4:30 Monday – Friday. No weekend hours and closed on most holidays 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 2065000037 Ortho Clinic CSM Scheduled Weekly Hours:40 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time, Part Time, Weekend Option & PRN available Schedule Time Options: 7a-7p, 7p-7a, Variable Benefits: Competitive, affordable health insurance including but not limited to: • Getting paid every day!, • Access up to $5,250 in tuition coverage per year, • Paid maternity & paternity coverage, • Adoption assistance, • Various competitive health insurance options & wellness plans, • Retirement benefits including employer matching plans, • Long & short-term disability, • Employee assistance programs (EAP) *Please note, benefits and eligibility can vary by position, exclusions may apply. Job Summary: The Registered Nurse (RN), Medical Surgical Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 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 i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products 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) 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. H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) 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. J) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision-making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 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’s 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. 2/16/09, 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 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. Keeps personal conversations/background noise to a minimum., 3. 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, 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. 2/16/09, 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 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: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth and 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. 2/16/09 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. 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. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN 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 _____________________ Administration________________________________________Date_____________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! 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. This job performs duties in the Intensive Care Units. 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: Licensed to work as an RN in the state of Missouri MINIMUM EXPERIENCE: One year of registered nurse experience required 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1300030037 ICU - 4S Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time, Nights Weekend Option Program, Fri, Sat, Sun Schedule Time: 7p-7a Benefits: Competitive, affordable health insurance including but not limited to: • Benefits effective 31 days from date of hire, • Health plans starting at $29.38 per pay period. No medical plan deductibles or co-insurance when receiving care from SSM Health Saint Louis University Hospital, • Professional Development and continuing education opportunities, • Retirement benefits including employer matching plans, • Robust wellness programs, • Employee assistance programs (EAP) Job Summary: The Registered Nurse (RN), Critical Carev Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 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 i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products 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) 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. H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) 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. J) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision-making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 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’s 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. 2/16/09, 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 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. Keeps personal conversations/background noise to a minimum., 3. 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, 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. 2/16/09, 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 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: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth and 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. 2/16/09 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. 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. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN 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 _____________________ Administration________________________________________Date_____________ 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., • Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 8452000037 Nursing Float Pool Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time, Part Time, Weekend Option & PRN available Schedule Time Options: 7a-7p, 7p-7a, Benefits: Competitive, affordable health insurance including but not limited to: • Getting paid every day!, • Paid maternity & paternity coverage, • Adoption assistance, • Various competitive health insurance options & wellness plans, • Retirement benefits including employer matching plans, • Long & short-term disability, • Employee assistance programs (EAP) Please note: benefits and eligibility can vary by position, exclusions may apply. Fulfill your calling and be a part of the SSM Health team, Apply Today! Job Summary: The Registered Nurse (RN), Medical Surgical Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 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 i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products 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) 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. H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) 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. J) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision-making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 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’s 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. 2/16/09, 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 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. Keeps personal conversations/background noise to a minimum., 3. 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, 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. 2/16/09, 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 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: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth and 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. 2/16/09 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. 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. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN 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 _____________________ Administration________________________________________Date_____________ 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., • Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 8452000037 Nursing Float Pool Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1300020037 ICU - 3N Scheduled Weekly Hours: 36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1200000037 BHS - 4W Scheduled Weekly Hours: 36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University West Pavilion Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time, Nights Schedule Time: 7p-7a, rotating weekends and holidays Benefits: Competitive, affordable health insurance including but not limited to: • Benefits effective 31 days from date of hire, • Health plans starting at $29.38 per pay period. No medical plan deductibles or co-insurance when receiving care from SSM Health Saint Louis University Hospital, • Professional Development and continuing education opportunities, • Retirement benefits including employer matching plans, • Robust wellness programs, • Employee assistance programs (EAP) 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1200000037 BHS - 4W Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time, Days Schedule Time: 7a-7p, rotating weekends and holidays Benefits: Competitive, affordable health insurance including but not limited to: • Benefits effective 31 days from date of hire, • Health plans starting at $29.38 per pay period. No medical plan deductibles or co-insurance when receiving care from SSM Health Saint Louis University Hospital, • Professional Development and continuing education opportunities, • Retirement benefits including employer matching plans, • Robust wellness programs, • Employee assistance programs (EAP) 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1200000037 BHS - 4W Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! 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. This job performs duties in the Intensive Care Units. 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: Licensed to work as an RN in the state of Missouri MINIMUM EXPERIENCE: One year of registered nurse experience required 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1300020037 ICU - 3N Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1002000037 Med Surg -Bordley 6S Scheduled Weekly Hours: 40 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1020000037 Med Surg - 7S Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! 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. This job performs duties in the Intensive Care Units. 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: Licensed to work as an RN in the state of Missouri MINIMUM EXPERIENCE: One year of registered nurse experience required 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Weekend Shift (United States of America) Job Type: Employee Department: 1300040037 ICU - 4N Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time Schedule Time: 7a-7p, rotating weekends and holidays Benefits: Competitive, affordable health insurance including but not limited to: • Benefits effective 31 days from date of hire, • Health plans starting at $29.38 per pay period. No medical plan deductibles or co-insurance when receiving care from SSM Health Saint Louis University Hospital, • Professional Development and continuing education opportunities, • Retirement benefits including employer matching plans, • Robust wellness programs, • Employee assistance programs (EAP) 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1403000037 Prog - 8N Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1005000037 Med Surg-Bordley 9N Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time, Part Time, Weekend Option & PRN available Schedule Time Options: 7a-7p, 7p-7a, Benefits: Competitive, affordable health insurance including but not limited to: • Getting paid every day!, • Paid maternity & paternity coverage, • Adoption assistance, • Various competitive health insurance options & wellness plans, • Retirement benefits including employer matching plans, • Long & short-term disability, • Employee assistance programs (EAP) Please note: benefits and eligibility can vary by position, exclusions may apply. Fulfill your calling and be a part of the SSM Health team, Apply Today! Job Summary: The Registered Nurse (RN), Crititcal Care Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 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 i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products 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) 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. H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) 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. J) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision-making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 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’s 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. 2/16/09, 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 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. Keeps personal conversations/background noise to a minimum., 3. 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, 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. 2/16/09, 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 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: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth and 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. 2/16/09 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. 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. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN 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 _____________________ Administration________________________________________Date_____________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 8452000037 Nursing Float Pool Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1040000037 Med Surg - 8S Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! 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. This job performs duties in the Intensive Care Units. 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: Licensed to work as an RN in the state of Missouri MINIMUM EXPERIENCE: One year of registered nurse experience required 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1300010037 ICU - 3S Scheduled Weekly Hours:24 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Summary: The Registered Nurse (RN), Medical Surgical Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 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 i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products 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) 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. H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) 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. J) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision-making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 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’s 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. 2/16/09, 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 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. Keeps personal conversations/background noise to a minimum., 3. 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, 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. 2/16/09, 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 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: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth and 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. 2/16/09 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. 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. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN 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 _____________________ Administration________________________________________Date_____________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 8452000037 Nursing Float Pool Scheduled Weekly Hours: 36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1001000037 Prog - 6S Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Summary: The Registered Nurse (RN), Medical Surgical Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 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 i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products 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) 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. H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) 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. J) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision-making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 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’s 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. 2/16/09, 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 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. Keeps personal conversations/background noise to a minimum., 3. 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, 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. 2/16/09, 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 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: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth and 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. 2/16/09 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. 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. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN 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 _____________________ Administration________________________________________Date_____________ 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., • Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 8452000037 Nursing Float Pool Scheduled Weekly Hours: 36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Summary: The Registered Nurse (RN), Medical Surgical Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 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 i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products 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) 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. H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) 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. J) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision-making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 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’s 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. 2/16/09, 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 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. Keeps personal conversations/background noise to a minimum., 3. 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, 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. 2/16/09, 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 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: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth and 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. 2/16/09 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. 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. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN 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 _____________________ Administration________________________________________Date_____________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 8452000037 Nursing Float Pool Scheduled Weekly Hours: 36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! 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. This job performs duties in the Intensive Care Units. 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: Licensed to work as an RN in the state of Missouri MINIMUM EXPERIENCE: One year of registered nurse experience required 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1300040037 ICU - 4N Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

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 (RN), Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 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 i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products 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) 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. H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) 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. J) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision-making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 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’s 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. 2/16/09, 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 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. Keeps personal conversations/background noise to a minimum., 3. 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, 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. 2/16/09, 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 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: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth and 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. 2/16/09 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. 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. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN 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 _____________________ Administration________________________________________Date_____________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 8452000037 Nursing Float Pool Scheduled Weekly Hours: 36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time, Days Schedule Time: 7a-7p, rotating weekends and holidays Benefits: Competitive, affordable health insurance including but not limited to: • Benefits effective 31 days from date of hire, • Health plans starting at $29.38 per pay period. No medical plan deductibles or co-insurance when receiving care from SSM Health Saint Louis University Hospital, • Professional Development and continuing education opportunities, • Retirement benefits including employer matching plans, • Robust wellness programs, • Employee assistance programs (EAP) 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 2000000037 ED Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time, Weekend Option Program Fri, Sat, Sun Schedule Time: 7p-7a Benefits: Competitive, affordable health insurance including but not limited to: • Benefits effective 31 days from date of hire, • Health plans starting at $29.38 per pay period. No medical plan deductibles or co-insurance when receiving care from SSM Health Saint Louis University Hospital, • Professional Development and continuing education opportunities, • Retirement benefits including employer matching plans, • Robust wellness programs, • Employee assistance programs (EAP) 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1005000037 Med Surg-Bordley 9N Scheduled Weekly Hours:24 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Weekend Shift (United States of America) Job Type: Employee Department: 1020000037 Med Surg - 7S Scheduled Weekly Hours: 36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Summary: The Registered Nurse (RN), Medical Surgical Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 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 i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products 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) 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. H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) 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. J) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision-making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 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’s 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. 2/16/09, 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 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. Keeps personal conversations/background noise to a minimum., 3. 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, 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. 2/16/09, 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 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: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth and 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. 2/16/09 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. 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. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN 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 _____________________ Administration________________________________________Date_____________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 8452000037 Nursing Float Pool Scheduled Weekly Hours: 36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Summary: The Registered Nurse (RN), Medical Surgical Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 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 i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products 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) 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. H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) 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. J) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision-making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 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’s 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. 2/16/09, 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 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. Keeps personal conversations/background noise to a minimum., 3. 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, 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. 2/16/09, 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 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: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth and 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. 2/16/09 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. 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. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN 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 _____________________ Administration________________________________________Date_____________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 8452000037 Nursing Float Pool Scheduled Weekly Hours: 24 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1011000037 Med Surg -Short Stay Scheduled Weekly Hours: 36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 4402000037 PACU Scheduled Weekly Hours: 36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1002000037 Med Surg -Bordley 6S Scheduled Weekly Hours: 36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 4402000037 PACU Scheduled Weekly Hours: 24 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 1001000037 Prog - 6S Scheduled Weekly Hours: 36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time, Days, weekend option program Fri, Sat, Sun Schedule Time: 7a-7p, Benefits: Competitive, affordable health insurance including but not limited to: • Benefits effective 31 days from date of hire, • Health plans starting at $29.38 per pay period. No medical plan deductibles or co-insurance when receiving care from SSM Health Saint Louis University Hospital, • Professional Development and continuing education opportunities, • Retirement benefits including employer matching plans, • Robust wellness programs, • Employee assistance programs (EAP) 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 2000000037 ED Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: PRN 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Variable Shift (United States of America) Job Type: Employee Department: 4403000037 Surgery Scheduled Weekly Hours: 0 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time Nights Weekend Option Schedule Time: 7p-7a Benefits: Competitive, affordable health insurance including but not limited to: • Benefits effective 31 days from date of hire, • Health plans starting at $29.38 per pay period. No medical plan deductibles or co-insurance when receiving care from SSM Health Saint Louis University Hospital, • Professional Development and continuing education opportunities, • Retirement benefits including employer matching plans, • Robust wellness programs, • Employee assistance programs (EAP) 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. This job performs duties in the Intensive Care Units. 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: Licensed to work as an RN in the state of Missouri MINIMUM EXPERIENCE: One year of registered nurse experience required 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1300010037 ICU - 3S Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time, Nights Schedule Time: 7p-7a rotating weekends and holidays Benefits: Competitive, affordable health insurance including but not limited to: • Benefits effective 31 days from date of hire, • Health plans starting at $29.38 per pay period. No medical plan deductibles or co-insurance when receiving care from SSM Health Saint Louis University Hospital, • Professional Development and continuing education opportunities, • Retirement benefits including employer matching plans, • Robust wellness programs, • Employee assistance programs (EAP) 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1003000037 Med Surg -Bordley 6N Scheduled Weekly Hours:36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___ 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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand 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: Licensed to work as an RN 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 _____________________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1080000037 Prog - 7N Scheduled Weekly Hours: 36 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.

It's more than a career, it's a calling. MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Summary: The Registered Nurse (RN), Medical Surgical Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 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 i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products 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) 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. H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) 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. J) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision-making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 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’s 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. 2/16/09, 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 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. Keeps personal conversations/background noise to a minimum., 3. 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, 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. 2/16/09, 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 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: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth and 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. 2/16/09 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. 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. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN 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 _____________________ Administration________________________________________Date_____________ 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. Work in a constant state of alertness and safe manner. 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 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 8452000037 Nursing Float Pool Scheduled Weekly Hours: 24 Benefits: 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. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. 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. ___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.