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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: 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 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 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 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: PRN 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: PRN / Per Diem 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 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! 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: 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: Night 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! 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 (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 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 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: Evening Shift (United States of America) Job Type: Employee Department: 4403000037 Surgery 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 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 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. 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! Schedule Options: Full Time, Weekend Option Program Friday, Sat, Sun Schedule Time: 7a-7p , rotating 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: 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: · Department: Respiratory Therapy · Sign On Bonus: $20,000, Paid in full on 1st pay check!* · Schedule: Night Shift, 36 Hours/Week, 3x12-Hour Shifts/Week, 7p to 7a · Pay Range starts at: $28.36/hour · Shift Differentials: Available for night, weekend, and additional shifts · Location: MO-SSM Health Saint Louis University Hospital • RRT Required*, • Relocation assistance is available for those who qualify*, • Qualified external candidates only for sign on bonus and relocation * Job Summary: The respiratory therapist is a healthcare professional employed to perform all respiratory care diagnostic and therapeutic procedures provided by the Department of Respiratory Care. They should be energetic and motivated to support the success of a growing service. The respiratory therapist should refer to supervisory personnel in any doubtful situation. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) The following are essential job accountabilities: 1. Demonstrate ability to relate to coworkers in a professional and respectful manner, in order to assure and promote a culture of safety., 2. Performs all respiratory related therapeutic and diagnostic maneuvers are carried out in accordance with established policies and procedures of the department. This shall include: (50%) Criteria: A. Implements and assess the function of oxygen and therapeutic gas. B. Ensure proper set-up and implementation of therapeutic and diagnostic procedure. C. Provide aerosolized medication. D. Provide CPT and IPV. E. Setup and monitor ventilators in accordance with the department and hospital policies. F. Communicates with peers and staff to develop and improve inter- and intradepartmental services. Meet with appropriate personnel to address and resolve problem issues. G. Performs CPR H. Perform diagnostic procedures including but not limited to: 1. ABG analysis, 2. Pulse Oximetry, 3. Nitric Oxide pulmonary hypertension studies, 4. The licensed respiratory therapist will ensure that each patient’s status is assessed to determine the patient’s care needs and to ensure patient’s needs are reassessed in response to treatment and care provided. Criteria: Assess and reassess patients for therapy which includes but is not limited to: A. Vital signs before and after therapy. B. Breath sounds before and after therapy. C. Checking for physician orders for therapy. D. Pre and post assessment for therapy tolerance and response. E. Oxygen requirements. F. Sputum color, viscosity and quantity. G. Other patient specific observations as needed. 4. Special duties: Ability to interact with physicians and nurses. May work in an intensive care unit area. This may include: (25%) Criteria: A. Responsible to respond to critical areas (e.g. ER, OR, Code). B. Perform routine checks on Life Support Unit. C. Assist with bronchoscopy procedure. D. Assist with minor cardiopulmonary invasive or surgical procedures. E. Perform tracheotomy care. F. Perform bedside studies including: f/vt, shunt studies, ventilator mechanics dead space, compliance, O2 content, and metabolic cart studies. G. Perform bedside pulmonary function procedures. H. Interpretation of complex lab data. I. Provide input in decisions involving patient care on and off life support systems. J. Provide input on patient care via physician consultations. K. Display qualities of an independent thinker through the performance of everyday job duties. L. Assist with the prevention of ventilator associated pneumonia as indicated by the latest evidence based literature. 5. Perform all other aspects of Respiratory Care in accordance with hospital policies and procedures. (5%) Criteria: A. Attends monthly department meetings, specialty meetings, in-services, and any other meetings as required. B. Assure all time and attendance exceptions are properly recorded in the exceptions book. C. Communicates with physicians in regard to therapies ordered and therapeutic goals. The following job accountabilities may be reassigned: 6. Performs other duties as required. (5%) Criteria: A. Cleaning, disinfecting and/or sterilization of all reusable of respiratory and bronchoscopy equipment. B. Routine mechanical maintenance of respiratory equipment. C. Maintain neat and clean work and storage areas. D. Maintain neat and accurate records. E. Answer phone in a professional and timely manner. 7. Safety/Infection Control: Practices according to safety and infection control policies. (1, 2, 3, 4, 5) 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. BLS/ALS per recertification guidelines of AHA E. Work in a constant state of alertness and safe manner. 8. 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, 2, 3, 4, 5) 10% Criteria: A. Explain therapy to the patient prior to initiation. B. Being courteous to the patient, their family, visitors and co-workers. C. Respects patients’ rights. D. Practice commitment of patient confidentiality. 8. Quality Improvement (QI): Incorporates Quality Assessment into one’s daily work. 5% Criteria: A. Assisting with collection of data for reporting. B. Completes paperwork in a timely fashion. 1. Complete charting/charging by the end of the assigned shift., 2. Review charting for errors before electronically signing., 3. Report any unresolved charting/charging discrepancies to the immediate supervisor for resolution. C. Follow policies and procedures when administering care. D. Report quality issues to management for review. 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. F. Position specific: Able to titrate dosages and applications to fit the needs of the various growth and development stages. Recognizing that each stage requires different considerations and methods. 10. Specialized Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5, 8) (include if appropriate) <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. 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. Work requires the knowledge and skills necessary to provide direct patient care appropriate to patient population of specialty: Job Specifications MINIMUM EDUCATION: Graduate of an AMA approved school Respiratory Therapy preferred. MINIMUM EXPERIENCE: Leadership skills are desirable and should be demonstrated. REQUIRED REGISTRY OR LICENSE: Registered with the N.B.R.C Licensed in the state of Missouri within 6 months of hirerequired. INDEPENDENT ACTION: Must demonstrate the ability to provide high quality therapy skills with moderate supervision and to make independent decisions in critical and non-critical care areas. Individuals must be energetic and motivated to support the success of a growing service. PRESSURE OF WORK: Capable of withstanding long hours of walking and standing. Capable of tolerating the sights and sounds and odors associated with the care of the sick and dying patients. Capable of responding quickly in emergencies. Capable of lifting moderate weights. Capable of handling hazards due to exposure to inflammable and explosive gases. WORKING CONDITIONS: May be exposed to infectious and contagious diseases. Regularly exposed to the risk of blood borne diseases. Exposed to hazardous anesthetic agents, body fluids, and wastes. Subjected to electrical and radiant energy hazards. Exposure to unpleasant patient or unit elements. Contact with patients under a wide variety of circumstances. May be exposed to unpleasant elements (accidents, injuries and illness). Subject to varying and unpredictable situations. May be required to handle emergency or crisis situations. Subjected to irregular hours. Exposed to chemicals such as isopropyl alcohol, Aerosol and cleaning solutions which are used in decontaminating equipment. PROTECTIVE REQUIREMENTS: • Eye protection, • Gowns, • Lab coat, • Mask, • Sterile and non-sterile gloves, • Demonstrate a desire and willingness to provide comfort and aid to patients., • Cooperative and friendly to all personnel., • Present a professional demeanor at all times., • Always consult supervisor/senior tech when confronted with unusual situations., • Period of Adjustment PHYSICAL REQUIREMENTS: • Heavy Physical effort (lift, carry up to 50 lbs.), • Prolonged, extensive, or considerable standing/walking., • Lifts, positions, pushes, and/or transfers patients., • Pushes/pulls or moves/lifts heavy equipment/supplies., • Manual dexterity, mobility, and fine motor skills., • Intermittent exertion when performing therapies., • Considerable reaching, stooping, bending, kneeling, and crouching VISION REQUIREMENTS: Ability to adjust vision for varying degrees of room light. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Respiratory Therapist (RRT) - National Board for Respiratory Care (NBRC), • And, • Respiratory Care Practitioner - Missouri Division of Professional Registration Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date _____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Work Shift: Night Shift (United States of America) Job Type: Employee Department: 4302000037 Respiratory Therapy 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: Department: Respiratory Therapy · Sign On Bonus: $20,000, Paid in full on 1st pay check!* · Schedule: Day Shift, 36 Hours/Week, 3x12-Hour Shifts/Week, 7a to 7p · Shift Differentials: Available for night, weekend, and additional shifts • RRT Required, • Qualified external candidates only for sign on bonus and relocation * Job Summary: The respiratory therapist is a healthcare professional employed to perform all respiratory care diagnostic and therapeutic procedures provided by the Department of Respiratory Care. They should be energetic and motivated to support the success of a growing service. The respiratory therapist should refer to supervisory personnel in any doubtful situation. Job Responsibilities and Requirements: Job Description POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) The following are essential job accountabilities: 1. Demonstrate ability to relate to coworkers in a professional and respectful manner, in order to assure and promote a culture of safety., 2. Performs all respiratory related therapeutic and diagnostic maneuvers are carried out in accordance with established policies and procedures of the department. This shall include: (50%) Criteria: A. Implements and assess the function of oxygen and therapeutic gas. B. Ensure proper set-up and implementation of therapeutic and diagnostic procedure. C. Provide aerosolized medication. D. Provide CPT and IPV. E. Setup and monitor ventilators in accordance with the department and hospital policies. F. Communicates with peers and staff to develop and improve inter- and intradepartmental services. Meet with appropriate personnel to address and resolve problem issues. G. Performs CPR H. Perform diagnostic procedures including but not limited to: 1. ABG analysis, 2. Pulse Oximetry, 3. Nitric Oxide pulmonary hypertension studies, 4. The licensed respiratory therapist will ensure that each patient’s status is assessed to determine the patient’s care needs and to ensure patient’s needs are reassessed in response to treatment and care provided. Criteria: Assess and reassess patients for therapy which includes but is not limited to: A. Vital signs before and after therapy. B. Breath sounds before and after therapy. C. Checking for physician orders for therapy. D. Pre and post assessment for therapy tolerance and response. E. Oxygen requirements. F. Sputum color, viscosity and quantity. G. Other patient specific observations as needed. 4. Special duties: Ability to interact with physicians and nurses. May work in an intensive care unit area. This may include: (25%) Criteria: A. Responsible to respond to critical areas (e.g. ER, OR, Code). B. Perform routine checks on Life Support Unit. C. Assist with bronchoscopy procedure. D. Assist with minor cardiopulmonary invasive or surgical procedures. E. Perform tracheotomy care. F. Perform bedside studies including: f/vt, shunt studies, ventilator mechanics dead space, compliance, O2 content, and metabolic cart studies. G. Perform bedside pulmonary function procedures. H. Interpretation of complex lab data. I. Provide input in decisions involving patient care on and off life support systems. J. Provide input on patient care via physician consultations. K. Display qualities of an independent thinker through the performance of everyday job duties. L. Assist with the prevention of ventilator associated pneumonia as indicated by the latest evidence based literature. 5. Perform all other aspects of Respiratory Care in accordance with hospital policies and procedures. (5%) Criteria: A. Attends monthly department meetings, specialty meetings, in-services, and any other meetings as required. B. Assure all time and attendance exceptions are properly recorded in the exceptions book. C. Communicates with physicians in regard to therapies ordered and therapeutic goals. The following job accountabilities may be reassigned: 6. Performs other duties as required. (5%) Criteria: A. Cleaning, disinfecting and/or sterilization of all reusable of respiratory and bronchoscopy equipment. B. Routine mechanical maintenance of respiratory equipment. C. Maintain neat and clean work and storage areas. D. Maintain neat and accurate records. E. Answer phone in a professional and timely manner. 7. Safety/Infection Control: Practices according to safety and infection control policies. (1, 2, 3, 4, 5) 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. BLS/ALS per recertification guidelines of AHA E. Work in a constant state of alertness and safe manner. 8. 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, 2, 3, 4, 5) 10% Criteria: A. Explain therapy to the patient prior to initiation. B. Being courteous to the patient, their family, visitors and co-workers. C. Respects patients’ rights. D. Practice commitment of patient confidentiality. 8. Quality Improvement (QI): Incorporates Quality Assessment into one’s daily work. 5% Criteria: A. Assisting with collection of data for reporting. B. Completes paperwork in a timely fashion. 1. Complete charting/charging by the end of the assigned shift., 2. Review charting for errors before electronically signing., 3. Report any unresolved charting/charging discrepancies to the immediate supervisor for resolution. C. Follow policies and procedures when administering care. D. Report quality issues to management for review. 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. F. Position specific: Able to titrate dosages and applications to fit the needs of the various growth and development stages. Recognizing that each stage requires different considerations and methods. 10. Specialized Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5, 8) (include if appropriate) <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. 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. Work requires the knowledge and skills necessary to provide direct patient care appropriate to patient population of specialty: Job Specifications MINIMUM EDUCATION: Graduate of an AMA approved school Respiratory Therapy preferred. MINIMUM EXPERIENCE: Leadership skills are desirable and should be demonstrated. REQUIRED REGISTRY OR LICENSE: Registered with the N.B.R.C Licensed in the state of Missouri within 6 months of hirerequired. INDEPENDENT ACTION: Must demonstrate the ability to provide high quality therapy skills with moderate supervision and to make independent decisions in critical and non-critical care areas. Individuals must be energetic and motivated to support the success of a growing service. PRESSURE OF WORK: Capable of withstanding long hours of walking and standing. Capable of tolerating the sights and sounds and odors associated with the care of the sick and dying patients. Capable of responding quickly in emergencies. Capable of lifting moderate weights. Capable of handling hazards due to exposure to inflammable and explosive gases. WORKING CONDITIONS: May be exposed to infectious and contagious diseases. Regularly exposed to the risk of blood borne diseases. Exposed to hazardous anesthetic agents, body fluids, and wastes. Subjected to electrical and radiant energy hazards. Exposure to unpleasant patient or unit elements. Contact with patients under a wide variety of circumstances. May be exposed to unpleasant elements (accidents, injuries and illness). Subject to varying and unpredictable situations. May be required to handle emergency or crisis situations. Subjected to irregular hours. Exposed to chemicals such as isopropyl alcohol, Aerosol and cleaning solutions which are used in decontaminating equipment. PROTECTIVE REQUIREMENTS: • Eye protection, • Gowns, • Lab coat, • Mask, • Sterile and non-sterile gloves, • Demonstrate a desire and willingness to provide comfort and aid to patients., • Cooperative and friendly to all personnel., • Present a professional demeanor at all times., • Always consult supervisor/senior tech when confronted with unusual situations., • Period of Adjustment PHYSICAL REQUIREMENTS: • Heavy Physical effort (lift, carry up to 50 lbs.), • Prolonged, extensive, or considerable standing/walking., • Lifts, positions, pushes, and/or transfers patients., • Pushes/pulls or moves/lifts heavy equipment/supplies., • Manual dexterity, mobility, and fine motor skills., • Intermittent exertion when performing therapies., • Considerable reaching, stooping, bending, kneeling, and crouching VISION REQUIREMENTS: Ability to adjust vision for varying degrees of room light. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Respiratory Therapist (RRT) - National Board for Respiratory Care (NBRC), • And, • Respiratory Care Practitioner - Missouri Division of Professional Registration Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date _____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Work Shift: Day Shift (United States of America) Job Type: Employee Department: 4302000037 Respiratory Therapy 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: Up to $20,000 For eligible external candidates Relocation assistance maybe available for those outside of metro St. Louis. * Schedule: Rotating nights Shift Differentials: Available for night, weekend, and additional shifts **RRT certification required before start date. At St. Louis University Hospital, our academic setting allows for multiple cutting edge research studies. Our supportive leadership fosters a team mentality and a close direct working relationship with our physicians. The Respiratory Therapy Department at St. Louis University Hospital takes pride in the excellent team we have and the care we provide. SLU Hospital is an academic institute as well as a Level 1 Trauma facility that offers exceptional pay, benefits, tuition reimbursement, pet insurance, matching retirement funds, and more! If you would like to be a part of this team, please submit your application today! Job Summary: The respiratory therapist is a healthcare professional employed to perform all respiratory care diagnostic and therapeutic procedures provided by the Department of Respiratory Care. They should be energetic and motivated to support the success of a growing service. The respiratory therapist should refer to supervisory personnel in any doubtful situation. Job Responsibilities and Requirements: Job Description POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) The following are essential job accountabilities: 1. Demonstrate ability to relate to coworkers in a professional and respectful manner, in order to assure and promote a culture of safety., 2. Performs all respiratory related therapeutic and diagnostic maneuvers are carried out in accordance with established policies and procedures of the department. This shall include: (50%) Criteria: A. Implements and assess the function of oxygen and therapeutic gas. B. Ensure proper set-up and implementation of therapeutic and diagnostic procedure. C. Provide aerosolized medication. D. Provide CPT and IPV. E. Setup and monitor ventilators in accordance with the department and hospital policies. F. Communicates with peers and staff to develop and improve inter- and intradepartmental services. Meet with appropriate personnel to address and resolve problem issues. G. Performs CPR H. Perform diagnostic procedures including but not limited to: 1. ABG analysis, 2. Pulse Oximetry, 3. Nitric Oxide pulmonary hypertension studies, 4. The licensed respiratory therapist will ensure that each patient’s status is assessed to determine the patient’s care needs and to ensure patient’s needs are reassessed in response to treatment and care provided. Criteria: Assess and reassess patients for therapy which includes but is not limited to: A. Vital signs before and after therapy. B. Breath sounds before and after therapy. C. Checking for physician orders for therapy. D. Pre and post assessment for therapy tolerance and response. E. Oxygen requirements. F. Sputum color, viscosity and quantity. G. Other patient specific observations as needed. 4. Special duties: Ability to interact with physicians and nurses. May work in an intensive care unit area. This may include: (25%) Criteria: A. Responsible to respond to critical areas (e.g. ER, OR, Code). B. Perform routine checks on Life Support Unit. C. Assist with bronchoscopy procedure. D. Assist with minor cardiopulmonary invasive or surgical procedures. E. Perform tracheotomy care. F. Perform bedside studies including: f/vt, shunt studies, ventilator mechanics dead space, compliance, O2 content, and metabolic cart studies. G. Perform bedside pulmonary function procedures. H. Interpretation of complex lab data. I. Provide input in decisions involving patient care on and off life support systems. J. Provide input on patient care via physician consultations. K. Display qualities of an independent thinker through the performance of everyday job duties. L. Assist with the prevention of ventilator associated pneumonia as indicated by the latest evidence based literature. 5. Perform all other aspects of Respiratory Care in accordance with hospital policies and procedures. (5%) Criteria: A. Attends monthly department meetings, specialty meetings, in-services, and any other meetings as required. B. Assure all time and attendance exceptions are properly recorded in the exceptions book. C. Communicates with physicians in regard to therapies ordered and therapeutic goals. The following job accountabilities may be reassigned: 6. Performs other duties as required. (5%) Criteria: A. Cleaning, disinfecting and/or sterilization of all reusable of respiratory and bronchoscopy equipment. B. Routine mechanical maintenance of respiratory equipment. C. Maintain neat and clean work and storage areas. D. Maintain neat and accurate records. E. Answer phone in a professional and timely manner. 7. Safety/Infection Control: Practices according to safety and infection control policies. (1, 2, 3, 4, 5) 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. BLS/ALS per recertification guidelines of AHA E. Work in a constant state of alertness and safe manner. 8. 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, 2, 3, 4, 5) 10% Criteria: A. Explain therapy to the patient prior to initiation. B. Being courteous to the patient, their family, visitors and co-workers. C. Respects patients’ rights. D. Practice commitment of patient confidentiality. 8. Quality Improvement (QI): Incorporates Quality Assessment into one’s daily work. 5% Criteria: A. Assisting with collection of data for reporting. B. Completes paperwork in a timely fashion. 1. Complete charting/charging by the end of the assigned shift., 2. Review charting for errors before electronically signing., 3. Report any unresolved charting/charging discrepancies to the immediate supervisor for resolution. C. Follow policies and procedures when administering care. D. Report quality issues to management for review. 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. F. Position specific: Able to titrate dosages and applications to fit the needs of the various growth and development stages. Recognizing that each stage requires different considerations and methods. 10. Specialized Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5, 8) (include if appropriate) <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. 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. Work requires the knowledge and skills necessary to provide direct patient care appropriate to patient population of specialty: Job Specifications MINIMUM EDUCATION: Graduate of an AMA approved school Respiratory Therapy preferred. MINIMUM EXPERIENCE: Leadership skills are desirable and should be demonstrated. REQUIRED REGISTRY OR LICENSE: Registered with the N.B.R.C Licensed in the state of Missouri within 6 months of hirerequired. INDEPENDENT ACTION: Must demonstrate the ability to provide high quality therapy skills with moderate supervision and to make independent decisions in critical and non-critical care areas. Individuals must be energetic and motivated to support the success of a growing service. PRESSURE OF WORK: Capable of withstanding long hours of walking and standing. Capable of tolerating the sights and sounds and odors associated with the care of the sick and dying patients. Capable of responding quickly in emergencies. Capable of lifting moderate weights. Capable of handling hazards due to exposure to inflammable and explosive gases. WORKING CONDITIONS: May be exposed to infectious and contagious diseases. Regularly exposed to the risk of blood borne diseases. Exposed to hazardous anesthetic agents, body fluids, and wastes. Subjected to electrical and radiant energy hazards. Exposure to unpleasant patient or unit elements. Contact with patients under a wide variety of circumstances. May be exposed to unpleasant elements (accidents, injuries and illness). Subject to varying and unpredictable situations. May be required to handle emergency or crisis situations. Subjected to irregular hours. Exposed to chemicals such as isopropyl alcohol, Aerosol and cleaning solutions which are used in decontaminating equipment. PROTECTIVE REQUIREMENTS: * Eye protection * Gowns * Lab coat * Mask * Sterile and non-sterile gloves * Lead aprons CONTACT WITH OTHERS: * Demonstrate a desire and willingness to provide comfort and aid to patients. * Cooperative and friendly to all personnel. * Present a professional demeanor at all times. * Always consult supervisor/senior tech when confronted with unusual situations. * Period of Adjustment * As per hospital probationary period. EQUIPMENT KNOWLEDGE: Must be familiar with equipment used for therapy and diagnostic procedures. PHYSICAL REQUIREMENTS: * Heavy Physical effort (lift, carry up to 50 lbs.) * Prolonged, extensive, or considerable standing/walking. * Lifts, positions, pushes, and/or transfers patients. * Pushes/pulls or moves/lifts heavy equipment/supplies. * Manual dexterity, mobility, and fine motor skills. * Intermittent exertion when performing therapies. * Considerable reaching, stooping, bending, kneeling, and crouching * VISION REQUIREMENTS: Ability to adjust vision for varying degrees of room light. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin * Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) * And * Registered Respiratory Therapist (RRT) - National Board for Respiratory Care (NBRC) * And * Respiratory Care Practitioner - Missouri Division of Professional Registration Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date _____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Work Shift: Night Shift (United States of America) Job Type: Employee Department: 4302000037 Respiratory Therapy 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: Maybe eligible for Sign On Bonus up to $20,000 Schedule: Day Shift, 36 Hours/Week, 3x12-Hour Shifts/Week, 7a to 7p Shift Differentials: Available for night, weekend, and additional shifts • RRT Required, • Only Qualified external candidates will be considered for sign on bonus and relocation * Job Summary: The respiratory therapist is a healthcare professional employed to perform all respiratory care diagnostic and therapeutic procedures provided by the Department of Respiratory Care. They should be energetic and motivated to support the success of a growing service. The respiratory therapist should refer to supervisory personnel in any doubtful situation. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) The following are essential job accountabilities: 1. Demonstrate ability to relate to coworkers in a professional and respectful manner, in order to assure and promote a culture of safety., 2. Performs all respiratory related therapeutic and diagnostic maneuvers are carried out in accordance with established policies and procedures of the department. This shall include: (50%) Criteria: A. Implements and assess the function of oxygen and therapeutic gas. B. Ensure proper set-up and implementation of therapeutic and diagnostic procedure. C. Provide aerosolized medication. D. Provide CPT and IPV. E. Setup and monitor ventilators in accordance with the department and hospital policies. F. Communicates with peers and staff to develop and improve inter- and intradepartmental services. Meet with appropriate personnel to address and resolve problem issues. G. Performs CPR H. Perform diagnostic procedures including but not limited to: 1. ABG analysis, 2. Pulse Oximetry, 3. Nitric Oxide pulmonary hypertension studies, 4. The licensed respiratory therapist will ensure that each patient’s status is assessed to determine the patient’s care needs and to ensure patient’s needs are reassessed in response to treatment and care provided. Criteria: Assess and reassess patients for therapy which includes but is not limited to: A. Vital signs before and after therapy. B. Breath sounds before and after therapy. C. Checking for physician orders for therapy. D. Pre and post assessment for therapy tolerance and response. E. Oxygen requirements. F. Sputum color, viscosity and quantity. G. Other patient specific observations as needed. 4. Special duties: Ability to interact with physicians and nurses. May work in an intensive care unit area. This may include: (25%) Criteria: A. Responsible to respond to critical areas (e.g. ER, OR, Code). B. Perform routine checks on Life Support Unit. C. Assist with bronchoscopy procedure. D. Assist with minor cardiopulmonary invasive or surgical procedures. E. Perform tracheotomy care. F. Perform bedside studies including: f/vt, shunt studies, ventilator mechanics dead space, compliance, O2 content, and metabolic cart studies. G. Perform bedside pulmonary function procedures. H. Interpretation of complex lab data. I. Provide input in decisions involving patient care on and off life support systems. J. Provide input on patient care via physician consultations. K. Display qualities of an independent thinker through the performance of everyday job duties. L. Assist with the prevention of ventilator associated pneumonia as indicated by the latest evidence based literature. 5. Perform all other aspects of Respiratory Care in accordance with hospital policies and procedures. (5%) Criteria: A. Attends monthly department meetings, specialty meetings, in-services, and any other meetings as required. B. Assure all time and attendance exceptions are properly recorded in the exceptions book. C. Communicates with physicians in regard to therapies ordered and therapeutic goals. The following job accountabilities may be reassigned: 6. Performs other duties as required. (5%) Criteria: A. Cleaning, disinfecting and/or sterilization of all reusable of respiratory and bronchoscopy equipment. B. Routine mechanical maintenance of respiratory equipment. C. Maintain neat and clean work and storage areas. D. Maintain neat and accurate records. E. Answer phone in a professional and timely manner. 7. Safety/Infection Control: Practices according to safety and infection control policies. (1, 2, 3, 4, 5) 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. BLS/ALS per recertification guidelines of AHA E. Work in a constant state of alertness and safe manner. 8. 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, 2, 3, 4, 5) 10% Criteria: A. Explain therapy to the patient prior to initiation. B. Being courteous to the patient, their family, visitors and co-workers. C. Respects patients’ rights. D. Practice commitment of patient confidentiality. 8. Quality Improvement (QI): Incorporates Quality Assessment into one’s daily work. 5% Criteria: A. Assisting with collection of data for reporting. B. Completes paperwork in a timely fashion. 1. Complete charting/charging by the end of the assigned shift., 2. Review charting for errors before electronically signing., 3. Report any unresolved charting/charging discrepancies to the immediate supervisor for resolution. C. Follow policies and procedures when administering care. D. Report quality issues to management for review. 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. F. Position specific: Able to titrate dosages and applications to fit the needs of the various growth and development stages. Recognizing that each stage requires different considerations and methods. 10. Specialized Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5, 8) (include if appropriate) <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. 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. Work requires the knowledge and skills necessary to provide direct patient care appropriate to patient population of specialty: Job Specifications MINIMUM EDUCATION: Graduate of an AMA approved school Respiratory Therapy preferred. MINIMUM EXPERIENCE: Leadership skills are desirable and should be demonstrated. REQUIRED REGISTRY OR LICENSE: Registered with the N.B.R.C Licensed in the state of Missouri within 6 months of hirerequired. INDEPENDENT ACTION: Must demonstrate the ability to provide high quality therapy skills with moderate supervision and to make independent decisions in critical and non-critical care areas. Individuals must be energetic and motivated to support the success of a growing service. PRESSURE OF WORK: Capable of withstanding long hours of walking and standing. Capable of tolerating the sights and sounds and odors associated with the care of the sick and dying patients. Capable of responding quickly in emergencies. Capable of lifting moderate weights. Capable of handling hazards due to exposure to inflammable and explosive gases. WORKING CONDITIONS: May be exposed to infectious and contagious diseases. Regularly exposed to the risk of blood borne diseases. Exposed to hazardous anesthetic agents, body fluids, and wastes. Subjected to electrical and radiant energy hazards. Exposure to unpleasant patient or unit elements. Contact with patients under a wide variety of circumstances. May be exposed to unpleasant elements (accidents, injuries and illness). Subject to varying and unpredictable situations. May be required to handle emergency or crisis situations. Subjected to irregular hours. Exposed to chemicals such as isopropyl alcohol, Aerosol and cleaning solutions which are used in decontaminating equipment. PROTECTIVE REQUIREMENTS: * Eye protection * Gowns * Lab coat * Mask * Sterile and non-sterile gloves * Lead aprons CONTACT WITH OTHERS: * Demonstrate a desire and willingness to provide comfort and aid to patients. * Cooperative and friendly to all personnel. * Present a professional demeanor at all times. * Always consult supervisor/senior tech when confronted with unusual situations. * Period of Adjustment * As per hospital probationary period. EQUIPMENT KNOWLEDGE: Must be familiar with equipment used for therapy and diagnostic procedures. PHYSICAL REQUIREMENTS: * Heavy Physical effort (lift, carry up to 50 lbs.) * Prolonged, extensive, or considerable standing/walking. * Lifts, positions, pushes, and/or transfers patients. * Pushes/pulls or moves/lifts heavy equipment/supplies. * Manual dexterity, mobility, and fine motor skills. * Intermittent exertion when performing therapies. * Considerable reaching, stooping, bending, kneeling, and crouching * VISION REQUIREMENTS: Ability to adjust vision for varying degrees of room light. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois, Missouri, Oklahoma, Wisconsin * Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) * And * Registered Respiratory Therapist (RRT) - National Board for Respiratory Care (NBRC) * And * Respiratory Care Practitioner - Missouri Division of Professional Registration Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director __________________________________Date _____________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Work Shift: Day Shift (United States of America) Job Type: Employee Department: 4302000037 Respiratory Therapy 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 Highlights: • PRN Position, • One Weekend per month, • Flexible to attend Monday's Orientation, • Flexibility for training during the weekday's mornings & afternoons Job Summary: Under the supervision of an occupational therapist (OT), provides therapy services to inpatients and outpatients with a wide variety of diagnoses utilizing specialized modalities and techniques in accordance with the Professional Standards of Practice and Code of Ethics as established by the American Occupational Therapy Association (AOTA), SSM Health Saint Louis University Hospital , and Physical Medicine and Rehabilitation (PMR) Department Policies and Procedures. Collaborates with inter-disciplinary and inter-departmental team to achieve goals and objectives for the provision of optimal patient care services. These services include structured treatment, program implementation, related documentation, and communication. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions: The following are essential job accountabilities and performance criteria: 1. Provides quality patient care through effective and complete evaluations, appropriate treatment plans, and goals as assessed by Performance Improvement (PI) monitoring, peer/supervisor observation, documentation, and verbal reports. (1, 2, 3, 4, 5, 6, 8) 55% Criteria a. Carries out appropriate treatment plans based on goals set and progresses patient appropriately regarding frequency and duration, diagnosis, expected length of stay, and patient needs. b. Delegates responsibility appropriately and supervises rehabilitation technicians, student aides, and volunteers in relation to patient care. c. Requests therapist intervention as problems arise or conditions change recognizing own limitations. Routinely informs (at least weekly) therapist of patient status. d. Assess patient for presence of pain on assessment, reassessments and treatment incorporating patient’s cultural/spiritual beliefs regarding pain into pain management plan. Implements pain management techniques. Include patient and/or family members in developing a pain management plan. Considers other methods of pain control when developing plan of care: massage, repositioning and immobilization. e. Applies restraints consistent with the approved procedure. Monitors and assesses patient’s response to restraints. f. Is aware of abuse recognition criteria and incorporates it into assessments. Reports signs of possible abuse/neglect to the physician & Risk Management, and recommends appropriate consultations (psychiatric, Social Work) for evaluation. g. Demonstrates competence for identified areas related to occupational therapy. h. Maintains proprietary information and patient confidentiality. i. Attends and/or provides feedback regarding rounds and meetings related to patient care. j. Collaborates with other members of the healthcare team by initiating appropriate referrals, coordinating schedules and treatment plans, and communicating openly with caring and respect. 2. Documents in complete, accurate, and timely fashion with content following department policy and/or format as assessed by PI monitoring, peer/supervisor observation, and chart auditing. (1, 2, 4, 5, 6) 15% Criteria a. Documentation is done per protocols: Inpatient progress notes are hand-written on the interdisciplinary sheet each day the patient is seen. Outpatient progress notes are written for each visit. Documentation includes thorough treatment plan and goals. Progress notes should reflect patient’s achievements toward goals and discharge planning. Function, as well as the patient's perception of treatment, must be documented as an integral component of all treatment and reflected in the notes. Discharge summaries are completed within 3 days of discharge and reviewed by therapist overseeing treatment. b. Documentation meets regulatory and insurance requirements per SSM Health Saint Louis University Hospital and regulatory and insurance agencies i.e. 30 day treatment plans, times on notes, insurance authorization, etc. c. Write-ups for substitutions, switches, days off and Saturdays/Sundays/Holidays are done promptly and completely. d. Daily schedules are turned in to the front desk daily with charges accurately and completely documented, including charges for equipment. e. Rounds sheets and unit sheets are filled out accurately, completely, and timely. f. Informs supervisor if difficulties arise concerning timeliness of documentation. g. Familiar with and able to utilize Meditech functions including Office Automation, Departmental Option, Patient Care Inquiry. Familiar with PC operation including click-it and email. 3. Demonstrates acceptable professional characteristics. (2, 4, 5, 6) 10% Criteria a. Works within professional role according to standards set by the AOTA, Missouri Occupational Therapy Practice Act, department service standards, and department policies and procedures. b. Maintains harmonious relationships with co-workers, both inter- and intra-departmentally, providing support and assistance to foster team building. Appropriately addresses problems/concerns with peers and/or supervisors as needed. c. Communicates effectively with patients and other health care team members to ensure quality patient care. This includes keeping other professionals informed of patient status and addressing any problems/concerns with peers and/or supervisors as needed. 4. Actively participates in department activities. (5, 6) 5% Criteria a. Attends, actively participates, and interacts in all department meetings pertinent to area. Is accountable for information discussed at meetings. b. Attends all department in-services unless not pertinent or prevented by patient care. c. Provides one in-service inside or outside of the department. d. Assists with observation students, volunteers, and student aides as needed. e. Assists with competency checks as needed. f. Assists in clinical instruction providing up to 80 hours of clinical experience and guidance including completion of appropriate paperwork and evaluations. 5. Provides safe, effective, occupational therapy treatments in a time efficient manner. (1, 2, 3, 4, 5, 6, 8) 5% Criteria a. Consistently maintains a well-balanced average patient load of 90% efficiency. b. Notifies supervisor of changes in workload, in order to adjust assignments as necessary to achieve optimal productivity and efficiency including substituting at inpatient and at the Anheuser Busch Institute (ABI) as requested. c. Sees unscheduled, walk-in patients or STAT patients as needed. d. Demonstrates time management skills by accomplishing required tasks within the appropriate time frame. Avoids overtime and notifies supervisor in the event it does occur. Flexes time as needed. Delegates appropriate tasks as needed. 6. Safety/Infection Control: Practices according to safety and infection control policies. (1, 2, 3, 4, 5) 5% 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 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: e. Works in a constant state of alertness and safe manner. 7. Quality Improvement (QI): Incorporates Quality Assessment into one’s daily work. (1, 2, 3, 4, 5) 5% Criteria a. Documents all components of patient care. b. Complete appropriate paperwork related to patient care. 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: Associate’s degree from an accredited Occupational Therapy Assistant program preferred. MINIMUM EXPERIENCE: Experience preferred but not required REQUIRED LICENSURE/CERTIFICATION: Current Missouri license required or license eligible. Membership in AOTA and Missouri Occupational Therapy Association (MOTA) preferred. CPR required. WORKING CONDITIONS: Must be able to travel to and treat patients in patient rooms, clinics, and gym areas in hospital, SSM Health Saint Louis University Hospital and ABI. Must be able to work with electrical equipment such as BTE and heat gun. May be exposed to hot/cold material and chemical agents (see Material Safety Data Sheets) and sharp tools. May be required to wear protective clothing such as masks, gowns, and gloves in addition to adhering to the dress code. Regularly exposed to risk of blood borne diseases. PHYSICAL REQUIREMENTS: Clinical Staff Prolonged, extensive or considerable standing/lifting. Lifts, positions, push and/or transfers patients. Considerable reaching stooping bending, kneeling, crouching, lifting, pushing, pulling 100+ pounds Clerical Moderate occupational exertion. Long periods of sitting, typing, and/or data entry. May require lifting up to 50 pounds Employee___________________________________________Date____________ Department Director _____________________ 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. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Occupational Therapy Assistant - 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, • Occupational Therapy Asst - Missouri Division of Professional Registration State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Occupational Therapy Assistant - Oklahoma Medical Board State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Occupational Therapy Assistant - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 4502000037 Occupational Therapy 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.

Job DescriptionSalary: Do you like to manage civil construction projects, self-perform concrete, grading or delegating tasks, building relationships, and have knowledge of concrete construction? If the answer is Yes! then we have an opportunity for you. Everyone at McGrath places a premium on servicing the customer. As a 100% employee-owned company, the motivation to deliver superior service has created an atmosphere focused on success for all involved while still having fun every day. We have had continued business growth over the last decade expanding into new territories. We are seeking to add a safety-minded, experienced, and highly motivated civil concrete superintendent to join our team. McGraths civil group self-performs concrete construction ranging from equipment foundations, formwork and pour deep foundations. This group self-performs pouring thousands of deep foundations every year. WHY WORK FOR MCGRATH? At McGrath & Associates, Inc. you are beyond just an employee, you are a part of the McGrath family. We take pride in employing the highest caliber talent the workforce has to offer. McGrath & Associates, Inc. appreciates and values the ongoing commitment of its employees and is pleased to provide a highly competitive total compensation and benefits package. McGRATH OFFERS YOU: • This position will be part of the Louis Carpenters or Laborers Union., • Paid Time Off, • Paid Holidays, • Company Vehicle (pending driver background check) JOB DESCRIPTION You will be responsible for coordinating the onsite operations of specific St. Louis Regional civil and utility projects. You would be responsible for a variety of tasks such as self-perform field labor management, quality control, safety, field reports, subcontractor coordination, minor change order estimating task, and owner relationships. Managing projects safely, profitably while looking for the best interest of the client is a must. DESIRED SKILLS & EXPERTISE • Self-starter that takes sincere pride in your, • Have a stable work history with multiple, • Maintain strong work and personal, • Complete understanding of construction plans, specifications, and, • Competent in civil and concrete construction: grading, site utilities, concrete deep foundation, structural and flatwork., • Understanding of all civil and concrete Trade work, • Develop long-term working relationships with clients and, • Strong scheduling, • Knowledge of project invoicing and cost, • Solid communication, • Current OSHA 30- hour training, • Proficient in Microsoft Office Suite and Scheduling A LITTLE ABOUT McGRATH McGrath was founded in 1983 and has become one of the industrys leading Design/Build Construction Manager and General Contractors based out of St. Louis, MO. The company specializes in construction of Pharmaceutical, Healthcare, Energy, Industrial and Commercial projects for a repeat client base. McGrath takes pride in these lasting relationships that were built on hard work and dedication the last 42 years serving the St. Louis and surrounding areas. Our team is proud to say we were voted the 2025 GC of the Year by the American Subcontractors Association of the Midwest. This position is a safety sensitive position and mandatory Substance Abuse testing per the St. Louis Construction Industry Substance Abuse Consortium is required.

Job DescriptionCompany Description About Truck Centers, Inc. For over 50 years, three generations have led Truck Centers, Inc. from a single store dealership into our current network of ten, full-service dealerships and two auxiliary locations proudly representing Freightliner and Western Star trucks in Illinois, Indiana, and Missouri. Our team has remained dedicated to delivering exceptional customer service in an environment that fosters collaboration, innovation, and a communal spirit of giving back. To learn more about us, visit truckcentersinc.com. Job Description Are you a pro at keeping things organized and making sure operations run smoothly? Do you thrive in a fast-paced, team-driven environment? If so, Truck Centers, Inc. is looking for a Service Dispatcher to be the key link between our customers, technicians, and service team. Why Join Truck Centers, Inc.? We’re a family-owned, people-focused dealership with a passion for delivering exceptional service. As a Service Dispatcher, you’ll play a crucial role in ensuring our technicians have everything they need to get the job done right—on time and with quality. *This position will work Wednesday-Saturday, 5:00am-4pm. WHAT YOU'LL DO: • Coordinate & Assign Repairs – Assign work to technicians based on skill level, certification, and workload., • Monitor Workflow – Keep an eye on repair progress and make real-time adjustments to keep things moving., • Communicate with Customers & Team Members – Provide updates on repairs, delays, and estimated completion times., • Collaborate Across Departments – Work closely with the rest of the Service office and Parts team to minimize delays and ensure smooth repairs., • Quality Control – Review completed repair orders to ensure all documentation meets company and warranty guidelines., • Facilitate Shift Changes – Communicate job status and updates to ensure a seamless transition.Qualifications What We're Looking For: • Minimum of 2 years mechanical, trucking, or dealer service experience; 4+ years preferred, • Knowledge of Service department operations, • Fundamental mechanical aptitude or truck repair experience, • Proven supervisory experience and leadership skills, • Knowledge of computer operations, data entry, and MS Office with 30wpm typing capability; Procede software experience is a plus, • Freightliner dealership experience and CIC Level I or II training are strongly preferred, • Demonstrated time management and interpersonal communications skills, even in times of stress, • Strong organizational and problem-solving skills that reflect the ability to perform and prioritize multiple projects seamlessly with excellent attention to detail and a solution-focused outlook Pay Range: $49,071.36 - $73,607.04 per year with incentive eligibility • 401(k) with company match, • Health insurance with 3 plan options to choose from, • Vision Insurance, • Dental Insurance, • Paid time off including paid volunteer time, • Disability insurance, • FSA and HSA options, • Company paid Life and AD&D insurance, • Maternity leave, • Employee assistance program, • Wellness program, • Company paid uniforms Additional Information Truck Centers, Inc. is an equal opportunity employer (EOE). All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, disability, or protected veteran status. We believe in the Hire to Retire philosophy and invest in individuals that we believe will be valuable assets to TCI and our customers for years to come. Thus, we want to help you live well through personal and professional growth plus a multitude of benefits.

Job DescriptionSalary: At KCI Construction, we are not just building structures; we are building futures. Are you ready to build your future with a company that values your skills, dedication, and growth? Join us at KCI Construction, where your skills and talents will help shape the future of our communities. Together, we can build something great! About us: KCI is one of the more diverse self-performing contractors in the Midwest, with the expertise and ability to successfully perform on a wide range of projects. Any one of us can be found working on a design-build multi-story building one day, then a wastewater plant the next, and highway infrastructure after that. KCI began in 1922 and is now an employee-owned construction company with offices in St. Louis and Springfield, Missouri. We are a team of builders and problem-solvers, who believe in doing things the right way. Why KCI Construction? Inclusive Culture: We believe in the power of diversity and foster an environment where every voice is heard and valued. Community Engagement: Join a team that gives back! Participate in local initiatives and volunteer opportunities that make a difference. Safety First: Your safety is our top priority. We provide ongoing training and adhere to the highest safety standards. Purpose: The Utility Superintendent is responsible for the timely completion of assigned project(s) and ensuring project is constructed in strict accordance with plans and specifications. Key Responsibilities: • Own execution of project milestones; partner with and communicate progress and challenges to Project Manager., • Drive short term schedule (3-week look ahead) and tie back to, • Communicate with subcontractors & suppliers for aggregate, pipe, and drainage structure deliveries., • Identify trucking needs and setup trucking as needed with trucking subcontractor, • Identify and drive critical path items, pertaining to overall schedule end, • Work with Field Operations Manager for manpower needs for critical path, • Partner with Project Manager to plan and communicate project phasing and Production/Quality Control • Drive overall quality control from start to close, • Partner with estimator/preconstruction from start through project completion to understand how the project was estimated to maximize production., • Demonstrate accuracy and thoroughness; look for ways to improve and promote quality; monitor own work to ensure quality., • Meets and works to beat productivity standards; completes work in a timely, • Direct labor, equipment, and subcontractors through project, • Coordinate and direct work in the field to ensure work is performed in accordance with plans and specifications. Planning/Cost Management/Manhours • Collaborate with project manager on overall job cost, • Watch overall manhours and associated costs compared to, • Proactively work with warehouse personnel to schedule and return, • Proactively plan work to ensure project deadlines are met in accordance with Safety • Adhere to OSHA/company safety requirements; create and maintain a safe work environment and hold team accountable to maintain high safety standards., • Adopt and drive practice of all safety policies and procedures, and lead by Leadership • Maintain professional appearance, including jobsite and, • Model appropriate and professional behaviors, attitudes, and, • Facilitate teamwork and harmony between all construction crews by promoting and fostering a positive attitude. Qualifications/Experience: • At least five years superintendent experience with a focus on Heavy civil construction a plus., • Ability to read and interpret construction, • Strong organizational, leadership and decision-making, • Effective communication, • OSHA 30 Hour required, • Experience managing self-performed work, a, • Experience with Trimble Rovers, a plus Managed By: Project Director Physical Demands: • Work is performed outside in heat, cold and inclement, • Work site conditions can be loud at, • While performing the duties of this position, the employee will be required to stand, walk, kneel, climb, stoop and bend., • Periodic lifting of 10 to 50, • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust and focus. KCI is proud to be an Equal Opportunity and affirmative action employer regardless of race, color, gender, age, sexual orientation, gender identity, religious beliefs, material status, genetic information, national origin, disability or protection veteran status.

Job Description About Us Buchheit Construction is a leading provider of high-quality concrete services, specializing in commercial and residential projects. We are committed to delivering superior results and maintaining the highest standards of safety, quality, and customer satisfaction. We are looking for an experienced Concrete Foreman to join our team and lead our concrete crews in the successful execution of our projects. Benefits • Union benefits, • On-the-job training, • Driver's License, • Lead and manage crews on high-value, schedule-driven construction projects., • Read and interpret project plans and specifications to ensure accurate construction practices, working with both internal teams and subcontractors to resolve any questions or concerns., • Coordinate with project managers, subcontractors and other external and internal contacts to meet construction timelines and quality standards., • Manage equipment, materials, and field crews to execute work efficiently and safely., • Interpret and enforce project specifications, safety protocols, and quality control requirements., • Participate in on-the-job training and development to enhance skills related to specific construction practices., • Communicate clearly and consistently with team members and leadership to ensure alignment with project goals., • Complete daily reporting, timekeeping, and documentation required for complex job sites as needed., • Strong leadership and team management capabilities., • Excellent problem-solving skills and attention to detail., • Ability to work outdoors in various weather conditions and lift heavy materials as needed., • Strong understanding of general construction practices, including site layout, structural components, and coordination of trades and materials., • Ability to read, interpret, and implement construction drawings and specifications., • Effective communicator with a proactive and dependable work ethic., • Passion for high-quality construction and pride in craftsmanship.

Job Description Cochran is a growing civil engineering firm with 7 Missouri offices, offering services in construction administration, materials testing, architectural and geotechnical engineering, and land surveying. Serving both public and private sectors, Cochran's expertise spans municipal, commercial, residential, transportation, water/wastewater, site development, retail, planning, and interior design. With 120+ professionals, the firm delivers tailored solutions backed by deep expertise and is guided by core values of teamwork, excellence, quality, and trust—ensuring principal involvement and outstanding service throughout every project. Cochran's Fenton, Missouri location is looking for a Director of Land Surveying to join our team. Primary Responsibilities: The Director of Land Surveying is responsible for overseeing all land and geospatial survey operations, ensuring accuracy, compliance, and efficiency in data collection, analysis, and reporting. This role involves leading a team of surveyors, managing projects, implementing best practices, and collaborating with other departments to support the organization's objectives. Key Responsibilities: • Leadership & Team Management:, • Supervise, mentor, and train survey staff, ensuring high performance and professional growth, • Develop and implement departmental policies, procedures, and quality control measures, • Allocate resources effectively to meet project deadlines and objectives, • Survey Operations & Project Management:, • Oversee and coordinate all survey activities, including land, topographic, hydrographic, and geospatial surveys., • Ensure the use of modern survey techniques and technology (e.g., GPS, GIS, drones, LiDAR), • Review and validate survey data, maps, and reports for accuracy and compliance, • Manage multiple survey projects, ensuring efficiency and timely delivery, • Compliance & Quality Assurance:, • Ensure all survey work complies with industry regulations, legal standards, and safety protocols, • Maintain quality assurance and control across all survey activities, • Stay updated on relevant laws, codes, and emerging trends in surveying, • Collaboration & Stakeholder Management:, • Work closely with engineers, architects, construction managers, and other stakeholders to support project needs, • Represent the survey department in meetings, providing expert guidance on survey-related matters, • Prepare and present reports, maps, and recommendations to clients and internal teams, • Technology & Innovation:, • Evaluate and implement new surveying tools, software, and methodologies, • Bachelor's degree in Surveying, Geomatics, Civil Engineering, or a related field, • Professional certification (e.g., RICS, NSPS, GISP) is a plus, • Minimum of 7-10 years of experience in surveying, with at least 3-5 years in a leadership role, • Strong knowledge of surveying instruments (GPS, Total Stations, Drones, LiDAR, GIS), • Proficiency in survey-related software (AutoCAD Civil 3D, ArcGIS, Trimble, etc.), • Excellent leadership, communication, and project management skills, • Office and fieldwork environment; travel may be required for site inspections, • Competitive salary and performance-based bonuses, • 100% company paid Medical, Dental, Vision, Life, and Long-Term Disability insurance for employees, plus company deductible assistance, • 401(k) with 4% company match, • Generous PTO plan and 7 major holidays, • Continuing education and professional development support

About Us Clayco is a full-service, turnkey real estate development, master planning, architecture, engineering, and construction firm that safely delivers clients across North America the highest quality solutions on time, on budget, and above and beyond expectations. With $7.6 billion in revenue for 2024, Clayco specializes in the "art and science of building," providing fast track, efficient solutions for industrial, commercial, institutional, and residential related building projects. The Role We Want You For We are seeking a detail-oriented and highly organized Quality Control Administrative Assistant to support our Senior Director of Quality Control. This position plays a key role in maintaining quality standards on Clayco projects by ensuring the seamless execution of administrative functions, documentation, and coordination across project teams. The ideal candidate will have prior experience working in the construction industry and a basic understanding of quality control processes. The Specifics of the Role • Provide direct administrative support to the Senior Director of Quality Control, including scheduling, email correspondence, travel coordination, and meeting preparation., • Assist in managing and organizing quality control documentation, reports, inspection logs, and punch lists for various construction projects., • Track and monitor quality control metrics, deadlines, and compliance requirements across active projects., • Coordinate with field staff, project managers, subcontractors, and quality control inspectors to ensure timely documentation and communication of findings., • Maintain and update quality control databases, templates, and systems to ensure data accuracy and accessibility., • Help prepare presentations, reports, and project summaries for internal and client-facing meetings., • Organize department files, monitor document control procedures, and assist with audits or internal reviews., • Support the onboarding process for new QC staff and ensure training materials are distributed and current., • Perform general administrative tasks such as filing, data entry, supply management, and invoice processing. Qualifications • 5+ years of administrative experience, preferably supporting executive or senior-level management., • Prior experience in the construction industry, particularly in a quality control, compliance, or project support role, is highly preferred., • Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint); familiarity with Procore, Bluebeam, or other construction management software is a plus., • Excellent written and verbal communication skills., • Strong organizational skills and the ability to multitask in a fast-paced environment., • High attention to detail and ability to maintain confidentiality and professionalism. Preferred Skills • Familiarity with construction quality assurance/quality control (QA/QC) processes., • Understanding of construction terminology, project documentation, and inspection workflows., • Ability to take initiative and work independently while staying aligned with team goals. Some Things You Should Know • No other builder can offer the collaborative design-build approach that Clayco does., • We work on creative, complex, award-winning, high-profile jobs., • The pace is fast! Why Clayco? • 2024 Best Places to Work – Crain’s Chicago Business, St. Louis Business Journal, Los Angeles Business Journal, and Phoenix Business Journal., • 2024 ENR Midwest – Midwest Contractor (#1)., • 2024 ENR Top 100 Design-Build Firms – Design-Build Contractor (Top 5)., • 2024 ENR Top 100 Green Contractors – Green Contractor (Top 5). Benefits • Discretionary Annual Bonus: Subject to company and individual performance., • Comprehensive Benefits Package Including: Medical, dental and vision plans, 401k, generous PTO and paid company holidays, employee assistance program, flexible spending accounts, life insurance, disability coverage, learning & development programs and more! Compensation • The salary range for this position considers a wide range of factors in making compensation decisions including but not limited to: Education, qualifications, skills, training, experience, certifications, internal equity, and location. Compensation decisions are dependent on the facts and circumstances of each case.

About Us Clayco is a full-service, turnkey real estate development, master planning, architecture, engineering, and construction firm that safely delivers clients across North America the highest quality solutions on time, on budget, and above and beyond expectations. With $7.6 billion in revenue for 2024, Clayco specializes in the "art and science of building," providing fast track, efficient solutions for industrial, commercial, institutional, and residential related building projects. The Role We Want You For As a Project Superintendent, you will be based in the Midwest, and will be responsible for field operations and onsite construction management of design-build construction projects, specifically quality control for mechanical, electrical, plumbing, and fire protection, construction, start up, and testing on highly complex projects nationwide. The Specifics of the Role • Coordinate with preconstruction, design, engineering, procurement, operations, safety, quality, and all other project site management team members to assure that the there is always adequate project resources., • Ability to supervise construction employees and subcontractors to accomplish work within budget and schedule constraints., • Strong project safety record and commitment to safety and quality., • Strong work ethic and willingness to travel or relocate to jobsite., • Creative and results-oriented with a sense of urgency. Requirements • B.S. in Construction Management or Engineering or equivalent trade experience with progression to management levels., • 5+ years of experience in highly technical commercial/industrial construction management, on projects of 50+ million, ideally with design-build experience., • Ability to supervise construction employees and subcontractors to accomplish work within budget and schedule constraints., • Strong project safety record and commitment to safety and quality., • Strong work ethic and willingness to travel or relocate to jobsite., • Creative and results-oriented with a sense of urgency., • Ability to walk the job site, climb ladders, and multi floor scaffolding., • Ability to lift objects at least 60lbs. Some Things You Should Know • Our clients and projects are nationwide – Travel will be required., • No other builder can offer the collaborative design-build approach that Clayco does., • We work on creative, complex, award-winning, high-profile jobs., • The pace is fast!, • This position is classified as a safety-sensitive role in accordance with applicable state and federal laws. Candidates selected for this position will be subject to a comprehensive background check, which includes mandatory drug testing. Why Clayco? • 2024 Best Places to Work – Chicago Business Journal, St. Louis Business Journal, Los Angeles Business Journal, and Phoenix Business Journal., • 2024 ENR Midwest – Midwest Contractor (#1)., • 2024 ENR Top 100 Design-Build Firms – Design-Build Contractor (Top 5)., • 2024 ENR Top 100 Green Contractors – Green Contractor (Top 5). Benefits • Discretionary Annual Bonus: Subject to company and individual performance., • Comprehensive Benefits Package Including: Medical, dental and vision plans, 401k, generous PTO and paid company holidays, employee assistance program, flexible spending accounts, life insurance, disability coverage, learning & development programs and more! Compensation • The salary range for this position considers a wide range of factors in making compensation decisions including but not limited to: Education, qualifications, skills, training, experience, certifications, internal equity, and location. Compensation decisions are dependent on the facts and circumstances of each case.

Essential Duties and Responsibilities: • Design, management and production of construction plans for various projects, including industrial, commercial, and educational, • Preparing quantity takeoffs, cost estimates, and bid specifications, • Reviewing and processing contractor submittals, • Preparing site investigation and development feasibility reports, • Maintaining project documentation, • Communicate and maintain good client communication, • Perform quantity takeoffs, shop drawing review, and prepare bid specifications, • Perform quality control review of design projects, • Present projects to clients, agencies, municipalities, and the general public. Minimum Requirements · B.S. in Civil Engineering · P.E. registration or ability to obtain P.E. registration · 5 to 15 years’ experience in Civil Engineering design related projects · Design experience with AutoCAD, Civil 3Dand HEC-RAS software · Familiarity with local agency approval processes a plus, but not required. Benefits Include: • Competitive Compensation, • Medical and Dental Plans – Employee only responsible for 35% dependent premium, • Flex Time work schedule – Work 4 nine-hour days and half day Fridays!, • Life Insurance – Employer Covers, • Long and Short-term Disability – Employer Covers, • Vacation/Holiday/ Plus Sick Time, • Simple IRA Plan, • Flexible Spending Account

Job Description Smart Rehab is seeking an Occupational Therapist to provide one-on-one outpatient therapy in the homes of older adults in South St. Louis County. This is a 1099 contractor position, perfect for someone looking to continue using their clinical skills on a flexible schedule that works for them. We are a Medicare Part B certified private practice, not a home health agency, so our patients do not need to be homebound. Our therapists focus on quality care without productivity quotas. You set your caseload, visit frequency, and preferred geography. Each visit typically lasts 60 minutes and is billed per Medicare unit (15-minute increments). Responsibilities: • Provide in-home outpatient therapy to Medicare-eligible older adults, • Conduct evaluations, develop treatment plans, and perform follow-up visits, • Perform home safety assessments and provide recommendations, • Complete documentation in a timely, compliant manner, • Collaborate with families and caregivers as needed Requirements: • Licensed Occupational Therapist in the state of Missouri, • Strong interest in geriatrics and home-based care, • Reliable transportation and comfort working independently, • Excellent communication and documentation skills Compensation: • Paid per unit billed (15-minute increments), • Most sessions generate 4+ units, • Initial evaluations billed separately Why Join Smart Rehab? • Flexible schedule you control, • No quotas or productivity pressure, • Mission-driven work focused on keeping older adults safe and independent, • Supportive and collaborative team environment

Director of Project Controls Office Location: St. Louis, MO, Dallas-Ft. Worth, TX, Atlanta, GA Level: 15+ Years of Experience Department: Project Controls Reports to: Finance/Controller Position Summary: The Director of Project Controls will play a crucial role in ensuring the successful execution of our AEC projects by establishing and maintaining effective project control systems and processes. This leadership role requires strategic thinking, strong analytical skills, and a deep understanding of project management principles within the AEC industry. The Director of Project Controls will lead a team of professionals and collaborate with cross-functional teams to drive project efficiency, monitor performance, mitigate risks, and optimize project outcomes. The ideal candidate will have a strong background in project management and controls, with a passion for delivering high-quality projects on time and within budget. This role will involve working closely with project managers, engineers, architects, and other team members to ensure the successful delivery of projects. The successful candidate will communicate with project managers and discipline leaders to support the inception, planning, monitoring, controlling, and closeout of projects. You will be expected to work in a hybrid work environment, collaborating with KAI team members primarily in our DFW, St Louis, and Atlanta offices. • Leadership & Management Accountability, • Drive Design and Engineering Business Unit Forecast, • Lead Resource Planning initiatives, • Engage with and contribute to Project Mobilizations, • Support PM Project Planning, • Drive Monthly Project Reviews, • Support Project Performance Analysis in all phases of Project Execution, • Engage in recovery and risk mitigation efforts when necessary, • Collaborate with PMs, Marketing and Finance, • Support Sales Initiatives, • Leadership & Management Accountability, • Develop, implement, and oversee project control strategies, processes, and tools that align with industry best practices and the company's project management framework., • Lead and mentor a team of project controls professionals, providing guidance, training, and performance evaluations to ensure a high level of expertise and continuous growth within the team., • Maintain current multiple company ERP systems (Unanet AE and Deltek ComputerEase) to ensure proper functionality and accuracy., • Enhance ERP systems via reporting and dashboard development to add value to end users., • Collaborate closely with project managers, architects, engineers, contractors, and other stakeholders to establish project baselines, performance metrics, and project control plans., • Monitor project performance against key performance indicators (KPIs), budgets, schedules, and quality standards. Identify deviations and variances and develop corrective action plans as needed., • Establish and maintain functional and timely project document control, including drawings, specifications, submittals, RFI’s, RFC’s, change orders, and progress reports., • Implement risk management strategies to proactively identify and mitigate potential project risks, escalating critical issues to senior management when necessary., • Drive continuous improvement initiatives to enhance project controls processes, increase efficiency, and ensure consistency across projects., • Collaborate with finance and accounting teams to ensure accurate and timely financial reporting, forecasting, and billing for projects., • Provide regular project performance updates and reports to senior leadership, highlighting key achievements, challenges, and recommendations., • Provide resource planning forecasts for backlog and new sales., • Participate in proposal development and bid processes by providing input on project controls requirements, estimates, and schedules. Essential Functions • Strong verbal and written communication skills, • Assist in the development and maintenance of project budgets, • Collaborate with project managers to define project scope, objectives, and deliverables., • Key support to marketing and business development team members across multiple offices., • Regularly update and maintain project status reports for internal stakeholders., • Proactively contribute to the identification and assessment of project risks., • Assist in the development of risk mitigation strategies and contingency plans., • Maintain accurate project documentation, including estimate to complete (ETC) and estimate at complete (EAC) reports., • Support ad-hoc requests from Business Leaders, Marketing, Project Managers and Finance team members, • Work closely with cross-functional teams to gather project data and ensure alignment with project objectives. Qualifications Required Skills • Bachelor's degree in a related field (e.g., Project Management, Business Administration, Engineering)., • 15+ years of progressive Project Management or Project Controls experience in the A/E/C industry required., • Eagerness to learn and adapt to new and emerging technologies and methodologies., • Strong leadership skills required., • Strong proficiency using Microsoft Office (especially Excel) required., • Ability to communicate effectively., • Ability to work efficiently and remain organized., • Ability to maintain a strong sense of focus and confidence under tight deadlines and varying workloads., • Excellent time management skills and ability to multi-task, responding to changing needs and schedules. Preferred Skills • Experience using CRM products such as Unanet, Oracle NetSuite, or Deltek, preferred., • PMP (Project Management Professional) License or equivalent preferred. This summary reflects the core responsibilities of the Director of Project Controls Specialist and may evolve based on the candidate’s skillset and interests. About KAI KAI Enterprises is a national design and build firm providing delivery-oriented building solutions with a diverse portfolio of experience, in-house multi-discipline professionals, and expertise in both design and construction delivery. Founded in 1980, KAI has grown into one of the largest minority-owned firms in the AEC industry. For more than 40 years, KAI has been instrumental in transforming communities through its expertise in residential, commercial, K-12, higher education, healthcare, science and technology, aviation, mobility, sports and entertainment, government, water and community-focused projects. KAI Enterprises is comprised of four distinct business units—KAI Design, KAI Engineering, KAI Build and KAI 360 Construction Services (KAI 360 CS). To learn more about KAI, visit kai-db.com.

About Us Clayco is a full-service, turnkey real estate development, master planning, architecture, engineering, and construction firm that safely delivers clients across North America the highest quality solutions on time, on budget, and above and beyond expectations. With $7.6 billion in revenue for 2024, Clayco specializes in the "art and science of building," providing fast track, efficient solutions for industrial, commercial, institutional, and residential related building projects. The Role We Want You For As an Assistant Superintendent, you will be based in the Midwest, and will be responsible for field operations and onsite construction management of design-build construction projects, specifically quality control for mechanical, electrical, plumbing, and fire protection, construction, start up, and testing on highly complex projects nationwide. The Assistant Superintendent will have input in the planning and oversight of the job including scheduling of manpower, obtaining tools and materials needed, filing permits and other documents, and advising on budget expenditures. The Assistant Superintendent will also provide on-site supervision of the daily workload, job site safety, receiving and storing of tools and supplies, and the reporting of all of these aspects to the Project Manager and Project Superintendent. Additionally, the Assistant Superintendent is expected to work diligently to educate themselves with Clayco on site Superintendent and Operations Manager duties to take the next step to becoming a Superintendent. The Specifics of the Role • Coordinate with preconstruction, design, engineering, procurement, operations, safety, quality, and all other project site management team members to assure that the there is always adequate project resources., • Ability to supervise construction employees and subcontractors to accomplish work within budget and schedule constraints., • Strong project safety record and commitment to safety and quality., • Strong work ethic and willingness to travel or relocate to jobsite., • Creative and results-oriented with a sense of urgency. Requirements • B.S. in Construction Management or Engineering or equivalent trade experience with progression to management levels., • 0-5 years of experience in highly technical commercial/industrial construction management, on projects of 50+ million, ideally with design-build experience., • Ability to supervise construction employees and subcontractors to accomplish work within budget and schedule constraints., • Strong project safety record and commitment to safety and quality., • Strong work ethic and willingness to travel or relocate to jobsite., • Creative and results-oriented with a sense of urgency., • Ability to walk unlevel terrain on the job sites several times a day, scale scaffolding and temporary stairs measuring many stories in height., • Ability to lift objects at least 60lbs. Some Things You Should Know • This position will service our clients in St. Louis, MO., • Our clients and projects are nationwide – Travel will be required., • No other builder can offer the collaborative design-build approach that Clayco does., • We work on creative, complex, award-winning, high-profile jobs., • The pace is fast!, • This position is classified as a safety-sensitive role in accordance with applicable state and federal laws. Candidates selected for this position will be subject to a comprehensive background check, which includes mandatory drug testing. Why Clayco? • 2024 Best Places to Work – Crain's Chicago Business, St. Louis Business Journal, Los Angeles Business Journal, and Phoenix Business Journal., • 2024 ENR Midwest – Midwest Contractor (#1)., • 2024 ENR Top 100 Design-Build Firms – Design-Build Contractor (Top 5)., • 2024 ENR Top 100 Green Contractors – Green Contractor (Top 5). Benefits • Discretionary Annual Bonus: Subject to company and individual performance., • Comprehensive Benefits Package Including: Medical, dental and vision plans, 401k, generous PTO and paid company holidays, employee assistance program, flexible spending accounts, life insurance, disability coverage, learning & development programs and more! Compensation • The salary range for this position considers a wide range of factors in making compensation decisions including but not limited to: Education, qualifications, skills, training, experience, certifications, internal equity, and location. Compensation decisions are dependent on the facts and circumstances of each case.

About Us Clayco is a full-service, turnkey real estate development, master planning, architecture, engineering, and construction firm that safely delivers clients across North America the highest quality solutions on time, on budget, and above and beyond expectations. With $7.6 billion in revenue for 2024, Clayco specializes in the "art and science of building," providing fast track, efficient solutions for industrial, commercial, institutional, and residential related building projects. The Role We Want You For As an MEP Superintendent, you will be based on the construction project site and will be responsible for field operations and onsite construction management of design-build construction projects, specifically quality control for mechanical, electrical, plumbing, and fire protection, construction, start up, and testing on highly complex projects nationwide. The Specifics of the Role • Coordinate with preconstruction, design, engineering, procurement, operations, safety, quality, and all other project site management team members to assure that the there is always adequate project resources., • Coordinate, direct, and monitor the activities of MEP/FP subcontractors and suppliers., • Coordinate and administer MEP/FP related materials, systems, and shop drawings submittals., • Coordinate and administer MEP/FP RFI’s, field changes, and other field engineering related items., • Coordinate and administer MEP/FP Quality Control, Start-up and Energization, Pre-Functional Checklists, and Functional Performance Testing., • Directly responsible for the following but not limited to the following MEP Systems scopes:, • Fire Suppression Systems., • Plumbing Systems (DWV, Storm, Domestic Water, etc.) Medical & Natural Gas Systems, • Energy and Fuel-Oil Systems., • Compressed-Air & Vacuum Systems., • Chemical-Waste Systems., • Heating, Ventilation and Air Conditioning (HVAC)., • Building Controls and Integration., • Refrigeration Cooling Systems., • Geothermal Energy Systems., • Steam and Condensate Systems., • Testing, Adjusting, and Balancing for HVAC., • Water Treatment Systems (Wastewater, Potable, Purity, etc.)., • Low and Medium Voltage Electrical Distribution Systems., • Lighting and Lighting Controls., • Power Generation Systems., • Uninterruptible Power Supply Systems., • Surge Protection Systems., • Communication Systems., • Electronic Safety and Security Systems., • Site Utilities and Site Infrastructure Systems. Requirements • B.S. in Construction Management or Engineering or equivalent trade experience with progression to management levels., • 3-15 years of experience in highly technical commercial/industrial construction management, on projects of 10+ million, ideally with design-build experience., • Ability to supervise construction employees and subcontractors to accomplish work within budget and schedule constraints., • Strong project safety record and commitment to safety and quality., • Strong work ethic and willingness to travel or relocate to jobsite., • Creative and results-oriented with a sense of urgency., • Ability to walk the job site, climb ladders, and multi floor scaffolding., • Ability to lift objects at least 60lbs. Some Things You Should Know • This position is based in the Midwest., • Our clients and projects are nationwide – Travel will be required., • No other builder can offer the collaborative design-build approach that Clayco does., • We work on creative, complex, award-winning, high-profile jobs., • The pace is fast!, • This position is classified as a safety-sensitive role in accordance with applicable state and federal laws. Candidates selected for this position will be subject to a comprehensive background check, which includes mandatory drug testing. Why Clayco? • 2024 Best Places to Work – Chicago Business Journal, St. Louis Business Journal, Los Angeles Business Journal, and Phoenix Business Journal., • 2024 ENR Midwest – Midwest Contractor (#1)., • 2024 ENR Top 100 Design-Build Firms – Design-Build Contractor (Top 5)., • 2024 ENR Top 100 Green Contractors – Green Contractor (Top 5). Benefits • Discretionary Annual Bonus: Subject to company and individual performance., • Comprehensive Benefits Package Including: Medical, dental and vision plans, 401k, generous PTO and paid company holidays, employee assistance program, flexible spending accounts, life insurance, disability coverage, learning & development programs and more! Compensation • The salary range for this position considers a wide range of factors in making compensation decisions including but not limited to: Education, qualifications, skills, training, experience, certifications, internal equity, and location. Compensation decisions are dependent on the facts and circumstances of each case.

Sales Representative (Commercial Roofing) St Louis, MO Full Time $60,000 - $80,000 + Commission & Benefits Take control of your sales career and join a company that wants you to succeed! Why Apply? Join a growing and thriving company that is constantly evolving and improving, they boast an ambitious and supportive culture that will help guide you in your career and allow to excel at what you do best. You will be working for an industry leader that has deep rooted values surrounding employee satisfaction and development. You will be provided with room to grow, job stability and personalized paths of development suited to your individual career goals. Step away from just being a number and step into a world where you will become a valued member of the team and have opportunities to advance into more senior positions as you go. Further Benefits • 401k with 4% match,, • Medical, Dental, Vision, Life & Disability Insurance,, • Yearly Incentive Scheme,, • PTO + Paid Holidays,, • Company Vehicle + Gas Card,, • Company Cell Phone,, • Commission Paid After Each Completed Job. Company Overview Founded in the early 1970s, this family-owned company has a rich history of excellence in commercial and industrial roofing across the eastern states. With a commitment to unparalleled quality and customer satisfaction, they treat every project as if it were their own. If you're seeking a challenging and rewarding career with a company renowned for its dedication to flawless craftsmanship and employee growth, this is the opportunity for you. We are looking for a highly motivated and skilled individual to join our expanding team. Your contributions will be instrumental in maintaining our high standards and exceeding customer expectations. A strong work ethic, a passion for continuous learning, and a desire to make a significant impact are essential for success in this role. • Key RequirementsThe post requires an experienced sales professional with a minimum 3 years’ experience, • Strong knowledge of commercial/industrial flat roofing systems,, • High level of understanding within the market,, • A hunter approach to sales,, • A proactive approach to problem-solving, with a keen eye for detail. Your resume doesn’t have to be perfect to start a conversation, just get in touch. You can email me directly at or call me on (201) 298-3745 Not quite right for you but know an excellent candidate? Make a referral and if they get the job, you get $1000! INDLP

Job Description Smart Rehab is seeking a Physical Therapist to provide one-on-one outpatient therapy in the homes of older adults in the South St. Louis County area. This is a 1099 contractor position, perfect for someone looking to continue using their clinical skills on a flexible schedule that works for them. We are a Medicare Part B certified private practice, not a home health agency, so our patients do not need to be homebound. Our therapists focus on quality care without productivity quotas. You set your caseload, visit frequency, and preferred geography. Each visit typically lasts 60 minutes and is billed per Medicare unit (15-minute increments). Responsibilities: • Provide in-home outpatient therapy to Medicare-eligible older adults, • Conduct evaluations, develop treatment plans, and perform follow-up visits, • Perform home safety assessments and provide recommendations, • Complete documentation in a timely, compliant manner, • Collaborate with families and caregivers as needed Requirements: • Licensed Physical Therapist in the state of Missouri, • Strong interest in geriatrics and home-based care, • Reliable transportation and comfort working independently, • Excellent communication and documentation skills Compensation: • Paid per unit billed (15-minute increments), • Most sessions generate 4+ units, • Initial evaluations billed separately Why Join Smart Rehab? • Flexible schedule you control, • No quotas or productivity pressure, • Mission-driven work focused on keeping older adults safe and independent, • Supportive and collaborative team environment To learn more, visit

About Us Clayco is a full-service, turnkey real estate development, master planning, architecture, engineering and construction firm that safely delivers clients across North America the highest quality solutions on time, on budget, and above and beyond expectations. With $7.6 billion in revenue for 2024, Clayco specializes in the "art and science of building," providing fast track, efficient solutions for industrial, commercial, institutional and residential related building projects. The Role We Want You For Clayco is seeking our next great Superintendent for our national Mission Critical Business Unit. In this role you will provide on-site supervision and quality control for field operations and onsite management of design/build construction projects. The person in this role also reviews documents, responds to scope modification evaluations during construction, and works to complete Clayco projects with respect to Safety, Quality, Schedule and Cost objectives. The Superintendent will observe work in the field and compares to drawings to ensure installations are in accordance with drawings and specifications. You will work closely with clients and as part of a team to provide the best solutions on design-build projects valued anywhere from a $20 million to over $200 million. The Specifics of the Role • Coordinate with preconstruction, design, engineering, procurement, operations, safety, quality, and all other project site management team members to assure that the there is always adequate project resources., • Ability to supervise construction employees and subcontractors to accomplish work within budget and schedule constraints., • Strong project safety record and commitment to safety and quality., • Strong work ethic and willingness to travel or relocate to jobsite., • Creative and results-oriented with a sense of urgency. Requirements • B.S. in Construction Management or Engineering or equivalent trade experience with progression to management levels., • 5-10 years of experience in highly technical commercial/industrial construction management, on projects of 50+ million, ideally with design-build experience., • Ability to supervise construction employees and subcontractors to accomplish work within budget and schedule constraints., • Strong project safety record and commitment to safety and quality., • Strong work ethic and willingness to travel or relocate to jobsite., • Creative and results-oriented with a sense of urgency., • Ability to walk the job site, climb ladders, and multi floor scaffolding., • Ability to lift objects at least 50lbs. Some Things You Should Know • Our clients and projects are nationwide – Travel will be required., • No other builder can offer the collaborative design-build approach that Clayco does., • We work on creative, complex, award-winning, high-profile jobs., • The pace is fast!, • This position is classified as a safety-sensitive role in accordance with applicable state and federal laws. Candidates selected for this position will be subject to a comprehensive background check, which includes mandatory drug testing. Why Clayco? • 2024 Best Places to Work – Crain’s Chicago Business, St. Louis Business Journal, Los Angeles Business Journal, and Phoenix Business Journal., • 2024 ENR Midwest – Midwest Contractor (#1)., • 2024 ENR Top 100 Design-Build Firms – Design-Build Contractor (Top 5)., • 2024 ENR Top 100 Green Contractors – Green Contractor (Top 5). Benefits • Discretionary Annual Bonus: Subject to company and individual performance., • Comprehensive Benefits Package Including: Medical, dental and vision plans, 401k, generous PTO and paid company holidays, employee assistance program, flexible spending accounts, life insurance, disability coverage, learning & development programs and more! Compensation • The salary range for this position considers a wide range of factors in making compensation decisions including but not limited to: Education, qualifications, skills, training, experience, certifications, internal equity, and location. Compensation decisions are dependent on the facts and circumstances of each case.

About Us Lamar Johnson Collaborative (LJC) is a team of high-energy professionals. We share a passion for design, a collaborative approach, and a casual culture. We solve challenges by leveraging the collective expertise and ingenuity of the best and brightest minds across development, design, and construction. Lamar Johnson Collaborative attracts a dynamic and diverse group of people who work together to realize our clients’ vision. LJC is a growing firm and is recruiting top Project Architect talent to join our growing team. The Role We Want You For As an Architectural Production Job Captain, you will lead our Mission Critical design efforts. As part of our dynamic team, you will manage the production of architectural design documents, oversee the implementation of design concepts, and ensure the efficient execution of Mission Critical projects. You will play an integral role in shaping the built environment by working on high-profile, complex projects that require precision, technical expertise, and an understanding of both architecture and mission-critical infrastructure. The Specifics of The Role • Lead the development of design documentation for Mission Critical facilities, including data centers, server farms, and other high-security environments., • Oversee day-to-day production efforts, ensuring the timely and accurate creation of architectural drawings, specifications, and schedules., • Coordinate with project managers, engineers, consultants, and clients to ensure that design objectives, project timelines, and budgets are met., • Serve as the primary point of contact for technical design coordination and communication with internal and external teams., • Conduct site visits and manage field observations to verify design implementation and resolve construction issues., • Mentor junior staff, providing guidance and feedback to ensure quality and efficiency in design work., • Maintain design standards, best practices, and quality control processes for Mission Critical projects., • Participate in project planning, review sessions, and presentations with stakeholders and clients., • Collaborate with the team to resolve complex technical issues that arise during design and construction phases., • Stay updated on industry trends and technological advancements related to mission-critical infrastructure. Requirements • Bachelor’s degree in Architecture or related field., • 5+ years of professional architectural experience, including significant experience working on Mission Critical or similar technical facilities., • Proficiency in AutoCAD, Revit, and other architectural design software., • Strong understanding of construction documents, codes, and regulations related to Mission Critical design., • Excellent communication and collaboration skills, with the ability to work effectively in a team-oriented environment., • Demonstrated leadership and organizational skills, with experience managing teams and coordinating multiple tasks simultaneously., • Ability to manage complex, fast-paced projects while maintaining a high standard of quality., • Knowledge of sustainable design practices and advanced building systems for Mission Critical projects is a plus., • LEED accreditation, AIA membership, or other professional certifications are advantageous. Some Things You Should Know • Our clients and projects are nationwide – Travel will be required., • No other builder can offer the collaborative design-build approach that Clayco does., • We work on creative, complex, award-winning, high-profile jobs., • The pace is fast! Why LJC and Clayco? • 2024 Best Places to Work – Chicago Business Journal, St. Louis Business Journal, Los Angeles Business Journal, and Phoenix Business Journal., • 2024 ENR Midwest – Midwest Contractor (#1)., • 2024 ENR Top 100 Design-Build Firms – Design-Build Contractor (Top 5)., • 2024 ENR Top 100 Green Contractors – Green Contractor (Top 5). Benefits • Discretionary Annual Bonus: Subject to company and individual performance., • Comprehensive Benefits Package Including: Medical, dental and vision plans, 401k, generous PTO and paid company holidays, employee assistance program, flexible spending accounts, life insurance, disability coverage, learning & development programs and more! Compensation • The salary range for this position considers a wide range of factors in making compensation decisions including but not limited to: Education, qualifications, skills, training, experience, certifications, internal equity, and location. Compensation decisions are dependent on the facts and circumstances of each case.

Yoh is seeking a Quality Systems Specialist for our personal care client here in St. Louis, Missouri. The primary role of the Quality Systems Specialist is to develop documentation and investigate facility systems and processes to ensure compliance with FDA regulations as well as develop and monitor change control processes, variances and investigations for continuous process control. Shift: Monday - Friday, 9AM - 5PM (Onsite) Essential Duties and Responsibilities: • Investigate Root Cause, write and implement CAPAs and interact with necessary departments and people to get the job done; must respond timely to deliver quality investigations and thorough CAPAs, • Use Failure Mode and Effect Analysis (FMEA) and Hazard Operability (HAZOP) Studies to assess system and processes., • Assist in GMP and GDP training of new personnel., • Participate in internal audits, • Create or modify SOPs and work instructions. Recommend changes to batching instructions., • Ensure GMP required documentation is following governmental regulations such as FDC., • Maintain quality system of Process Variance Reports (PVR), • Generate Annual Product Reviews (APR), • Customer Complaint Investigations, • Develop or assist with process control procedures and automation specifications, where necessary, to ensure on-going compliance., • Maintain Quality attributes in Customer Specification portals, • Define and / or improve upon systems and processes, • Assist in the maintenance of the Validation Master Plans, • Monitor and interpret the Federal Register and other sources that provide information on laws pertaining to Food, Drugs and Cosmetic Industries., • Advise and inform management on validation issues., • Read and understand Piping and Instrumental Diagrams and create Process Flow Diagrams., • Evaluate data from current processes to recommend improvements, cost effectiveness and production quality., • Perform Statistical Process Analysis to evaluate process control., • Perform Site Acceptance Tests and Factory Acceptance Tests prior to equipment startup, as requiredEducation & Experience Requirements:, • Bachelor’s Degree required in a related Science or Engineering field (required), • 2 - 5 years’ experience in a GMP / Manufacturing environment, • Knowledge of current GMPs., • Experience in developing documentation, • Quality investigations, CAPA, Deviations, internal audits (required) #IND-SPG Estimated Min Rate: $30.00 Estimated Max Rate: $32.00 What’s In It for You? We welcome you to be a part of the largest and legendary global staffing companies to meet your career aspirations. Yoh’s network of client companies has been employing professionals like you for over 65 years in the U.S., UK and Canada. Join Yoh’s extensive talent community that will provide you with access to Yoh’s vast network of opportunities and gain access to this exclusive opportunity available to you. Benefit eligibility is in accordance with applicable laws and client requirements. Benefits include: • Medical, Prescription, Dental & Vision Benefits (for employees working 20+ hours per week), • Health Savings Account (HSA) (for employees working 20+ hours per week), • Life & Disability Insurance (for employees working 20+ hours per week), • MetLife Voluntary Benefits, • Employee Assistance Program (EAP), • 401K Retirement Savings Plan, • Direct Deposit & weekly epayroll, • Referral Bonus Programs Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Visit to contact us if you are an individual with a disability and require accommodation in the application process. For California applicants, qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. All of the material job duties described in this posting are job duties for which a criminal history may have a direct, adverse, and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.

About Us Clayco is a full-service, turnkey real estate development, master planning, architecture, engineering, and construction firm that safely delivers clients across North America the highest quality solutions on time, on budget, and above and beyond expectations. With $7.8 billion in revenue for 2024, Clayco specializes in the "art and science of building," providing fast track, efficient solutions for industrial, commercial, institutional, and residential related building projects. About CDC Clayco’s Consolidated Distribution Company (CDC) uses its extensive relationships to secure competitive pricing and product availability. By negotiating with top brands and manufacturers, CDC provides cost-effective solutions for construction equipment, materials, and finishes. It excels in managing complex projects through strategic sourcing and mass purchasing, offering integrated design, and purchasing power for both internal and external clients. The Role We Want You For The primary function of the Structural Steel Estimator, Steel Procurement is to provide accurate bid proposals for Structural Steel and scope analysis for potential construction projects. The Specifics of the Role • Responsible for accurate material quantity take-off., • Develops comprehensive, detailed proposal for the project estimated., • Maintain project budget throughout each project, with profit and loss accountability., • Identify opportunities for change orders and establish cost where applicable., • Prepare, issue and track change order status for material above and beyond the original contract., • Develop options and recommend best value solutions based on cost, engineering, quality, or availability of materials., • Additional responsibilities include quote review, project management, and material purchasing., • Ensure department achieves goals through management and leadership mentality., • Functions as Lead Estimator. Requirements • Bachelors Degree in Construction Management or Engineering discipline preferred., • 5+ years of experience., • Knowledge and understanding of Structural Steel and Miscellaneous Metals., • Knowledge and understanding of building construction combined with steel design concepts presented on architectural and engineering drawings., • Ability to prepare proposals with minimum supervision., • Candidates must have a strong understanding of detailed estimating, estimating techniques and cost control., • Strong written and verbal communication skills. Candidates should be able to clearly articulate bid inclusions, exclusions, and proposal clarifications with owners and subcontractors., • Must be able to multitask and prioritize responsibilities., • Review proposals, specifications, drawing, attend pre-bid meetings, etc. to determine scope of work and develop quantity take-offs., • Develops and maintains relationships with general contractor., • Responsible for buyout process with Project Manager., • Knowledge of construction principles/practices required., • Problem-solving skills, with an adaptable and flexible style in working with all types of individuals., • Project set up, budget planning, buy out, and cost reporting experience is a must., • Good understanding of critical path scheduling., • Energetic and highly motivated with a strong sense of urgency., • Entrepreneurial and self-motivated, with the ability to work equally well on own as well as in a team environment., • Ability to understand construction drawings and specifications., • Ability to work with Microsoft Office Suite, On-Screen Estimating software, and ACC Build. Some Things You Should Know • This position will be based out of St. Louis, MO., • No other builder can offer the collaborative design-build approach that Clayco does., • We work on creative, complex, award-winning, high-profile jobs., • The pace is fast! Why Clayco? • 2024 Best Places to Work – Crain’s Chicago Business, St. Louis Business Journal, Los Angeles Business Journal, and Phoenix Business Journal., • 2024 ENR Midwest – Midwest Contractor (#1)., • 2024 ENR Top 100 Design-Build Firms – Design-Build Contractor (Top 5)., • 2024 ENR Top 100 Green Contractors – Green Contractor (Top 5). Benefits • Discretionary Annual Bonus: Subject to company and individual performance., • Comprehensive Benefits Package Including: Medical, dental and vision plans, 401k, generous PTO and paid company holidays, employee assistance program, flexible spending accounts, life insurance, disability coverage, learning & development programs and more! Compensation • The salary range for this position considers a wide range of factors in making compensation decisions including but not limited to: Education, qualifications, skills, training, experience, certifications, internal equity, and location. Compensation decisions are dependent on the facts and circumstances of each case.

About Us Clayco is a full-service, turnkey real estate development, master planning, architecture, engineering, and construction firm that safely delivers clients across North America the highest quality solutions on time, on budget, and above and beyond expectations. With $7.6 billion in revenue for 2024, Clayco specializes in the "art and science of building," providing fast track, efficient solutions for industrial, commercial, institutional, and residential related building projects. The Role We Want You For We are seeking a proactive and detail-oriented Facility Manager with 3–5 years of professional experience to oversee the day-to-day operations of our facilities. The ideal candidate will ensure that all building systems, workspaces, and services run efficiently, safely, and in alignment with organizational needs. This role requires strong organizational skills, vendor management experience, and the ability to balance operational priorities with strategic facility planning. The Specifics of the Role • Manage building systems (HVAC, electrical, plumbing, life safety) to ensure functionality and compliance with safety standards., • Oversee daily facility operations, including cleaning, security, and space utilization., • Conduct regular inspections and implement preventive maintenance schedules., • Coordinate with vendors, contractors, and service providers for repairs, upgrades, and ongoing services., • Negotiate service agreements and monitor performance against contract terms., • Assist with office moves, space planning, and workstation setup to maximize efficiency and employee comfort., • Support food services, conference room setups, and office procurement (furniture, supplies, etc.)., • Track facility expenses, forecast budgets, and manage cost-saving initiatives., • Prepare reports and maintain facility-related documentation (permits, licenses, compliance records)., • Ensure compliance with OSHA, fire safety, and environmental regulations., • Support building security measures, access control systems, and emergency preparedness plans., • Full-time, on-site role with occasional after-hours responsibilities for facility emergencies or scheduled maintenance. Requirements • Experience: 3–5 years in facility management, building operations, or related field., • Education: Bachelor’s degree in Facilities Management, Business Administration, Engineering, or related field preferred., • Strong organizational and problem-solving skills., • Knowledge of building systems, workplace safety, and maintenance best practices., • Ability to manage vendors and negotiate service agreements., • Proficiency with MS Office Suite and facility management software (e.g., CMMS)., • Excellent communication and interpersonal skills to work with all levels of the organization., • Certifications such as IFMA CFM, FMP, or OSHA Safety Training are a plus., • Experience with capital project planning or space allocation strategies., • Ability to adapt in a fast-paced environment with shifting priorities. Some Things You Should Know • No other builder can offer the collaborative design-build approach that Clayco does., • We work on creative, complex, award-winning, high-profile jobs., • The pace is fast! Why Clayco? • 2024 Best Places to Work – Crain’s Chicago Business, St. Louis Business Journal, Los Angeles Business Journal, and Phoenix Business Journal., • 2024 ENR Midwest – Midwest Contractor (#1)., • 2024 ENR Top 100 Design-Build Firms – Design-Build Contractor (Top 5)., • 2024 ENR Top 100 Green Contractors – Green Contractor (Top 5). Benefits • Discretionary Annual Bonus: Subject to company and individual performance., • Comprehensive Benefits Package Including: Medical, dental and vision plans, 401k, generous PTO and paid company holidays, employee assistance program, flexible spending accounts, life insurance, disability coverage, learning & development programs and more! Compensation • The salary range for this position considers a wide range of factors in making compensation decisions including but not limited to: Education, qualifications, skills, training, experience, certifications, internal equity, and location. Compensation decisions are dependent on the facts and circumstances of each case.

About Us Clayco is a full-service, turnkey real estate development, master planning, architecture, engineering, and construction firm that safely delivers clients across North America the highest quality solutions on time, on budget, and above and beyond expectations. With $5.8 billion in revenue for 2023, Clayco specializes in the "art and science of building," providing fast track, efficient solutions for industrial, commercial, institutional, and residential related building projects. The Role We Want You For In this role, you will manage the organization and direction of project construction activities and oversee total site management including supervision of client contractors, field engineering, contract administration, cost and schedule, field procurement, and finance and accounting. Your leadership will ensure project operations are compliant, safe, timely, within scope and budget, and clients are satisfied. This key project leader for Clayco’s Field Operations team will oversee construction of 100MM - 500MM or more. The Specifics of the Role • Responsible for the organization and direction of all on-site construction related activities and the primary contact for all project field activities., • Ensure construction operations are in compliance with design, specifications, and that construction operations are completed on schedule, within budget and to quality standards., • Responsible for site management including management of construction subcontractors, professional staff to include field engineering, contract administration, cost and schedule, field procurement, finance and accounting services, and workforce services. Responsible for managing and maintaining detailed daily reports., • Ensures the development and execution of project automation plan, environmental compliance plan, safety plan, site survey plan, non-manual staffing plan, subcontracting plan, labor strategy, construction execution plan, and job-site work rules., • Responsible for implementation of Clayco’s safety program, security, housekeeping, and fire protection on the construction site and ensures strict adherence Federal and State safety codes., • Ensures the field organization is composed of qualified and knowledgeable personnel and ensures effective personnel utilization., • Establishes and implements construction schedules, methods, manning charts, material, and equipment requirements., • Responsible for field project performance and analyzes performances for adherence to quality standards and schedules., • Plans and establishes procedures to ensure all construction operations meet engineering designs and specifications., • Ensures Clayco’s policies and procedures are fully implemented., • Establishes project field procedures to be worked in conjunction with the Clayco’s standards, as necessitated by project conditions., • Collaborates with the jobsite team to ensure labor harmony throughout the project., • Partners with the project management team to maintain effective client relationship and is the primary contact for client's communication with the field activities., • Maintains effective relationships with other functional departments., • Develops, implements, and administers a job-site security plan and coordinates the activities with Clayco’s security department., • Works with the project management team to participate in all job-site's contractual activities. Participates in contracts and subcontracts negotiations., • Participates in the development and implementation of a training program to ensure subordinate personnel receives progressive training to enable them to assume additional responsibilities and is responsible for overall development of construction training and any testing as required., • Works with Clayco’s safety team in the development of the project safety program and ensures strict adherence to Company, federal, state, and local safety regulations., • Ensures the implementation of an effective community relations plan for the site., • Ensures required permits and licenses are in place prior to the start of the affected work at site., • Responsible and accountable for construction license reporting to include construction Logbook entries and required notifications for permit closure., • Partners with the project management team for the implementation of cost savings methodologies in the Construction organization and the promotion of other continuous improvement processes., • Ensures development and execution of strategies and plans for project automation, environmental compliance, safety, site surveying, non-manual staffing, contracting, labor strategy, construction execution, and job-site work rules., • Plans and establishes procedures to ensure construction operations meet engineering designs and specifications., • Coordinate with the Field Operations Manager for all assignment of Superintendent and Foreman positions., • Support Superintendent(s) throughout the duration of the job., • Review project schedules with Superintendents/Foreman., • Document project field issues that impact budget, quality, or schedule, and provide to the project management team., • Ensure subcontractor requests for field issues that impact budget, quality, or schedule are documented and are forwarded to the project management team., • Follow guidelines of the Project Quality Assurance/Quality Control (QA/QC) program written for the job site. Requirements • Bachelor's or Master's Degree in Civil Engineering, Construction Management, related technical degree or relevant work experience in lieu of education., • 20-25 years of relevant experience, with progressive responsibility and technical knowledge both scope and value of project., • Technical knowledge and experience of relevant construction methods and systems including:, • Utility relocates and slope stability works., • Full understanding of multiple mission critical platforms., • Full understanding and working knowledge of high voltage, medium voltage, and low voltage systems. General understanding of BMS and EPMS Systems., • Full understanding and coordination of Utility relocations, underground medium voltage systems, and BIM modeling coordination of ALL utilities both above and below ground., • Full understanding and managing of all LOTO procedure's and FOD inspections for all systems., • Ability to research and understand local codes and jurisdictional requirements for the project., • Knowledge of project-specific environmental compliance requirements., • Experience with successful interface management on Data Center/Mission Critical projects., • OSHA 30 required., • Ability to walk the job site, climb ladders, and multi-floor scaffolding., • Ability to lift objects at least 50lbs. Some Things You Should Know • This position will service our clients in the St. Louis area., • No other builder can offer the collaborative design-build approach that Clayco does., • We work on creative, complex, award-winning, high-profile jobs., • The pace is fast!, • This position is classified as a safety-sensitive role in accordance with applicable state and federal laws. Candidates selected for this position will be subject to a comprehensive background check, which includes mandatory drug testing. Why Clayco? • 2024 Best Places to Work – Crain’s Chicago Business, St. Louis Business Journal, Los Angeles Business Journal, and Phoenix Business Journal., • 2024 ENR Midwest – Midwest Contractor (#1)., • 2024 ENR Top 100 Design-Build Firms – Design-Build Contractor (Top 5)., • 2024 ENR Top 100 Green Contractors – Green Contractor (Top 5). Benefits • Discretionary Annual Bonus: Subject to company and individual performance., • Comprehensive Benefits Package Including: Medical, dental and vision plans, 401k, generous PTO and paid company holidays, employee assistance program, flexible spending accounts, life insurance, disability coverage, learning & development programs and more! Compensation • The salary range for this position considers a wide range of factors in making compensation decisions, including but not limited to: Education, qualifications, skills, training, experience, certifications, internal equity, and location. Compensation decisions are dependent on the facts and circumstances of each case.

About Us Clayco is a full-service, turnkey real estate development, master planning, architecture, engineering, and construction firm that safely delivers clients across North America the highest quality solutions on time, on budget, and above and beyond expectations. With $7.6 billion in revenue for 2024, Clayco specializes in the "art and science of building," providing fast track, efficient solutions for industrial, commercial, institutional, and residential related building projects. The Role We Want You For The Site Safety Supervisor will provide support to the Project Staff and the Clayco safety team in an effort to execute corporate safety and health standards and procedures in compliance with Federal, State, and Local requirements. In addition to your project responsibilities, you shall participate in and complete all assignments designated to you. This will include, but is not limited to, assisting in development of a zero injury safety culture on each project, conducting at least weekly documented jobsite safety inspections, effectively communicate orientations for all new project workers, assist with and review subcontractor daily pre-task safety analysis, actively promote and participate in daily stretch and flex program, identify project trends and execute proactive safety initiatives to eliminate incidents, support corporate goals and initiatives, emphasize and support proactive safety such as near miss/hazard reporting, coach and recognize workers on safe work methods, report all incidents in an effective and timely manner following established protocols and be a champion in motivating workers to perform their jobs safely! Your responsibilities will be all encompassing for each project you will be dedicated to. The Specifics of the Role • Assist in development of the project safety program., • Establish and conduct jobsite orientation for new project employees. Administer and record their participation in the orientation program and issue identification to those employees completing the orientation program., • Attend all initial meetings with the project staff and subcontractor representatives to clearly define their role within the confines of the project safety program., • Conduct and document pre-planning safety meetings with each subcontractor representatives to establish safety procedures prior to subcontractor’s activity on site., • Field tasks solo on a project Up to $80M., • Client interfacing., • Assist Site Safety Manager., • Establish and conduct regular (weekly) safety meetings with subcontractor representatives and with project staff to ensure proper compliance., • Facilitate training for site personnel and ensure that standards are per the OSHA\Clayco and in compliance with Federal and State standards., • Ensure and maintain a log of each subcontractor toolbox safety meeting., • Review each subcontractor’s safety program and ensure that it meets or exceeds the project safety program requirements., • Ensure that each subcontractor designates a safety representative that is properly trained in subcontractor’s scope of work and has the proper authority to correct safety issues., • Conduct regular daily and weekly jobsite inspections and complete the safety checklist noting safety violations and corrective actions., • Record, notify and prepare written report of any violations or unsafe practices to subcontractors for immediate correction actions., • Stop at once any violation or unsafe acts or practices., • Assist the Project Superintendent in establishing and implementing proper fire prevention, evacuation, and fire control procedures., • Investigate all incidents and generate proper reports., • Establish and maintain all required safety records., • Conduct a monthly overview safety meeting and attend project staff meetings to brief on safety issues., • Perform other duties as necessary. Requirements • Bachelor’s Degree in Safety, Environmental Health & Safety, Occupational Health and Safety, or equivalent., • 0-5 years of safety experience with a working knowledge of safety/environment principles and techniques., • 2-3 years of field experience required., • OSHA 30-hour construction accreditation., • OSHA 500 Outreach Trainer is a plus., • Performance of the required duties will require physical ability to climb permanent and temporary stairs, passenger use of construction personnel hoists, ability to climb ladders and negotiate work areas under construction., • Specific vision abilities required by this job include close vision, peripheral vision, depth perception, and the ability to adjust focus., • Occasionally lift and/or move up to 50 pounds., • Able to work at heights, able to climb ladders, access/inspect scaffolding and roof areas., • Noise level is usually moderate to very loud., • Computer skills with familiarity with Microsoft Office. Physical Requirements • Must possess the physical ability to safely navigate active construction sites. This may include but is not limited to climbing permanent and temporary stairs or ladders, using construction personnel hoists, ascending and descending ladders, and maneuvering through areas under construction. Use of personal protective equipment (PPE) may be required., • Must be able to walk long distances, stand for extended periods without support, and work at various heights as required., • Ability to access and inspect elevated areas such as scaffolding, rooftops, and other high structures., • Possess sufficient visual acuity to perform essential job functions such as, close vision, peripheral vision, depth perception, and the ability to adjust focus., • Must be able to occasionally lift and/or move items weighing up to 50 pounds., • Exposure to varying noise levels ranging from moderate to high, which may require the use of personal protective equipment (PPE)., • Must be able to work in a variety of environmental conditions, including extreme heat, cold, rain, snow, and other unpredictable weather. Some Things You Should Know • This position will service our clients in St. Louis, MO., • Our clients and projects are nationwide – Travel will be required., • No other builder can offer the collaborative design-build approach that Clayco does., • We work on creative, complex, award-winning, high-profile jobs., • The pace is fast!, • This position is classified as a safety-sensitive role in accordance with applicable state and federal laws. Candidates selected for this position will be subject to a comprehensive background check, which includes mandatory drug testing. Why Clayco? • 2024 Best Places to Work – Crain’s Chicago Business, St. Louis Business Journal, Los Angeles Business Journal, and Phoenix Business Journal., • 2024 ENR Midwest – Midwest Contractor (#1)., • 2024 ENR Top 100 Design-Build Firms – Design-Build Contractor (Top 5)., • 2024 ENR Top 100 Green Contractors – Green Contractor (Top 5). Benefits • Discretionary Annual Bonus: Subject to company and individual performance., • Comprehensive Benefits Package Including: Medical, dental and vision plans, 401k, generous PTO and paid company holidays, employee assistance program, flexible spending accounts, life insurance, disability coverage, learning & development programs and more! Compensation • The salary range for this position considers a wide range of factors in making compensation decisions including but not limited to: Education, qualifications, skills, training, experience, certifications, internal equity, and location. Compensation decisions are dependent on the facts and circumstances of each case.

Focus Staff is a traveler-first nurse and healthcare staffing agency! We prioritize the needs of our travelers, giving you complete control over your journey. Focus Staff is a travel healthcare professional staffing agency. If you're an adventurer or a facility that needs high-quality staff, give us

Job DescriptionQuality Compliance Manager Job Description The Quality Compliance Manager plays a crucial role in maintaining site compliance by ensuring quality records meet required standards. This role involves participating in site inspection readiness activities, conducting internal audits of quality systems and GMP functions, supporting client audits, and managing corrective actions. The individual will ensure compliance with FDA, EMA, and other cGMP regulations. Responsibilities • Ensure the site’s compliance with FDA, EMA, and other cGMP regulations, including client requirements., • Contribute to the oversight of Site Quality Records to ensure timely completion and adherence to requirements, including CAPA, Audit, and Change Control., • Lead and participate in site internal audits, including execution, response approval, and supervising remediation activities., • Lead or support client audits or inspections., • Approve corrective action plans and effectiveness checks for identified Quality System CAPAs., • Author, review, or approve documents within eDMS as needed., • Participate in inspection readiness program tasks and the execution of regulatory inspections., • Provide knowledge of current cGMP requirements and trends to ensure appropriate technical support on all quality/compliance-related matters is provided to the site., • Quality assurance and quality management systems., • 4-5 years of people management/leadership experience in Quality Assurance with a BS Degree in STEM., • Experience in a GMP or regulated industry, preferably pharmaceuticals., • 8-10 years of experience hosting audits and being front-facing in audits as well as inspection readiness., • Experience with Quality Systems, including change control, root cause analysis, deviations, documentation management, and training systems., • Regulatory compliance and auditing experience., • Bachelor’s degree in a scientific field (Life Sciences, Biotechnology, or equivalent) is required., • In-depth knowledge of FDA/EMA regulatory requirements., • Strong understanding of Quality Management Systems., • Knowledge of pre-license/pre-approval inspection readiness and regulatory submissions is preferred. This is an office/desk work role, Monday to Friday, with normal day hours. Flexibility is required as you may need to be available early or late depending on the audit schedule. The work environment is innovative and impactful, with a focus on customer satisfaction and making a difference in the world. You will be part of a fast-growing, global organization that values passion and unique contributions. Job Type & Location This is a Contract to Hire position based out of Saint Louis, Missouri. Pay and Benefits The pay range for this position is $62.00 - $72.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision, • Critical Illness, Accident, and Hospital, • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available, • Life Insurance (Voluntary Life & AD&D for the employee and dependents), • Short and long-term disability, • Health Spending Account (HSA), • Transportation benefits, • Employee Assistance Program, • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Saint Louis,MO. Application Deadline This position is anticipated to close on Oct 2, 2025. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email for other accommodation options.

Job Description The Associate Merchandise Planner will support the Merchandise Planner by developing replenishment buys and collaborating with Planners to understand buying strategies and ensure alignment with future demand forecasts. Responsibilities: • Use sales forecasts and current inventory levels to create replenishment buys, • Work closely with Planners to understand buying strategies and align with future demand forecasts, • 2+ years of planning or related financial/analytical experience, • Bachelor's degree, • Proficiency with Microsoft Office, • Skilled with Excel, • An analytical, inquiring, and critical mind that solves complex problems, • A knack for anticipating potential issues, • Strong commitment to tasks being completed correctly and on time, • Thrives in a structured environment, • Comfortable making decisions in area of expertise, • Communication style is factual and sincere, • Willingness to follow established policies, processes, and procedures, • Enjoys working at a somewhat faster-than-average pace, • Typical office environment with climate control and sufficient lighting, ergonomic desk/chairs, • Corporate Office located St. Louis, MO, • Deadlines, Accuracy, and Quality, • Communication, • Use of technology and tools, • Able to communicate complex issues in a clear, compelling, and concise manner, • Historical data aligns with current sales goals, and incorporates current trends into both present and future forecasts, • Merchant buys align to sales plans and meet timelines and milestones, • Communicates findings and insights effectively, • Plans are within open-to-buy, margin, and inventory goals, • Collaboration and cooperation, • Stakeholder Feedback

Job Description General Managers, Kitchen Managers, and Restaurant Managers (Casual Dining & Fast Food) Position Title: General Manager, Kitchen Manager, Restaurant Manager Location: St. Loius & Illinois Metro Industry: Casual Dining & Fast Food Type: Full-time, Permanent Salary: Competitive Salary + Benefits + Bonus Opportunities Schedule: Flexible Hours, including weekends and evenings Company Overview: Recruiting Plus Restaurant Management Solutions clients are fast-growing leaders in the casual dining and fast food industry. They are committed to providing delicious food, excellent service, and a fun dining experience for our customers. We pride ourselves on maintaining a positive, fast-paced, and rewarding environment for our employees. Position Overview: We are seeking dynamic, hands-on, and passionate General Managers, Kitchen Managers, and Restaurant Managers to join our team. As a manager, you will oversee all aspects of restaurant operations, including front-of-house service, kitchen management, team leadership, inventory, and more. Your role will ensure our guests enjoy an exceptional dining experience while fostering a positive work culture for our team. Responsibilities: General Manager: • Oversee overall restaurant operations, including guest service, staff management, and financial performance., • Maintain high standards of food quality, cleanliness, and customer satisfaction., • Hire, train, and supervise staff, ensuring high performance and a positive work environment., • Implement and maintain health, safety, and sanitation standards., • Manage budgets, track financial performance, and optimize operational costs., • Handle customer feedback, complaints, and resolve issues promptly., • Manage kitchen staff, ensuring adherence to food safety and cleanliness standards., • Monitor inventory, food preparation, and equipment usage., • Maintain high standards of food quality and consistency., • Control food costs and reduce waste through effective inventory management., • Train and mentor kitchen staff to ensure efficiency and high-quality output., • Assist in managing day-to-day restaurant operations., • Ensure high levels of customer satisfaction by overseeing service and quality., • Collaborate with kitchen and service teams to maintain smooth operations., • Support recruitment and training of staff., • Supervise opening and closing procedures., • Experience:, • At least 2 years of management experience in the restaurant industry (casual dining or fast food preferred)., • For Kitchen Managers, prior experience in kitchen operations is required., • Skills:, • Strong leadership and team management abilities., • Excellent communication and customer service skills., • Ability to thrive in a fast-paced, dynamic environment., • Knowledge of food safety and restaurant regulations., • Financial acumen, including budget management and cost control., • Education:, • Competitive salary with performance-based bonuses., • Health and dental benefits., • Paid time off and holiday pay., • Employee discounts., • Opportunities for career advancement in a growing company. If you are passionate about the restaurant industry and ready to lead a team in a fast-paced environment, we'd love to hear from you! Company DescriptionRecruiting Plus, LLC , a company with over 37 years of restaurant operations and recruiting experience, has partnered with many national chains to recruit talented Restaurant Managers for them at all levels of the organization. Many of those chains don't advertise for these critical positions. No fees involved for us to get you an introduction into these outstanding restaurant companies. We specialize in connecting the appropriate candidate with the best available position. We are currently recruiting General Managers, Assistant General Managers, Restaurant Managers, Fast Track General Managers, and Culinary Managers in many markets across the country.Recruiting Plus, LLC , a company with over 37 years of restaurant operations and recruiting experience, has partnered with many national chains to recruit talented Restaurant Managers for them at all levels of the organization. Many of those chains don't advertise for these critical positions. No fees involved for us to get you an introduction into these outstanding restaurant companies. We specialize in connecting the appropriate candidate with the best available position. We are currently recruiting General Managers, Assistant General Managers, Restaurant Managers, Fast Track General Managers, and Culinary Managers in many markets across the country.

Job Description General Managers, Kitchen Managers, and Restaurant Managers (Casual Dining & Fast Food) Position Title: General Manager, Kitchen Manager, Restaurant Manager Location: St. Loius & Illinois Metro Industry: Casual Dining & Fast Food Type: Full-time, Permanent Salary: Competitive Salary + Benefits + Bonus Opportunities Schedule: Flexible Hours, including weekends and evenings Company Overview: Recruiting Plus Restaurant Management Solutions clients are fast-growing leaders in the casual dining and fast food industry. They are committed to providing delicious food, excellent service, and a fun dining experience for our customers. We pride ourselves on maintaining a positive, fast-paced, and rewarding environment for our employees. Position Overview: We are seeking dynamic, hands-on, and passionate General Managers, Kitchen Managers, and Restaurant Managers to join our team. As a manager, you will oversee all aspects of restaurant operations, including front-of-house service, kitchen management, team leadership, inventory, and more. Your role will ensure our guests enjoy an exceptional dining experience while fostering a positive work culture for our team. Responsibilities: General Manager: • Oversee overall restaurant operations, including guest service, staff management, and financial performance., • Maintain high standards of food quality, cleanliness, and customer satisfaction., • Hire, train, and supervise staff, ensuring high performance and a positive work environment., • Implement and maintain health, safety, and sanitation standards., • Manage budgets, track financial performance, and optimize operational costs., • Handle customer feedback, complaints, and resolve issues promptly., • Manage kitchen staff, ensuring adherence to food safety and cleanliness standards., • Monitor inventory, food preparation, and equipment usage., • Maintain high standards of food quality and consistency., • Control food costs and reduce waste through effective inventory management., • Train and mentor kitchen staff to ensure efficiency and high-quality output., • Assist in managing day-to-day restaurant operations., • Ensure high levels of customer satisfaction by overseeing service and quality., • Collaborate with kitchen and service teams to maintain smooth operations., • Support recruitment and training of staff., • Supervise opening and closing procedures., • Experience:, • At least 2 years of management experience in the restaurant industry (casual dining or fast food preferred)., • For Kitchen Managers, prior experience in kitchen operations is required., • Skills:, • Strong leadership and team management abilities., • Excellent communication and customer service skills., • Ability to thrive in a fast-paced, dynamic environment., • Knowledge of food safety and restaurant regulations., • Financial acumen, including budget management and cost control., • Education:, • Competitive salary with performance-based bonuses., • Health and dental benefits., • Paid time off and holiday pay., • Employee discounts., • Opportunities for career advancement in a growing company. If you are passionate about the restaurant industry and ready to lead a team in a fast-paced environment, we'd love to hear from you! Company DescriptionRecruiting Plus, LLC , a company with over 37 years of restaurant operations and recruiting experience, has partnered with many national chains to recruit talented Restaurant Managers for them at all levels of the organization. Many of those chains don't advertise for these critical positions. No fees involved for us to get you an introduction into these outstanding restaurant companies. We specialize in connecting the appropriate candidate with the best available position. We are currently recruiting General Managers, Assistant General Managers, Restaurant Managers, Fast Track General Managers, and Culinary Managers in many markets across the country.Recruiting Plus, LLC , a company with over 37 years of restaurant operations and recruiting experience, has partnered with many national chains to recruit talented Restaurant Managers for them at all levels of the organization. Many of those chains don't advertise for these critical positions. No fees involved for us to get you an introduction into these outstanding restaurant companies. We specialize in connecting the appropriate candidate with the best available position. We are currently recruiting General Managers, Assistant General Managers, Restaurant Managers, Fast Track General Managers, and Culinary Managers in many markets across the country.

Job DescriptionJob Title: Quality Compliance Manager Job Description The Quality Compliance Manager plays a crucial role in maintaining site compliance by ensuring quality records meet required standards. This role involves participating in site inspection readiness activities, conducting internal audits of quality systems and GMP functions, supporting client audits, and managing corrective actions. The individual will ensure compliance with FDA, EMA, and other cGMP regulations. Responsibilities • Ensure the site’s compliance with FDA, EMA, and other cGMP regulations, including client requirements., • Contribute to the oversight of Site Quality Records to ensure timely completion and adherence to requirements, including CAPA, Audit, and Change Control., • Lead and participate in site internal audits, including execution, response approval, and supervising remediation activities., • Lead or support client audits or inspections., • Approve corrective action plans and effectiveness checks for identified Quality System CAPAs., • Author, review, or approve documents within eDMS as needed., • Participate in inspection readiness program tasks and the execution of regulatory inspections., • Provide knowledge of current cGMP requirements and trends to ensure appropriate technical support on all quality/compliance-related matters is provided to the site., • Train and mentor junior staff members.Essential Skills, • Quality assurance and quality management systems., • 4-5 years of people management/leadership experience in Quality Assurance with a BS Degree in STEM., • Experience in a GMP or regulated industry, preferably pharmaceuticals., • 8-10 years of experience hosting audits and being front-facing in audits as well as inspection readiness., • Experience with Quality Systems, including change control, root cause analysis, deviations, documentation management, and training systems., • Regulatory compliance and auditing experience., • Internal and external audits, documentation, and risk management.Additional Skills & Qualifications, • Bachelor’s degree in a scientific field (Life Sciences, Biotechnology, or equivalent) is required., • In-depth knowledge of FDA/EMA regulatory requirements., • Strong understanding of Quality Management Systems., • Knowledge of pre-license/pre-approval inspection readiness and regulatory submissions is preferred., • Experience with regulatory inspections.Work Environment This is an office/desk work role, Monday to Friday, with normal day hours. Flexibility is required as you may need to be available early or late depending on the audit schedule. The work environment is innovative and impactful, with a focus on customer satisfaction and making a difference in the world. You will be part of a fast-growing, global organization that values passion and unique contributions. Job Type & Location This is a Contract to Hire position based out of Saint Louis, Missouri. Pay and Benefits The pay range for this position is $62.00 - $72.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision, • Critical Illness, Accident, and Hospital, • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available, • Life Insurance (Voluntary Life & AD&D for the employee and dependents), • Short and long-term disability, • Health Spending Account (HSA), • Transportation benefits, • Employee Assistance Program, • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Saint Louis,MO. Application Deadline This position is anticipated to close on Oct 8, 2025. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email for other accommodation options.

Job DescriptionCompany Description International Health and Medical Services delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International Health and Medical Services headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care. Job Description This position is contingent on contract award. International Health and Medical Services is looking for an experienced Pharmacist to manage the procurement, dispensing, and monitoring of medications to ensure safe and effective pharmaceutical care for patients. This role includes collaborating with healthcare providers to optimize medication management, provide drug information, and contribute to the overall health and well-being of the patient population. Key Responsibilities • Responsible for the day-to-day operation of the medication delivery system and assures that the integrity of all medications is maintained and is properly stored., • Responsible for participating in quality assurance activities regarding medications to maintain quality patient care and cost-effective medication management., • Responsible for the records and reports related to the purchase, receipt and disposition of drugs and related supplies., • Responsible for the delivery of pharmaceutical care including patient centered, outcomes-orientated pharmacy practice., • Work in concert with the patient and other healthcare providers to promote health; prevent disease; and assess, monitor, initiate and modify medication use to ensure that drug therapy regimens are safe and effective., • Dispense formulary medications. Basic Requirements/Certifications: • Current and unrestricted license to practice pharmacy in a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States., • American Heart Association (AHA) Basic Life Support (BLS)., • Trained in Basic First Aid., • Employees shall have at least one year of general experience that demonstrates the following:, • The ability to greet and deal tactfully with the public., • Capability of understanding and applying written and verbal orders, rules, and regulations. All personnel shall be literate and be able to interpret printed rules and regulations, detailed written orders, training instructions and materials, and must be able to compose reports., • Good judgment, courage, alertness, an even temperament, and render satisfactory performance through knowledge of his/her position responsibilities., • A doctoral degree in Pharmacy that is recognized by the Accreditation Council for Pharmacy Education (ACPE) or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. OR, • This position is considered hazardous duty., • Required to walk unaided at a normal pace for up to 5 minutes and maintain balance., • Required to jog/fast walk up to ¼ mile., • Requires physical exertion such as lifting objects greater than 30 pounds., • Required to perform CPR/emergency care standing or kneeling., • Must have the ability to assist sick, injured, or aging patients or staff exiting the building (may require lifting, dragging, wheeling, or carrying someone who weighs significantly more than self)., • Must be able to see, hear and smell with aids if necessary., • Must be able to lift, push, or carry 30 pounds., • Must perform the duties of my job in a stressful and often austere environment without physical limitations., • Sitting and/or standing for extended periods of time., • Average manual dexterity for computer operation., • Minimum of 21 years of age., • Must maintain current/physical residency in the continental U.S., • Pass a medical examination conducted by a licensed physician within 30 days prior to initial assignment., • Be a U.S. citizen or a person lawfully admitted into the U.S. for permanent residence., • Have resided in the U.S. for the last five years (unless abroad on official U.S. government duty)., • Successfully engage in and complete a thorough Background Investigation., • Poses or have ability to obtain required security clearances., • Proficiency in Spanish is preferred. Additional Information Pay range is based on several factors and may vary in addition to a full range of medical, financial, and/or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data. Compensation: Min: $51/hr Max: $59/hr Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International Health and Medical Services complies with all federal, state, and local minimum wage laws International Health and Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws.

Job Description At Build-A-Bear we believe in the power of imagination, creativity, and memorable experiences. Our mission is to add a little more heart to life by creating unique experiences, lasting connections, and beloved memories that create lasting emotional connections. We are a multi-channel, site-based experience and entertainment company, with diversified categories and consumer segments. We are seeking a strategic and inspirational Recruiter to join our dynamic team. As a professional Recruiter, you'll be at the heart of connecting top talent with the right opportunities. You will take the lead in sourcing, screening, scheduling, and hiring candidates - building high-performing teams while ensuring a seamless hiring experience. Your expertise will directly shape our success by bringing in the right people for the right roles. Responsibilities: • Source candidates, • Screen resumes and applications, • Prescreen candidates, • Coordinate interviews, • Own the candidate experience, • Ensure compliance, • Pre-employment testing, • Maintain recruitment metrics, • Promote the Build-A-Bear brand, • Ensure compliance with employment law and company policies, • Support all phases of the recruitment strategy and process, • Negotiate job offers, • Identify internal candidates, • Participate in job fairs and hiring events that are aligned with staffing needs, • Manages ATS; ensures all open positions are posted and follows up in closing when a candidate is hired Required Qualifications: • 3+ years of recruiting experience, • Bachelor's Degree in Human Resources, • Strong ability to make connections and put others at ease quickly, • Driven to achieve outstanding results, • Enjoys meeting and interacting with new people, • Displays strong initiative and self-direction, • Maintains a positive outlook when encountering challenging circumstances, • Able to remain calm under pressure, • Recommends opportunities for improvement, • Self-disciplined approach to getting things done, • Typical office environment with climate control and sufficient lighting, ergonomic desk/chairs, • Time management, • Communication, • Volume of qualified candidates, • Number of passive candidates, • Time to fill, • Use of tools, processes, and systems, • Consistent quality interactions with candidates and employees, • Stakeholder feedback