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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! Bonuses up to $30,000! Schedule: Weekend Program Days, 7 am- 7 pm Benefits: Competitive, affordable health insurance including but not limited to: * Benefits are effective 31 days from date of hire. * Wellness Programs * Retirement savings program * Professional development and continuing education opportunities * PTO accrual begins day one * Employee assistance programs (EAP) *Please note, benefits and eligibility can vary by position, exclusions may apply. #CoreHire 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: 1080000037 Prog - 7N Scheduled Weekly Hours:36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

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: Weekend Shift (United States of America) Job Type: Employee Department: 1015000037 Med Surg -Bordley 7N Scheduled Weekly Hours: 36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

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: Weekend Shift (United States of America) Job Type: Employee Department: 1030000037 Med Surg - 6N Scheduled Weekly Hours: 36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Hours: 7 am - 7 pm, Weekend Program Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Bonuses up to $30,000! Schedule: Benefits: Competitive, affordable health insurance including but not limited to: * Benefits are effective 31 days from date of hire. * Wellness Programs * Retirement savings program * Professional development and continuing education opportunities * PTO accrual begins day one * Employee assistance programs (EAP) *Please note, benefits and eligibility can vary by position, exclusions may apply. #CoreHire 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: 1030000037 Med Surg - 6N Scheduled Weekly Hours:36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

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: Weekend Shift (United States of America) Job Type: Employee Department: 1001000037 Prog - 6S Scheduled Weekly Hours: 36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

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: Weekend Shift (United States of America) Job Type: Employee Department: 1040000037 Med Surg - 8S Scheduled Weekly Hours: 36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

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: 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. ___

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: Weekend Shift (United States of America) Job Type: Employee Department: 1010000037 Prog - 5N 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. ___

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: Weekend Shift (United States of America) Job Type: Employee Department: 1010000037 Prog - 5N 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. ___

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: Weekend Shift (United States of America) Job Type: Employee Department: 1040000037 Med Surg - 8S Scheduled Weekly Hours: 36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

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: 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. ___

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: Weekend 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. ___

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! Bonuses up to $30,000! Schedule: Weekend Program Nights , 7pm - 7 am Benefits: Competitive, affordable health insurance including but not limited to: * Benefits are effective 31 days from date of hire. * Wellness Programs * Retirement savings program * Professional development and continuing education opportunities * PTO accrual begins day one * Employee assistance programs (EAP) *Please note, benefits and eligibility can vary by position, exclusions may apply. #CoreHire Job Summary: The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1. Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op/post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2. Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone/verbal orders. L) Takes telephone/verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4. Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals., 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis., 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation., 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments., 2. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan., 3. Implement pain management techniques. Focus on prevention rather than treatment., 4. Include patient and/or family members in developing a pain management plan., 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6. Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent, 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role, 3. Reviews Hospital/Nursing publications, 4. Keeps up to date with policies and procedures, 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands 1. Responds positively to change, 2. Provides assistance and support to peers, co-workers and other team members 3.Adapts positively to changes in unplanned work load and job demands 7. Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8. Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/families/employees in accordance to hospital standards. 1. Maintains clutter free environment., 2. Follows hand hygiene procedures., 3. Utilizes Safe Patient Handling techniques and equipment., 4. Keeps personal conversations/background noise to a minimum., 5. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications, 2. Maintain up to date BLS and HI, 3. Annual TB Screening and Influenza vaccination, 4. Annual Ethics Training (Initial Ethics, if new employee), 5. Annual Safety Training, 6. Required Information Security course, 7. Required Abuse & Neglect course, 8. Annual Blood Borne Pathogens training (if required), 9. Coursework as assigned for .edu, 10. Annual competency, 11. Age/Population specific competency (if applicable), 12. orientation competency (if new hire), 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9. Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service., 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3.Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient/family concerns and addresses needs., 2. Explains procedures and all education in a manner that staff/patient/family understand., 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate handoff reports., 2. Provides quality care in accordance to standards., 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely., 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10. Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans., 2. Leads a performance improvement team when requested, 3. Contributes to data collection, 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11. Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12. Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director _____________________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: • Isolating per policy, • Consistently adhering to proper infection control practices and I will educate patients and visitors of the same., • Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures., • Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc., • Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy., • Vaccinate per policy., • Notify my supervisor if I see anyone or anything that puts my patient at risk., • Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. Achieve Excellence in Nursing Practice By: • Contributing in a positive way to the functioning of the patient care team., • Taking an active role in practice development through participation in unit based and hospital committees., • Ensuring that documentation of patient care is consistently thorough and legible., • Rounding with a purpose on each patient., • Modeling practice excellence to new employees., • Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. Own and Respect My Environment By: • Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.)., • Maintaining a neat , clean and organized work environment., • Keeping the nursing station, bathroom, and break room neat and clean., • Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return., • If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it., • Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) • Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health., • Demonstrate my respect to my colleagues and co-condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs., • Come to work with a positive attitude., • Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary., • Be part of the solution not part of the problem., • Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch)., • Follow up on patient concerns every time to the appropriate person., • Respond promptly to patient requests., • Always refer to physicians as Dr. ____., • Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non-vernal means that I am here to help. (Service) Expectations (So I will . . .) • Introduce myself to all my patients and family members., • Take time to tell them what to expect and keep them informed., • Answer lights promptly to meet a patient's needs and prevent patient falls., • Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures., • Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family., • Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1080000037 Prog - 7N Scheduled Weekly Hours:36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

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: Weekend 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. ___

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! Bonuses up to $30,000! Schedule: Weekend program, 7 pm - 7 am Benefits: Competitive, affordable health insurance including but not limited to: * Benefits are effective 31 days from date of hire. * Wellness Programs * Retirement savings program * Professional development and continuing education opportunities * PTO accrual begins day one * Employee assistance programs (EAP) *Please note, benefits and eligibility can vary by position, exclusions may apply. #CoreHire 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: Job Description 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: 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. ___

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 Night shifts available Schedule Time Options: Nights Benefits: Competitive, affordable health insurance including but not limited to: • Getting paid every day!, • Access up to $5,250 in tuition coverage per year, • Paid maternity & paternity coverage, • Adoption assistance, • Various competitive health insurance options & wellness plans, • Retirement benefits including employer matching plans, • Long & short-term disability, • Employee assistance programs (EAP) *Please note, benefits and eligibility can vary by position, exclusions may apply. #CoreHire Job Summary: The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1. Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op/post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2. Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone/verbal orders. L) Takes telephone/verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4. Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals., 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis., 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation., 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments., 2. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan., 3. Implement pain management techniques. Focus on prevention rather than treatment., 4. Include patient and/or family members in developing a pain management plan., 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6. Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent, 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role, 3. Reviews Hospital/Nursing publications, 4. Keeps up to date with policies and procedures, 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands 1. Responds positively to change, 2. Provides assistance and support to peers, co-workers and other team members 3.Adapts positively to changes in unplanned work load and job demands 7. Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8. Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/families/employees in accordance to hospital standards. 1. Maintains clutter free environment., 2. Follows hand hygiene procedures., 3. Utilizes Safe Patient Handling techniques and equipment., 4. Keeps personal conversations/background noise to a minimum., 5. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications, 2. Maintain up to date BLS and HI, 3. Annual TB Screening and Influenza vaccination, 4. Annual Ethics Training (Initial Ethics, if new employee), 5. Annual Safety Training, 6. Required Information Security course, 7. Required Abuse & Neglect course, 8. Annual Blood Borne Pathogens training (if required), 9. Coursework as assigned for .edu, 10. Annual competency, 11. Age/Population specific competency (if applicable), 12. orientation competency (if new hire), 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9. Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service., 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3.Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient/family concerns and addresses needs., 2. Explains procedures and all education in a manner that staff/patient/family understand., 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate handoff reports., 2. Provides quality care in accordance to standards., 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely., 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10. Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans., 2. Leads a performance improvement team when requested, 3. Contributes to data collection, 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11. Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12. Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director _____________________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: • Isolating per policy, • Consistently adhering to proper infection control practices and I will educate patients and visitors of the same., • Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures., • Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc., • Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy., • Vaccinate per policy., • Notify my supervisor if I see anyone or anything that puts my patient at risk., • Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. Achieve Excellence in Nursing Practice By: • Contributing in a positive way to the functioning of the patient care team., • Taking an active role in practice development through participation in unit based and hospital committees., • Ensuring that documentation of patient care is consistently thorough and legible., • Rounding with a purpose on each patient., • Modeling practice excellence to new employees., • Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. Own and Respect My Environment By: • Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.)., • Maintaining a neat , clean and organized work environment., • Keeping the nursing station, bathroom, and break room neat and clean., • Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return., • If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it., • Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) • Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health., • Demonstrate my respect to my colleagues and co-condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs., • Come to work with a positive attitude., • Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary., • Be part of the solution not part of the problem., • Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch)., • Follow up on patient concerns every time to the appropriate person., • Respond promptly to patient requests., • Always refer to physicians as Dr. ____., • Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non-vernal means that I am here to help. (Service) Expectations (So I will . . .) • Introduce myself to all my patients and family members., • Take time to tell them what to expect and keep them informed., • Answer lights promptly to meet a patient's needs and prevent patient falls., • Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures., • Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family., • Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: 4403000037 Surgery Scheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

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: Weekend Shift (United States of America) Job Type: Employee Department: 1070000037 Med Surg -Bordley 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. ___

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! Bonuses up to $30,000! Schedule: weekend program nights, 7pm- 7 am Benefits: Competitive, affordable health insurance including but not limited to: * Benefits are effective 31 days from date of hire. * Wellness Programs * Retirement savings program * Professional development and continuing education opportunities * PTO accrual begins day one * Employee assistance programs (EAP) *Please note, benefits and eligibility can vary by position, exclusions may apply. #CoreHire 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. ___

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! Bonuses up to $30,000! Schedule: 7 am - 7 pm, weekend option Benefits: Competitive, affordable health insurance including but not limited to: * Benefits are effective 31 days from date of hire. * Wellness Programs * Retirement savings program * Professional development and continuing education opportunities * PTO accrual begins day one * Employee assistance programs (EAP) *Please note, benefits and eligibility can vary by position, exclusions may apply. #CoreHire 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: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. ___

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital Worker Type: Regular Job Highlights: Sign-on Bonus: Please speak with your recruiter about sign on bonus eligibility! Schedule Options: Full Time, Part Time, Weekend Option & PRN available Schedule Time Options: 7a-7p, 7p-7a, Variable Benefits: Competitive, affordable health insurance including but not limited to: • Getting paid every day!, • Access up to $5,250 in tuition coverage per year, • Paid maternity & paternity coverage, • Adoption assistance, • Various competitive health insurance options & wellness plans, • Retirement benefits including employer matching plans, • Long & short-term disability, • Employee assistance programs (EAP) *Please note, benefits and eligibility can vary by position, exclusions may apply. Job Summary: The Registered Nurse (RN), Medical Surgical Float Pool is a professional practitioner who assesses manages, directs, and provides nursing care activities during the patient’s hospital stay and coordinates care planning with other disciplines utilizing a patient/customer driven approach in a variety of Medical Surgical units. Must be highly energetic, flexible and motivated to support the success of Saint Louis University Hospital. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 1. Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op / post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and /or diagnosis, response to care, procedures, etc., and standards of care. 2. Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A) Identifies short and long term goals based on patient care needs. B) Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation. 3. Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports i.e. Bedside shift report, ticket to ride, SBAR, daily huddles, Patient Care Conferences, etc. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids, blood, blood products and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application., 2. Applies restraints consistent with the approved procedure., 3. Monitors and assesses patient’s response throughout the restraint period at the appropriate intervals., 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis., 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation., 6. Documents restraint use and associated care thoroughly. H) Provides patient/family education and discharge planning per documentation guidelines and protocol. I) Pain Management 1. Assess patient for presence of pain on admission and during Assessments/reassessments., 2. Incorporates patient’s cultural/spiritual beliefs regarding pain into pain management plan., 3. Implement pain management techniques. Focus on prevention rather than treatment., 4. Include patient and/or family members in developing a pain management plan., 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. J) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. K) Clarifies all physician orders as warranted. L) Transcribes and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. M) Assists physician with procedures/ treatments as requested or delegates to Care Partner as appropriate. N) Documents “Read back” for all telephone/verbal orders. O) Takes telephone/verbal orders only in emergency situations. P) Recognizes changes in patient’s condition and takes appropriate nursing actions. Q) Uses Chain of Command when indicated. R) Involves the family/guardian when providing care and in decision-making as appropriate. S) Recognizes risks for patient and takes appropriate action. T) Completes and or incorporates use of Infection Control Bundles in daily care. U) Implements and or works with Care Partner to assure that all interventions related to Fall and Skin Injury Prevention are in place. 1. Completes Fall and Skin Audits when indicated. 4. Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient’s response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient / family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care / treatment following the occurrence reporting policy and procedures. 5. Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application., 2. Applies restraints consistent with the approved procedure., 3. Monitors and assesses patient’s response throughout the restraint period at the appropriate intervals., 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis., 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation., 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments. 2/16/09, 2. Incorporates patient’s cultural/spiritual beliefs regarding pain into pain management plan., 3. Implement pain management techniques. Focus on prevention rather than treatment., 4. Include patient and/or family members in developing a pain management plan., 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6. Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent., 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role., 3. Reviews Hospital / Nursing publications., 4. Keeps up to date with policies and procedures., 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands. 1. Responds positively to change., 2. Provides assistance and support to peers, co-workers and other team members., 3. Adapts positively to changes in unplanned work load and job demands. 7. Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8. Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/families/employees in accordance to hospital standards. 1. Maintains clutter free environment., 2. Keeps personal conversations/background noise to a minimum., 3. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications, 2. Maintain up to date BLS, 3. Annual TB Screening and Influenza vaccination, 4. Annual Ethics Training (Initial Ethics, if new employee), 5. Annual Safety Training, 6. Required Information Security course, 7. Required Abuse & Neglect course, 8. Annual Blood Borne Pathogens training (if required), 9. Coursework as assigned for .Edu, 10. Annual competency, 11. Age/Population specific competency (if applicable), 12. Orientation competency (if new hire), 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9. Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous, and respectful manner. Criteria A) Demonstrates care and courtesy. 1. Provides prompt, respectful, courteous service., 2. Meets physical, spiritual, psychological and emotional needs of patients and families., 3. Works with other members of the health care team to see that call lights are answered promptly., 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality. 1. Listens to staff/patient / family concerns and addresses needs., 2. Explains procedures and all education in a manner that staff/patient/family understand., 3. Allows time for questions. C) Demonstrates competence and collaboration. 1. Provides accurate handoff reports., 2. Provides quality care in accordance to standards. 2/16/09, 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services. 1. Uses resources wisely., 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the “Principles and Commitments” of the hospital AIDET and “One Mission, One Spirit”. 10. Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans., 2. Leads a performance improvement team when requested., 3. Contributes to data collection., 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews. H) Contributes to the maintenance/improvement of all nursing quality indicators. 11. Age Appropriate Care: Provides age-appropriate care to: ____Infant ___Child ____Adolescent _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth and development necessary to provide services to the age of the patient served by the department. B) Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E) Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12. Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. 2/16/09 E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .Edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director _____________________ Administration________________________________________Date_____________ Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: • Isolating per policy, • Consistently adhering to proper infection control practices and I will educate patients and visitors of the same., • Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures., • Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc., • Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy., • Vaccinate per policy., • Notify my supervisor if I see anyone or anything that puts my patient at risk., • Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. Achieve Excellence in Nursing Practice By: • Contributing in a positive way to the functioning of the patient care team., • Taking an active role in practice development through participation in unit based and hospital committees., • Ensuring that documentation of patient care is consistently thorough and legible., • Rounding with a purpose on each patient., • Modeling practice excellence to new employees., • Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. Own and Respect My Environment By: • Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.)., • Maintaining a neat , clean and organized work environment., • Keeping the nursing station, bathroom, and break room neat and clean., • Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return., • If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it., • Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) • Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health., • Demonstrate my respect to my colleagues and co-condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs., • Come to work with a positive attitude., • Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary., • Be part of the solution not part of the problem., • Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch)., • Follow up on patient concerns every time to the appropriate person., • Respond promptly to patient requests., • Always refer to physicians as Dr. ____., • Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non-vernal means that I am here to help. (Service) Expectations (So I will . . .) • Introduce myself to all my patients and family members., • Take time to tell them what to expect and keep them informed., • Answer lights promptly to meet a patient's needs and prevent patient falls., • Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures., • Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family., • Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Night Shift (United States of America) Job Type: Employee Department: Scheduled Weekly Hours:36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: The clinic hours are Monday – Friday 8:00 am - 4:30 pm. No weekend hours and closed on most holidays. The Ortho Clinic RNs support SSM Med Group Orthopaedic Surgery department. We see surgical follow up, ED f.u, hospital discharge, as well as general ortho. The RNs support the providers in direct patient care during clinic visit, manage patient communication, and complete paper as needed. Job Summary: The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA Essential Functions: The following are essential job accountabilities and performance criteria: 1. Performs comprehensive nursing assessment/reassessment. Criteria A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate. B) Accurately and completely documents findings. C) Performs assessment of post-op/post-invasive procedure patients. D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization. E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care. 2. Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant. Criteria A)Identifies short and long term goals based on patient care needs. B)Formulates nursing interventions to achieve desired patient outcome. C) Incorporates disease specific evidenced based practice into nursing care plan and other documentation 3)Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status. Criteria A) Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients. B) Provides, coordinates and communicates patient care, including accurate Handoff Communication Reports. C) Administers and documents medications accurately according to policies and procedures. D) Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures. E) Completes referrals as indicated by assessment data. F) Requests consultation for special needs, equipment, or information for patient and/or family. G) Provides patient/family education and discharge planning per documentation guidelines and protocol. H) Clarifies all physician orders as warranted. I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record. J) Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate. K) Documents "Readback" for all telephone/verbal orders. L) Takes telephone/verbal orders only in emergency situations. M) Recognizes changes in patient's condition and takes appropriate nursing actions. N) Involves the family/guardian when providing care and in decision-making as appropriate. O) Recognizes risks for patient and takes appropriate action. P) Incorporates use of Infection Control practices in daily care. 4. Documents and or communicates nursing care and or changes in patient condition. Criteria A) Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures. B) Evaluates and documents effectiveness of patient/family education. C) Evaluates plan of care and modifies as indicated in "A" above. D) Recognizes significant changes in patient's clinical parameters and reports immediately to physician and others as indicated. E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. F) Reports variation from care/treatment following the occurrence reporting policy and procedures. 5)Specialized Care: Provides specialized care to patients at high risk for injury. Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application 2.Applies restraints consistent with the approved procedure. 3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals., 4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis., 5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation., 6. Documents restraint use and associated care thoroughly. B) Pain Management 1. Assess patient for presence of pain on admission and during assessments/reassessments., 2. Incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan., 3. Implement pain management techniques. Focus on prevention rather than treatment., 4. Include patient and/or family members in developing a pain management plan., 5. Consider other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy. C) Abuse Assessment 1. Is aware of abuse recognition criteria and incorporates it into assessments., 2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work., 3. Takes appropriate action to support patient safety when signs of abuse are noted. 6. Demonstrates accountability for own professional practice. Criteria A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care. 1. Participates in learning experiences that increases professional competence. B) Demonstrates appropriate technical and cognitive skills for area of practice. C) Maintains currency in all hospital/unit information, communication, policies and procedures. 1. Attends staff meetings/reviews minutes when absent, 2. Participates in Committee(s), Shared Governance, Work Team(s), in a leadership and or in membership role, 3. Reviews Hospital/Nursing publications, 4. Keeps up to date with policies and procedures, 5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback. D) Demonstrates ability to change and adapt to changing work demands 1. Responds positively to change, 2. Provides assistance and support to peers, co-workers and other team members 3.Adapts positively to changes in unplanned work load and job demands 7. Ability to relate to coworkers in a professional and appropriate manner. Criteria A) Orients and/or precepts new employees when required. B) Participates in and maintains a collaborative team approach toward work. C) Functions as a resource person to co-workers, patients/families, medical staff and other members of the health care team. D) Effectively assumes and delegates care and other activities to the appropriate team member. E) Redirects clinical staff when the medical plan of care is altered. F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner. G) Responsible for the supervision and teaching of students/new staff nurses. 8. Safety/Infection Control: Performs job in accordance with safety and infection control policies. Criteria A) Practices standard precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable, and therapeutic environment for patients/families/employees in accordance to hospital standards. 1. Maintains clutter free environment., 2. Follows hand hygiene procedures., 3. Utilizes Safe Patient Handling techniques and equipment., 4. Keeps personal conversations/background noise to a minimum., 5. Adheres to dress code. C) Reports risk management concerns using eSRM. D) Assumes responsibility for completing all annual mandatory requirements: 1. Maintains current license and certifications, 2. Maintain up to date BLS and HI, 3. Annual TB Screening and Influenza vaccination, 4. Annual Ethics Training (Initial Ethics, if new employee), 5. Annual Safety Training, 6. Required Information Security course, 7. Required Abuse & Neglect course, 8. Annual Blood Borne Pathogens training (if required), 9. Coursework as assigned for .edu, 10. Annual competency, 11. Age/Population specific competency (if applicable), 12. orientation competency (if new hire), 13. Service Specific E) Reports variations from care/treatment following the occurrence reporting policy and procedure. 9. Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. Criteria A)Demonstrates care and courtesy 1. Provides prompt, respectful, courteous service., 2. Meets physical, spiritual, psychological and emotional needs of patients and families. 3.Works with other members of the health care team to see that call lights are answered promptly. 4. Apologizes for mix-up and delay. B) Communicates effectively and maintains confidentiality 1. Listens to staff/patient/family concerns and addresses needs., 2. Explains procedures and all education in a manner that staff/patient/family understand., 3. Allows time for questions. C) Demonstrates competence and collaboration 1. Provides accurate handoff reports., 2. Provides quality care in accordance to standards., 3. Shares knowledge with other departments to facilitate work flow and continuity. D) Provides cost effect services 1. Uses resources wisely., 2. Recommends changes in practice that increases efficiency and minimizes waste. E) Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit". 10. Incorporates Performance Improvement and Evidenced Based Practice into individual professional practice. Criteria A) Assist in developing and implementing nursing unit goals. B) Remains current with evidenced based practice initiatives. C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution. D) Participates in the performance/process improvement process. 1. Assists in developing unit based Performance Improvement and action plans., 2. Leads a performance improvement team when requested, 3. Contributes to data collection, 4. Participates in evaluation of Performance Improvement results. E) Participates in nursing research activities. F) Participates in Departmental and Hospital Performance Improvement activities when warranted. G) Participates in occurrence reviews H) Contributes to the maintenance/improvement of all nursing quality indicators. 11. Age Appropriate Care: Provides age-appropriate care to: _____Adult _____Geriatric Criteria A) Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department. B)Demonstrates ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific responses to service and interaction. D) Involves family or significant other in decision making related to services provided. E)Demonstrates ability to provide service needed for the age groups routinely served by the department assigned. 12. Cost Effective Services Criteria A) Uses resources efficiently. B) Recommends change in practice that increase efficiency and minimize waste. C) Documents chargeable supplies and equipment used to provide care. D) Prioritizes responsibilities and completes work on time. E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements. DISCLAIMER: Performs other related duties as assigned or requested. Job Specifications MINIMUM EDUCATION: Licensed to work as an RN in the state of Missouri WORKING CONDITIONS: May be exposed to the risk of blood borne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours. PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching. Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Department Director _____________________ Administration________________________________________Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center. Practice Agreement For Nursing Staff Please read the below standards and expectations. Standard (I understand that . . .) Our patients deserve care that sets the standard for excellence and meets the needs of each and every patient whose care is our primary purpose and mission. (Quality) Expectations (So I will . . .) Achieve Excellence in Infection Control By: • Isolating per policy, • Consistently adhering to proper infection control practices and I will educate patients and visitors of the same., • Taking responsibility to read, learn, follow, enforce and remain up to date on Saint Louis University Hospital policies and procedures., • Practicing excellent hand washing technique - Wash or gel my hands when going into and coming out of patient rooms and between glove use, especial when it relates to dressing changes, suctioning, etc., • Change dressings when they need to be changed now rather than later and maintain all invasive lines as directed by policy., • Vaccinate per policy., • Notify my supervisor if I see anyone or anything that puts my patient at risk., • Utilizing safe practices during crisis situations (i.e. codes) and transport to other departments, e.g. masks, 02 tanks. Achieve Excellence in Nursing Practice By: • Contributing in a positive way to the functioning of the patient care team., • Taking an active role in practice development through participation in unit based and hospital committees., • Ensuring that documentation of patient care is consistently thorough and legible., • Rounding with a purpose on each patient., • Modeling practice excellence to new employees., • Ensuring that licensure, certifications, and other mandatory requirements are completed within assigned deadlines. Own and Respect My Environment By: • Maintaining proper care of and treat all equipment with respect (clean up after using the microwave, not hit the walls with beds etc.)., • Maintaining a neat , clean and organized work environment., • Keeping the nursing station, bathroom, and break room neat and clean., • Leaving my patent's room in good order, with supplies in place, and ready for the next shift and my work area in the same condition as I would like to see when I return., • If I see something out of order I will pick it up, fix it, or call to have it repaired. I will not assume that someone else will do it., • Giving hand-off report to another nurse before I leave the unit with another patient or for any other errand. Standard (I understand that . . .) Treating my colleagues, our patients, visitors, and business partners with respect and dignity is necessary to create an environment where excellence in caring and nursing practice can thrive. (People) Expectations (So I will . . .) • Show empathy to every patient and communicate my commitment to assist in their comfort, safety, and restoration to health., • Demonstrate my respect to my colleagues and co-condition and concerns, mentoring new employees, resolving conflicts constructively, and proactively scheduling shifts to meet unit needs., • Come to work with a positive attitude., • Offer constructive criticism to co-workers when addressing concerns, praising in public and criticizing in private when necessary., • Be part of the solution not part of the problem., • Not complain to or complain in front of my patients/families and staff (i.e. too busy or short staffed, no lunch)., • Follow up on patient concerns every time to the appropriate person., • Respond promptly to patient requests., • Always refer to physicians as Dr. ____., • Make sure that my patients are checked at least every ___ 1 hour ___ 30 minutes ___ 15 minutes per clinical standard and as appropriate. Standard (I understand that . . ) Patients and their families are scared and vulnerable. It is my responsibility to communicate through verbal and non-vernal means that I am here to help. (Service) Expectations (So I will . . .) • Introduce myself to all my patients and family members., • Take time to tell them what to expect and keep them informed., • Answer lights promptly to meet a patient's needs and prevent patient falls., • Respect the patient's privacy and modesty - close curtains, cover patient, reduce traffic in patient's room during procedures., • Explain all procedures, test, medications and monitoring equipment, etc to each patient and discuss plan of care for the day/shift with patient and family., • Be compassionate and empathetic to their concerns at all times. Work in a constant state of alertness and safe manner. The intent of this agreement is not to provide a complete list of job responsibilities. Its intent rather is to be a positive statement of concrete actions which will ensure that nursing practice at Saint Louis University Hospital sets the benchmark for excellence in service, quality, and people. As a member of the nursing staff at Saint Louis University Hospital, I understand that on behalf of my hospital, our patients and my co-workers I will conduct myself according to this agreement at all times. Staff Signature __________________________________________ Print Name ___________________________________________ Date _______________ Manager Signature _________________________________________ Print Name _________________________________________ Date ______________ 2/16/09 REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) - Missouri Division of Professional Registration, • Or, • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Registered Nurse (RN) Issued by Compact State, • Or, • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 2065000037 Ortho Clinic CSM Scheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

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: Interventional Lab · Sign On Bonus*: $ 20,000 with 1 years’ experience ($15,000 with less than 1 year) Paid in full on 1st pay check!* · Schedule: full time days · Pay Range starts at: $35.81/hour Daily pay available! · Shift Differentials: Available for night, weekend, and additional shifts · Location: MO-SSM Health Saint Louis University Hospital 1201 Grand Requirements: Completion of Radiology program and ARRT-R credential as well as at least 2 years of experience in the Interventional Lab. Relocation assistance is available for those who qualify. * • Qualified external candidates only Fulfill your calling and be a part of the SSM Team. Apply Today! Job Summary: Collects and analyzes data to ensure the department functions according to defined practice standards and regulatory requirements for an assigned modality. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES • In collaboration of Imaging Leaders, maintain and monitor staffing and workload requirements with respect to changing priorities in daily operations. Ensure adequate staffing patterns per shift., • Coordinate staff orientation to new equipment and procedures; maintain in-service education records; prepare, schedule, locate, and publicize in-service education activities., • Maintain sub-optimal imaging report including follow-up and review with the technologist. Monitor trends and instruct or retrain technologist in problem areas., • Perform assessment, planning, implementation, evaluation and modification of clinical education in radiology modalities., • Perform Imaging and procedures in assigned modality. Cover all aspects of patient care per assigned modality., • Consult with physician leader around procedures done in assigned imaging modality., • Follows radiation safety procedures and guidelines., • Maintain all supply levels in the Imaging Department. Order, maintain, and distribute the supplies to help regulate costs in the department., • Develops and maintains processes that support continued accreditation., • Works in a constant state of alertness and safe manner., • Performs other duties as assigned. EDUCATION • Associate's degree EXPERIENCE • Two years' experience PHYSICAL REQUIREMENTS • Constant standing and walking., • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more)., • Frequent use of hearing and speech to share information through oral communication., • Frequent use of hearing to distinguish body sounds and/or hear alarms, malfunctioning machinery, etc., • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs., • Frequent lifting/moving of patients., • Frequent reaching, gripping and keyboard use/data entry., • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs., • Occasional use of vision to identify and distinguish colors., • Occasional bending, stooping, squatting, twisting and repetitive foot/leg and hand/arm movements., • Rare kneeling and sitting. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Radiologic Technologists - Illinois Emergency Management Agency (IEMA), • Or, • Radiologic Technologists – Temporary Accreditation - Illinois Emergency Management Agency (IEMA), • And, • ARRT-N Nuclear Medicine Technologist - American Registry of Radiologic Technologists (ARRT), • Or, • ARRT-R Radiography - American Registry of Radiologic Technologists (ARRT), • Or, • Certified Nuclear Medicine Technologist (CNMT) - Nuclear Medicine Technology Certification Board (NMTCB), • Or, • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • American Registry of Magnetic Resonance Imaging Technologist (ARMRIT) - American Registry of Magnetic Resonance Imaging Technologists (ARMRIT), • Or, • ARRT-CT Computed Tomography - American Registry of Radiologic Technologists (ARRT), • Or, • ARRT-M Mammography - American Registry of Radiologic Technologists (ARRT), • Or, • ARRT-MR Magnetic Resonance Imaging - American Registry of Radiologic Technologists (ARRT), • Or, • ARRT-T Radiation Therapy - American Registry of Radiologic Technologists (ARRT), • Or, • Computed Tomography (CT) Credential - Nuclear Medicine Technology Certification Board (NMTCB), • Or, • Registered Cardiac Sonographer (RCS) - Cardiovascular Credentialing International (CCI), • Or, • Registered Congenital Cardiac Sonographer (RCCS) - Cardiovascular Credentialing International (CCI), • Or, • Registered Diagnostic Cardiac Sonographer (RDCS) with Adult Echocardiography (AE) Specialty - American Registry for Diagnostic Medical Sonography (ARDMS), • Or, • Registered Diagnostic Cardiac Sonographer (RDCS) with Pediatric Echocardiography (PE) Specialty - American Registry for Diagnostic Medical Sonography (ARDMS), • Or, • Registered Diagnostic Medical Sonographer (RDMS) with Abdomen (AB) Specialty - American Registry for Diagnostic Medical Sonography (ARDMS), • Or, • Registered Diagnostic Medical Sonographer (RDMS) with Obstetrics and Gynecology (OB/GYN) Specialty - American Registry for Diagnostic Medical Sonography (ARDMS), • Or, • Registered Vascular Specialist (RVS) - Cardiovascular Credentialing International (CCI), • Or, • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • American Registry of Magnetic Resonance Imaging Technologist (ARMRIT) - American Registry of Magnetic Resonance Imaging Technologists (ARMRIT), • Or, • ARRT-CT Computed Tomography - American Registry of Radiologic Technologists (ARRT), • Or, • ARRT-M Mammography - American Registry of Radiologic Technologists (ARRT), • Or, • ARRT-MR Magnetic Resonance Imaging - American Registry of Radiologic Technologists (ARRT), • Or, • ARRT-N Nuclear Medicine Technologist - American Registry of Radiologic Technologists (ARRT), • Or, • ARRT-R Radiography - American Registry of Radiologic Technologists (ARRT), • Or, • ARRT-T Radiation Therapy - American Registry of Radiologic Technologists (ARRT), • Or, • Certified Nuclear Medicine Technologist (CNMT) - Nuclear Medicine Technology Certification Board (NMTCB), • Or, • Computed Tomography (CT) Credential - Nuclear Medicine Technology Certification Board (NMTCB), • Or, • Registered Cardiac Sonographer (RCS) - Cardiovascular Credentialing International (CCI), • Or, • Registered Congenital Cardiac Sonographer (RCCS) - Cardiovascular Credentialing International (CCI), • Or, • Registered Diagnostic Cardiac Sonographer (RDCS) with Adult Echocardiography (AE) Specialty - American Registry for Diagnostic Medical Sonography (ARDMS), • Or, • Registered Diagnostic Medical Sonographer (RDMS) with Abdomen (AB) Specialty - American Registry for Diagnostic Medical Sonography (ARDMS), • Or, • Registered Diagnostic Cardiac Sonographer (RDCS) with Pediatric Echocardiography (PE) Specialty - American Registry for Diagnostic Medical Sonography (ARDMS), • Or, • Registered Diagnostic Medical Sonographer (RDMS) with Obstetrics and Gynecology (OB/GYN) Specialty - American Registry for Diagnostic Medical Sonography (ARDMS), • Or, • Registered Vascular Specialist (RVS) - Cardiovascular Credentialing International (CCI), • Or, • Registered Vascular Technologist (RVT) - American Registry for Diagnostic Medical Sonography (ARDMS) State of Work Location: Wisconsin • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • American Registry of Magnetic Resonance Imaging Technologist (ARMRIT) - American Registry of Magnetic Resonance Imaging Technologists (ARMRIT), • Or, • ARRT-CT Computed Tomography - American Registry of Radiologic Technologists (ARRT), • Or, • ARRT-M Mammography - American Registry of Radiologic Technologists (ARRT), • Or, • ARRT-MR Magnetic Resonance Imaging - American Registry of Radiologic Technologists (ARRT), • Or, • ARRT-N Nuclear Medicine Technologist - American Registry of Radiologic Technologists (ARRT), • Or, • ARRT-T Radiation Therapy - American Registry of Radiologic Technologists (ARRT), • Or, • Certified Nuclear Medicine Technologist (CNMT) - Nuclear Medicine Technology Certification Board (NMTCB), • Or, • Computed Tomography (CT) Credential - Nuclear Medicine Technology Certification Board (NMTCB), • Or, • Registered Cardiac Sonographer (RCS) - Cardiovascular Credentialing International (CCI), • Or, • Registered Congenital Cardiac Sonographer (RCCS) - Cardiovascular Credentialing International (CCI), • Or, • Registered Diagnostic Cardiac Sonographer (RDCS) with Adult Echocardiography (AE) Specialty - American Registry for Diagnostic Medical Sonography (ARDMS), • Or, • Registered Diagnostic Cardiac Sonographer (RDCS) with Pediatric Echocardiography (PE) Specialty - American Registry for Diagnostic Medical Sonography (ARDMS), • Or, • Registered Diagnostic Medical Sonographer (RDMS) with Abdomen (AB) Specialty - American Registry for Diagnostic Medical Sonography (ARDMS), • Or, • Registered Diagnostic Medical Sonographer (RDMS) with Obstetrics and Gynecology (OB/GYN) Specialty - American Registry for Diagnostic Medical Sonography (ARDMS), • Or, • Registered Vascular Specialist (RVS) - Cardiovascular Credentialing International (CCI), • Or, • Registered Vascular Technologist (RVT) - American Registry for Diagnostic Medical Sonography (ARDMS), • Or, • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA), • And, • Radiographer, Licensed - Wisconsin Department of Safety and Professional Services, • And, • ARRT-R Radiography - American Registry of Radiologic Technologists (ARRT) Work Shift: Day Shift (United States of America) Job Type: Employee Department: 4203000037 Interventional Radiology Scheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

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: Neurodiagnostics MUST HAVE EEG EXPERIENCE AND/OR TRAINING · Schedule: full time · Pay Range starts at: $26.01/hour Daily pay available! · Shift Differentials: Available for night, weekend, and additional shifts · Location: MO-SSM Health Saint Louis University Hospital Requirements: 3 years’ experience in EEG required or R. EEG T. certification. 100% tuition benefit to complete your R. EEG T for full-time employees! Relocation assistance is available for those who qualify. * • Qualified external candidates only Fulfill your calling and be a part of the SSM Team. Apply Today! Job Summary: Performs neurodiagnostic testing, to include EEG, EP, MEG, TMS, Epilepsy monitoring and Electrocorticography. Assist in nerve conduction testing. Completes all necessary documentation for departmental record, patient procedures, etc. Participates and assists in education and training opportunities. 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 standard and complex EEG and evoked potential (EP) recordings according to established lab protocol, and guidelines set forth by the American Clinical Neurophysiology Society. (1, 2, 3, 4, 5, 6, 7, 8) 70% Criteria A) Performs EEG recordings, including wake and sleep, nasopharyngeal studies, bedside, electrocerebral inactivity (ECI) evaluations. B) Summarizes the patient’s neurological status and clinical history and completes the documentation needed for physician interpretation, including history sheets, labeling of tracing, etc. C) Records clinical evoked potentials in the following modalities: auditory, visual and cervical and lumbar somatosensory. Records clinical nerve conduction velocities and quantitative sensory testing. Monitors EEG during sodium amytal studies, electrocorticography, cortical mapping etc D) Performs long term epilepsy monitoring to evaluate patients with paroxysmal disturbances of cerebral function. 2. Completes patient charge forms to insure accurate and timely billing of the procedure and completes all necessary written documentation to insure smooth operation of the department. (2, 5, 6) 10% Criteria A) Enters charges daily for procedures performed with no more than 1 error per week. B) Enters required patient information into daily log books. C) Enters information into hospital and department computer equipment for other departmental functions (archiving patient data), service requisitions, etc. 3. Supports all functions, goals and objectives of the department as well as development of any new programs that involve the Neurophysiology Lab and Epilepsy Unit. (2, 4, 5, 6) 5% Criteria A) Participate in development of new diagnostic testing procedures to be performed in the department. Participates in the evaluation of new equipment for potential purchase. B) Educates residents and other medical or technical staff in the technical aspects, indications and limitations of Neurophysiology exams. C) Enhances professional growth and development through annual participation in educational programs, in-services, workshops, reading current publications on Neurophysiology testing/technology and neurological diseases, on line CME through various professional organizations & manufacturers and viewing videotaped education programs. 4. Safety/Infection Control: Practices according to safety and infection control policies. (1, 2, 3, 5, 6, 7, 8) 5% Criteria A) Practices universal precautions and disposes of hazardous wastes per established guidelines. Disinfects and cleans equipment according to manufacturer’s guidelines and standards outlined by Infection Control and department policy. 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., 4. Maintains equipment in clean & proper working condition on a daily basis. Troubleshoots & corrects technical problems as needed. Contacts Clinical Engineering or manufacturer’s service department (if under contract) when malfunctions occur. C) Reports risk management concerns. D) Assumes responsibility for completing all hospital and department annual mandatory requirements: E) Works in a constant state of alertness and safe manner. 5. Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. (1, 3, 5, 6) 3% Criteria A) Demonstrates care and courtesy to all patients, family members, hospital and medical staff. -Demonstrates an attitude of cooperation and professionalism when communicating with patients, physicians, co-workers and other personnel. Clearly communicates procedures to patients and family members to insure understanding and consent. B) Communicates effectively and maintains confidentiality as outlined in the hospital policy. -Maintains strict confidentiality in regards to all patient, employee and hospital information. C) Demonstrates competence and collaboration as outlined in the hospital policy. -Attends department meetings and other meetings as required. Annually attends in-services that support Saint Louis University Hospital mission and vision. D) Provides Cost Effective Services: -Minimizes overtime by scheduling and performing patient procedures in the most efficient manner (flex time). -Appropriately uses/handles equipment and orders supplies to minimize expenditures on repairs, replacement items and inventory. E) Attends regularly scheduled hospital and department meetings that support and explain the Mission of Saint Louis University Hospital and its operation. F) Demonstrate ability to relate to coworkers in a professional and respectful manner, in order to assure and promote a culture of safety. 6. Performance Improvement (PI): Incorporates Quality Assessment into one’s daily work. (2, 3, 5, 6) 2% Criteria A) Assists in the daily collection of data for the department’s Performance Improvement Program. (Volume indicators monthly & quality indicators are based upon department operation & requested monitoring by the procedure review committee.) B) Responsible for the monthly and quarterly data analysis for each indicator in preparation for the quarterly and annual summaries. 7. Age Appropriate Care: Provides age-appropriate care to: 2% __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. 8. Specialized Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5, 8) <1% Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application., 2. Applies restraints consistent with the approved procedure. B) Pain Management 1. Follows pain management plan of care, e.g.: repositioning, massage, immobilization, etc., 2. Reports patient complaints of pain to the nursing staff and/or physician. 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 and Risk Management, and recommends appropriate consultations (psychiatric, Social Work) for evaluation. The following job accountabilities may be reassigned. 9. Provides assistance in the day-to-day operation of the Neurophysiology Lab. (2, 6) 3% Criteria A) Retrieves previously videotaped procedures or digitally archived for viewing/printing as requested. Perform data management/archiving duties as requested. C) Assists in clerical duties as required, including telephone responsibilities, processing of reports, filing, scheduling, etc. D) Participates in preparing & performing regular safety and infection control surveys. Reports non-compliant issues to manager and if necessary, safety or infection control director, and takes steps to correct deficiencies. DISCLAIMER: Performs other related duties as assigned or requested. Rationale for Essential Functions 1. The performance of this function is the reason the job exists., 2. There are limited employees among whom the performance of this function can be distributed., 3. This function occupies a great deal of the employee’s time., 4. This function is highly specialized. Employees are hired for the skill/ability to perform this function., 5. Failure to perform this function may have serious consequences., 6. The function was performed by past employees, and is performed by current employees., 7. Exposure to blood borne pathogens that require the use of protective equipment, 8. Exposure to tuberculosis that requires the use of protective equipment Job Specifications MINIMUM EDUCATION: Graduate of an accredited school of Neurodiagnostic Technology preferred or equivalent training. Prior experience in epilepsy and intraoperative monitoring preferred. MINIMMUM EXPERIENCE: At least three years’ experience performing EEGs, NCV and EPs. Intraoperative monitoring experience helpful. If not a graduate of an accredited school of Neurodiagnostic Technology must already have R.EEG T credential. Epilepsy experience helpful but not required. REQUIRED COURSE: (licensure/certification) Registered or registry eligible by ABRET in EEG, or within 18 months of hire BLS Required Skills: (administrative/business) Compile statistics File, archive and retrieve department patient files Computer skills helpful Skills: (equipment/machine) Various Neurophysiology Lab and Epilepsy Unit equipment for diagnostic and monitoring procedures. Hospital computer system (EHR = EPIC, HPF, Meditech) Hospital telephone system Calculator Copy machine FAX machine WORKING CONDITIONS: May be exposed to infectious and contagious diseases. Regularly exposed to the risk of blood borne pathogens. Exposed to hazardous anesthetic agents, body fluids and wastes. Subject to electrical and radiant energy hazards. Occasional exposure to unpleasant patient or unit elements. 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. Occasionally subjected to irregular hours. Exposed to chemicals such as isopropyl alcohol and gel that are used in diagnostic testing procedures. Exposed to chemicals for cleaning/disinfecting of equipment using hospital approved agents. Protective Equipment: Eye shield/goggles Gown Lab Coat Mask Non-sterile medical gloves Sterile medical gloves PHYSICAL REQUIREMENTS: Lifts, positions, pushes and/or transfers patients (can exceed 350 lbs on rare occasions) Periodic heavy physical effort (lift/carry up to 50 lbs). Prolonged, extensive or considerable standing/walking/sitting required. Pushes/pulls or moves/lifts heavy equipment/supplies (up to 400 lbs) Manual dexterity, mobility and fine motor skills required. Intermittent exertion when performing studies. Considerable reaching, stooping, bending, kneeling and crouching required in performing job duties. VISION REQUIREMENTS: Be able to adjust vision for varying degrees of room light. Bring objects into focus and see clearly at 20 inches or less. 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 Electroencephalographic Technologist (R. EEG T.) - ABRET Neurodiagnostic Credentialing and Accreditation Employee___________________________________________Date____________ Supervisor__________________________________________Date_____________ Manager/Director_____________________________________ 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: 3600000037 EMG/EEG 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. ___

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: MRI · Sign On Bonus*: up to $10,000 Paid in full on 1st pay check!* · Schedule: full time · Pay Range starts at: $35.81/hour Daily pay available! · Shift Differentials: Available for night, weekend, and additional shifts · Location: MO-SSM Health Saint Louis University Hospital 1201 Grand Requirements: Completion of Radiology program and ARRT-R credential as well as ARMRIT or ARRT-MR within 12 months of hire date. MRI cross training can be provided. 100% tuition benefit for additional certifications for full-time employees! Relocation assistance is available for those who qualify. * • Qualified external candidates only Fulfill your calling and be a part of the SSM Team. Apply Today! Job Summary: Under the direction of the Radiologist, Director, and Manager performs diagnostic medical imaging by magnetic resonance including Cardiac MRI, Interoperative MRI or invasive procedures. Job Responsibilities and Requirements: Position Accountabilities and Performance Criteria (Percent of Time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 1. Performs magnetic resonance imaging examinations. (1, 2, 3, 4, 5, 6, 7, 8) 40% Criteria A) Demonstrates the ability to assess a situation, consider alternatives and choose the appropriate course of action. B) Provides MR safety screening for 100% of patient/visitor/staff prior to entering MR room(s). C) Responds to changes in workload using time to departmental advantage. D) Conducts job duties in accordance with departmental standards. E) Communicates technical information in a manner appropriate for the intended audience, (patient, family, member or visitor). F) Produces quality images in a consistent manner. G) Serves as a resource to co-workers. H) Assesses for vein/site selection and initiates venipuncture per established standards. Documents venipuncture site/contrast in RIS per established departmental guidelines. I) Demonstrates knowledge of cross sectional anatomy. Knows MR anatomical landmarks and able to recognize abnormalities and alert radiologist as needed. J) Demonstrate ability to relate to coworkers in a professional and respectful manner, to assure and promote a culture of safety. K) Maintains proficiency in the utilization of the Electronic Medical Record (EMR). 2. Observes establishes departmental policies and procedures, objectives, quality assurance program safety, environmental and infection control standards. (1, 2, 3, 4, 5, 6, 8) 2% Criteria A) Runs appropriate quality control procedures, evaluates results and makes appropriate corrections. B) Notifies supervisor when quality issues arise. C) Demonstrates attitude of cooperation and professionalism when working in any area of the hospital. D) Reports any problems, which may affect the outcome of a patient’s exam. 3. Prepares written documentation as required by the profession and the department. (5, 6) 3% Criteria A) Provides documentation as required by the profession and the department. B) USES THE KRONOS TIME CLOCK SYSTEM ACCURATELY. 4. Uses Hospital/Radiology system according to established policy. (3,5,6) 3% Criteria A) Ability to input and retrieve information from HIS/Radiology information system. B) Enters information correctly. C) Recognizes and reports computer malfunction. D) Provides training and direction to staff as necessary. E) Maintain confidentiality of patient information. F) Performs 3D workstation duties as prescribed by examination. 5. Follows hospital and radiology policies: handles bio-hazardous waste appropriately, and follows safety and infection control policies. (5,6,8) 2% Criteria A) Maintains work area in a clean and orderly condition. B) Adheres to hospital and radiology safety and infection control policies. C) Disposes of bio-hazardous trash properly, without being told. D) Uses protective equipment as needed. E) Abides by dress code and wears ID badge always. F) Respects the confidentiality of patient results and uses discretion when discussing patient matters. 6. 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. Population Specific Care E) Works in a constant state of alertness and safe manner. 7. Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous, and respectful manner. (1, 2, 3, 4, 5) 5% Criteria A) Demonstrates respect and compassion for our internal and external customers while delivering prompt, courteous service. B) Recognize the needs and expectations of our customers and considers the diverse needs of others regarding culture, religion, disability, etc. C) Demonstrates team work with other departments and co-workers. D) Provides emotional support while attempting to alleviate fear and anxiety. E) Dress in a professional manner. F) Answers questions in a knowledgeable fashion or directs direct questions to someone who can provides answers. G) Works with other departments to provide services. H) Discuss information in private areas only. Share information on a need to know basis, avoiding gossip. 8. Performance Improvement (QI): Incorporates Quality Assessment into one’s daily work. (1, 2, 3, 4, 5) 5% Criteria A) Wisely and responsibly utilize the resources within the facility. Take care of equipment and report problems to result in a longer usage life. B) Recommends changes in practices to increase efficiency and minimize waste to managers. C) Reviews departmental PI, OA, and QC monthly during departmental meetings and by reviewing posted information. D) Provides data to manager for monthly Performance Improvement daily. 9. Age Appropriate Care: Provides age-appropriate care to: ___x__Infant __x___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: Need to enter those responsibilities specific for position. G) Demonstrates ability to assess population specific needs (i.e,. language). 10. Specialized Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5, 8) <1% Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application., 2. Applies restraints consistent with the approved procedure., 3. Monitors and assesses patient’s response throughout the restraint period at the appropriate intervals., 4. Provide specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis., 5. Provides for trial release and removal of restraints as soon as possible. B) Pain Management (Licensed Personnel) 1. Assess patient for presence of pain on admission and during assessments/reassessments., 2. Incorporates patients 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 recommends appropriate consultation (psychiatric, Social Work) for evaluation. 11. Uses communication effectively with others, medical staff, co-workers and patients. (5, 6) 5% Criteria A) Consistently communicates ideas in a clear and succinct manner. B) Is the subject on more than one valid complaint per year from other radiology/hospital personnel regarding cooperation? C) Displays initiative and enthusiasm for non-routine and/or extra duties. D) Effectively serves as a resource person for department. E) Explain procedure to patient/family in understandable terms. 12. Participates in continuing education. (5, 6) 2% Criteria A) Attends appropriate orientations. B) Accumulates contact hours of continuing education per established ARRT guidelines. C) Provide in-service a necessary. D) Provide documentation of current ARRT status. 13. Attends meetings as required and participates committees as directed. (2, 6) 1% Criteria A) Attends required and participates committees as directed. B) Provides documentation of attendance at outside meetings. 14. Explain procedures and provide information to customers. (2, 6) 2% Criteria A) Provide explanation of treatments and procedures within the scope of your knowledge and authority prior to rendering services. B) When explaining procedures, provide information on the purpose of procedure, special prep, what to expect, and approximate time required. C) Invite customers to ask questions or raise concerns. D) When explaining procedure and why to patients/quests, avoid technical jargon, and use lay terms. E) Before beginning procedures, secure patient’s permission to continue. 15. Present self professionally. (6) 2% Criteria A) Wear ID BADGE where ABOVE THE WAIST with picture visible. B) Follows dress code. C) Limit conversation in presence of customers to specific work situation. D) Avoid discussing internal hospital issues, personal problems, department conflicts or personal social activities in the presence of customers. E) Be publicly supportive of the organization, colleagues, and physicians. F) Avoid jokes, language, literature that could be construed as offensive by others. 16. Maintains environment conductive to good customer relations. (5, 6) 5% Criteria A) Keep work areas clean, orderly, and free clutter and trash. B) Remove soiled linens from patient area immediately. C) Report all maintenance needs for equipment, environmental deficiencies or safety concerns to the appropriate party immediately. D) Follow paging policy. E) Control noise level, i.e., door slamming, laughter, radios, loud talking. F) Strive to understand and meet needs for cultural differences. G) When customers appear lost or confused aid. 17. Respect customer privacy and confidentiality. (2, 5, 6) 5% Criteria A) When performing procedures, keep curtains and/or door closed. B) Knock before entering doors or ask permission to enter curtained areas. C) Make sure patients who may he confused or being transported are covered with a sheet/blanket. D) Assure patient privacy when taking personal, financial information by conducting such interviews in a private manner. E) Keep medical testing, financial, and other personal information confidential, and avoid discussing in public areas, i.e., elevators hallways, i.e., elevators, hallways, etc. F) Avoid discussing customer’s condition, finances, or other personal matters with others not directly concerned. G) Access only those charts that need to be accessed. H) When provide procedures or other services, ask patients if they want family members or guest to leave. 18. Improve the waiting experience. (2, 6) 5% Criteria A) Greet customer and inform them of estimated length of wait. If long wait is apparent offer customer alternatives to long wait, i.e., hospital cafeteria, gift shop, rescheduling, etc. B) Offer and inform the customer of why they are waiting and what the next step in the process is. Base the wait times on department standards. C) Offer comfort measures, i.e., beverages, blankets, magazines, etc. to waiting customers when appropriate. D) Keep waiting customers informed of their status and frequent intervals as established by department standards. E) Maintain comfortable, clean waiting areas. F) Apologize for any long waits or delays. 19. Respond quickly to requests and complaints. (2, 6) 3% Criteria A) Acknowledge verbally or non-verbally (e.g., non-gesture, etc.) within one-minute persons arriving in the department. B) Know what resources to use in following up various request or complaint situations. C) When receiving complaints, get person’s name, number, and ask how they want to complaint resolved. D) When responding to a request or complaint, states the time frame in which you will follow up and then meet commitment. 20. Demonstrates practices of teamwork. (2, 6) 5% Criteria A) Avoid blaming other departments, system, people, etc., for service problems. B) Ask for and offer team members when indicated. C) Provide positive recognition to other team members for their contributions and achievements. D) Frequently discuss roles and accountabilities with other members of the team. E) When appropriate, call periodic, “time outs” to discuss team performance. F) Greet, welcome, and support new team members, i.e., new employees, temporary help, etc. G) Invite all team members to openly express idea’s best practices, and concerns. H) Participate in a minimum of one committee or activity per year. I) Treat all members as equal. DISCLAIMER: Performs other 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: High school, Associates degree preferred or Graduate of Accredited MR program and MR Certification eligible MINIMUM EXPERIENCE: Must have applicable MR experience with various advanced magnetic resonance imaging equipment, 1-3 years MR experience in a level 1 trauma facility preferred, previous academic facility experience preferred REQUIRED CERTIFICATIONS: BLS, ARRT, additional certification in MR preferred or Graduate of Accredited MR program. Those without ARRT and Graduates of an accredited MR program will be given twelve (12) months to obtain the MR certification as a condition of employment. WORKING CONDITIONS: • Exposure to blood and body fluid., • Exposure to blood borne pathogens and other biological hazards., • Subject to varying or unpredictable situations., • Occasionally subject to irregular hours. PHYSICAL REQUIREMENTS: • Ability to stand and walk for long periods., • Ability to lift, push and pull 100 plus pounds, • Ability to move transfer patients., • Ability to deal with strenuous and physical activity daily in lifting, pulling, pushing, patients, radiographic equipment cassettes and/or supplies. Employee _____________________________________________ Date _____________ Manager _____________________________________________ 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. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS 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, • ARRT-MR Magnetic Resonance Imaging - American Registry of Radiologic Technologists (ARRT) Work Shift: Day Shift (United States of America) Job Type: Employee Department: 4201000037 MRI 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. ___

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: Cardiac Cath Lab · Sign On Bonus*: up to $20,000 Paid in full on 1st pay check!* · Schedule: full time 10:30a - 7p · Pay Range starts at: $30.91/hour Daily pay available! · Shift Differentials: Available for night, weekend, and additional shifts · Location: MO-SSM Health Saint Louis University Hospital 1201 Grand Requirements: MUST HAVE CATH LAB EXPERIENCE AND/OR TRAINING Relocation assistance is available for those who qualify. * • Qualified external candidates only Fulfill your calling and be a part of the SSM Team. Apply Today! Job Summary: The Cardiology Tech in the Cardiac Catheterization Laboratory performs tasks that provide technical support during invasive cardiovascular procedures while also providing basic patient care to all types of patients under the direction and supervision of the professional nurse. Cardiology Tech assists in maintaining order and cleanliness of the department. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (Percent of Time) Essential Functions: The following are essential job accountabilities and performance criteria: 1. General Patient Care: Performs general patient care as it relates to the patient’s physical needs under the direction of the RN. (1, 3, 5, 6) 25% Criteria A. Follows established policies and procedures if providing direct patient care. B. Initiates and plans for provision of patient comfort and hygiene measures. C. Makes frequent rounds on all patients noting condition, requests, and environment. D. Performs EKG. E. Assist with admission, discharge and transfer of patients. F. Assists nurses and physicians with procedure. G. Prepares rooms prior to and following cases. H. Applies sterile drapes and prepares equipment prior to start of procedure. I) Documents an appropriate patient history containing pertinent patient information regarding their condition and including patient limitations into computerized Cath lab charting system under the RN’s direction. 2. Technical Support: Performs technical support during catheterization procedure. Circulates in the procedure rooms, scrub assist during procedure. Initiates appropriate action in regard to supplies and equipment. (1, 3, 5, 6, 8) 25% Criteria A. Accurately connects patients to EKG monitors. B. Establishes arterial/venous line set-up prior to procedure. C. Operates equipment necessary and demonstrates proficiency. • Hemodynamic monitor/recorder, • Video/imaging system, • Oximeters, • Contrast injectors, • Cardiac output units, • Oxygen consumption monitors, • Quantitative analysis software, • Intravascular ultrasound units, • Doppler blood flow velocity unit, • Intra-aortic balloon pump, • Fractional Flow Reserve, • Bovine, • Ablator, • Impeller, • Ensures equipment/supplies are available and stored appropriately, • Empties full trash/soiled linen containers, • Notifies appropriate department to maintain a clean and safe environment (housekeeping, maintenance, dietary, etc.) 3. Performs catheter and sheath removal after invasive procedures. (1, 3, 5, 6, 8) 10% Criteria A. Assesses groin site and peripheral pulses. B. Checks vital signs prior to sheath removal. C. Compresses artery and/or vein for prescribed length of time. D. Assesses site after homeostasis is obtained. E. Gives patient instructions regarding post-procedural activity. 4. Assists Operations Coordinator as needed on inventory/supply maintenance. (2, 6) 5% Criteria A. Order supplies from Central Service as directed. B. Sends clean supplies for sterilization as needed. C. Assists with inventory counting. 5. Communication: Communicates effectively on behalf of patients and/or unit concerns to the appropriate people. (5, 6) 5% Criteria A. Obtains patient care instructions from professional nurse and informs nurse of changes in patient’s condition. B. Documents all procedures concisely and legibly on chart forms according to chart form guidelines. C. Answers the telephone by identifying the unit and self in a courteous manner. D. Directs prompt and courteous attention to the needs of patients, families, visitors, and physicians. 6. Safety/Infection Control: Practices according to safety and infection control policies. (1, 3, 5, 6, 7, 8) 5% Criteria A. Practices universal precautions and disposes of hazardous wastes per established guidelines. B. Maintains a safe, clean, comfortable and therapeutic environment for patients/families/employees in accordance with hospital standards. 1. Maintains clutter free environment., 2. Keeps conversations and background noise to a minimum., 3. Adheres to dress code. C. Reports risk management concerns. D. Assumes responsibility for completing all annual mandatory requirements as assigned by SSM Health Saint Louis University Hospital . E. All patients are to be properly identified by checking the patient armband. In areas that do not utilize armbands, two unique identifiers should be used to verify identification of the patient. Example: ask name, date of birth, etc. F. Cleans procedure room between patients (mops floor, empties trash, etc.). G. Works in a constant state of alertness and safe manner. 7. Communication: Communicates effectively on behalf of patients and/or unit concerns to the appropriate persons. 5% Criteria A. Obtains reports from professional nurse and informs nurse of changes in patient’s condition. B. Documents all procedures concisely and legibly on chart forms according to chart form guidelines. C. Answers the telephone by identifying the unit and self in courteous manner. D. Directs prompt and courteous attention to the needs of patients, families, visitors and physicians. 8. Service Standards: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. (1, 3, 6) 5% Criteria A. Demonstrates care and courtesy 1. Provides prompt, respectful, and courteous service., 2. Meets physical, spiritual, psychological, and emotional needs of patients and families., 3. Demonstrates ability to relate to coworkers in a professional and respectful manner, to assure and promote a culture of safety. B. Communicates effectively and maintains confidentiality 1. Listens to patient/family concerns and addresses needs., 2. Explains procedures and all education in a manner that patient and family understand., 3. Allows time for questions. C. Demonstrates competence and collaboration 1. Provides quality care in accordance to standards., 2. Assist with other departments to facilitate workflow and continuity., 3. Provides cost effective services., 4. Uses resources wisely., 5. Recommends changes in practice that increase efficiency and minimize waste., 6. Personal Accountability: Demonstrates accountability for own job performance. (1, 3) 5% Criteria A. Acknowledges authority, responding appropriately to supervisors’ directions. B. Participates in additional learning experience to increase competence, including: 1. Staff meetings, 2. Mandatory in-services and other educational programs C. Assumes responsibility for completing all annual mandatory requirements: D. Is at work as scheduled and begins duties promptly at start of shift. E. Functions as a resource person to co-workers, patients/families, medical staff, and ancillary personnel. F. Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. G. Asks for assistance when necessary and offers to willingly assist co-workers. H. Demonstrates pride in physical appearance of the hospital, keeping all areas neat and clean. I. Spends free time with patients and/or in another constructive manner. J. Adheres to and incorporates all customer service standards in patient care and work practices. 10. Performance improvement (PI): Incorporates performance improvement into one’s professional practice. 10% Criteria A. Assists in deploying unit-based PI plan. B. Collects PI data as assigned. C. Collaborates in developing and implementing action plans. D. Participates in research activities on the nursing unit. 11. Provides age-appropriate care to: <1% Criteria A. Attends or completes annual age-specific in-service. B. Performs age appropriate assessments which include input from family/guardian. C. Includes the family/guardian providing care in decision making as appropriate. D. Determines immunization status, if warranted. E. Appropriately refers or requests consultations for special needs and/or equipment. The following job accountabilities may be assigned: 1. Telephone communication., 2. Routine patient care activities (i.e. bathing, bed changes, feeding patient)., 3. Specific data collection activities. 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: High school graduate. Radiology Technologist registered preferred, or eligible. or CCI credential for Cath lab. MINIMUM EXPERIENCE: Previous Cath Lab experience REQUIRED CERTIFICATIONS: BLS, ALS preferred WORKING CONDITIONS: • Regularly exposed to the risk of blood borne diseases and radiation., • Requires wearing of protective apparel such as lead aprons, eye protection, sterile and non-sterile medical gloves and masks., • Contact with patients under a wide variety of circumstances., • Exposed to unpleasant element (accident, injuries, illness)., • Subject to varying and unpredictable situations., • May perform emergency care., • Subject to irregular hours., • Prolonged, extensive, or considerable standing/walking., • Lifts, positions, pushes, and/or transfers patients., • Considerable reach, stooping, bending, kneeling, and/or crouching., • Must be able to lift 50 pounds. Employee _______________________________________ Date ___________ Department Manager/Director________________________ 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. 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) Work Shift: Day Shift (United States of America) Job Type: Employee Department: 3001000037 Cardiac Cath Lab Scheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

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: Cardiac Cath Lab · Sign On Bonus*: up to $20,000 Paid in full on 1st pay check!* · Schedule: full time 10:30a - 7p · Pay Range starts at: $30.91/hour Daily pay available! · Shift Differentials: Available for night, weekend, and additional shifts · Location: MO-SSM Health Saint Louis University Hospital 1201 Grand Requirements: MUST HAVE CATH LAB EXPERIENCE AND/OR TRAINING Relocation assistance is available for those who qualify. * • Qualified external candidates only Fulfill your calling and be a part of the SSM Team. Apply Today! Job Summary: The Cardiology Tech in the Cardiac Catheterization Laboratory performs tasks that provide technical support during invasive cardiovascular procedures while also providing basic patient care to all types of patients under the direction and supervision of the professional nurse. Cardiology Tech assists in maintaining order and cleanliness of the department. Job Responsibilities and Requirements: POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (Percent of Time) Essential Functions: The following are essential job accountabilities and performance criteria: 1. General Patient Care: Performs general patient care as it relates to the patient’s physical needs under the direction of the RN. (1, 3, 5, 6) 25% Criteria A. Follows established policies and procedures if providing direct patient care. B. Initiates and plans for provision of patient comfort and hygiene measures. C. Makes frequent rounds on all patients noting condition, requests, and environment. D. Performs EKG. E. Assist with admission, discharge and transfer of patients. F. Assists nurses and physicians with procedure. G. Prepares rooms prior to and following cases. H. Applies sterile drapes and prepares equipment prior to start of procedure. I) Documents an appropriate patient history containing pertinent patient information regarding their condition and including patient limitations into computerized Cath lab charting system under the RN’s direction. 2. Technical Support: Performs technical support during catheterization procedure. Circulates in the procedure rooms, scrub assist during procedure. Initiates appropriate action in regard to supplies and equipment. (1, 3, 5, 6, 8) 25% Criteria A. Accurately connects patients to EKG monitors. B. Establishes arterial/venous line set-up prior to procedure. C. Operates equipment necessary and demonstrates proficiency. • Hemodynamic monitor/recorder, • Video/imaging system, • Oximeters, • Contrast injectors, • Cardiac output units, • Oxygen consumption monitors, • Quantitative analysis software, • Intravascular ultrasound units, • Doppler blood flow velocity unit, • Intra-aortic balloon pump, • Fractional Flow Reserve, • Bovine, • Ablator, • Impeller, • Ensures equipment/supplies are available and stored appropriately, • Empties full trash/soiled linen containers, • Notifies appropriate department to maintain a clean and safe environment (housekeeping, maintenance, dietary, etc.) 3. Performs catheter and sheath removal after invasive procedures. (1, 3, 5, 6, 8) 10% Criteria A. Assesses groin site and peripheral pulses. B. Checks vital signs prior to sheath removal. C. Compresses artery and/or vein for prescribed length of time. D. Assesses site after homeostasis is obtained. E. Gives patient instructions regarding post-procedural activity. 4. Assists Operations Coordinator as needed on inventory/supply maintenance. (2, 6) 5% Criteria A. Order supplies from Central Service as directed. B. Sends clean supplies for sterilization as needed. C. Assists with inventory counting. 5. Communication: Communicates effectively on behalf of patients and/or unit concerns to the appropriate people. (5, 6) 5% Criteria A. Obtains patient care instructions from professional nurse and informs nurse of changes in patient’s condition. B. Documents all procedures concisely and legibly on chart forms according to chart form guidelines. C. Answers the telephone by identifying the unit and self in a courteous manner. D. Directs prompt and courteous attention to the needs of patients, families, visitors, and physicians. 6. Safety/Infection Control: Practices according to safety and infection control policies. (1, 3, 5, 6, 7, 8) 5% Criteria A. Practices universal precautions and disposes of hazardous wastes per established guidelines. B. Maintains a safe, clean, comfortable and therapeutic environment for patients/families/employees in accordance with hospital standards. 1. Maintains clutter free environment., 2. Keeps conversations and background noise to a minimum., 3. Adheres to dress code. C. Reports risk management concerns. D. Assumes responsibility for completing all annual mandatory requirements as assigned by SSM Health Saint Louis University Hospital . E. All patients are to be properly identified by checking the patient armband. In areas that do not utilize armbands, two unique identifiers should be used to verify identification of the patient. Example: ask name, date of birth, etc. F. Cleans procedure room between patients (mops floor, empties trash, etc.). G. Works in a constant state of alertness and safe manner. 7. Communication: Communicates effectively on behalf of patients and/or unit concerns to the appropriate persons. 5% Criteria A. Obtains reports from professional nurse and informs nurse of changes in patient’s condition. B. Documents all procedures concisely and legibly on chart forms according to chart form guidelines. C. Answers the telephone by identifying the unit and self in courteous manner. D. Directs prompt and courteous attention to the needs of patients, families, visitors and physicians. 8. Service Standards: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous and respectful manner. (1, 3, 6) 5% Criteria A. Demonstrates care and courtesy 1. Provides prompt, respectful, and courteous service., 2. Meets physical, spiritual, psychological, and emotional needs of patients and families., 3. Demonstrates ability to relate to coworkers in a professional and respectful manner, to assure and promote a culture of safety. B. Communicates effectively and maintains confidentiality 1. Listens to patient/family concerns and addresses needs., 2. Explains procedures and all education in a manner that patient and family understand., 3. Allows time for questions. C. Demonstrates competence and collaboration 1. Provides quality care in accordance to standards., 2. Assist with other departments to facilitate workflow and continuity., 3. Provides cost effective services., 4. Uses resources wisely., 5. Recommends changes in practice that increase efficiency and minimize waste., 6. Personal Accountability: Demonstrates accountability for own job performance. (1, 3) 5% Criteria A. Acknowledges authority, responding appropriately to supervisors’ directions. B. Participates in additional learning experience to increase competence, including: 1. Staff meetings, 2. Mandatory in-services and other educational programs C. Assumes responsibility for completing all annual mandatory requirements: D. Is at work as scheduled and begins duties promptly at start of shift. E. Functions as a resource person to co-workers, patients/families, medical staff, and ancillary personnel. F. Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution. G. Asks for assistance when necessary and offers to willingly assist co-workers. H. Demonstrates pride in physical appearance of the hospital, keeping all areas neat and clean. I. Spends free time with patients and/or in another constructive manner. J. Adheres to and incorporates all customer service standards in patient care and work practices. 10. Performance improvement (PI): Incorporates performance improvement into one’s professional practice. 10% Criteria A. Assists in deploying unit-based PI plan. B. Collects PI data as assigned. C. Collaborates in developing and implementing action plans. D. Participates in research activities on the nursing unit. 11. Provides age-appropriate care to: <1% Criteria A. Attends or completes annual age-specific in-service. B. Performs age appropriate assessments which include input from family/guardian. C. Includes the family/guardian providing care in decision making as appropriate. D. Determines immunization status, if warranted. E. Appropriately refers or requests consultations for special needs and/or equipment. The following job accountabilities may be assigned: 1. Telephone communication., 2. Routine patient care activities (i.e. bathing, bed changes, feeding patient)., 3. Specific data collection activities. 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: High school graduate. Radiology Technologist registered preferred, or eligible. or CCI credential for Cath lab. MINIMUM EXPERIENCE: Previous Cath Lab experience REQUIRED CERTIFICATIONS: BLS, ALS preferred WORKING CONDITIONS: • Regularly exposed to the risk of blood borne diseases and radiation., • Requires wearing of protective apparel such as lead aprons, eye protection, sterile and non-sterile medical gloves and masks., • Contact with patients under a wide variety of circumstances., • Exposed to unpleasant element (accident, injuries, illness)., • Subject to varying and unpredictable situations., • May perform emergency care., • Subject to irregular hours., • Prolonged, extensive, or considerable standing/walking., • Lifts, positions, pushes, and/or transfers patients., • Considerable reach, stooping, bending, kneeling, and/or crouching., • Must be able to lift 50 pounds. Employee _______________________________________ Date ___________ Department Manager/Director________________________ 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. 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) Work Shift: Day Shift (United States of America) Job Type: Employee Department: 3001000037 Cardiac Cath Lab Scheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

It's more than a career, it's a calling MO-SSM Health Saint Louis University West Pavilion Worker Type: Regular Job Highlights: Schedule consists of four ten-hour shifts per week. Shift hours are 7:00 AM to 5:30 PM or until all patients are discharged for the day. Weekend rotation occurs every 4-6 weeks, typically with shorter shifts from 8:00 AM to 1:00 PM. On-call rotation for weekend shifts occurs approximately every 4-6 weeks. 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: 2067000037 Bone Marrow Clinic Scheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

It's more than a career, it's a calling MO-SSM Health Cardinal Glennon Children's Hospital Worker Type: Regular Job Highlights: · Department: MRI · Sign On Bonus*: Up to $10,000 Paid in full on 1st pay check!* · Schedule: full time days The hours will be 4 ten hour shifts. It ranges from 530a to 6p depending on if they are on call. Weekends and holidays are covered with call. The average amount of call per tech is around 6 days per month. · Pay Range starts at: $37.60 /hour Daily pay available! · Shift Differentials: Available for night, weekend, and additional shifts · Location: MO-SSM Health Cardinal Glennon Children's Hospital Requirements: 2 years experience in MRI Relocation assistance is available for those who qualify. * • Qualified external candidates only Fulfill your calling and be a part of the SSM Team. Apply Today! Job Summary: Leads the daily operations of assigned department's imaging services. Job Responsibilities and Requirements: * PRIMARY RESPONSIBILITIES * Ensures quality in imaging, patient care and work flow. Monitors patient documentation for timely completion and accuracy. * Oversees quality control testing, equipment maintenance and trouble shooting. * Serves as a resource to department staff as well as other members of the team as needed. * Performs staff orientation, training, and coaching. Provides input to staff performance evaluations. * Positions patients and selects anatomic and technical parameters accurately.Ensures all activities comply with regulatory agency standards. * Ensures prompt submission of high-quality of all images and documents sent to PACS (image quality, correct lead markers and patient data/history). * Assists in maintaining a clean, safe, and orderly department to include procedure rooms, storage areas, dressing rooms, film storage area and any other areas in department. * Works in a constant state of alertness and safe manner. * Performs other duties as assigned. EDUCATION * Completion of a MRI or Radiology Technology program EXPERIENCE * Two years' experience PHYSICAL REQUIREMENTS * Constant standing and walking. * Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more). * Frequent use of hearing and speech to share information through oral communication. * Frequent use of hearing to distinguish body sounds and/or hear alarms, malfunctioning machinery, etc. * Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. * Frequent lifting/moving of patients. * Frequent reaching, gripping and keyboard use/data entry. * Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. * Occasional use of vision to identify and distinguish colors. * Occasional bending, stooping, squatting, twisting and repetitive foot/leg and hand/arm movements. * Rare kneeling and sitting. 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 * ARRT-MR Magnetic Resonance Imaging - American Registry of Radiologic Technologists (ARRT) * Or * American Registry of Magnetic Resonance Imaging Technologist (ARMRIT) - American Registry of Magnetic Resonance Imaging Technologists (ARMRIT) Work Shift: Day Shift (United States of America) Job Type: Employee Department: 4201000010 MRI Scheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

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: MRI · Sign On Bonus*: up to $10,000 Paid in full on 1st pay check!* · Schedule: full time · Pay Range starts at: $35.81/hour Daily pay available! · Shift Differentials: Available for night, weekend, and additional shifts · Location: MO-SSM Health Saint Louis University Hospital 1201 Grand Requirements: Completion of Radiology program and ARRT-R credential as well as ARMRIT or ARRT-MR within 12 months of hire date. MRI cross training can be provided. 100% tuition benefit for additional certifications for full-time employees! Relocation assistance is available for those who qualify. * • Qualified external candidates only Fulfill your calling and be a part of the SSM Team. Apply Today! Job Summary: Under the direction of the Radiologist, Director, and Manager performs diagnostic medical imaging by magnetic resonance including Cardiac MRI, Interoperative MRI or invasive procedures. Job Responsibilities and Requirements: Position Accountabilities and Performance Criteria (Percent of Time) Essential Functions: The following are essential job accountabilities and performance criteria: Position Accountabilities 1. Performs magnetic resonance imaging examinations. (1, 2, 3, 4, 5, 6, 7, 8) 40% Criteria A) Demonstrates the ability to assess a situation, consider alternatives and choose the appropriate course of action. B) Provides MR safety screening for 100% of patient/visitor/staff prior to entering MR room(s). C) Responds to changes in workload using time to departmental advantage. D) Conducts job duties in accordance with departmental standards. E) Communicates technical information in a manner appropriate for the intended audience, (patient, family, member or visitor). F) Produces quality images in a consistent manner. G) Serves as a resource to co-workers. H) Assesses for vein/site selection and initiates venipuncture per established standards. Documents venipuncture site/contrast in RIS per established departmental guidelines. I) Demonstrates knowledge of cross sectional anatomy. Knows MR anatomical landmarks and able to recognize abnormalities and alert radiologist as needed. J) Demonstrate ability to relate to coworkers in a professional and respectful manner, to assure and promote a culture of safety. K) Maintains proficiency in the utilization of the Electronic Medical Record (EMR). 2. Observes establishes departmental policies and procedures, objectives, quality assurance program safety, environmental and infection control standards. (1, 2, 3, 4, 5, 6, 8) 2% Criteria A) Runs appropriate quality control procedures, evaluates results and makes appropriate corrections. B) Notifies supervisor when quality issues arise. C) Demonstrates attitude of cooperation and professionalism when working in any area of the hospital. D) Reports any problems, which may affect the outcome of a patient’s exam. 3. Prepares written documentation as required by the profession and the department. (5, 6) 3% Criteria A) Provides documentation as required by the profession and the department. B) USES THE KRONOS TIME CLOCK SYSTEM ACCURATELY. 4. Uses Hospital/Radiology system according to established policy. (3,5,6) 3% Criteria A) Ability to input and retrieve information from HIS/Radiology information system. B) Enters information correctly. C) Recognizes and reports computer malfunction. D) Provides training and direction to staff as necessary. E) Maintain confidentiality of patient information. F) Performs 3D workstation duties as prescribed by examination. 5. Follows hospital and radiology policies: handles bio-hazardous waste appropriately, and follows safety and infection control policies. (5,6,8) 2% Criteria A) Maintains work area in a clean and orderly condition. B) Adheres to hospital and radiology safety and infection control policies. C) Disposes of bio-hazardous trash properly, without being told. D) Uses protective equipment as needed. E) Abides by dress code and wears ID badge always. F) Respects the confidentiality of patient results and uses discretion when discussing patient matters. 6. 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. Population Specific Care E) Works in a constant state of alertness and safe manner. 7. Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous, and respectful manner. (1, 2, 3, 4, 5) 5% Criteria A) Demonstrates respect and compassion for our internal and external customers while delivering prompt, courteous service. B) Recognize the needs and expectations of our customers and considers the diverse needs of others regarding culture, religion, disability, etc. C) Demonstrates team work with other departments and co-workers. D) Provides emotional support while attempting to alleviate fear and anxiety. E) Dress in a professional manner. F) Answers questions in a knowledgeable fashion or directs direct questions to someone who can provides answers. G) Works with other departments to provide services. H) Discuss information in private areas only. Share information on a need to know basis, avoiding gossip. 8. Performance Improvement (QI): Incorporates Quality Assessment into one’s daily work. (1, 2, 3, 4, 5) 5% Criteria A) Wisely and responsibly utilize the resources within the facility. Take care of equipment and report problems to result in a longer usage life. B) Recommends changes in practices to increase efficiency and minimize waste to managers. C) Reviews departmental PI, OA, and QC monthly during departmental meetings and by reviewing posted information. D) Provides data to manager for monthly Performance Improvement daily. 9. Age Appropriate Care: Provides age-appropriate care to: ___x__Infant __x___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: Need to enter those responsibilities specific for position. G) Demonstrates ability to assess population specific needs (i.e,. language). 10. Specialized Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5, 8) <1% Criteria A) Restraint Care 1. Initiates/evaluates alternatives to restraint prior to application., 2. Applies restraints consistent with the approved procedure., 3. Monitors and assesses patient’s response throughout the restraint period at the appropriate intervals., 4. Provide specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis., 5. Provides for trial release and removal of restraints as soon as possible. B) Pain Management (Licensed Personnel) 1. Assess patient for presence of pain on admission and during assessments/reassessments., 2. Incorporates patients 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 recommends appropriate consultation (psychiatric, Social Work) for evaluation. 11. Uses communication effectively with others, medical staff, co-workers and patients. (5, 6) 5% Criteria A) Consistently communicates ideas in a clear and succinct manner. B) Is the subject on more than one valid complaint per year from other radiology/hospital personnel regarding cooperation? C) Displays initiative and enthusiasm for non-routine and/or extra duties. D) Effectively serves as a resource person for department. E) Explain procedure to patient/family in understandable terms. 12. Participates in continuing education. (5, 6) 2% Criteria A) Attends appropriate orientations. B) Accumulates contact hours of continuing education per established ARRT guidelines. C) Provide in-service a necessary. D) Provide documentation of current ARRT status. 13. Attends meetings as required and participates committees as directed. (2, 6) 1% Criteria A) Attends required and participates committees as directed. B) Provides documentation of attendance at outside meetings. 14. Explain procedures and provide information to customers. (2, 6) 2% Criteria A) Provide explanation of treatments and procedures within the scope of your knowledge and authority prior to rendering services. B) When explaining procedures, provide information on the purpose of procedure, special prep, what to expect, and approximate time required. C) Invite customers to ask questions or raise concerns. D) When explaining procedure and why to patients/quests, avoid technical jargon, and use lay terms. E) Before beginning procedures, secure patient’s permission to continue. 15. Present self professionally. (6) 2% Criteria A) Wear ID BADGE where ABOVE THE WAIST with picture visible. B) Follows dress code. C) Limit conversation in presence of customers to specific work situation. D) Avoid discussing internal hospital issues, personal problems, department conflicts or personal social activities in the presence of customers. E) Be publicly supportive of the organization, colleagues, and physicians. F) Avoid jokes, language, literature that could be construed as offensive by others. 16. Maintains environment conductive to good customer relations. (5, 6) 5% Criteria A) Keep work areas clean, orderly, and free clutter and trash. B) Remove soiled linens from patient area immediately. C) Report all maintenance needs for equipment, environmental deficiencies or safety concerns to the appropriate party immediately. D) Follow paging policy. E) Control noise level, i.e., door slamming, laughter, radios, loud talking. F) Strive to understand and meet needs for cultural differences. G) When customers appear lost or confused aid. 17. Respect customer privacy and confidentiality. (2, 5, 6) 5% Criteria A) When performing procedures, keep curtains and/or door closed. B) Knock before entering doors or ask permission to enter curtained areas. C) Make sure patients who may he confused or being transported are covered with a sheet/blanket. D) Assure patient privacy when taking personal, financial information by conducting such interviews in a private manner. E) Keep medical testing, financial, and other personal information confidential, and avoid discussing in public areas, i.e., elevators hallways, i.e., elevators, hallways, etc. F) Avoid discussing customer’s condition, finances, or other personal matters with others not directly concerned. G) Access only those charts that need to be accessed. H) When provide procedures or other services, ask patients if they want family members or guest to leave. 18. Improve the waiting experience. (2, 6) 5% Criteria A) Greet customer and inform them of estimated length of wait. If long wait is apparent offer customer alternatives to long wait, i.e., hospital cafeteria, gift shop, rescheduling, etc. B) Offer and inform the customer of why they are waiting and what the next step in the process is. Base the wait times on department standards. C) Offer comfort measures, i.e., beverages, blankets, magazines, etc. to waiting customers when appropriate. D) Keep waiting customers informed of their status and frequent intervals as established by department standards. E) Maintain comfortable, clean waiting areas. F) Apologize for any long waits or delays. 19. Respond quickly to requests and complaints. (2, 6) 3% Criteria A) Acknowledge verbally or non-verbally (e.g., non-gesture, etc.) within one-minute persons arriving in the department. B) Know what resources to use in following up various request or complaint situations. C) When receiving complaints, get person’s name, number, and ask how they want to complaint resolved. D) When responding to a request or complaint, states the time frame in which you will follow up and then meet commitment. 20. Demonstrates practices of teamwork. (2, 6) 5% Criteria A) Avoid blaming other departments, system, people, etc., for service problems. B) Ask for and offer team members when indicated. C) Provide positive recognition to other team members for their contributions and achievements. D) Frequently discuss roles and accountabilities with other members of the team. E) When appropriate, call periodic, “time outs” to discuss team performance. F) Greet, welcome, and support new team members, i.e., new employees, temporary help, etc. G) Invite all team members to openly express idea’s best practices, and concerns. H) Participate in a minimum of one committee or activity per year. I) Treat all members as equal. DISCLAIMER: Performs other 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: High school, Associates degree preferred or Graduate of Accredited MR program and MR Certification eligible MINIMUM EXPERIENCE: Must have applicable MR experience with various advanced magnetic resonance imaging equipment, 1-3 years MR experience in a level 1 trauma facility preferred, previous academic facility experience preferred REQUIRED CERTIFICATIONS: BLS, ARRT, additional certification in MR preferred or Graduate of Accredited MR program. Those without ARRT and Graduates of an accredited MR program will be given twelve (12) months to obtain the MR certification as a condition of employment. WORKING CONDITIONS: • Exposure to blood and body fluid., • Exposure to blood borne pathogens and other biological hazards., • Subject to varying or unpredictable situations., • Occasionally subject to irregular hours. PHYSICAL REQUIREMENTS: • Ability to stand and walk for long periods., • Ability to lift, push and pull 100 plus pounds, • Ability to move transfer patients., • Ability to deal with strenuous and physical activity daily in lifting, pulling, pushing, patients, radiographic equipment cassettes and/or supplies. Employee _____________________________________________ Date _____________ Manager _____________________________________________ 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. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS 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, • ARRT-MR Magnetic Resonance Imaging - American Registry of Radiologic Technologists (ARRT) Work Shift: Day Shift (United States of America) Job Type: Employee Department: 4201000037 MRI 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. ___

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: Interventional Lab · Sign On Bonus*: $ 20,000 with 1 years’ experience ($15,000 with less than 1 year) Paid in full on 1st pay check!* · Schedule: fulil time · Pay Range starts at: $30.91/hour Daily pay available! · Shift Differentials: Available for night, weekend, and additional shifts · Location: MO-SSM Health Saint Louis University Hospital 1201 Grand Requirements: Completion of Radiology program and ARRT-R credential. Interventional Lab cross training can be provided Relocation assistance is available for those who qualify. * • Qualified external candidates only Fulfill your calling and be a part of the SSM Team. Apply Today! Job Summary: Performs specialized imaging procedures such as angio, complex vascular and nonvascular and neuro interventional and therapeutic procedures, along with assisting the Radiologist/PA. The only registration requirement for this position is Radiography. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES • Prepares and positions patients and selects anatomic and technical parameters accurately., • Prepares and administers contrast media and medications within the accepted scope of practice and applicable state and federal regulations., • Observes patient during procedure and reports abnormal activity. Monitors protocols and recommends updates or refinements as warranted., • Follows radiation safety procedures and guidelines., • Ensures all activities comply with regulatory agency standards., • Works in a constant state of alertness and safe manner., • Performs other duties as assigned. EDUCATION * Completion of a Radiology Technology program EXPERIENCE • No experience required PHYSICAL REQUIREMENTS • Constant standing and walking., • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more)., • Frequent use of hearing and speech to share information through oral communication., • Frequent use of hearing to distinguish body sounds and/or hear alarms, malfunctioning machinery, etc., • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs., • Frequent lifting/moving of patients., • Frequent reaching, gripping and keyboard use/data entry., • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs., • Occasional use of vision to identify and distinguish colors., • Occasional bending, stooping, squatting, twisting and repetitive foot/leg and hand/arm movements., • Rare kneeling and sitting REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support (BLS) Instructor - American Heart Association (AHA), • And, • ARRT-R Radiography - American Registry of Radiologic Technologists (ARRT), • And, • Radiologic Technologists - Illinois Emergency Management Agency (IEMA), • Or, • Radiologic Technologists – Temporary Accreditation - Illinois Emergency Management Agency (IEMA) State of Work Location: Missouri, Oklahoma • Basic Life Support (BLS) Instructor - American Heart Association (AHA), • And, • ARRT-R Radiography - American Registry of Radiologic Technologists (ARRT) State of Work Location: Wisconsin • Basic Life Support (BLS) Instructor - American Heart Association (AHA), • And, • ARRT-R Radiography - American Registry of Radiologic Technologists (ARRT), • And, • Radiographer, Licensed - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 4203000037 Interventional Radiology Scheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

Utilizes the Mercy Nursing Professional Practice Model and nursing process to provide patient care. Maintains professional accountability for provision of patient care for the assigned patients. Coordinates the patients care in conjunction with other departments. Maintains patients' rights and confidentiality of patient information. Functions within the scope of nursing preparation and consistent with the established guidelines of nursing practice, the goals of Mercy Health System, the Philosophy of the Sisters of Mercy, the State Nurse Practice Act, the Code of Professional and Business Ethics, and the Co-Worker Code of Conduct. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards. Full Time - 36 hours/week Weekend Option Are you a dynamic RN who thrives on variety, challenge, and continuous learning? The Mercy South Float Pool is the perfect place to grow your skills while making a meaningful impact across multiple units. For more information on Mercy South Float Pool, please visit ___ Flexible Scheduling Options: * 12-hour shifts: 7 AM – 7 PM or 7 PM – 7 AM * 8-hour evening shifts: 3 PM – 11 PM * Tier 3 (Med/Surg): +$5.00/hr * Tier 2 (Stepdown): +$7.50/hr * Tier 1 (ICU): +$10.00/hr Additional Shift Differentials: * Evening: +$2.75/hr * Night: +$4.60/hr * Weekend: +$1.50/hr Up to $10,000 for eligible RNs! "I have less burn out by having a change every shift. I feel confident in my skills and more well rounded from getting more versatility in the units. It has given me more awareness of how the hospital actually works which gives me an appreciation for each department which can help me do my job more effectively and focus on the patients which is what truly matters." "I like being able to know and learn how to care for many different diagnoses instead of only one specialty." Units You May Float To Include: Orthopedics, Med/Surg, Telemetry, Stepdown, ICU, Emergency Department, Behavioral Health, Oncology, Neurology, and more! * Experience: 1–2 years of bedside RN experience * Education: Nursing degree from an accredited school (BSN preferred) * License: Current RN license in the state * Certifications: BLS through the American Heart Association * Physical requirements/demands: * Push, pull, and/or lift 50 pounds on a regular basis * Prolonged standing and walking each shift * Ability to grip, reach, bend, kneel, twist, and squat to perform duties * Health, dental, and vision coverage * Paid time off (PTO) accrual * Tuition reimbursement * Employer-matched retirement plans * RN to BSN Bridging Program (up to $16,000) Ready to float into a career full of growth, flexibility, and purpose? Apply today and become part of the Mercy mission! From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

About Our Unit: Our 25-bed Neurosurgery Unit provides specialized care for patients recovering from brain and spine surgeries, as well as ENT, trach, and thyroid procedures. Nurses gain hands-on experience with complex surgical cases while supporting patients through every stage of recovery. We’re a collaborative, growth-focused team committed to learning and exceptional care. Neurosurgical Nursing (Inpatient) | Mercy Hospital St Louis Registered Nurse (RN) or Licensed Practical Nurse (LPN) Full-time or Part-time | Day Shift or Night Shift New Grad RN & LPN Openings Available! RN Weekend Option Days Available! At Mercy St. Louis, you’ll be part of a supportive Med/Surg team that values hands-on care, professional growth, and a mission-driven culture rooted in dignity and respect. If you're looking for more than just a job, and want to be part of something bigger, this is where you belong! ➤ Up to $10,000 NO CONTRACT sign-on incentive for RNs ➤ Up to $2,000 NO CONTRACT sign-on incentive for LPNs ➤ Health, dental & vision benefits starting day one ➤ 401(k) with employer match starting day one ➤ Shift Differential Pay: Evenings, Nights, Weekends ➤ Stay Pay Program – $2/hr on productive time (24/7 bedside eligible) at 2, 5, 10, and 20 years (up to $8/hr) ➤ LPN → RN Bridge Program Assistance (up to $10,000) ➤ RN → BSN Bridge Program (up to $16,000) ➤ Student Loan Forgiveness up to $20,000 ➤ Tuition Reimbursement up to $2,000 annually for continuing education ➤ PTO begins accruing immediately (including a volunteer day!) Qualifications: RN Qualifications: * Required Education: Nursing Degree from an accredited school; BSN preferred * License: Must have either a current RN Temporary Permit/RN license in the State of Missouri * Certifications: Basic Life Support (CPR) certification through the American Heart Association LPN Qualifications: * Education: High school diploma or GED equivalent * Preferred Experience: 1 yr LPN experience * Licensure: Graduate of an accredited practical nursing program; Consideration will be given for comparable education experience and successful licensure. Is personally responsible for obtaining, and maintaining a current LPN license within the hiring state in which nursing duties are performed and must meet all State Board of Nursing requirements * Certifications: * Basic Life Support certification through the American Heart Association or successful completion of course within 30 days of hire * LPN-IV Certification must be previously completed or successful completion of course within 3 months of hire From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us. keyword(s): RN, Registered Nurse, LPN, Licensed Practical Nurse, New Grad RN, Inpatient, Acute Care, Med-Surg, Neuro, Neurosurgery, Neurosurgical, Surgical, Post-op, Postoperative, Spine Surgery, Neuro Stepdown (only if true), Nights, Days, Full Time, Part Time RN, Registered Nurse, LPN, Licensed Practical Nurse, New Grad RN, Inpatient, Acute Care, Med-Surg, Neuro, Neurosurgery, Neurosur

Registered Nurse – Full Time or Part Time Opportunities Available Are you a dynamic RN who thrives on variety, challenge, and continuous learning? The Mercy South Float Pool is the perfect place to grow your skills while making a meaningful impact across multiple units. For more information on Mercy South Float Pool, please visit ___ Flexible Scheduling Options: * 12-hour shifts: 7 AM – 7 PM or 7 PM – 7 AM * 8-hour evening shifts: 3 PM – 11 PM * Tier 3 (Med/Surg): +$5.00/hr * Tier 2 (Stepdown): +$7.50/hr * Tier 1 (ICU): +$10.00/hr Additional Shift Differentials: * Evening: +$2.75/hr * Night: +$4.60/hr * Weekend: +$1.50/hr Up to $10,000 for eligible RNs! "I have less burn out by having a change every shift. I feel confident in my skills and more well rounded from getting more versatility in the units. It has given me more awareness of how the hospital actually works which gives me an appreciation for each department which can help me do my job more effectively and focus on the patients which is what truly matters." "I like being able to know and learn how to care for many different diagnoses instead of only one specialty." Units You May Float To Include: Orthopedics, Med/Surg, Telemetry, Stepdown, ICU, Emergency Department, Behavioral Health, Oncology, Neurology, and more! * Experience: 1–2 years of bedside RN experience * Education: Nursing degree from an accredited school (BSN preferred) * License: Current RN license in the state * Certifications: BLS through the American Heart Association * Physical requirements/demands: * Push, pull, and/or lift 50 pounds on a regular basis * Prolonged standing and walking each shift * Ability to grip, reach, bend, kneel, twist, and squat to perform duties * Health, dental, and vision coverage * Paid time off (PTO) accrual * Tuition reimbursement * Employer-matched retirement plans * RN to BSN Bridging Program (up to $16,000) Ready to float into a career full of growth, flexibility, and purpose? Apply today and become part of the Mercy mission! From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us. keyword(s): RN, Registered Nurse, Nurse RN, Registered Nurse, Nurse

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: Interventional Radiology Check out this video above to learn more about our IR! · Sign On Bonus*: $ 20,000 with 1 years’ experience ($15,000 with less than 1 year) Paid in full on 1st pay check!* · Schedule: full time days · Pay Range starts at: $30.93/hour Daily pay available! · Shift Differentials: Available for night, weekend, and additional shifts · Location: MO-SSM Health Saint Louis University Hospital 1201 Grand Requirements: Completion of Radiology program and ARRT-R credential. Interventional Lab cross training can be provided Relocation assistance is available for those who qualify. * • Qualified external candidates only Fulfill your calling and be a part of the SSM Team. Apply Today! Job Summary: Performs specialized imaging procedures such as angio, complex vascular and nonvascular and neuro interventional and therapeutic procedures, along with assisting the Radiologist/PA. The only registration requirement for this position is Radiography. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES • Prepares and positions patients and selects anatomic and technical parameters accurately., • Prepares and administers contrast media and medications within the accepted scope of practice and applicable state and federal regulations., • Observes patient during procedure and reports abnormal activity. Monitors protocols and recommends updates or refinements as warranted., • Follows radiation safety procedures and guidelines., • Ensures all activities comply with regulatory agency standards., • Works in a constant state of alertness and safe manner., • Performs other duties as assigned. EDUCATION * Completion of a Radiology Technology program EXPERIENCE • No experience required, • Check out this video of what it is like to work in IR! PHYSICAL REQUIREMENTS • Constant standing and walking., • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more)., • Frequent use of hearing and speech to share information through oral communication., • Frequent use of hearing to distinguish body sounds and/or hear alarms, malfunctioning machinery, etc., • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs., • Frequent lifting/moving of patients., • Frequent reaching, gripping and keyboard use/data entry., • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs., • Occasional use of vision to identify and distinguish colors., • Occasional bending, stooping, squatting, twisting and repetitive foot/leg and hand/arm movements., • Rare kneeling and sitting REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Basic Life Support (BLS) Instructor - American Heart Association (AHA), • And, • ARRT-R Radiography - American Registry of Radiologic Technologists (ARRT), • And, • Radiologic Technologists - Illinois Emergency Management Agency (IEMA), • Or, • Radiologic Technologists – Temporary Accreditation - Illinois Emergency Management Agency (IEMA) State of Work Location: Missouri, Oklahoma • Basic Life Support (BLS) Instructor - American Heart Association (AHA), • And, • ARRT-R Radiography - American Registry of Radiologic Technologists (ARRT) State of Work Location: Wisconsin • Basic Life Support (BLS) Instructor - American Heart Association (AHA), • And, • ARRT-R Radiography - American Registry of Radiologic Technologists (ARRT), • And, • Radiographer, Licensed - Wisconsin Department of Safety and Professional Services Work Shift: Day Shift (United States of America) Job Type: Employee Department: 4203000037 Interventional Radiology Scheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

It's more than a career, it's a calling MO-SSM Health Saint Louis University Hospital 1201 Grand Worker Type: Regular Job Highlights: Join us because Together, We Care. Sign On Bonus: Up to $10,000 and it's payable within 30 days of Start Date Schedule: Full time - 36 Hours per week Pay Range: $26.72 - $40.08/hour & Daily Pay available! Shift Differentials: Available for night, weekend, & additional shifts Requirements: Completion of Radiology program. Relocation assistance is available for those who qualify. * • Qualified external candidates only Job Summary: Under the direction of the Radiology Director and Manager produces quality diagnostic medical radiographs, including OR, Flouro, Dexa, or EOS, to ensure proper diagnosis and quality patient care. 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. Demonstrates the skills to produce quality radiographs. (1, 2, 3, 4, 5, 6) 50% Criteria A) Produces quality images by using appropriate exposure technique to ensure proper penetration of the area being radio graphed. B) Demonstrates the proper use of metal markers and or placement of markers electronically. C) Document an appropriate patient history containing pertinent patient information regarding their condition and including patient limitations. D) Physician orders are to be written and verified prior to the start of the exam. E) Perform OR/Surgery cases using C-arms and portable machines efficiently. F) Supervise and teach Radiology students exams and procedures as part of their clinical rotation, providing feedback to the Clinical Educator on their performance. G) Communicates technical information in a manner appropriate for the intended person (patient, co-worker etc.). H) Responds to changes in the workload using time to departmental advantage. 2.) Observes established departmental policies, safety, environmental, and infection control standards. (1, 2, 3, 4,5, 6, 7, 8) 5% Criteria A) Maintains work area in a clean and orderly condition. B) Adheres to hospital safety and infection control policies. C) Reports faulty equipment to appropriate persons. D) Uses protective equipment as needed. E) Practice Radiation Safety for patients, self, and co-workers. F) Wear radiation dosimetry badge daily. 3. Attends departmental in-services and meetings as instructed by Manager. (1, 2, 3, 5) 5% Criteria A) Attends appropriate orientations. B) Attends required in-services. C) Attends departmental meetings or reads the meeting minutes that is send through the MOX system in Meditech. D) Reviews education poster boards located in the department. 4. Performs other duties as appropriate and needed by supervisors. (1, 2 ,4) 5% Criteria A) Demonstrates attitude of cooperation and professionalism when working in all areas of the hospital. B) Displays initiative and enthusiasm for non-routine or extra duties. C) Seeks out duties that need to be done without being told to. 5. Safety/Infection Control: Practices according to safety and infection control policies. (1, 2, 3, 4, 5, 7, 8) 5% Criteria A) Practices universal precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable and therapeutic environment for patients/families/employees in accordance with hospital standards. 1. Maintains clutter free environment., 2. Keeps conversations and background noise to a minimum., 3. Adheres to dress code. C) Reports risk management concerns. D) Assumes responsibility for completing all annual mandatory. 1. Safety/Fire, 2. Blood Borne Pathogen, 3. Hazardous Communication, 4. TB, 5. Department Specific, 6. Age Appropriate Care (for clinical staff only), 7. HIPAA, 8. Assigned .EDU courses E) All patients are to be properly identified by checking the patient armband. In areas that do not utilize armbands, 2 unique identifiers should be used to verify identification of the patient. Example: ask name, date of birth, or SS number. F) Works in a constant state of alertness and safe manner. 6. Participates in continuing education. (2, 3) 5% Criteria A) Obtains 24 CE points every 2 years per ASRT regulation. B) Maintains a good standing rating with the ASRT. 7. Service: Follow the Target 100 Standards. 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, 6) 10% Criteria A) Demonstrates respect and compassion to our internal and external customers, co-workers, and all others while delivering excellent care and courteous service. B) Follows the hospital confidentiality policy at all times. C) Recognize the diverse needs of others in regard to culture, religion, disability, etc. G) Demonstrates willingness to work with others to achieve work-related goals while performing daily duties and promote teamwork. H) Works with other departments to provide service to our customers. I) Follows HIPAA guidelines regarding patient health information. J) Answers questions in a knowledgeable manner or directs questions to someone who is able to provide answers. 8. Performance Improvement (PI): Incorporates Quality Improvement into one’s daily work. (1, 2, 3, 4, 5) 5% Criteria A) Reviews departmental QI, QA, & QC monthly during the departmental monthly meetings and by reviewing the posted information. B) Provides data/ input to the Radiology management staff pertaining to the current departmental QI Teams projects. 9. Uses Hospital/ Radiology Information system according to policy. (2, 3, 4, 5) 5% Criteria A) Enters information into the Radiology module correctly and in a timely manner. B) Provides training and direction to co-workers as necessary. C) Moves all completed exams to taken status within 30 minutes of completion of exam to help ensure the 24 hours report turnaround time is met. D) Enter/ edit exams as needed. E) Print consent forms for procedures from Meditech as needed. F) Check the internal MOX email system for messages. Send messages that are professional and appropriate only. 10. Age Appropriate Care: Provide age-appropriate care to: School age 6 years to 12 years, Adolescent 12 years to 18 years, Adult, 19 years to 64 years, Geriatrics, 65+ years. (1, 2, 3, 4, 5) 5% Criteria A) Demonstrates knowledge and skills of normal growth and development necessary to provide services to the age of the patients served by the department. B) Demonstrate the ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific response to questions. DISCLAIMER: Performs other related duties as assigned or requested. Rationale for Essential Functions 1. The performance of this functions 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 requires the use of protective equipment., 8. Exposure to tuberculosis that requires the use of protective equipment., 9. The performance of this functions the reason the job exists. Job Specifications MINIMUM EDUCATION: Graduate of a Radiology Technology program and registry eligible. MINIMUM EXPERIENCE: Two years Radiology Technology experience preferred. REQUIRED COURSE: BLS WORKING CONDITIONS: Exposure to blood and body fluid. Exposure to blood borne pathogens and other biological hazards. Subject to varying or unpredictable situations. PHYSICAL REQUIREMENTS: Ability to stand for and walk for long periods of time. Ability to lift, push, and pull 100 plus pounds. Ability to move or transfer patients. Ability to deal with strenuous and physical activity daily in lifting, pulling, pushing, patients, radiographic equipment cassettes and/or supplies. 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, • ARRT-R Radiography - American Registry of Radiologic Technologists (ARRT) Employee___________________________________________ Date____________ Supervisor__________________________________________ Date_____________ Department Head____________________________________ Date_____________ Administration_______________________________________ Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not intended 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 Saint Louis University Hospital. Work Shift: Day Shift (United States of America) Job Type: Employee Department: 4202000037 Radiology Scheduled Weekly Hours:40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. * Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). * Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. * Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. ___

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: Radiology · Sign On Bonus*: up to $20,000 · Schedule: full time weekends Fri - Sun 3-12's · Pay Range starts at: $26.72/hour Daily pay available! · Shift Differentials: Weekend $2/hour plus Weekend Option $7.50/hr F-Sun · Location: MO-SSM Health Saint Louis University Hospital 1201 Grand Requirements: Completion of Radiology program and ARRT-R within 6 months of hire date Relocation assistance is available for those who qualify. * • Qualified external candidates only Join the SSM Team and make an impact. Apply Today! Job Summary: Under the direction of the Radiology Director and Manager produces quality diagnostic medical radiographs, including OR, Flouro, Dexa, or EOS, to ensure proper diagnosis and quality patient care. 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. Demonstrates the skills to produce quality radiographs. (1, 2, 3, 4, 5, 6) 50% Criteria A) Produces quality images by using appropriate exposure technique to ensure proper penetration of the area being radio graphed. B) Demonstrates the proper use of metal markers and or placement of markers electronically. C) Document an appropriate patient history containing pertinent patient information regarding their condition and including patient limitations. D) Physician orders are to be written and verified prior to the start of the exam. E) Perform OR/Surgery cases using C-arms and portable machines efficiently. F) Supervise and teach Radiology students exams and procedures as part of their clinical rotation, providing feedback to the Clinical Educator on their performance. G) Communicates technical information in a manner appropriate for the intended person (patient, co-worker etc.). H) Responds to changes in the workload using time to departmental advantage. 2.) Observes established departmental policies, safety, environmental, and infection control standards. (1, 2, 3, 4,5, 6, 7, 8) 5% Criteria A) Maintains work area in a clean and orderly condition. B) Adheres to hospital safety and infection control policies. C) Reports faulty equipment to appropriate persons. D) Uses protective equipment as needed. E) Practice Radiation Safety for patients, self, and co-workers. F) Wear radiation dosimetry badge daily. 3. Attends departmental in-services and meetings as instructed by Manager. (1, 2, 3, 5) 5% Criteria A) Attends appropriate orientations. B) Attends required in-services. C) Attends departmental meetings or reads the meeting minutes that is send through the MOX system in Meditech. D) Reviews education poster boards located in the department. 4. Performs other duties as appropriate and needed by supervisors. (1, 2 ,4) 5% Criteria A) Demonstrates attitude of cooperation and professionalism when working in all areas of the hospital. B) Displays initiative and enthusiasm for non-routine or extra duties. C) Seeks out duties that need to be done without being told to. 5. Safety/Infection Control: Practices according to safety and infection control policies. (1, 2, 3, 4, 5, 7, 8) 5% Criteria A) Practices universal precautions and disposes of hazardous wastes per established guidelines. B) Maintains a safe, clean, comfortable and therapeutic environment for patients/families/employees in accordance with hospital standards. 1. Maintains clutter free environment., 2. Keeps conversations and background noise to a minimum., 3. Adheres to dress code. C) Reports risk management concerns. D) Assumes responsibility for completing all annual mandatory. 1. Safety/Fire, 2. Blood Borne Pathogen, 3. Hazardous Communication, 4. TB, 5. Department Specific, 6. Age Appropriate Care (for clinical staff only), 7. HIPAA, 8. Assigned .EDU courses E) All patients are to be properly identified by checking the patient armband. In areas that do not utilize armbands, 2 unique identifiers should be used to verify identification of the patient. Example: ask name, date of birth, or SS number. F) Works in a constant state of alertness and safe manner. 6. Participates in continuing education. (2, 3) 5% Criteria A) Obtains 24 CE points every 2 years per ASRT regulation. B) Maintains a good standing rating with the ASRT. 7. Service: Follow the Target 100 Standards. 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, 6) 10% Criteria A) Demonstrates respect and compassion to our internal and external customers, co-workers, and all others while delivering excellent care and courteous service. B) Follows the hospital confidentiality policy at all times. C) Recognize the diverse needs of others in regard to culture, religion, disability, etc. G) Demonstrates willingness to work with others to achieve work-related goals while performing daily duties and promote teamwork. H) Works with other departments to provide service to our customers. I) Follows HIPAA guidelines regarding patient health information. J) Answers questions in a knowledgeable manner or directs questions to someone who is able to provide answers. 8. Performance Improvement (PI): Incorporates Quality Improvement into one’s daily work. (1, 2, 3, 4, 5) 5% Criteria A) Reviews departmental QI, QA, & QC monthly during the departmental monthly meetings and by reviewing the posted information. B) Provides data/ input to the Radiology management staff pertaining to the current departmental QI Teams projects. 9. Uses Hospital/ Radiology Information system according to policy. (2, 3, 4, 5) 5% Criteria A) Enters information into the Radiology module correctly and in a timely manner. B) Provides training and direction to co-workers as necessary. C) Moves all completed exams to taken status within 30 minutes of completion of exam to help ensure the 24 hours report turnaround time is met. D) Enter/ edit exams as needed. E) Print consent forms for procedures from Meditech as needed. F) Check the internal MOX email system for messages. Send messages that are professional and appropriate only. 10. Age Appropriate Care: Provide age-appropriate care to: School age 6 years to 12 years, Adolescent 12 years to 18 years, Adult, 19 years to 64 years, Geriatrics, 65+ years. (1, 2, 3, 4, 5) 5% Criteria A) Demonstrates knowledge and skills of normal growth and development necessary to provide services to the age of the patients served by the department. B) Demonstrate the ability to assess and interpret age specific data to identify patient needs. C) Utilizes communication skills necessary to interpret age specific response to questions. DISCLAIMER: Performs other related duties as assigned or requested. Rationale for Essential Functions 1. The performance of this functions 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 requires the use of protective equipment., 8. Exposure to tuberculosis that requires the use of protective equipment., 9. The performance of this functions the reason the job exists. Job Specifications MINIMUM EDUCATION: Graduate of a Radiology Technology program and registry eligible. MINIMUM EXPERIENCE: Two years Radiology Technology experience preferred. REQUIRED COURSE: BLS WORKING CONDITIONS: Exposure to blood and body fluid. Exposure to blood borne pathogens and other biological hazards. Subject to varying or unpredictable situations. PHYSICAL REQUIREMENTS: Ability to stand for and walk for long periods of time. Ability to lift, push, and pull 100 plus pounds. Ability to move or transfer patients. Ability to deal with strenuous and physical activity daily in lifting, pulling, pushing, patients, radiographic equipment cassettes and/or supplies. 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 ARRT-R Radiography - American Registry of Radiologic Technologists (ARRT) Employee___________________________________________ Date____________ Supervisor__________________________________________ Date_____________ Department Head____________________________________ Date_____________ Administration_______________________________________ Date_____________ The above statements are intended to describe the general nature and level of work being performed. They are not intended 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 Saint Louis University Hospital. Work Shift: Weekend Shift (United States of America) Job Type: Employee Department: 4202000037 Radiology 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. ___

Additional Information About the Role Join BJC HealthCare at Barnes Jewish Hospital’s New Plaza West Tower!!!! Now Hiring a Full-Time Rad Interventional Technologist – IR (Radiology) – Advanced Modality (Imaging) $$$ Newly Increased Imaging Pay Rates! $$ Comprehensive Training Available — No IR Experience Needed! Position Details: • Day Shift: 10-hour shifts, 4 days a week (7:30am – 6:00pm), • Weekend & Call Rotation: Be part of a rotating schedule involving 3-4 weekends per year, with paid on-call compensation — even if you're not called in!, • Extra Pay & Incentives:, • Premium pay for working weekends and call shifts, • Additional shift differential for evening and weekend hours, • 5% Advanced Modality Differential — earn more for your specialized skills!, • Call Schedule:, • Friday 6pm – Saturday 8am, • Saturday 4pm – Monday 7:30am, • Occurs every 10th or 11th weekend, giving you predictable time off and extra income!, • Advanced Modality Technologist position / Radiologic / Radiology Technologist - Interventional Radiology, • Work in a NEW State-of-the-Art Facility (Siemens Fluoro units, GE Ultrasound, Epic), • Works independently with a multidisciplinary team performing fluoroscopic imaging procedures, • Prepares patient and equipment for procedures while assisting the radiologist, • Associate degree or higher in related field, • No IR Tech experience necessary willing to train, • Work with a highly skilled, compassionate, supportive, and caring team, • Growth Opportunities to learn new skills and advance (cross-train), • Generous Benefits Package with PTO and Tuition Assistance beginning on day 1 Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center. Picture yourself working with the most world renowned Interventional Radiologists or Neuro Radiologists in the country, who are using the latest in diagnostic and therapeutic tools to help make life-changing decisions on behalf of patient care.¿The Vascular and Neuro Interventional radiologists of the Mallinckrodt Institute of Radiology Magnetic Resonance Imaging (MIR) at Barnes-Jewish Hospital pioneered, and are responsible for, many radiologic milestones.¿ These two distinct radiological clinical service lines are organized as follows: Interventional Radiology, includes a team of close- knit clinical specialists (Medical Doctors, Registered Nurses, and¿ Radiologic Technologists) who perform highly specialized Vascular and Interventional procedures, including most types of angiographic studies, nonvascular interventions, intra-vascular thrombolysis and central venous catheter placements. Neuroradiology, comprises highly trained Radiologists, Radiologic Technologists and Registered Nurses who work as a team to perform complex procedures such as cerebral angiography, myelography, stent placements and aneurysm coilings and embolizations. The Radiology Department at the Washington University Medical Center is regarded as one of the top five in the United States. It performs over 453,000 diagnostic and interventional imaging procedures annually. Preferred Qualifications Role Purpose Performs diagnostic imaging procedures in at least one advanced imaging modality (defined as Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Interventional, Mammography, Bone Density, Cardiac Catheterization) on adults and/or pediatric patients for the purpose of diagnosis and/or treatment, and quality control. Responsibilities • Prepares patient and equipment for procedures. Education • IEMA - Illinois only, excl MRI Experience • Cardiopulmonary Resuscitation BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date, • Disability insurance* paid for by BJC, • Annual 4% BJC Automatic Retirement Contribution, • 401(k) plan with BJC match, • Tuition Assistance available on first day, • BJC Institute for Learning and Development, • Health Care and Dependent Care Flexible Spending Accounts, • Paid Time Off benefit combines vacation, sick days, holidays and personal time *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

Additional Information About the Role Are you a Radiology Technologist looking for a new opportunity? This opening at our South County After Hours location might be the perfect fit for you! Come join our team and be a part of our mission to advance the health of our patients and community! • Convenient Care (After Hours), • South County Location, • 16 Hours Per Week, • 3:30 p.m. to 12:00 a.m. (when scheduled Mon thru Fri), • 11:30 a.m. to 8:00 p.m. (when scheduled Sat, Sun, Holidays), • Must be able to work every other weekend St. Louis Children’s Hospital is dedicated to improving the health and lives of children. As one of the top-ranked children’s hospitals in the country, St. Louis Children’s provides care in more than 50 specialty areas through a dedicated team of physicians, nurses, staff and volunteers. Along with inpatient and outpatient medical care, the hospital offers education, wellness and injury-prevention programs to fulfill its mission to “do what’s right for kids.” Providing comprehensive, high-quality care and serving as an advocate for children has been St. Louis Children’s commitment since its inception in 1879. Today, the hospital serves patients and families across a 300-mile service area, and has seen patients from all 50 states and more than 80 countries. St. Louis Children’s consistently ranks among America’s Best Children’s Hospitals by U.S.News & World Report in all surveyed categories. In 2021, St. Louis Children’s was one of eight children’s hospitals to rank in the top 25 of all 10 specialties. The hospital’s academic and physician partner, Washington University School of Medicine, is one of the top-ranked medical schools in the United States. Since 2005, St. Louis Children’s has been designated as a Magnet® hospital for nursing excellence from the American Nurses Credentialing Center® (ANCC). Preferred Qualifications Role Purpose The Radiology Technologist performs general imaging radiographic procedures to adult and/or pediatric patients for the purpose of diagnosis and/or treatment of anatomic and physiologic disorders Responsibilities • Prepares patient and equipment for procedures. Informs patient on instructions and what the procedure entails with a high level of customer service and professionalism. Education • IEMA - Illinois only, excl MRI Experience BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date, • Disability insurance* paid for by BJC, • Annual 4% BJC Automatic Retirement Contribution, • 401(k) plan with BJC match, • Tuition Assistance available on first day, • BJC Institute for Learning and Development, • Health Care and Dependent Care Flexible Spending Accounts, • Paid Time Off benefit combines vacation, sick days, holidays and personal time *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

Performs direct patient care in all aspects of respiratory care, according to physician's orders. Consults physicians on effectiveness of therapy. Acts as an advanced resource person for physicians and nursing on respiratory care. Performs duties as assigned. We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.” Mercy Hospital St. Louis and Surrounding Communities (Including Washington, Lincoln, Jefferson, Perry, and Southeast) RRT and CRT GIG $35/hr RRT $30/hr CRT + Variable Shift Incentive Flexibility in Day/Night and Number of hours worked Are you seeking flexible incentivized RT position? Ability to pick up day OR night shift- whatever works for you! No Weekend, Holiday, or Shift requirement. GIG Highlights $30(CRT) $35(RRT)/Hr Base Rate W-2 Employee Variable Shift Incentives 4,8,or 12 hour shifts available Overview: Performs direct patient care in all aspects of respiratory care, according to physician's orders. Consults physicians on effectiveness of therapy. Acts as an advanced resource person for physicians and nursing on respiratory care. Performs duties as assigned. Qualifications: Education: Graduate of CoArc approved Respiratory Care program. Licensure: Meets state licensure requirements and has a current Respiratory Care Practitioner (RCP) license. Certifications: Hold the Registered Respiratory Therapist (RRT) or Certified Respiratory Therapist (CRT) credential awarded by the National Board for Respiratory Care (NBRC). For co-workers who work in the Emergency Room PALS is required. ACLS is required. Experience: Must have one year of experience, not to include time on orientation. Other: Physical demands are attached plus push, pull, and grip up to 50 lbs. Plus, pinch up to 10 lbs., kneel, crouch, and crawl minimally. Equipment Used: All appropriate respiratory care devices. Preferred Experience: Prefer critical care experience. We’re bringing to life a healing ministry through compassionate care. At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We’re expanding to help our communities grow. Join us and be a part of it all. What Makes You a Good Match for Mercy? Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply. From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period. Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us. keyword(s): GIG RRT CRT

ALL ROADS LEAD TO THIS OPPORTUNITY The journey to Valvoline Instant Oil Change (VIOC) is different for everyone. Our employees are students, recent grads, parents, veterans, career changers—who have all found their way to our team. No matter where you’ve been or what you’re looking for, discover how your road leads to Valvoline. ROLE OVERVIEW: What you’ll do to drive success When you join us as an Entry-Level Lube Technician, your personal and professional goals will be fueled by a friendly and collaborative team environment. Together, we’ll help keep our guests safe on the road by providing top-tier customer service, while performing preventative maintenance services for their vehicles. Your road to VIOC doesn’t require previous automotive experience. Through our award-winning training program, we’ll teach you how to: • Change oil, • Check and refill fluids, • Rotate tires, • Test and replace batteries, • Inspect and replace lights and wipers, • Perform an 18-point maintenance check, • And other preventive maintenance services BENEFITS: What you’ll gain to fuel your goals We’re committed to putting our people first in every way possible. That’s why we offer a variety of benefits* to help you navigate and advance a better future. Here’s a look at some of our unique benefits: Compensation: • Compensation: $16.75 per hour weekly pay., • Career Acceleration: Hands-on training for the potential to become a Service Center Manager within 18-24 months., • Debt-Free Education: 13 paid credit hours/year at WilmU, covering part-time enrollment over two semesters., • Life Balance: No late-night hours, holidays off, paid time-off availability, and back-up child and elder care., • Health Benefits: Medical, dental, and vision, plus prescription drug coverage with Health Savings Account contributions., • Employee Assistance Program (EAP): Quick, free, and confidential well-being support for all areas of life, including personal and work relationships, family, mental health, and legal issues., • Employee Perks: Company-provided uniforms and tools, 50% discount on VIOC automotive services, and 401(k) savings plans with a 100% match up to 5%. QUALIFICATIONS: What you’ll need to keep moving forward From day one, you’ll get hands-on training and support to thrive as a Lube Technician. All you need to do is bring your positive attitude, attention to detail, and passion for learning—and we’ll help you every step of the way. We seek team members with: • Schedule flexibility (Weekend availability is likely, but we ensure you don’t work late nights or holidays), • An eagerness to learn, a friendly attitude, and a desire to be part of a customer-focused team, • Stand for up to 8 hours, climb stairs, and occasionally lift up to 50 pounds, • Crouch, bend, twist, and work with your hands above your head *Terms and conditions apply, and benefits may differ depending on location. Valvoline is proud to be an Equal Opportunity Employer and welcomes everyone to apply. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, or protected veteran status and will not be discriminated against on the basis of disability. The Company endeavors to make its recruitment process accessible to any and all users. Reasonable accommodations will be provided, upon request, to applicants with disabilities in order to facilitate equal opportunity throughout the recruitment and selection process. Please contact Human Resources at 1.833.VVV.Report or email to make a request for reasonable accommodation during any aspect of the recruitment and selection process. The contact information is for accommodation requests only; do not use this contact information to inquire about the status of applications.

ALL ROADS LEAD TO THIS OPPORTUNITY The journey to Valvoline Instant Oil Change (VIOC) is different for everyone. Our employees are students, recent grads, parents, part-time workers, veterans, career changers—who have all found their way to our team. No matter where you’ve been or what you’re looking for, discover how your road leads to Valvoline. ROLE OVERVIEW: What you’ll do to drive success When you join us as an Entry-Level Lube Technician, your personal and professional goals will be fueled by a friendly and collaborative team environment. Together, we’ll help keep our guests safe on the road by providing top-tier customer service, while performing preventative maintenance services for their vehicles. Your road to VIOC doesn’t require previous automotive experience. Through our award-winning training program, we’ll teach you how to: • Change oil, • Check and refill fluids, • Rotate tires, • Test and replace batteries, • Inspect and replace lights and wipers, • Perform an 18-point safety check, • And other preventive maintenance services BENEFITS: What you’ll gain to fuel your goals We’re committed to putting our people first in every way possible. That’s why we offer a variety of benefits* to help you navigate and advance a better future. Here’s a look at some of our unique benefits: Compensation: • Compensation: $16.75 per hour weekly pay., • Career Acceleration: Hands-on training for the potential to become a Service Center Manager within 18-24 months., • Debt-Free Education: 13 paid credit hours/year at WilmU, covering part-time enrollment over two semesters., • Life Balance: No late-night hours, holidays off, paid time-off availability, and back-up child and elder care., • Health Benefits: Medical, dental, and vision, plus prescription drug coverage with Health Savings Account contributions., • Employee Assistance Program (EAP): Quick, free, and confidential well-being support for all areas of life, including personal and work relationships, family, mental health, and legal issues., • Employee Perks: Company-provided uniforms and tools, 50% discount on VIOC automotive services, and 401(k) savings plans with a 100% match up to 5%. QUALIFICATIONS: What you’ll need to keep moving forward From day one, you’ll get hands-on training and support to thrive as a Lube Technician. All you need to do is bring your positive attitude, attention to detail, and passion for learning—and we’ll help you every step of the way. We seek team members with: • Schedule flexibility (Weekend availability is likely, but we ensure you don’t work late nights or holidays), • An eagerness to learn, a friendly attitude, and a desire to be part of a customer-focused team, • Stand for up to 8 hours, climb stairs, and occasionally lift up to 50 pounds, • Crouch, bend, twist, and work with your hands above your head *Terms and conditions apply, and benefits may differ depending on location. Valvoline is proud to be an Equal Opportunity Employer and welcomes everyone to apply. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, or protected veteran status and will not be discriminated against on the basis of disability. The Company endeavors to make its recruitment process accessible to any and all users. Reasonable accommodations will be provided, upon request, to applicants with disabilities in order to facilitate equal opportunity throughout the recruitment and selection process. Please contact Human Resources at 1.833.VVV.Report or email to make a request for reasonable accommodation during any aspect of the recruitment and selection process. The contact information is for accommodation requests only; do not use this contact information to inquire about the status of applications.

• EARN MORE WITH TUCKER - Average up to $105,000 per year; 81 CPM*, • STATE-OF-THE-ART EQUIPMENT - Late-model trucks equipped with APUs + upgraded interiors Join us today and experience the difference at Tucker Freight Lines! • Drivers earn up to $105,000 per year*, • Average weekly pay: $1,700 - $2,200, • Mileage pay: 81 CPM including bonuses*, • Bonus opportunities and stop pay available, • Get home weekly to monthly, depending on location, • Primarily running Midwestern and Southern states, • Most loads are pre-loaded and secured, • Hauling Flatbed, Step deck, + RGN trailers, • No previous open deck experience required, training provided, • Drivers average $1,750 per week*, • Base pay: 47 CPM, • Earn an additional 17 CPM in safety + performance bonuses, • Home weekly for 34-48 hours, • Additional pay for weekend availability (Weekend Warrior package), • More than 60% drop + hook, • Primarily operating in the Midwest, • Up to $7,500 driver referral bonus per referral (OTR only), • Local: Drivers average $1,300 per week*, • Local: Base pay: $22 per hour, • Local: Earn an additional $1 per hour in safety and performance bonuses, • Local: Home daily!, • Flex: Drivers average $1,400 per week*, • Flex: Base pay: $23 per hour, • Flex: Earn an additional $1 per hour in safety and performance bonuses, • Flex: Home 3+ nights per week, • Equipment: 2024 and newer Freightliners + Kenworths equipped with APUs + upgraded trim packages, • Medical, dental, + vision insurance, • 401(k) with company match, • Health savings account, • Company-paid life insurance, • Paid holidays and time off, • Paid orientation, • $100 clean inspection bonus, • Pet + rider policies There is no deadline to apply. Applications are accepted on an ongoing basis. • Valid Class A CDL, • 2+ years tractor-trailer experience, • No DUIs in the last 5 years

Additional Information About the Role • 2 - 12 Hour Shifts (Part-Time), • Days, • Every 3rd Weekend & Every 3rd Holiday, • Modified Self-Scheduling in 6-week periods, • The BJC Registered Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area., • This is a tool to empower nurses to work at the top of their license and own their career progression., • The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career. Missouri Baptist Medical Center, an acute care hospital in St. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management services. The hospital has a 24-hour adult emergency department and cares for pediatric patients at a separate emergency department in collaboration with St. Louis Children’s Hospital. Missouri Baptist is the first and only hospital in St. Louis County to be named a Magnet® hospital by the American Nurses Credentialing Center (ANCC). The prestigious designation is the highest credential a health care organization can receive for nursing excellence and quality patient care. This recognition has been accomplished by less than nine percent of hospitals nationwide. Additionally, U.S. News & World Report ranked the hospital #2 in the St. Louis metro area. Orthopedic/Neuro Spine and Acute Rehabilitation at Missouri Baptist offers a 34-bed unit for patients undergoing joint replacements, back surgeries and other orthopedic procedures with. Included in this nursing area is a 10-bed Rehabilitation Unit which provides services between acute and long-term care. The patient care team researches patient lifestyle, function and mobility, and customizes care plans to return patients to their home setting. Preferred Qualifications Role Purpose Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care. Responsibilities • Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration., • Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development., • Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care., • Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs. Education Education BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date, • Disability insurance* paid for by BJC, • Annual 4% BJC Automatic Retirement Contribution, • 401(k) plan with BJC match, • Tuition Assistance available on first day, • BJC Institute for Learning and Development, • Health Care and Dependent Care Flexible Spending Accounts, • Paid Time Off benefit combines vacation, sick days, holidays and personal time *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

Additional Information About the Role • 2 - 12 Hour Shifts (Part-Time), • Days or Nights, • Every 3rd Weekend & Every 3rd Holiday, • Modified Self-Scheduling in 6-week periods, • The BJC Registered Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area., • This is a tool to empower nurses to work at the top of their license and own their career progression., • The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career. Missouri Baptist Medical Center, an acute care hospital in St. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management services. The hospital has a 24-hour adult emergency department and cares for pediatric patients at a separate emergency department in collaboration with St. Louis Children’s Hospital. Missouri Baptist is the first and only hospital in St. Louis County to be named a Magnet® hospital by the American Nurses Credentialing Center (ANCC). The prestigious designation is the highest credential a health care organization can receive for nursing excellence and quality patient care. This recognition has been accomplished by less than nine percent of hospitals nationwide. Additionally, U.S. News & World Report ranked the hospital #2 in the St. Louis metro area. The Advanced Cardiac Care Unit (ACCU) is a 48-bed, fast-paced cardiac care unit. Our department offers an exciting and challenging place for skilled nurses, and a great environment in which to grow and learn. Preferred Qualifications Role Purpose Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care. Responsibilities • Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration., • Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development., • Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care., • Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs. Education Education BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date, • Disability insurance* paid for by BJC, • Annual 4% BJC Automatic Retirement Contribution, • 401(k) plan with BJC match, • Tuition Assistance available on first day, • BJC Institute for Learning and Development, • Health Care and Dependent Care Flexible Spending Accounts, • Paid Time Off benefit combines vacation, sick days, holidays and personal time *Not all benefits apply to all jobs The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

Why Become a Shopper with DoorDash? Turn your shopping skills into extra income. Whether you’re helping someone stock up on groceries or delivering a last-minute convenience order, as a Shopper you unlock more earnings opportunities with DoorDash. Stay active during off-peak hours and no need to wait around for a restaurant preparing an order, becoming a Shopper with DoorDash puts you in control of your time and earnings. Either as a side hustle or a full-time gig, being a Shopper with DoorDash gives you the opportunity to earn extra cash on your terms. Multiple ways to earn: Deliver more than just restaurant orders. Become a Shopper and deliver grocery, convenience, retail, alcohol and more—DoorDash offers diverse earning opportunities so you can maximize your time. Control your time: Make cash during off-peak hours so you don’t have to schedule your day around the lunch or dinner time rush; don’t wait around for an order when you do the shopping. Know how much you'll make: Clear and concise pay model lets you know the minimum amount you will make before accepting any offer. Earn more: Get more cash per delivery on average compared to a restaurant delivery when you do the shopping.* Quick and easy start: Sign up in minutes and get on the road fast.* Basic Requirements 18+ years old (21+ to deliver alcohol) Any car, scooter, or bicycle (in select cities) Driver's license number Social security number (only in the US) Consistent access to a smartphone How to Become a Shopper Click “Sign UpApply Now” and complete the sign up process Download the DoorDash Dasher app Activate your Red Card in the Dasher app* *Compared to a restaurant delivery order, based on average Dasher payouts nationwide while on a delivery. Actual earnings may differ and depend on factors like number of deliveries completed, time of day, location, and expenses. *Subject to eligibility. Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia *The Red Card is a prepaid card used by Dashers to pay for items on Dasher Shop & Deliver offers. The card will automatically be funded prior to check out. Red Cards are not linked to Dasher bank accounts or related to earnings. This card is issued by Peoples Trust Company under license from Mastercard International Incorporated. Mastercard is a registered trademark, and the circles design is a trademark of Mastercard International Incorporated. Additional information Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig. Deliver with DoorDash and earn extra cash while being your own boss. Dash when it works for you. Sign up today.

Why Become a Shopper with DoorDash? Turn your shopping skills into extra income. Whether you’re helping someone stock up on groceries or delivering a last-minute convenience order, as a Shopper you unlock more earnings opportunities with DoorDash. Stay active during off-peak hours and no need to wait around for a restaurant preparing an order, becoming a Shopper with DoorDash puts you in control of your time and earnings. Either as a side hustle or a full-time gig, being a Shopper with DoorDash gives you the opportunity to earn extra cash on your terms. Multiple ways to earn: Deliver more than just restaurant orders. Become a Shopper and deliver grocery, convenience, retail, alcohol and more—DoorDash offers diverse earning opportunities so you can maximize your time. Control your time: Make cash during off-peak hours so you don’t have to schedule your day around the lunch or dinner time rush; don’t wait around for an order when you do the shopping. Know how much you'll make: Clear and concise pay model lets you know the minimum amount you will make before accepting any offer. Earn more: Get more cash per delivery on average compared to a restaurant delivery when you do the shopping.* Quick and easy start: Sign up in minutes and get on the road fast.* Basic Requirements 18+ years old (21+ to deliver alcohol) Any car, scooter, or bicycle (in select cities) Driver's license number Social security number (only in the US) Consistent access to a smartphone How to Become a Shopper Click “Sign UpApply Now” and complete the sign up process Download the DoorDash Dasher app Activate your Red Card in the Dasher app* *Compared to a restaurant delivery order, based on average Dasher payouts nationwide while on a delivery. Actual earnings may differ and depend on factors like number of deliveries completed, time of day, location, and expenses. *Subject to eligibility. Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia *The Red Card is a prepaid card used by Dashers to pay for items on Dasher Shop & Deliver offers. The card will automatically be funded prior to check out. Red Cards are not linked to Dasher bank accounts or related to earnings. This card is issued by Peoples Trust Company under license from Mastercard International Incorporated. Mastercard is a registered trademark, and the circles design is a trademark of Mastercard International Incorporated. Additional information Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig. Deliver with DoorDash and earn extra cash while being your own boss. Dash when it works for you. Sign up today.

Why Become a Shopper with DoorDash? Turn your shopping skills into extra income. Whether you’re helping someone stock up on groceries or delivering a last-minute convenience order, as a Shopper you unlock more earnings opportunities with DoorDash. Stay active during off-peak hours and no need to wait around for a restaurant preparing an order, becoming a Shopper with DoorDash puts you in control of your time and earnings. Either as a side hustle or a full-time gig, being a Shopper with DoorDash gives you the opportunity to earn extra cash on your terms. Multiple ways to earn: Deliver more than just restaurant orders. Become a Shopper and deliver grocery, convenience, retail, alcohol and more—DoorDash offers diverse earning opportunities so you can maximize your time. Control your time: Make cash during off-peak hours so you don’t have to schedule your day around the lunch or dinner time rush; don’t wait around for an order when you do the shopping. Know how much you'll make: Clear and concise pay model lets you know the minimum amount you will make before accepting any offer. Earn more: Get more cash per delivery on average compared to a restaurant delivery when you do the shopping.* Quick and easy start: Sign up in minutes and get on the road fast. Basic Requirements ~18+ years old* (21+ to deliver alcohol) ~ Any car, scooter, or bicycle (in select cities) ~ Driver's license number ~ Social security number (only in the US) ~ Consistent access to a smartphone How to Become a Shopper Click “Sign UpApply Now” and complete the sign up process Download the DoorDash Dasher app Activate your Red Card in the Dasher app *Compared to a restaurant delivery order, based on average Dasher payouts nationwide while on a delivery. Actual earnings may differ and depend on factors like number of deliveries completed, time of day, location, and expenses. Subject to eligibility. *Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia The Red Card is a prepaid card used by Dashers to pay for items on Dasher Shop & Deliver offers. The card will automatically be funded prior to check out. Red Cards are not linked to Dasher bank accounts or related to earnings. This card is issued by Peoples Trust Company under license from Mastercard International Incorporated. Mastercard is a registered trademark, and the circles design is a trademark of Mastercard International Incorporated. Additional information Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig. Deliver with DoorDash and earn extra cash while being your own boss. Dash when it works for you. Sign up today.

Why Become a Shopper with DoorDash? Turn your shopping skills into extra income. Whether you’re helping someone stock up on groceries or delivering a last-minute convenience order, as a Shopper you unlock more earnings opportunities with DoorDash. Stay active during off-peak hours and no need to wait around for a restaurant preparing an order, becoming a Shopper with DoorDash puts you in control of your time and earnings. Either as a side hustle or a full-time gig, being a Shopper with DoorDash gives you the opportunity to earn extra cash on your terms. Multiple ways to earn: Deliver more than just restaurant orders. Become a Shopper and deliver grocery, convenience, retail, alcohol and more—DoorDash offers diverse earning opportunities so you can maximize your time. Control your time: Make cash during off-peak hours so you don’t have to schedule your day around the lunch or dinner time rush; don’t wait around for an order when you do the shopping. Know how much you'll make: Clear and concise pay model lets you know the minimum amount you will make before accepting any offer. Earn more: Get more cash per delivery on average compared to a restaurant delivery when you do the shopping.* Quick and easy start: Sign up in minutes and get on the road fast.* Basic Requirements 18+ years old (21+ to deliver alcohol) Any car, scooter, or bicycle (in select cities) Driver's license number Social security number (only in the US) Consistent access to a smartphone How to Become a Shopper Click “Sign UpApply Now” and complete the sign up process Download the DoorDash Dasher app Activate your Red Card in the Dasher app* *Compared to a restaurant delivery order, based on average Dasher payouts nationwide while on a delivery. Actual earnings may differ and depend on factors like number of deliveries completed, time of day, location, and expenses. *Subject to eligibility. Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia *The Red Card is a prepaid card used by Dashers to pay for items on Dasher Shop & Deliver offers. The card will automatically be funded prior to check out. Red Cards are not linked to Dasher bank accounts or related to earnings. This card is issued by Peoples Trust Company under license from Mastercard International Incorporated. Mastercard is a registered trademark, and the circles design is a trademark of Mastercard International Incorporated. Additional information Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig. Deliver with DoorDash and earn extra cash while being your own boss. Dash when it works for you. Sign up today.