RN- Cardiopulmonary Stepdown Full Time Nights
St Luke's Hospital of Chesterfield MOFull time Full day
Performs the primary function of a Registered Professional Nurse in assessing, planning, implementing, educating, and evaluating a designated group of patients in accordance with all established Nursing Standards and Hospital Policies. Is responsible for managing all assigned personal supplies, equipment on the unit, and for promoting teamwork with all members of the healthcare team. Performs duties and responsibilities in a manner consistent with our mission and values.
Principle Accountabilities: % Of Time Spent
- Directs all care to team members, students, PCT's, and UA's. 5% 2. Acts as a patient liaison and advocate. 5% 3. Assures proper documentation. 15%
a. Documents assessments. b. Initiates careplans. c. Formulates, updates, and revises treatment plans and goals.
Participates in discharge planning: 5% a. Identifies home educational needs. b. Instructs and educates patients to diet, medications, activities, etc.
Assures orders are processed as follows: 5% a. Checks and signs off orders. b. Accepts telephone orders from physicians. c. Ensures documentation of advanced directives. 6. Makes initial and continuous patient assessment: 20% a. Communicates the interpretation of lab data, EKG's, etc. b. Consults with physician. c. Makes patient rounds, using ICARE model. d. Manages patient's in-house transfer through system. e. Reviews drug therapy. f. Assesses ADL's g. Coordinates administration of treatments between disciplines.
Coordinates all aspects of patient care, including planning, intervention, education, and evaluation: 18% a. Develops, maintains, and applies age-specific knowledge relevant to the care of the patient population served. b. Inserts NG tube. c. Initiates TPN, blood, and blood products. d. Performs IV insertions, troubleshooting and maintenance. e. Performs phlebotomy. f. Accesses and flushes ports. (unit specific) g. Performs IV push medications and flushes. h. Performs staple removal. i. Performs drain removal. (unit specific) j. Initiates physician orders. k. Participates in Code Blue/RRT team response. l. Provides patient education.
- Assists with the insertion and management of central venous catheters (CVC): 2%
a. Assists with the insertion of a CVC. b. Cleanses the CVC hub appropriately prior to specimen collection or medication administration. c. Maintains line patency through proper flushing techniques. d. Changes sterile dressing.
- Participates as a team member on the division 5%
a. Participates in the "Every Patient is My Patient Initiative"
b. Displays FACES behaviors.
c. Participates in bedside shift report.
d. Ensures patient handoff to other disciplines through verbal or written communication.
e. Interprets Hospital Policy for team members.
f. Participates as committee chair or member of various nursing or interdisciplinary committee meetings as requested.
g. Participates in and makes suggestions for HCAHPS improvement initiatives.
h. Assists in providing adequate staffing.
i. Participates with Policy development.
j. May function as a charge nurse, assigning care of patients to caregivers according to hospital policy.
- Oversees the education of staff and staff development: 5%
a. Develops and educates staff. b. Orients new employees. c. Participates in performance monitoring (peer review).
Participates in continuing education activities relevant to Nursing Practice. 5%
- Performs other work duties as assigned. 5%
a. Essential function of the job. b. Non-essential function of the job, can be assigned to another employee.
Current licensure as a Registered Nurse in the state of Missouri Required.
Nursing Diploma or Associates in Nursing Required.
BSN or completion of BSN within 5 years of hire date is required.
Capable of working to prescribed Hospital Policies and Nursing Standards. The patient care provided will take into consideration the specific age-related needs of the patient. Nursing divisions may provide patient care to neonates/infants, children, adolescents, adults, and geriatric adults. Current certification in a Basic Life Support required or course will need to be completed during orientation classes, prior to working on the nursing divisions. Advanced Cardiac Life Support Certification within 1 year for ICU. Certification in Neonatal Resuscitation Program (NRP) for Maternity and Newborn Services, Pediatrics, SCN.
COMPETENCY WILL BE VALIDATED AT LEAST ONCE EVERY THREE YEARS. STANDARDS DENOTING AN ANNUAL OR MORE FREQUENT COMPETENCY VALIDATION ARE LOCATED IN THE SCOPE OF PRACTICE. COMPLETION OF HOSPITAL SAFETY PROGRAMS ARE REQUIRED ANNUALLY. PARTICIPATION IN A BLS, ACLS, NRP IS REQUIRED EVERY TWO YEARS.
Employee is required to walk continuously and sit occasionally. Employee must lift/carry a light (1-20 lbs.) medium (21-50 lbs.) load occasionally and heavy ( 50lbs. +) load frequently. Employee may be required to lift over 100 lbs with assistance. Employee is frequently required to bend, squat, crawl, kneel, climb, lift waist to overhead. Employee is occasionally required to reach forward and reach overhead. For repetitive action, employee is required to use both hands for simple grasping and pushing/pulling. Employee is occasionally exposed to electrical hazards and CRT terminal work. Verbal and cognitive ability, as well as motor coordination and manual dexterity are required. Speech, hearing, and near-visual acuity are required. May be needed to work any shift due to 24-hour day, 7 days per week operation. May be required to work on other patient care units as needed. Employee is frequently exposed to blood borne pathogens.
(Occasionally: 1-33%, Frequently: 34-66%, Continuously: 67-100%)
The most significant of duties are included, but this does not exclude occasional work assignments not mentioned or developmental duties.
Job Relationships: Member of a comprehensive healthcare team, including other health care providers, the patient, the patient's family and significant others.
Takes direction from: Nurse Manager and Assistant Nurse Manager
Provides direction to: LPN, PCT, UA, Secretary
Supervised by: Nurse Manager, Assistant Nurse Manager
Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Luke's is dedicated to improving the health of the communities we serve.
Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence and respect for each other and those we serve.
As an independent healthcare network, we create healthy communities in the region through our commitment to high quality, safe and personalized services.
We accept and treat all persons as being created in the image of God.
We respond with caring to the needs of others as if they were members of our family.
We honor each person's rights and responsibilities in light of the common good.
We set and strive to attain high standards of performance and continuous improvement.
We use our talents and resources wisely, with honesty and integrity.
FACES - Friendly - Available - Caring - Efficient - Safe Communication Standards: Promotes and provides courteous and effective communication with internal and external customers.