RN - Neurosurgery Job

Full Job Title: Registered Nurse Neurosurgery weekends

Job Number: 17006006

Facility: SSM Health Saint Louis University Hospital

Location: St. Louis, MO

Schedule: Full Time, 12 Hour Night, Weekends

Hours: 7pm-7am


SSM Health Saint Louis University Hospital




Position Summary:

The Registered Nurse (RN) is a professional practitioner who manages and directs nursing care activities during the patient's hospital stay and coordinates care planning with other disciplines utilizing a patient / customer driven approach.

Position Accountabilities and Performance Criteria Percent of Time

Essential Functions: The following are essential job accountabilities and performance criteria:

Position Accountabilities

1) Performs comprehensive nursing assessment / reassessment.


A) Performs age-appropriate assessments of new admissions or transfers immediately in the Critical Care areas and within one hour in Acute Care units which includes input from family / guardian. Behavioral, developmental, cognitive, educational, social and self-care are assessed as required by the patient's condition.

B) Documents patient assessment findings including the physical, psychosocial, spiritual, and cultural needs.

C) Performs an assessment of post-op / post-invasive procedure patients immediately.

D) Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization.

E) Provides timely ongoing patient reassessment documenting pertinent observations according to the patient plan of care.

2) Establishes and coordinates a plan of care based on analysis on the initial assessment data, patient diagnosis, physician orders and established standards of care.


A) Identifies short and long term goals based on patient care needs.

B) Formulates nursing interventions to achieve desired patient outcome.

C) Identifies and initiates individualized educational and discharge plan.

3) Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient condition.


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 change of shift report.

C) Makes referrals when necessary.

D) Requests consultation for special needs, equipment, or information for patient and/or family.

E) Provides patient / family education and discharge planning per documentation guidelines and protocol.

F) Transcribes and implements physician orders in an accurate and timely manner.

G) Documents "Readback" for all telephone orders.

H) Takes telephone orders only in emergency situations.

I) Recognizes changes in patient's condition and takes appropriate nursing actions.

J) Involves the family / guardian when providing care and in decision-making as appropriate.

K) Recognizes the fall risk patient and takes appropriate action.

L) Identifies and implements alternatives to restraints.

4) Documents the effectiveness of nursing care and modifies plan of care as patient progresses toward expected outcomes.


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 per documentation guidelines.

C) Evaluates plan of care and modifies as indicated.

D) Recognizes significant changes in patients 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.

5) Demonstrates accountability for own professional practice.


A) Participates in learning experiences that increases professional competence including:

1. Committee membership

2. Other educational programs

3. Staff meetings

B) Assist in developing and implementing nursing unit goals.

C) Evaluates self-performance by identifying strengths and areas for improvement.

6) Orients and/or precepts new employees when required.


A) Provides consultation for peers to determine alternatives to restraints, 1:1 observation, etc.

B) Functions as a resource person to co-workers, patients / families, medical staff and other members of the health care team.

C) Redirects clinical staff when the medical plan of care is altered.

D) Responsible for the supervision and teaching of students.

7) Safety/Infection Control: Practices according to safety and infection control policies.

(1, 2, 3, 4, 5) 5%


A) Practices standard precautions and disposes of hazardous wastes per established guidelines.

B) Maintains a safe, clean, comfortable and therapeutic environment for patients / families / employees in accordance with hospital standards.

1. Maintains clutter free environment.

2. Keeps conversations and background noise to a minimum.

3. Adheres to dress code.

C) Reports Risk Management concerns.

D) Assumes responsibility for completing all annual mandatory requirements:

1. Maintains current license and certifications (i.e. CPR, ACLS, etc.)

2. Yearly TB Screening

3. Annual Ethics Training (Initial Ethics, if new employee)

4. Annual Safety Training

5. Required Information Security course

6. Required Abuse & Neglect course

7. Annual Blood Borne Pathogens training (if required)

8. Coursework as assigned for .edu

9. Annual competency

10. Age/Population specific competency (if applicable)

11. orientation competency (if new hire)

12. Unit Specific

8) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous, and respectful manner.

(1, 2, 3, 4, 5) 10%


A) Demonstrates care and courtesy

1. Provides prompt, respectful, courteous service.

2. Meets physical, spiritual, psychological and emotional needs of patients and families.

3. Responds to call lights 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 understands.

3. Allows time for questions.

C) Demonstrates competence and collaboration

1. Provides accurate change of shift report.

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.

9) Quality Improvement (QI): Incorporates Quality Assessment into one's professional practice.

(1, 2, 3, 4, 5) 5%


A) Identifies problems, participation in data collection when requested, suggests solutions, communicates using appropriate lines of authority and works toward problem resolution.

B) Participates in the performance / process improvement process.

1. Assists in developing unit based PI plan.

2. Participates in discussion of PI outcomes.

3. Collaborates in developing and implementing action plans.

C) Participates in research activities on the nursing unit.

10) Age Appropriate Care: Provides age-appropriate care to:

____Infant ___Child ____Adolescent _____Adult _____Geriatric


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

11) Specialized Care: Provides specialized care to patients at high risk for injury. (1, 2, 4, 5, 8)



A) Restraint Care

1. Initiates/evaluates alternatives to restraint prior to application.

2. Applies restraints consistent with the approved procedure.

3. Monitors and assesses patient's response throughout the restraint period at the appropriate intervals.

4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis.

5. Provides for trail release and removal of restraint as soon as possible.

B) Pain Management

1. Follows pain management plan of care, e.g.: repositioning, message, immobilization, music therapy 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 & Risk Management, and recommends appropriate consultations (psychiatric, Social Work) for evaluation.

12) Technical & Job Specific Duties: Functions in a high performance team.


A) Adheres to all standards, policies, procedures, protocols when implementing clinical and technical aspects of care.

B) Participates in and maintains a collaborative team approach toward work.

C) Knowledgeable about patient expectations and outcomes.

D) Effectively assumes and delegates care and other activities to the appropriate team member.

E) Communicates the plan of care to be followed on each individual patient in a precise and professional manner.

F) Completes Point of Care testing as approved by hospital for the clinical area.

G) Works effectively with all healthcare team members.

13) Cost Effective Services


A) Uses resources efficiently.

B) Recommends change in practice that increase efficiency and minimize waste.

C) Makes adjustments in staffing according to patient census and/or acuity.

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

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Job Specifications:

Minimum Education: RN licensure 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.

SSM Health Saint Louis University Hospital is an Equal Opportunity and Affirmative Action Employer. Qualified applicants are considered for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by law. Learn More »

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