Float RN – Medical-Surgical Care Expert

Job Summary

The Registered Nurse (RN), Medical Surgical Float Pool provides nursing care during patients’ hospital stays, coordinates care with interdisciplinary teams, and supports Saint Louis University Hospital.

• Perform comprehensive nursing assessments and reassessments; conduct age‑appropriate admission and transfer assessments; gather family input when appropriate.
• Document findings accurately and completely.
• Assess post‑operative and post‑invasive procedure patients.
• Document education and discharge needs of patient and family.
• Conduct patient reassessments, noting changes in condition and response to care.
• Establish and evaluate care plans based on assessment data, patient diagnosis, lab data, and physician orders.
• Identify short‑ and long‑term goals; formulate nursing interventions; incorporate evidence‑based practice into plans.
• Collaborate with health team members to coordinate daily plans of care.
• Communicate patient care through handoff reports, SBAR, bedside shift reports, and other communication tools.
• Administer and document medications accurately; monitor IV fluids, blood products, and parenteral nutrition.
• Complete referrals and request consultations as indicated.
• Provide restraint care: identify alternatives, apply restraints, monitor response, document use, and educate peers.
• Manage pain: assess pain, incorporate patient beliefs, implement prevention techniques, involve family, and consider alternative methods.
• Conduct abuse assessments; report signs to physician, Risk Management, and Social Work; take appropriate action.
• Clarify physician orders, transcribe and implement them accurately; use read‑back and chain of command when needed.
• Recognize changes in patient condition and take appropriate nursing actions; report deviations from care per policy.
• Integrate infection control bundles and fall/skin injury prevention practices; complete audits when required.
• Evaluate effectiveness of care, education, and plan of care; modify as necessary.
• Provide specialized care to patients at high risk for injury.
• Demonstrate adherence to quality standards, participate in learning experiences, and maintain professional competence.
• Act as a resource to new employees, patients, families, and staff; supervise and teach students/new staff nurses.
• Practice standard precautions; dispose of hazardous waste; maintain a safe, clean environment; adhere to dress code.
• Report risk management concerns using eSRM; complete all mandatory annual requirements (license, BLS, TB, influenza, ethics, safety, security, abuse, blood‑borne pathogens, competency, etc.).
• Deliver courteous, respectful service; meet patient, family, and colleague needs; communicate effectively.
• Assist in developing and implementing nursing goals and performance improvement activities; participate in unit and hospital improvement processes.
• Provide age‑appropriate care and utilize age‑specific interventions for infants, children, adolescents, adults, and geriatric patients.
• Use resources efficiently, prioritize responsibilities, and document chargeable supplies.

Minimum Education:

Licensed Registered Nurse in the state of Missouri.

• Work
  
  Conditions:
  
  Exposure to blood‑borne pathogens; capacity for emergency and crisis situations; irregular hours.
• Physical Requirements:
  
  Prolonged standing/walking; occasional lifting, positioning, and transfer of patients; occasional reaching, stooping, bending, kneeling, crouching.

• Paid Parental Leave: one week for newborns or adopted children (pro‑rated).
• Flexible Payment Options: access to earned pay through Daily Pay.
• Upfront Tuition Coverage:
  Flex Path funding for eligible employees.

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.