Registered Nurse - Med Surg N Bordley - Nights Job Saint Louis area,St. Louis Missouri USA,Nursing

Position: Registered Nurse - Med Surg 9N Bordley - Nights
Location: St. Louis

Job Summary

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

Essential Functions

Performs comprehensive nursing assessment/reassessment.

Age‑appropriate admission or transfer assessment, obtaining family/guardian input when appropriate.
Accurate and complete documentation of findings.
Assessment of post‑op/post‑invasive procedure patients.
Assesses and documents education and discharge needs of patient and family on admission and throughout hospitalization.
Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status, diagnosis, response to care, procedures, and standards of care.

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.

Identifies short‑ and long‑term goals based on patient care needs.
Formulates nursing interventions to achieve desired patient outcome.
Incorporates disease‑specific evidence‑based practice into nursing care plan and other documentation.

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

Collaborates with health team members for coordination of daily plan of care for assigned patients.
Provides, coordinates, and communicates patient care, including accurate handoff communication reports.
Administers and documents medications accurately according to policies and procedures.
Monitors, maintains, and documents accurate IV fluids and parenteral nutrition according to policies and procedures.
Completes referrals as indicated by assessment data.
Requests consultation for special needs, equipment, or information for patient and/or family.
Provides patient/family education and discharge planning per documentation guidelines and protocol.
Clarifies all physician orders as warranted and acknowledges and implements physician orders in an accurate and timely manner.
Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate.
Documents "Readback" for all telephone/verbal orders and takes telephone/verbal orders only in emergency situations.
Recognizes changes in patient’s condition and takes appropriate nursing actions.
Involves family/guardian when providing care and in decision‑making as appropriate.
Recognizes risks for patient and takes appropriate action.
Incorporates use of Infection Control practices in daily care.

Documents and/or communicates nursing care and/or changes in patient condition.

Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments, and procedures.
Evaluates and documents effectiveness of patient/family education.
Evaluates plan of care and modifies as indicated.
Recognizes significant changes in patient’s clinical parameters and reports immediately to physician and others as indicated.
Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution.
Reports variation from care/treatment following the occurrence reporting policy and procedures.

Provides specialized care to patients at high risk for injury.

Restraint Care – initiates/evaluates alternatives to restraint prior to application, applies restraints consistent with the approved procedure, monitors response during restraint, provides specified patient care (toileting, skin care, hydration, feeding, etc.), consults peers for alternatives, and documents restraint use thoroughly.
Pain Management – assesses patient for presence of pain, incorporates cultural/spiritual beliefs into pain plan, implements pain management techniques (focus on prevention), includes patient and/or family in developing plan, considers other methods such as massage, repositioning, immobilization, and music therapy.
Abuse Assessment – aware of abuse…


Increase/decrease your Search Radius (miles)



Job Posting Language