RN-CV Stepdown/Pulmonary Stepdown Full Time Nights
St. Luke's Hospital - Missouri - Chesterfield, MO

This job posting is no longer available on St. Luke's Hospital - Missouri. Find similar jobs:St. Luke's Hospital jobs

Summary: 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

1. Directs all care to team members. (5%)

2. Acts as a patient liaison and advocate. (5%)

3. Assures proper documentation. (15%)
a. Documents assessments.
b. Initiates careplans or care paths.
c. Formulates, updates, and revises treatment plans and goals.

4. Participates in discharge planning: (5%)
a. Identifies home educational needs.
b. Instructs and educates patients to diet, medications, activities, etc.

5. Assures orders are processed as follows: (5%)
a. Checks and signs off orders.
b. Accepts telephone orders from doctor’s office.
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.
d. Manages patient’s in-house transfer through system.
e. Reviews drug therapy.
f. Assesses ADL’s
g. Coordinates administration of treatments between disciplines.

7. Coordinates all aspects of patient care, including planning, intervention, education, and evaluation: (20%)
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. Accesses and flushes ports. (unit specific)
f. Performs IV push medications and flushes.
g. Performs staple removal.
h. Performs drain removal. (unit specific)
i. Initiates invasive doctor’s orders.
j. Participates in STAT team response.
k. Provides patient education.
l. Attends patient care conferences.

8. Performs supervisory duties: (5%)
a. Supervises care team members.
b. Supervises students, PCT’s and PCA’s.
c. Interprets Hospital Policy for team members.
d. Participates as committee chair or member of various nursing or interdisciplinary committee meetings as requested.
e. Assists in providing adequate staffing.
f. Participates with Standards development.
g. May function as a charge nurse, assigning care of patients to caregivers according to hospital Structure Standards.

9. 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).

10. RN’s on centralized IV Therapy Team will participate in: (5%)
a. Administering chemotherapy.
b. Declotting central line using TPA.
c. Accessing Infusaport/Groshong catheters, etc.
d. Performing therapeutic phlebotomy.
e. Providing home IV therapy educational needs.
f. Insert PICC’s/Midlines.
g. Performs venipunctures.

11. Participates in continuing education activities relevant to Nursing Practice. (5%)

12. 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.

Total 100%

Required Experience:
Telemetry experience preferred.

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.

Basic Life Support completion within 3 months of hire.

Advanced Cardiac Life Support Certification within 1 year for ICU.

Certification in Neonatal Resuscitation Program for Maternity and Newborn Services, Pediatrics.


Required Education:
Current licensure as a Registered Nurse in the state of Missouri.

Working Conditions:
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: Head Nurse and Associate Head Nurse
Provides direction to: LPN, PCT, PCA, Secretary
Supervised by: Head Nurse, Associate Head Nurse

Additional Comments:
Mission: Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Luke’s Hospital is
dedicated to improving the health of the community. Using talents and resources responsibly, our medical staff, employees and volunteers provide care for the whole person with compassion, professional excellence, and respect for each other and those we serve.

Core Values: Human Dignity, Compassion, Justice, Excellence, and Stewardship.

Human Dignity: We accept and treat all persons as being created in the image of God.

Compassion: We respond with caring to the needs of others as if they were members of our family.

Justice: We honor each person’s rights and responsibilities in light of the common good.

Excellence: We set and strive to attain high standards of performance and continuous improvement.

Stewardship: 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.

About this company
St. Luke's Hospital is an independent, nonprofit healthcare provider committed to improving the quality of life for its patients and the...