SSM Health RN Acute Care of the Elderly Weekend Option in Saint Louis, Missouri
9 North, the Acute Care for the Elderly Unit, provides care for patients 65 years and older with medical conditions such as gastrointestinal, pulmonary, renal, etc. that require hospitalization. 9 North has 21 beds that include a 4 bed Acute Observation room. Care is directed by the Geriatric Medicine Medical Staff. Nursing staff are competent in the ability to care for complex geriatric patients with such symptoms as mental status changes and delirium caused by physical conditions.
POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA (% of time)
Essential Functions: The following are essential job accountabilities and performance criteria:
1) Assessment: Performs comprehensive nursing assessment as the database.
A) Accurately performs and documents patient assessments including the physical, psychosocial, spiritual and cultural needs.
B) Provides timely ongoing patient reassessment documenting pertinent observations according to the care plan.
C) Utilizes special assessments (abuse, pediatric, fall risk, skin Care, etc.) when appropriate.
2) Planning: Establishes and coordinates a plan of care based on analysis of the initial assessment data, patient diagnosis and physician orders.
A) Identifies patient care needs.
B) Formulates interventions to achieve desired patient outcomes.
C) Follows established standards of practice.
D) Collaborates with appropriate health team members for coordination of plan of care for assigned patients.
3) Implementation: Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in-patient condition.
A) Documents patient care on the Perioperative Record and coordinates and communicates with other disciplines.
B) Transcribes and initiates physician orders in an accurate and timely manner.
C) Recognizes changes in patients' condition, takes appropriate Nursing actions.
4) Evaluation: Documents effectiveness of nursing care.
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 plan of care and modifies as indicated.
C) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution.
D) Recognizes significant changes in patient’s clinical parameters and reports to surgeon and others as indicated.
5) Demonstrates accounts for own professional practice.
A) Participates in additional learning experience to increase professional competence including:
Mandatory in services and other educational programs
Evaluation of self by identifying strengths areas for improvement.
B) Is at work as scheduled and begins duties promptly at start of shift.
C) Demonstrates ability to make equitable assignments, revising as needed to compliment nursing staff abilities and meet patient needs.
D) Functions as a resource person to co-workers, patients/families, medical staff and ancillary personnel.
E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution.
F) Directs care delivered by LPNs, CSTs, ORTs and clinical students.
G) Orients new employees as needed.
6) 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.
Maintains clutter free environment
Keeps conversations and background noise to a minimum
Adheres to dress code
C) Reports risk management concerns
D) Assumes responsibility for completing all annual mandatory requirements:
Maintains current license and certifications
Yearly TB testing
Annual Blood Borne Pathogens training
Annual Safety training
Annual Ethic training
Required Abuse & Neglect course
Required Information Security course
General Population Served competency
Coursework as assigned for .Edu
7) 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.
Provides prompt, respectful, courteous service.
Meets physical, spiritual, psychological and emotional needs of patients and families.
Apologizes for mix-up and delay.
B) Communicates effectively and maintains confidentiality.
Listens to patient/family concerns and addresses needs.
Explains procedures and all education in a manner that patient/family understands.
Allows time for questions.
Shares pertinent perioperative information with Charge nurse.
Relays information to family in Waiting Room.
D) Demonstrates Competence and collaboration
Provides accurate change of shift and/or break report.
Provides quality care in accordance to standards.
Shares knowledge with other departments to facilitate work flow and continuity.
E) Provides Cost Effective Services
Recommends changes in practice that increases efficiency and minimizes waste.
Appropriately uses/handles supplies, equipment and instruments.
Decreases turnover time for better utilization.
Minimizes overtime, effectively utilizes time.
8) Performance Improvement (PI): Incorporates Performance Assessment and
Improvement into one’s own 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 performance/process improvement process.
Assists in developing unit based PI plan
Participates in discussion of PI outcomes
Collaborates in developing and implementing action plans
C) Participates in research activities in the OR
9) 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.
10) Specialized Care: Provides specialized care to patients at high risk for injury
(1, 2, 4, 5, 8) %
A) Restraint Care
1) Initiates/evaluates appropriate surgical 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 appropriate padding and positioning preoperatively.
5) Assures restraint removal, inspection of skin and as soon as joint mobility as soon as possible.
B) Pain Management
1) Reports patient complaints of pain to 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.
The following job accountabilities may be reassigned.
1) Telephone communication.
2) Assisting with patient care activity, i.e. scrubbing/setting up surgical procedures, moving patient
3) Specific data collection pertinent to utilization of operating rooms.
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.
MINIMUM EDUCATION: Eligible for licensure in state of Missouri.
REQUIRED LICENSURE: Registered Nurse License in Missouri.
MINIMUM EXPERIENCE: Previous perioperative experience preferred.
WORKING CONDITIONS: Regular exposure to the risk of blood borne diseases.
Contact with patients under wide variety of circumstances. Exposure to unpleasant elements (accidents, injuries, illness). Subject to varying and unpredictable situations.
May perform emergency care. Subject to irregular hours. Pressure due to multiple competing demands. May be exposed to latex.
PHYSICAL REQUIREMENTS: Prolonged, extensive or considerable standing/walking.
Lifts, positions, pushes, and/or transfers patients. Considerable reaching, stooping, bending, kneeling, and crouching. Must be able to lift 50 pounds and push/pull 100 pounds.
Department Director __________Date___
The above statements are intended to describe the general nature and level of work being performed. They are not to be construed, as an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. An individual working in their job classification must also perform specific tasks upon request by supervisor personnel. Furthermore, the duties and responsibilities for this job classification are subject to change at the discretion of the medical center.
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