RN PRN - Cardiopulmonary Stepdown
Company: St Luke's Hospital of Chesterfield MO
Posted on: May 5, 2022
Minimum of one year of nursing experience required for this PRN
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, students, PCT's, and UA's. 5%
2. Acts as a patient liaison and advocate. 5% 3. Assures proper
a. Documents assessments. b. Initiates careplans. 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 physicians. 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, using ICARE model. d. Manages patient's
in-house transfer through system. e. Reviews drug therapy. f.
Assesses ADL's g. Coordinates administration of treatments between
7. Coordinates all aspects of patient care, including planning,
intervention, education, and evaluation: 18% 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. Performs phlebotomy. f.
Accesses and flushes ports. (unit specific) g. Performs IV push
medications and flushes. h. Performs staple removal. i. Performs
drain removal. (unit specific) j. Initiates physician orders. k.
Participates in Code Blue/RRT team response. l. Provides patient
8. Assists with the insertion and management of central venous
catheters (CVC): 2%
a. Assists with the insertion of a CVC. b. Cleanses the CVC hub
appropriately prior to specimen collection or medication
administration. c. Maintains line patency through proper flushing
techniques. d. Changes sterile dressing.
9. Participates as a team member on the division 5%
a. Participates in the "Every Patient is My Patient Initiative"
b. Displays FACES behaviors.
c. Participates in bedside shift report.
d. Ensures patient handoff to other disciplines through verbal or
e. Interprets Hospital Policy for team members.
f. Participates as committee chair or member of various nursing or
interdisciplinary committee meetings as requested.
g. Participates in and makes suggestions for HCAHPS improvement
h. Assists in providing adequate staffing.
i. Participates with Policy development.
j. May function as a charge nurse, assigning care of patients to
caregivers according to hospital policy.
10. 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).
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.
Nursing Degree Required
License - Certification - Registration (Text Only)
Current licensure as a Registered Nurse in the state of Missouri
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. Current certification in
a Basic Life Support required or course will need to be completed
during orientation classes, prior to working on the nursing
divisions. Advanced Cardiac Life Support Certification within 1
year for ICU. Certification in Neonatal Resuscitation Program (NRP)
for Maternity and Newborn Services, Pediatrics, SCN.
COMPETENCY WILL BE VALIDATED AT LEAST ONCE EVERY THREE YEARS.
STANDARDS DENOTING AN ANNUAL OR MORE FREQUENT COMPETENCY VALIDATION
ARE LOCATED IN THE SCOPE OF PRACTICE. COMPLETION OF HOSPITAL SAFETY
PROGRAMS ARE REQUIRED ANNUALLY. PARTICIPATION IN A BLS, ACLS, NRP
IS REQUIRED EVERY TWO YEARS.
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:
The most significant of duties are included, but this does not
exclude occasional work assignments not mentioned or developmental
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: Nurse Manager and Assistant Nurse Manager
Provides direction to: LPN, PCT, UA, Secretary
Supervised by: Nurse Manager, Assistant Nurse Manager
Faithful to our Episcopal-Presbyterian heritage and its ministry of
healing, St. Luke's is dedicated to improving the health of the
communities we serve.Using talents and resources responsibly, we
provide high quality, safe care with compassion, professional
excellence and respect for each other and those we serve.
As an independent healthcare network, we create healthy communities
in the region through our commitment to high quality, safe and
Human DignityWe accept and treat all persons as being created in
the image of God. CompassionWe respond with caring to the needs of
others as if they were members of our family. JusticeWe honor each
person's rights and responsibilities in light of the common good.
ExcellenceWe set and strive to attain high standards of performance
and continuous improvement. StewardshipWe use our talents and
resources wisely, with honesty and integrity.
Keywords: St Luke's Hospital of Chesterfield MO, Chesterfield , RN PRN - Cardiopulmonary Stepdown, Healthcare , Chesterfield, Missouri
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