Job Highlights:
This job may be eligible for our $30k sign-on bonus. Please check with your recruiter for eligibility.
SSM Health Saint Louis University Hospital has the only outpatient bone marrow transplant center in the region, allowing some cancer patients the ability to return home during treatment rather than face a lengthy inpatient hospital stay.
The Blood and Marrow Transplant (BMT) program is aimed at long-term remission or the cure of the patient’s disease. Our program also provides an elevated standard of care that involves expert medical staff support, patient education, and state-of-the-art technology.
Description
- The Registered Nurse in the BMT Clinic verifies and documents all current medications and allergies at each visit.
- Completes and updates problem summary at each visit.
- Provides telephone triage regarding acute symptoms, interventions, and initiates an appropriate treatment plan in conjunction with a Physician or Nurse Practitioner.
- Calls or provides patients with documentation of follow-up test results, medical instruction, and patient education under the direction of a Physician or Nurse Practitioner.
- Assesses and documents education on an ongoing basis.
- Identifies patient care needs based on assessment and physician orders.
- Educates patients and family members about the disease process, treatment options, medications, procedures, and follow-up recommendations.
- Administers medications, Chemotherapy, blood products as ordered by a Physician or Nurse Practitioner.
- Performs and documents the ongoing evaluation of the effectiveness of care based on assessment data, nursing interventions, and patient response to medications, treatments, and procedures.
Qualifications
- RN licensure in the State of Missouri
- Minimum of 1 year of Oncology/Hematology experience
- Chemotherapy & Biotherapy Certification preferred
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.
Job Responsibilities and Requirements:
POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA
Essential Functions: The following are essential job accountabilities and performance criteria:
1) Performs comprehensive nursing assessment/reassessment.
A) Performs age-appropriate admission assessment or transfer assessment. Obtains input from family/guardian when appropriate.
B) Accurately and completely documents findings.
C) Performs an assessment of post-op/post-invasive procedure patients.
D) Assesses and documents education and discharge needs of the patient and family on admission and throughout hospitalization.
E) Provides patient reassessment documenting pertinent observations according to the patient plan of care, changes in condition, status and/or diagnosis, response to care, procedures, etc., and standards of care.
2) Establishes, coordinates, and evaluates a plan of care based on the analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols, and standards of care and other relevant information.
A) Identifies short and long-term goals based on patient care needs.
B) Formulates nursing interventions to achieve the desired patient outcome.
C) Incorporates disease-specific evidenced-based practice into the nursing care plan and other documentation.
3) Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status.
A) Collaborates with appropriate health team members for coordination of the daily plan of care for assigned patients.
B) Provides, coordinates, and communicates patient care, including accurate Handoff Communication Reports.
C) Administers and documents medications accurately according to policies and procedures.
D) Monitors, maintains, and documents accurate IV fluids and parenteral nutrition according to policies and procedures.
E) Completes referrals as indicated by assessment data.
F) Requests consultation for special needs, equipment, or information for the patient and/or family.
G) Provides patient/family education and discharge planning per documentation guidelines and protocol.
H) Clarifies all physician orders as warranted.
I) Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record.
J) Assists the physician with procedures/treatments as requested or delegates to Care Partner as appropriate.
K) Documents 'Readback' for all telephone/verbal orders.
L) Takes telephone/verbal orders only in emergency situations.
M) Recognizes changes in the patient's condition and takes appropriate nursing actions.
N) Involves the family/guardian when providing care and in decision-making as appropriate.
O) Recognizes risks for the patient and takes appropriate action.
P) Incorporates the use of Infection Control practices in daily care.
4) Documents and communicates nursing care and changes in patient condition.
A) Performs and documents ongoing evaluation of the effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments, and procedures.
B) Evaluates and documents the effectiveness of patient/family education.
C) Evaluates the plan of care and modifies as indicated in 'A' above.
D) Recognizes significant changes in the patient's clinical parameters and reports immediately to the physician and others as indicated.
E) Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution.
F) Reports variation from care/treatment following the occurrence reporting policy and procedures.
5) Specialized Care: Provides specialized care to patients at high risk for injury.
A) Restraint Care
1. Initiates/evaluates alternatives to restraint prior to application
2. Applies restraints consistent with the approved procedure.
3. Monitors and assesses the patient's response throughout the restraint period at the appropriate intervals.
4. Provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis.
5. Provides consultation for peers to determine alternatives to restraints and 1:1 observation.
6. Documents restraint use and associated care thoroughly.
B) Pain Management
1. Assess the patient for the presence of pain on admission and during assessments/reassessments.
2. Incorporates the patient's cultural/spiritual beliefs regarding pain into the pain management plan.
3. Implement pain management techniques. Focus on prevention rather than treatment.
4. Include the patient and/or family members in developing a pain management plan.
5. Consider other methods of pain control when developing the plan of care: massage, repositioning, immobilization, and music therapy.
C) Abuse Assessment
1. Is aware of abuse recognition criteria and incorporates it into assessments.
2. Reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management, and Social Work.
3. Takes appropriate action to support patient safety when signs of abuse are noted.
6) Demonstrates accountability for own professional practice.
A) Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care.
1. Participates in learning experiences that increase professional competence.
B) Demonstrates appropriate technical and cognitive skills for the area of practice.
C) Maintains currency in all hospital/unit information, communication, policies, and procedures.
1. Attends staff meetings/reviews minutes when absent
2. Participates in Committee(s), Shared Governance, Work Team(s), in leadership and or in a membership role
3. Reviews Hospital/Nursing publications
4. Keeps up to date with policies and procedures
5. Participates and or keeps up to date with Shared Governance and Unit Based Practice Council activities and information. Contributes to requests for feedback.
D) Demonstrates the ability to change and adapt to changing work demands
1. Responds positively to change
2. Provides assistance and support to peers, co-workers, and other team members
3. Adapts positively to changes in unplanned workload and job demands
7) Ability to relate to coworkers in a professional and appropriate manner.
A) Orients and/or precepts new employees when required.
B) Participates in and maintains a collaborative team approach toward work.
C) Functions as a resource person to co-workers, patients/families, medical staff, and other members of the health care team.
D) Effectively assumes and delegates care and other activities to the appropriate team member.
E) Redirects clinical staff when the medical plan of care is altered.
F) Communicates the plan of care to be followed on each individual patient in a precise and professional manner.
G) Responsible for the supervision and teaching of students/new staff nurses.
8) Safety/Infection Control: Performs the job in accordance with safety and infection control policies.
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.
1. Maintains a clutter-free environment.
2. Follows hand hygiene procedures.
3. Utilizes Safe Patient Handling techniques and equipment.
4. Keeps personal conversations/background noise to a minimum.
5. Adheres to the dress code.
C) Reports risk management concerns using eSRM.
D) Assumes responsibility for completing all annual mandatory requirements:
1. Maintains current license and certifications
2. Maintain up-to-date BLS and HI
3. Annual TB Screening and Influenza vaccination
4. Annual Ethics Training (Initial Ethics, if new employee)
5. Annual Safety Training
6. Required Information Security course
7. Required Abuse & Neglect course
8. Annual Blood-Borne Pathogens training (if required)
9. Coursework as assigned for .edu
10. Annual competency
11. Age/Population-specific competency (if applicable)
12. Orientation competency (if new hire)
13. Service Specific
E) Reports variations from care/treatment following the occurrence reporting policy and procedure.
9) Service: Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high-quality care in a courteous and respectful manner.
A) Demonstrates care and courtesy
1. Provides prompt, respectful, courteous service.
2. Meets physical, spiritual, psychological, and emotional needs of patients and families.
3. Works with other members of the health care team to see that call lights are answered promptly.
4. Apologizes for mix-ups and delays.
B) Communicates effectively and maintains confidentiality
1. Listens to staff/patient/family concerns and addresses needs.
2. Explains procedures and all education in a manner that staff/patient/family understand.
3. Allows time for questions.
C) Demonstrates competence and collaboration
1. Provides accurate handoff reports.
2. Provides quality care in accordance with standards.
3. Shares knowledge with other departments to facilitate workflow and continuity.
D) Provides cost-effective services
1. Uses resources wisely.
2. Recommends changes in practice that increase efficiency and minimize waste.
E) Ensures that customer satisfaction is maintained through the use of the 'Principles and Commitments' of the hospital AIDET and 'One Mission, One Spirit'.
10) Incorporates Performance Improvement and Evidenced-Based Practice into individual professional practice.
A) Assists in developing and implementing nursing unit goals.
B) Remains current with evidenced-based practice initiatives.
C) Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution.
D) Participates in the performance/process improvement process.
1. Assists in developing unit-based Performance Improvement and action plans.
2. Leads a performance improvement team when requested.
3. Contributes to data collection.
4. Participates in the evaluation of Performance Improvement results.
E) Participates in nursing research activities.
F) Participates in Departmental and Hospital Performance Improvement activities when warranted.
G) Participates in occurrence reviews.
H) Contributes to the maintenance/improvement of all nursing quality indicators.
11) Age-Appropriate Care: Provides age-appropriate care to: _____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 the 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 the ability to provide service needed for the age groups routinely served by the department assigned.
12) Cost-Effective Services
A) Uses resources efficiently.
B) Recommends changes in practice that increase efficiency and minimize waste.
C) Documents chargeable supplies and equipment used to provide care.
D) Prioritizes responsibilities and completes work on time.
E) Utilizes non-clinical time in a constructive manner, i.e. completing chart audits, .edu, mandatory education requirements.
DISCLAIMER: Performs other related duties as assigned or requested.
Job Specifications
MINIMUM EDUCATION: RN licensure in the State of Missouri, or a new graduate of an accredited school of nursing and must obtain licensure within 90 days of graduation.
WORKING CONDITIONS: May be exposed to the risk of bloodborne diseases. Exposure to unpleasant elements (accidents, injuries, and illness). Subject to varying and unpredictable situations. Handles emergency and crisis situations. Subject to irregular hours.
PHYSICAL REQUIREMENTS: Occasional prolonged standing/walking. Occasionally lifts, positions, pushes, and/or transfers patients. Occasional reaching, stooping, bending, kneeling, crouching.
Employee___________________________________________Date____________
Supervisor__________________________________________Date_____________
Department Director __________________________________Date_____________
Administration________________________________________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.
Practice Agreement
For Nursing Staff
Please read the below standards and expectations.
