• Clinical Nurse - PRN Pediatrics

    Requisition ID
    2017-760932
    Category
    Nursing
    Position Type
    PRN
    Shift(s)
    Varies/Rotating
    Department
    Peds/picu
    Location
    US-MO-Saint Louis
  • Overview

     

     

    Job Template Header

     

     

    We’re a Little Different

     

    Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

     

    At Mercy, you’ll feel our supportive community every step of your day, especially the tough ones. We’re a team and love working that way. We have opportunities for nurses who are inspired to pioneer new models of care and want to transform the healthcare experience. Work with advanced technology and innovative procedures. Be state of the art, and never stop exploring. We’re expanding to help our communities grow, offering an exceptional opportunity to join our team.

     

     

    This is a PRN position.

     

     

    Overview
    Utilizes the Mercy Nursing Conceptual Framework and nursing process to provide patient care. Maintains professional accountability for provision of patient care for the assigned patients. Coordinates the patient care in conjunction with other departments. Maintains patient rights and confidentiality of patient information.

     

     

    Responsibilities
    Safety/Risk Management


    a. Adheres to Counting Policy:
    a. Instruments
    b. Narcotics
    c. Sponges
    b. Follows policy/procedure for Incident Report/ Sentinel Events.
    c. Follows Privacy / Confidentiality Policy
    a. Keeps patients covered, uses patient awake signs, and pulling shades
    b. Knock before entering
    c. Observe patient confidentiality
    d. Complies with Infection Control Guidelines.
    a. Aseptic technique
    b. Correct prepping according to departmental policy
    c. Compliance with universal precautions, wears gloves appropriately, wears safety glasses
    d. Keeps doors closed, maintains room traffic to a minimum
    a. Proper labeling and disposal of surgical specimens
    b. Proper disposal of sharps / biohazard materials
    e.Creates a Safe Environment by adhering to safety goal programs and policies:
    a. Assessing for and implementing Fall Precaution Program
    b. Restraint Management
    c. Utilization of Patient I.D. identifiers
    d. Read back of telephone and verbal orders; sign off of daily orders
    e. Time out procedures
    f. Communication hand offs
    g. Medication safety practices; barcode compliance and medication reconciliation
    h. Awareness of dangerous abbreviation and questioning whenever used by any member of HCT
    i. Utilizes braden score to prioritize patient risk for skin care interventions and the prevention of Nosocomial wounds.
    j. Unit/Departmental Specific Policies Notifies team members of breaks in technique, Assists with and observes patient positioning
    f. Respects patient/guest’s personal property.

    B. Essential Duties
    g. Adheres to hospital wide and specific department safety regulations
    a. Laser
    b. Electrocautery
    c. Radiation Safety
    d. Sterilization
    e. Surgical Site Verification
    f. Fire and Tornado
    g. Environmental Safety
    h. Performs equipment safety checks.
    i. Complies with patients rights/regulations.
    a. Patient aware of procedure
    b. Patient comfortable with process
    c. Patient knowledge of Patient Rights


    Coordination of Services


    a. Supports family centered care philosophy as demonstrated by appropriate behaviors, including, but not limited to:
    - Demonstrating initiative to include family input into work processes and routine to meet patient/family needs
    - Recognizing the patient and family according to patient preferences, as important members of the health care team
    - Collaborating with the patient and family according to patient preferences, in planning implementing and evaluating care
    - Demonstrating ability to work with, and will seek out resources to assist when necessary with, culturally diverse populations
    - Communicating effectively and provides information to patients and families in ways that are useful and that build on their capacity to manage care and promote their health and well-being
    b. Coordinates workflow by communicating to appropriate personnel in a timely manner.
    c. Demonstrates ability to direct and/or assist with the work activities of department consistent with patient needs and staff capabilities.
    d. Transcribes physician’s orders accurately, seeking clarification as necessary.
    e. Demonstrates proper time management skills and ability to prioritize.
    f. Demonstrates flexibility regarding workload and assignments.
    g. Demonstrates accountability for tasks/work which has been delegated to unlicensed personnel or to peers.

    Primary Aspects of the Job


    a. Demonstrates caring practices in interactions with patients, families and other co-workers, including, but not limited to
    - Vigilance
    - Engagement
    - Responsiveness to the patient and family
    b. Demonstrates ability to assess and identify actual physical, psychosocial and spiritual needs of patient and families, and documents in the medical record.
    c. Initiates, updates and maintains care plan, Including discharge planning upon admission in timely manner to reflect changing needs of patients and families.
    d. Demonstrates appropriate knowledge base related to medications and adheres to hospital policies regarding their administration.
    e. Identifies patient education needs and utilizes appropriate resources to meet those needs, documenting patient/S.O. response to teaching.
    f. Demonstrates clinical reasoning skills, which includes decision-making, critical thinking and a global grasp of the situation, coupled with Implementing appropriate nursing interventions in routine situations.
    g. Documents the evaluation of their effectiveness in relation to patient goals.
    h. Follows policies and procedures on documentation requirements which meet regulatory/accreditation standards.
    i. Demonstrates evidence of implemented changes as a result of evidence based nursing.
    j. Demonstrates evidence of seeking additional knowledge and skills appropriate to the practice setting by participating in educational programs and activities, conferences, workshops, interdisciplinary professional meetings, and self-directed learning.
    k. Functions in role of preceptor by maximizing the performance of new co-workers, promoting high standards of patient care, increasing nurse retention, and promoting a spirit of unit teamwork. Also supports and mentors unit experienced nurses so they can assume the role of effective preceptors.
    Communication Management


    a. Communicates patient goals, objectives and changes in status to other health care team members and utilizes input to revise care plan for optimum patient benefit.
    b. Ensures hand off report is factual, accurate, organized, complete, current, and confidential and utilizes the S-BAR format.
    c. Assures all patient charges/credits are appropriate and complete
    d. Demonstrates ability to collaborate with inter and intradisciplinary colleagues and community
    e. Attends 80% of all General Unit meetings
    Technology


    a. Demonstrates competence in initiating and maintaining use of routine equipment and procedures.
    b. Demonstrates competence in assisting physicians with diagnostic and therapeutic interventions.
    c. Performs technical skills relative to specific specialties
    a. Video equipment
    b. Stirrups
    c. Headrests
    d. Cell Saver
    d. Assists in evaluation of new products, equipment, policies, procedures and standards.

    Monitor Safety Review *


    When ordered, cardiac monitoring is to be continuous, unless parameters in which monitoring may be suspended (i.e. bathing, feeding, etc.)are noted specifically in a physician order and/or unit policy/protocol. If the monitor is silenced or placed in the pause alarm mode, the patient and monitoring data needs to be assessed and reassessed during this interval of time. Never leave a patient unattended while the alarms are paused or suspended. Alarms are to be "ON" at all times and verified documented at the beginning of each shift and when assuming care of new patients. Alarm volumes must be set at unit specific standards. It is the nurses' responsibility to ensure that alarms can be heard at all times. Failure to respond appropriately to alarms is considered an intolerable offense.

     

     

    Position Qualifications:

    • We require a nursing degree from an accredited school.
    • You’ll also need a current RN license in our state.
    • Basic life support training should be completed in 90 days with advanced training required at certain intervals.

     

    We’ll Support You at Work and Home

     

    Getting respect doesn’t come easy in healthcare. Modern Healthcare Magazine named us as a “top 100 places to work.” We go out of our way to help people feel welcomed. We offer day-one comprehensive health, vision and dental coverage, PTO, and employer-matched retirement funds, even to part-time employees. We’re proud to provide tuition reimbursement to help you grow and learn new skills.

     

     

    What Makes a Good Match for Mercy

     

    Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and are not afraid to do a little extra to deliver excellent care-that’s just part of our commitment. If that sounds like a fit for you as well, we encourage you to apply.

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