Surgical ICU Stepdown Lead (RN)

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• Clinical Nurse | 16300 Surgical Progressive/Intermediate Care UnitFull
• Time | Days & Nights AvailableNew Graduates and Experienced RNs WelcomeSign
• On Bonus Up to $15,000Join our specialized 19-bed Surgical Progressive Care Unit (PCU) caring for high-acuity patients recovering from:Abdominal Transplant (TXP): Kidney, liver, and pancreas transplantsHepatobiliary Surgery (HPB): Liver resections, Whipple procedures, and pancreatectomiesENT Surgery: Fresh tracheostomies, laryngectomies, free flaps, and complex head and neck surgeriesPlastic & Orthopedic Microsurgery: Limb and digit replants, flap procedures, nerve transfers, and leech therapyGeneral Surgery/Trauma/Geriatric Trauma (ACCS): MVC, polytrauma, GSW, TBI, SDH s/p falls, emergent VHRWhy 163PCU?Care for a unique and complex surgical patient populationGreat opportunity to build advanced clinical skills and prepare for future ICU critical care advancement Strong teamwork culture with consistently high employee engagement scoresSupportive environment for both experienced nurses and new graduatesAbout Our Leadership TeamOur leadership team includes a Clinical Nurse Manager, three Assistant Nurse Managers, and a Clinical Educator. Most of our leaders previously worked at the bedside on 163PCU, giving them a firsthand understanding of the challenges and rewards of nursing. We are committed to supporting our staff, fostering professional growth, and maintaining a positive team culture.If you're looking for a challenging and rewarding unit where you'll be supported, grow your skills, and make a meaningful impact, we'd love to meet you. OverviewBarnes
• Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes
• Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes
• Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.163PCU is a 19 bed surgical progressive care unit. The patient population is comprised of acutely ill surgical patients requiring a higher level of nursing care and monitoring. This unit primarily cares for post-op patients admitted to the Abdominal Transplant, Hepatobiliary Surgery, ENT/Plastics Surgery and Ortho-micro Surgery teams. Secondary, this unit manages critical care needs for patients admitted to the Trauma/ACCS/Geriatric Trauma Surgery teams, Orthopedic
• Spine/Recon/Hand etc. teams as well as Vascular Surgery and other overflow teams.

Role PurposeUnder the direction of manager, plans, directs, and coordinates activities of a unit on a designated shift. Performs direct patient care as needed and functions as clinical resource to nursing and support staff. Assesses, plans, evaluates and documents the nursing process of assigned unit as needed.

ResponsibilitiesFacilitates identification and resolution of gaps in care from hospitalization, at discharge, and into the ambulatory care setting. Critically assess patient data to proactively mitigate impending changes in condition and establishes consults to interprofessional team as appropriate. Leads the development and implementation of complex individual plans of care with defined goals in collaboration with other members of the interprofessional team and the patient, family, or caregiver in accordance with the established guidelines and standards of nursing care.

Plan of care reflects application of expert holistic clinical knowledge and skill to anticipate and prioritize complex care needs, anticipate barriers, incorporating interprofessional team and caregiver/family input, and identifies opportunities to improve patient outcomes. Actively utilizes and champions scientific inquiry for evidence-based practices (e.g., participates in journal club, facilitates practice change based on new knowledge, recommends new standards of care or revisions to current standards, conduct a literature search to support unit or organizational goals, disseminate new knowledge obtained from relevant conference or continuing education).

Explore opportunities to advance nursing practice (e.g., support a community service health event as a representative of the healthcare profession, patient/family education group, community advisory board, member of Ethics Advisory Committee, serve as adjunct faculty, leadership board in specialty organization). Analyzes gap in practice standards and provides feedback to peers in collaboration with leadership to enhance safe patient care.

Leads the evaluation of the patient and family experience, and adjusts care provided to improve patient satisfaction and quality of care. BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Minimum RequirementsEducationNursing Diploma/Associate's - NursingExperience2-5 yearsSupervisor ExperienceNo ExperienceLicenses & CertificationsRNPreferred RequirementsEducationBachelor's Degree - NursingExperience5-10 years Benefits and Legal StatementBJC Total RewardsAt BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire dateDisability insurance* paid for by BJCAnnual 4% BJC Automatic Retirement Contribution401(k) plan with BJC matchTuition Assistance available on first dayBJC Institute for Learning and DevelopmentHealth Care and Dependent Care Flexible Spending AccountsPaid Time Off benefit combines vacation, sick days, holidays and personal timeAdoption assistanceTo learn more, go to our Benefits Summary.*Not all benefits apply to all jobsThe above information on this description has been designed to indicate the general nature and level of work performed by employees in this position.

It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer