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**City/State:** Saint Louis, Missouri

**Categories:** Nursing Services

**Job Status:** Full-Time

**Req ID** : 98357

**Pay Range:** $36.25 – $57.00 / hour (Salary or hourly rate is based on job qualifications and relevant work experience)

Additional Information About the Role

LOCATION / UNIT DESCRIPTION

+ Medical-ICU 8300/8400 at Barnes-Jewish Hospital (South Campus)

+ 42-Beds

POSITION REQUIREMENTS

+ Requires 2-5 years current/recent ICU and/or ED RN experience

+ BSN highly preferred due to Magnet Status

BENEFITS INCLUDE

+ Tuition Assistance Available Day-One Employment

+ Excellent medical, dental, and vision insurance

+ 401K and BJC Pension Plans available

+ Multiple BJC Employee Discounts

BJC CAREER LADDER

+ The BJC Registered Nurse Career Ladder differentiates BJC as the place for nurses to work in the greater St. Louis area.

+ This is a tool to empower nurses to work at the top of their license and own their career progression.

+ The BJC RN Career Ladder promotes professional development, leadership, collaboration, education and service excellence and gives staff the opportunity to continue doing what they do best - caring for patients - while having the opportunity to advance to the next step in their career.

+ Moves to higher ladder levels will result in a percentage increase of current pay that aligns with the new job description.

Overview

The Medical ICU (MICU) at **_Barnes-Jewish Hospital_** is a 42-bed intensive care unit that specializes in the care of patients experiencing a full range of clinical issues, including abnormal blood disorders, diabetic ketoacidosis, heart, renal and liver failure, GI conditions, infectious diseases, asthma and a multitude of other conditions and diseases. We provide advanced training in critical care lines and interventions such as Swan-Ganz catheters, arterial lines, central lines, ventilators, dialysis, continuous renal replacement therapy and targeted temperature management. Our extensive orientation and Nurse Residency Program are designed to ensure new nurses are equipped with the critical thinking and advanced skills needed to be successful in our high acuity unit.

The unit is led by a Patient Care Manager, Assistant Nurse Managers, Team Lead Charge Nurses, an Advanced Practice Clinical Nurse Specialist, and Clinical Education Specialists. Additionally, the unit is assigned a case manager, social worker, physical and occupational therapists, dietitian, and a pharmacist. This multidisciplinary team works in conjunction with the Medical and Pulmonary Attendings, Fellows, Residents, Nurse Practitioners, Registered Nurses, Patient Care Technicians and Unit Secretaries. Our comprehensive multidisciplinary approach ensures we provide the highest quality of care to our patients and their families. The nurse-to-patient ratio is typically 2:1, with some patients requiring 1:1 nursing due to very high acuity.

Preferred Qualifications

Role Purpose

Under 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.

Responsibilities

+ Facilitates 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 Requirements

Education

+ Nursing Diploma/Associate's - Nursing

Experience

+ 2-5 years

Supervisor Experience

+ No Experience

Licenses & Certifications

+ RN

Preferred Requirements

Education

+ Bachelor's Degree - Nursing

Experience

+ 5-10 years

Benefits and Legal Statement

BJC Total Rewards

At 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 date

+ Disability insurance* paid for by BJC

+ Annual 4% BJC Automatic Retirement Contribution

+ 401(k) plan with BJC match

+ Tuition Assistance available on first day

+ BJC Institute for Learning and Development

+ Health Care and Dependent Care Flexible Spending Accounts

+ Paid Time Off benefit combines vacation, sick days, holidays and personal time

+ Adoption assistance

To learn more, go to our Benefits Summary (https://www.bjctotalrewards.org/Benefits)

*Not all benefits apply to all jobs

The 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