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

**Categories:** Nursing Services

**Job Status:** Full-Time

**Req ID** : 96269

**Pay Range:** $34.00 – $49.00 / hour (Salary or hourly rate is based on job qualifications and relevant work experience)

Additional Information About the Role

Multiple Team Lead/Charge opportunites available within our Heart & Vascular units.

• Up to $10,000 Sign-On Bonus (External Candidates)

• $5/hr Barnes-Jewish Hospital Med/Surg Nurse Differential for High-Risk Cardiology and the PCU's below

• Eligible hires will receive a one-time deposit of an additional 36 hours of PTO, 90 days after their start date

• Flexible Scheduling Available!

• Great medical benefits

• Tuition assistance and continuing education

• 401(k)

BSN and ADN candidates welcome to apply.

+ **High-Risk Cardiology**

+ High acuity telemetry units

+ Patients are admitted from ED, CCU, admitting, procedure areas and other hospital units, and from outside hospitals.Most of our patient population is those diagnosed with myocardial infarction requiring cardiac catheterization, congestive heart failure, heart arrhythmias, and pulmonary hypertension.

+ **Cardiac PCU**

+ Most patients are diagnosed with congestive heart failure, heart arrhythmias, pulmonary hypertension, and other life-threatening conditions. With this known diagnosis many may require cardiac catheterization and stent placement. As a leader in advanced therapies for heart failure, we offer care to pre- and post- heart transplant and Left Ventricular Assist Device (LVAD) patients. This unit specifically cares for readmitted LVADs and manage complex issues like pump clots, stroke, and manage medications.

+ **Vascular Surgery PCU**

+ Our nursing staff provides pre/post-operative care to the wide variety of interventions needed for peripheral vascular disease patients. Surgical services include endoluminal and open repair of thoracic and abdominal aortic aneurysms, thoracic outlet decompression, carotid artery angioplasty/stenting, carotid endarterectomies, dialysis access (fistulas/grafts), catheter-directed thrombolysis, and various bypasses and stents for aorto-iliac and upper/lower extremity occlusive disease.

+ **Cardiothoracic PCU**

+ Post Thoracic Surgery patients ranging from lung transplants, lung surgeries, and esophagectomy. In addition, we care for the Cardiothoracic population after they stabilize from the ICU. We will take care of Pre/Post CABG, Valve Repairs, Heart transplants, and other surgical procedures.

+ **Cardiac Surgery PCU**

+ We provide post-operative care to cardiac surgery patients. Our most frequent procedures are CABG (coronary artery bypass graft), Cardiac Valve Repair/Replacement, LVAD (left ventricular device implantation), Aortic repairs, and MAZE.

+ **Cardiac ICU**

+ Patients with MIs, cardiomyopathies and a variety of irregular rhythms, including life-threatening v-fib and v-tach, device designated floor LVAD, IMPELLA, intra-aortic ballon pump, Non post operative side, pre surgical heart intervention patients.

+ **Cardiothoracic ICU**

+ Patients are CTICU, had surgery from their esophagus to diaphragm, open heart surgery, cabbages, valve replacements, active heart failure program (heart is failing and only thing to do for is to add devices) ventricular assist device. Surgical Post Operative area, patients under cardiac umbrella, heart transplants. Under thoracic procedures, lung transplants and lung surgeries. Vascular patient population, specific to vascular procedures with the aorta. CT patient population and Cardiac, Thoracic and Vascular.

Overview

**_Barnes-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.

Division 2100 is a fast paced high risk cardiology division at Barnes-Jewish Hospital. We care for a variety of cardiology patients including congestive heart failure, left ventricular assist devices, post cardiac device implantation, post EP and Stent procedures. The Staff Nurse (RN) is an integral part of the patient care team using critical thinking skills and clinical expertise to continually assess the patients' status. The Staff Nurse (RN) must be certified in BLS and obtain ACLS certification within 1 year of working on the division.

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