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Job Details

BJC HealthCare

Thoracic Surgery Stepdown - PRN


Nurse Assistant


Saint Louis, Missouri, United States

Additional Information About the Role

  • The BJC RN 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.

One year plus experienced RNs welcomed to apply!

Position Highlights

  • PRN status
  • 12 Hour Shifts, Days or Nights available
  • One year plus experienced RNs welcomed to apply!

Barnes-Jewish Plaza Tower | Barnes-Jewish Hospital (

Benefits | BJC Employee Benefits | BJC Total Rewards

Thoracic Surgery Stepdown Registered Nurses care for post-surgical thoracic patients.( Thoracotomies, pneumonectomy, esophagectomy, lung transplant, lung volume reduction surgery (LVRS), thymectomy, nissen fundoplication and hellar myotomy. Nurses in this environment possess strong critical thinking skills and are able to make autonomous decisions. Nurses also have the opportunity to be involved in the patient’s progress from the immediate post-op period through discharge.


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.

Thoracic Surgery is a fast paced surgical stepdown unit with 6 PCU beds and 18 floor beds. We care for complex thoracic surgeries, including lung transplant, thoracotomy, esophagectomy, thymectomy, hiatal hernia repair. We are a Dedicated Education Unit, specializing in training nurses. This unit provides experience for nurses who are interested in promoting to critical care, including hemodynamic monitoring, IV drip titration, chest tube management and critical thinking skills.

Preferred Qualifications

Role Purpose

Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care.


Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration.Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development.Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care.Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs.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


Nursing Diploma/Associate's - Nursing


No Experience

Supervisor Experience

No Experience

Licenses & Certifications


Preferred Requirements


Bachelor's Degree - Nursing