RN- Surgical Step-down ICU
Additional Information About the Role
The Surgical Progressive Care Unit (163PCU) is a 19-bed unit that provides monitoring and treatment of adult surgical patients. Patients may include any surgical patient who does not require ICU level care, but who requires a higher level of critical care than is provided on a general nursing division. This can include post-operative complications, sepsis, respiratory distress, vasopressor/antihypertensive management, insulin gtt management, antiarrhythmic medication management, and other conditions requiring frequent monitoring/intervention.
Abdominal Transplant (TXP): kidney, liver, pancreas transplant surgery
Hepatobiliary Surgery (HPB): liver resection, whipple, partial/total pancreatectomy, etc.
Ear/Nose/Throat (ENT) Surgery: fresh tracheostomy, fresh laryngectomy, free flap, mandibulectomy, glossectomy, etc.
Plastics Surgery (PRS) & Ortho Microsurgery: digital/limb replant, flaps, leech therapy, nerve transfers, etc.
General Surgery/Trauma/Geriatric Trauma (ACCS): GSW, MVC polytrauma, assault victims, TBI, total care patients (para/quads), SDH s/p falls, emergent VHR, etc.
Orthopedic Surgery (ORTHO): spinal fusion, limb reconstruction, total hip replacements, etc.
12 HOUR sHIFTS:
Day shift: 0630 – 1900
Night shift: 1830 – 0700
Patterned in every 3rd weekend (hospital policy) to ensure safe/appropriate staffing ratios and peer support
Primary Care = 100% nursing staff at the bedside
2-3 nurse to patient ratio
All patients are hardwired to central monitors for frequent and continuous assessment
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.
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.
Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care.
ResponsibilitiesPromotes 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.Uses critical nursing skills to assess and evaluate patient's physical, psychosocial and emotional needs.Develops and implements individual plans of care in collaboration with other members of the healthcare team in accordance with the established guidelines and standards of nursing care.Evaluates patient's response and modifies plan of care accordingly throughout the patient's stay.Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development.
EducationNursing Diploma/Associate's - Nursing
Supervisor ExperienceNo Experience
Licenses & CertificationsRN
EducationBachelor's Degree - Nursing
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
- Pension Plan*/403(b) Plan funded by BJC
- 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 http://www.bjctotalrewards.com/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