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Saint Francis Healthcare System offers people a variety of career opportunities that are stimulating, challenging, and above all, rewarding. Known for providing its employees with competitive wages and outstanding benefits, Saint Francis also features a family-focused culture that cultivates a friendly, caring environment for Medical Center employees, physicians, volunteers, and patients.


As an equal opportunity employer, Saint Francis does not discriminate on the basis of sex, age, religion, creed, national origin, race, or handicap in its relations with patients, visitors, or employees. Please take time to review the Medical Center’s current job openings and submit an online application for a position for which you are qualified.

Job Details
Registered/Graduate Nurse - Ortho/Surgical (043605)
Job Number: 043605
Job Title: Registered/Graduate Nurse - Ortho/Surgical
Number of Openings: 1
Job Type (Employment Type): Full time, 72 hours per 2 week pay period, with benefits
City: Cape Girardeau
Job Schedule: Day/Evening Shifts
Job Category: Registered Nurse
Career Level: Staff
Minimum Level of Education: Associates Degree in Nursing
Years of Experience: 0
Position Description


Typical hours for this position:  Full-Time Position, Mon - Fri, twelve (12) hour day shift, 7:00 AM - 7:00 PM, will work every other weekend and rotating holidays.


The lead charge nurse is responsible for ensuring safe and appropriate care is provided to all patients on his/her unit(s) and during the assigned shift. Monitors for quality of care, conducts patient rounds to ensure patient satisfaction, and supervises staff to include addressing performance issues and completing performance evaluations.

Other Skills and/or Knowledge Required: Core knowledge for area of practice. Maintains required competencies for practice environment.

Assesses Clinical and Psychosocial Patient Needs - Assesses Clinical and Psychosocial Patient Needs - •Accurately and thoroughly completes assessments. •Accurately reconciles and documents medications during care transitions. •Uses health information from a variety of appropriate resources. •Assesses pain and reassesses according to policy and documents at greater than 90%. •Assesses safety needs based on age. Rounds on patients each shift to ensure quality and safety measures are in place. This may include: lowrise beds, Telemonitors, bed alarms, curros caps, IV tubing date, etc. Assists other staff members with admissions, discharges, rounds with physicians, assists with bedside procedures, etc. based on the unit needs.

Establishes Patient Goals and Tracks Progress - •Prioritizes problems for immediate attention. •Collaborates/Consults with other members of the health care team and ensures that a collaborative care plan is up-to-date and based on assessment. •Documents patient progress toward goals/effectiveness of interventions. •Determines correct nursing diagnosis and collaborative problems. •Initiates care paths or protocols, as appropriate.

Provides Patient-Centered, Outcomes-Focused Care - Provides Patient-Centered, Outcomes-Focused Care - •Provides direct patient care within interpreted guidelines of Nursing Practice Act of Missouri. •Incorporates new technologies to provide safe care. •Guides staff to adhere to Medical Center policies/procedures for care. •Evaluates age specific/appropriate motor skills and psychological development. •Uses interview and communication techniques appropriate for age. •Uses equipment appropriately based on age and size of patient. •Identifies any unique physical and or emotional needs and determines what other support systems are required for care. •Practices evidence based nursing. • Understands DPM and is able to guide staff through the process. Practice is based on understanding of initiatives/processes related to reaching benchmarks. •Completes quarterly competency/education updates. •Makes assignments and facilitates continuity of care and patient safety. Under the direction of the Patient Care Manager, helps drive quality initiatives. This includes data collection, staff education, and follow-up on progress of initiatives. This may also include participation on committees as needed. Meets with the patient care manager and other Lead Charges monthly to discuss goals and progress. Facilitates apparent cause analysis as appropriate and ensures follow up to the action plan

Educates and Engages Patients and Their Families - •Develops education plan based on patient/family knowledge deficits, diagnosis, treatment regimen and community support/resources. •Monitors and documents patient/family progress in understanding care needs post discharge and the ability to care for self. •Uses adult learning principles. •Employs appropriate use of teaching aids and technology. •Makes appropriate referral for continued education, as care transitions.

Manages Key Components of the Clinical Record - •Ensures accuracy and thoroughness of medical record. •Ensures accurate reflection of patient complaints and progress. •Utilizes POC CIS to provide for quality, accuracy and efficiency of documentation. •Completes accurate documentation of patient assessment, vital signs, plan of care, medication administration and communication with provider. •Bar coding is at or greater than 98% (if applicable). •Ensures accurate information follows patient at discharge and through care transition.

Coordinates Care With Inter-Professional Caregivers - •Participates in clarifying and communicating medical information to patients, family and staff. •Relays all pertinent health information, including home medications, to attending physician. •Report/handoffs are conducted at the bedside using SBAR. •Rounds with admitting physician/ consulting physician(s). •Communicates patient’s condition and progress to the physician daily and as indicated to keep physician informed. •Is prepared and organized when discussing plan of care with the physician either by phone or in person. •Verifies attending physician and consultants have consistent information.

Completes Bed Placement, Scheduling, and Staff Evaluations - Completes Bed Placement, Scheduling, and Staff Evaluations- places patients that are being admitted to the unit from ER, OR, Direct Admits, etc. Coordinates moving patients as needed to make availability for additional Neuro patients or NPCU patients. Collaborates closely with the transfer center. Updates discharges/pending discharges in Teletracking. Notifies Patient Care Manage when issues arise. Oversees, and ensures completion of Nurse, Nurse Assistant, and Telemontior schedules. Publishes schedule by the due date each month after final review by patient care manager. Reviews staffing holes that are sent by staffing office weekly, and assists in finding coverage. Provides input to Patient Care Manger for staff evaluations. Completes staff evaluations under the direction of the Patient Care Manger.

Position Requirements

Educational Requirements:
Graduate of an approved professional nursing program. BSN preferred

Certification/License Title: 
Current license as a Registered Nurse in the State of Missouri. Current BLS CPR certification required.

Additional Skills & Experience Requirements:
Experience consistent with the Professional Advancement Program. Demonstrated verbal and written communication skills. Able to collaborate with the healthcare team.