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.
The Neurocritical Care Unit (NNICU) at Barnes Jewish Hospital is a 20-bed level 1 center caring for complex neurological and neurosurgical emergencies requiring advanced interventions and comprehensive neurocritical care. The Joint Commission-certified comprehensive stroke center NNICU provides a full complement of advanced neuro-monitoring, medical therapies and neurosurgical interventions. In August 2019, Barnes Jewish Hospital will expand its neurocritical care unit by adding 24 beds. This unit will be equipped with state-of-the-art equipment and technology, including both a stationary and mobile CT scanners capable of performing advanced neurovascular imaging.
Our NNICU teams consist of neuro-intensivists, fellows, residents, acute care nurse practitioners, registered nurses, pharmacists, patient care technicians, respiratory therapists, physical therapists, case managers, and social workers. Working with the medical team, our NPs are engaged in patient rounds, case reviews, morbidity and mortality/performance improvement reviews as well as focused -professional practice in neurocritical care. Due to the acuity of patients receiving care in our Level I NCCU, a neurointensivist or an NNICU fellow provides on-site care 24/7.
Neurocritical care nursing is a specialty within critical care and requires an educational curriculum and competency assessment beyond general critical care concepts. Our nurses receive focused education and competency assessment for common neurocritical care concepts, monitoring, procedures and devices. This includes ENLS (Emergency Neurological Life Support), a program that outlines the key care priorities of 14 neurocritical care diagnoses in the first few hours of management. Nurse to patient ratios are typically 1:2 or 1:1, depending on acuity. Our nurses are fully engaged and an integral part of patient rounds.Overview
Provides direct patient care activities including assessment, diagnosis, planning, implementation, and evaluation within the guidelines of the standards of critical care nursing to patients who require a high level of clinical expertise.
ResponsibilitiesProvides care to acutely and critically ill patients in a highly technical and ongoing monitoring environment. These patients are facing life-threatening problems with varying needs, which require extensive medication protocols and therapies. Educates patients and their families on disease process, management of illness/injury/treatment, support resources, infection prevention techniques, and essential daily tasks to prepare for next transition of care.Demonstrates competency in evaluating intensive care patients, administering care, recognizing complications and coordinating with other members of the critical care team. Strives for excellence in patient care; keeps patients safe from adverse events. Seeks learning and teaching opportunities in an effort to further develop and perfect skills and improve overall quality of care. Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development.Develops, implements, and revises 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 to complex critical treatment modalities and modifies plan of care accordingly throughout the patient's stay. Demonstrates expertise and critical thinking skills to assess and evaluate patient's/family's physical, psychosocial and emotional needs Demonstrates ability to promote positive interpersonal relationships in patient/family-centered environment.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.
Licenses & CertificationsRN
Preferred Requirements and Additional Job Information
DegreeBachelor's Degree - Nursing
Licenses & CertificationsAdvanced Cardiac Life SupportBasic Life Support (BLS)Critical Care Nurse (CCRN)Cert/Lic in Area of Expertise
Note: not all benefits apply to all openings
- Comprehensive medical, dental, life insurance, and disability plan options
- Pension Plan*/403(b) Plan
- 401(k) plan
- Tuition Assistance
- Health Care and Dependent Care Reimbursement Accounts
- On-Site Fitness Center (depending on location)
- Paid Time Off Program for vacation, holiday and sick time
*Pension does not apply to Memorial Hospital, Memorial Hospital East, Alton Memorial or Parkland Health Center
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