Clinical Nurse Observation Unit

BJC HealthCare seeks a Clinical Nurse for its Observation Unit to deliver high-quality, patient-centered care in a fast-paced setting. The nurse will perform ongoing assessments, monitor telemetry and vital signs, administer medications, and coordinate timely discharges or admissions. Responsibilities include collaborating with physicians and interdisciplinary teams, educating patients and families, documenting in the EHR, and supporting quality and safety initiatives. This role thrives in a mission-driven, learning-focused environment with strong support for professional growth.

Responsibilities

• Provide continuous assessment and monitoring for observation unit patients, including telemetry and vital signs
• Administer medications, treatments, and interventions per provider orders and nursing standards
• Develop, implement, and evaluate individualized plans of care for diverse adult patient populations
• Coordinate patient flow, including timely admissions, transfers, and discharges from the observation unit
• Educate patients and families on diagnoses, medications, discharge instructions, and follow-up care
• Document assessments, interventions, and outcomes accurately in the Electronic Health Record (EHR)
• Collaborate with physicians, case management, and interdisciplinary teams to optimize patient outcomes
• Recognize and respond promptly to changes in patient condition and escalate care when needed
• Adhere to infection prevention, safety, and regulatory standards and participate in unit-based quality initiatives
• Precept and mentor new staff or students, supporting a culture of learning and continuous improvement

Required Skills

• Patient assessment
• Telemetry monitoring
• IV medication administration
• Care planning and coordination
• Electronic Health Records (EHR) documentation
• Clinical triage and prioritization
• Discharge planning and patient education
• Infection prevention and safety protocols
• Interdisciplinary team collaboration
• Quality and performance improvement