A registered nurse is caring for several clients on a progressive care step-down

Progressive Care RN - Day Shifts Available

  • RN
  • Full Time

Job Description​

The Opportunity:

Nurses on Progressive Care Units will provide care to patients with various conditions, treatments, care plans, and acuity levels. These units are ICU Step Down units, taking patients from all of the ICUs at Saint Luke’s Hospital. You will provide support and education for both the patients and their loved ones.

This team supports patients after various procedures, including leading valve procedures. This team is always willing help one another. Teamwork is key on this unit. This team has supportive leadership that will help support you in your career growth; the team believes in knowledge sharing and helping each other learn and grow. Joining one of our PCU Units is a great opportunity to expand your skills and provide complex care to patients.

The Work:

  • Accountable for utilizing the nursing process, safety and efficiency

  • Care of the patient in the intra-operative phase of care

  • Delegates patient care tasks and for supervision of other patient care staff

  • Responsible for coordinating the plan of care for a group of assigned patients

  • Consults with other members of the health care team when indicated to ensure optimal patient outcomes

  • Demonstrates proficiency and abides by policies rules guidelines and procedures

We are looking for caring, passionate, and compassionate nurses who are lifelong learners and enjoys building relationships with their patients and their families. To be successful, you will need to be a driven nurse who goes above and beyond for their peers, patients, and patients’ loved ones. We are seeking a nurse who believes in knowledge sharing to help others and themselves grow to be the best nurse they can be.

Why Saint Luke’s?

  • Our leadership supports nurse engagement and allows their voices to be heard.

  • We value our nurses’ knowledge, experience, and expertise to improve patient outcomes and quality care.

  • The opportunity to make an impact on their unit, hospital, health system, and the healthcare industry.

  • Strong nurse governance and we encourage all of our RNs to participate

  • Various CEU, Continuing Education, Leadership and other career training available

  • Career Advancement Program dedicated to RNs.

  • Saint Luke’s offers competitive salaries and benefits packages to all eligible employees, click here to find out more.

Job Requirements

Applicable Experience:

Less than 1 year

Basic Life Support - American Heart Association or Red Cross, Registered Nurse - Various

Associate Degree

Job Details

Full Time

The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

Effective November 1st, 2021, full COVID-19 vaccination is a condition of employment for all Saint Luke’s Health System employees unless a medical or religious exemption is approved.

  1. A charge nurse in an emergency department is making assignments for an assistive personnel (AP) for a shift with unexpected staff absences. Which of the following assignments should the charge assign to a float AP from the medical-surgical unit? Escort clients from the emergency department to other areas of the facility for tests

  2. A charge nurse is evaluating conflict resolution between two staff nurses. Which of the following conflict resolution styles is an example of one nurse putting aside her own goals to satisfy the other nurse? Accommodation

  3. A charge nurse is making assignments for an oncoming shift. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)? A client who is disoriented and awaiting transfer to a long-term care facility

  4. A charge nurse is observing a group of newly licensed nurses. Which of the following observations should the charge nurse report to the nurse manager as a violation of HIPAA? Talking about clients with other nurses in the cafeteria

  5. A charge nurse on a pediatric unit is delegating tasks to an assistive personnel who is pregnant and reports that she is unsure of her immune status. Which of the following client’s should the charge nurse assign to the AP? A 2 year old child who has impetigo contagiosa

6. A charge nurse receives a call from his nursing supervisor about an explosion at a local factory and an urgent need for facility beds for newly admitted clients. Which of the following clients should the charge nurse recommend for discharge? A 44 year old client who has asthma and admitted for carpal tunnel surgery

  1. A client in a long-term care facility falls out of bed, fracturing his left hip. The side rails on the bed were not raised at bedtime, although this client was identified to be at risk for falling. The nurse should identify that which of the following torts has occurred? Negligence

  2. A group of providers are participating in a cardiopulmonary resuscitation effort for a client who is in cardiac arrest. Autocratic

  3. A home health nurse is caring for a client who asks what is included in a living will. Which of the following statements should the nurse include in the teaching? It allows the client to express personal wishes regarding health care decisions

10. A nurse discovers that the wrong medication was given to a confused client who answered to the name the nurse stated when entering the room. The provider is notified and states that the medication the client received will not cause any harm. Which of the following actions should the nurse take? Complete an incident report documenting the occurrence

  1. A nurse in an emergency department is caring for four clients. Which of the following findings requires the nurse to act as a mandatory reporter? A child who was left unsupervised for several hours at home and is being treated for a fractured leg

  2. A nurse in the emergency department is preparing to obtain informed consent for surgery from a client who received meperidine hydrochloride IV during transport from a rural

hospital. Which of the following ways would the nurse obtain a consent? Obtain consent from a relative of the client

13. A nurse is ambulating a client who has an IV with an infusion pump. Upon returning to the client’s room and plugging the infusion pump in, the client reports a slight tingling in his hand. Which of the following actions should the nurse take? Turn the pump off

  1. A nurse is caring for a child who has sustained extensive head injuries. The provider has diagnosed brain death. Which of the following statements should the nurse use to begin a conversation about the option of organ and tissue donation with the child’s parents? I want to give you some information about an option that you have regarding donating your child's organs to others who are in need

  2. A nurse is caring for a client who has stage 4 ovarian cancer and has decided to stop treatment and enter hospice care. Which of the following ethical principles is the nurse displaying by supporting the client in her decision? Advocacy

  3. A nurse is caring for a client who is a local public official. A local newspaper reporter repeatedly phones the unit seeking information and states, "it is the public's right to know the health status of elected officials." Which action should the nurse take? Refer media inquiries to nursing supervisor

  4. A nurse is caring for a client who is dying and unable to make decisions for himself. The client's adult children disagree on his code status. Which of the following sources should the nurse depend on for decisions regarding the client’s end-of-life care? The client's health care proxy

  5. A nurse is caring for a client who is in the bathroom. The nurse hears a loud thud and after opening the bathroom door, finds the client on the floor. Which of the following is the priority nursing action? Determine level of consciousness

  6. A nurse is caring for a client who received a sedative-hypnotic medication at bedtime. The client gets out of bed and falls, sustaining a laceration that requires suturing. Which of the following statements should be included as part of the nurse’s documentation in the client’s chart? Client found sitting on the floor with 3 cm laceration above left eyebrow. Oriented to name only. Provider notified.

20. A nurse is caring for four clients who are scheduled for diagnostic tests. For which of the following tests should the nurse obtain written consent from the client? cerebral arteriogram

  1. A nurse is caring for several clients who require diagnostic testing and is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse direct the AP to perform first? Take an arterial blood gas specimen to the laboratory

  2. A nurse is completing an incident report after administering an incorrect dose of medication to a client, even though the client experienced no ill effects from the error. Which of the

each shift, but you are taking more that the number allocated. Let’s set a time when we can discuss this behavior.

34. A nurse manager calls a meeting of the unit’s staff members to discuss cost-containment issues. The nurse manager has asked for staff input regarding strategies that might help reduce costs. Which of the following types of leadership is the nurse manager using? Democratic

  1. A nurse manager is participating in a root cause analysis following a sentinel event on her unit. Which of the following descriptions defines the purpose of a root cause analysis? The root cause analysis investigates deviations from standards of care surrounding the event

  2. A nurse manager is planning staff development activities for the unit's new unlicensed assistive personnel. Which of the following activities should the nurse manager perform first? Determine the learning needs of the APs

  3. A nurse on a medical surgical unit is caring for a group of clients. For which of the following situations should the nurse complete a variance report? The discovery that a preoperative client has received and eaten breakfast

  4. An RN and a licensed practical nurse (LPN) are caring for a client who has a small bowel obstruction and is NPO with a nasogastric (NG) tube set to continuous suction. Which of the following tasks should the RN perform? Assess for bowel sounds every 2 hr

39. Based on recommendations following a regulatory agency visit, the nurse manager mandates a policy change. One of the staff members on the unit is resistant to the change, and the nurse manager notes that the nurse does not deliver care according to the new policy. Which of the following actions should the nurse take? Encourage the nurse to verbalize reasons for resisting the change

40 quality monitoring tools, a facility committee identifies that clients who have congestive heart failure have an average length of stay this is 5 days instead of the established standard of 3 days. Which of the following steps should the nurse implement next in the quality improvement process? Determine which actions can be instituted to address this problem

Which situation requires intervention by the nurse who is caring for a terminally ill client in the hospital?

Which situation requires intervention by the nurse who is caring for a terminally ill client in a hospital? The case manager notifies the family that the critical pathway requires transfer to a hospice facility.

Which task should the practical nurse assign to an unlicensed assistive personnel UAP )?

Appropriate tasks to delegate to UAPs include uncomplicated, non-sterile tasks. UAP can take vital signs on stable clients, and they can assist with activities of daily living, hygiene needs, linen changes, positioning, and other simple tasks.

Which client should the nurse assess first?

Which client should be seen first? - The nurse should prioritize the assessment of any client with DVT who is experiencing respiratory signs and symptoms and/or chest pain due to potential development of PE. - The nurse should assess this client after the client with DVT and administer any antihypertensives needed.

What is the most effective time management strategy for a nurse who needs to review?

What is the most effective time management strategy for a nurse who needs to review 10 client records in 2 weeks? Schedule specific times on a written calendar to review 2 charts per day.