Jobs

SAME DAY SURGERY REGISTERED NURSE


Job Type:
Location: Natchitoches Regional Medical Center
Department: SURGERY DEPARTMENT


Description:

MONDAY – FRIDAY 

8:00 A.M. TO 4:30 P.M.

NO CALL

Position Summary:

Provides care in the ambulatory setting directed toward meeting both the psychosocial and physical needs of the patient. Is a resource person and teacher. Care given reflects initiative and responsibility indicative of professional expectations. Utilizes initiative and strives to maintain steady level of productivity. Is a self starter. Is compatible and supportive, and a team player. Communicates on behalf of the patient, reflects the mission, ethics and goals of the facility, as well as the focus statement of the department.

 Primary Responsibilities

1. Adheres to dress code, appearance is neat and clean, adheres to policy “Attire in the Operating Suite”.

2. Completes annual education requirements.

3. Maintains regulatory requirements.

4. Maintains patient confidentiality at all times.

5. Reports to work on time and as scheduled, completes work within designated time.

6. Wears identification while on duty, uses computerized punch time system correctly.

7. Completes inservices and returns in a timely fashion.                                                                 

8. Attends annual review and department inservices, as scheduled.

9. Attends at least 9 staff meetings annually, reads and returns all monthly staff meeting minutes.

10. Represents the organization in a positive and professional manner.

11. Actively participates in performance improvement and continuous quality improvement (CQI) activities.

12. Complies with all organizational policies regarding ethical business practices.

13. Communicates the mission, ethics and goals of the facility, as well as the focus statement of the department.

14. Treats everyone with hospitality and the highest standards of customer service; exhibits teamwork; represents the organization in a positive and professional manner.

Demonstrates Competency in the Following Areas:

1. Coordinates and supervises patient care.

2. Approaches patient in a kind, gentle and friendly manner.  Treats patients and their families with respect and dignity.  Practices good guest relations

3. Identifies and addresses psychosocial needs of patients and family.

4. Gives patient explanations and verbal reassurances consistently, gives explanations and teaching to patient/family as necessary.

5. Formulates a teaching plan based on identified patient learning needs, and evaluates effectiveness of learning, family is included in teaching as appropriate, from pre-op to discharge.

6. Responds to patient’s inappropriate behavior in a therapeutic manner.

7. Maintains an environment that provides the patient and family with feelings of safety and security.

8. Adapts procedures for treatment to meet individual needs of neonate, pediatric, adolescent, adult and geriatric patients.

9. Demonstrates knowledge of pre operative and intra operative factors that alter immediate postoperative phase.

10. Makes decisions reflecting knowledge of facts, knowledge of diseases/surgical conditions, care required, and good judgment.

11. Manages and operates equipment safely and correctly

12. Utilizes nursing procedures as a media for communication and interaction with patient.

13. Identifies physical symptoms and changes and takes appropriate action in a timely manner.

14. Consults other departments as needed and as appropriate to provide for an interdisciplinary approach to the patient’s needs.  Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient.

15. Completes treatments as ordered.

16. Demonstrates an ability to assist physicians in SDS, OR, PACU or Endo Suite.

17. Demonstrates knowledge of airway management and procedures and the ability to use the equipment.

18. Demonstrates ability to assess cardio-respiratory systems for changes and provides appropriate treatment.

19. Observes behavioral and physiologic changes due to medications, takes appropriate actions and documents.  Adjusts expectations of patient behavior and acts according to the effect medication has on patient.

20. Demonstrates ability to provide specific care to postoperative neonate, pediatric, adolescent, adult and geriatric patients.

21. Carries out medical/surgical asepsis during treatments and special procedures.

22. Carries out established techniques for safe administration of medications and parenteral fluids, according to hospital policies and procedures.

23. Carries out safety measures to prevent patient from harming him/herself or others.

24. Assessments and reassessment of the patient are clearly and concisely communicated in charting.  Documentation meets current standards, policies and procedures and is completed within the shift.

25. Protects patient’s sensitivities and right to privacy.

26. Demonstrates knowledge of anesthetic drugs, actions and side effects.

27. Demonstrates knowledge of arterial lines, Swan-Ganz, spinal and epidural catheters and how to document.

28. Demonstrates ability to make independent and intelligent nursing decisions in the care of patients.

29. Obtains, documents and assesses vital signs every five (5) minutes or every fifteen (15) minutes as indicated by patient’s status and recovery location.

30. Medicates postoperative patient, as needed after pain assessment and evaluation of patient’s condition.

31. Closely observes patient with minimal disturbance.

32. Has ability to assess and reassess pain.  Utilizes appropriate pain management techniques.  Educates the patient and family regarding pain management.

33. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.

34. Has ability to formulate an individualized plan of care as indicated and evaluates for effectiveness.

35. Responds appropriately to patient in an emergency or physically distressful situation.

36. Provides family with the opportunity for reciprocal communication with the nursing staff.

37. Communicates effectively and thoroughly the patient’s condition upon transfer from one nursing unit to another.

38. Notifies physician of any abnormal lab/test results.

39. Establishes and maintains effective communication and good working relationships with co-workers for the patient’s benefit.

40. Maintains regulatory agency requirements, hospital and nursing policies, procedures and standards.  Counts narcotics at end of the shift per policies and procedures.

41. Organizes and manages nursing activities reflecting due consideration for patients/ needs and the needs of the facility and staff.

42. Makes decisions reflecting knowledge of dysrhythmias, followed by appropriate treatment.

43. Completes specially assigned duties consistently and as schedule allows.

44. Utilizes initiative; strives to maintain steady level of productivity; self-motivated.  Organizes and manages activities reflecting due consideration for the needs of the department and staff.  Does not waste time.

45. Ability to perform a “head to toe” preoperative assessment on all patients and reassess as needed postoperatively.  This includes pediatric, geriatric, and the general patient population.

Supervisory Responsibility

None.

Requirements:

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