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RN Surgery

Community Health Systems

Job Description

Job Summary

The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families.

Essential Functions
  • Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.
  • Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members.
  • Utilizes knowledge of human growth and development to provide age-appropriate care and education.
  • Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice.
  • Assists physicians during procedures within the scope of documented competency and skill level.
  • Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
  • Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate.
  • Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery.
  • Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions.
  • Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections.
  • Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety.
  • Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff.
  • Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements.
  • Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies.
  • Documents patient care and education thoroughly and promptly in the medical record.
  • Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations.
  • Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery.
  • Critical Care RN:
    • Administers medications and other treatments as prescribed, including intravenous medications and therapies.
    • Manages complex medical equipment, including ventilators, monitoring devices, and other life-support systems.
    • Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support.
  • Emergency Services RN:
    • Rapid Assessment and Triage: Evaluate patients' conditions quickly to determine the severity of their injuries or illnesses and prioritize care accordingly.
    • Conducts emergency procedures such as intubation, wound care, and suturing.
    • Implements interventions to stabilize patients, including administering medications, starting IV lines, and providing respiratory support.
  • OR Services RN:
    • Provides comprehensive care to patients before, during, and after surgery, including assessments, planning, and evaluation of nursing care.
    • Scrubs in for surgeries, assisting the surgical team with instruments and supplies, and ensuring a sterile environment.
    • Monitors patient vital signs, administers medications, and observes for changes in patient condition.
  • Cardiac Surgery RN:
    • Continuously assesses patients' condition, including vital signs, hemodynamic parameters, and ECG readings.
    • Administers medications and IV drips, adjusting dosages based on the patient's condition.
    • Proficient in operating and maintaining advanced life support equipment like ventilators, intra-aortic balloon pumps, and ECMO.
    • After cardiac surgeries, monitors patients' recovery, manage chest tubes, pacing wires, and wound care.
  • Endoscopy RN:
    • Assesses patient needs, reviews medical history, explains procedures, obtains consent, and prepares the patient for procedure.
    • Monitors patient vitals, administers medications, and assists the physician during procedure.
    • Provides post-procedure care, monitors recovery, and educates patients about aftercare instructions.
    • Ensures the endoscopy room is properly prepared, instruments are sterilized, and equipment is functioning correctly.
  • Obstetrics/Labor and Delivery/Post Partum/Nursery RN:
    • Educates patients about pregnancy, provides prenatal screenings, and prepares patients for labor and delivery.
    • Assesses and monitors the new mother's physical recovery, including vital signs, postpartum hemorrhage, and potential complications like postpartum depression.
    • Assists with epidurals and other pain management techniques during labor.
    • Administers pain medication, induces labor, and manages other medication needs during labor and delivery.
    • Assists during labor and delivery, monitors fetal well-being, administers medications, and provides pain relief. Monitors mothers and newborns after delivery, assessing their well-being, and providing education on postpartum care and breastfeeding.
    • Assesses and monitors newborn health, taking vital signs, performing routine assessments, and educating parents on newborn care.
    • Assists with gynecological exams and procedures, and provides education on reproductive health, contraception, and prenatal care.
    • Educates patients about family planning, fertility, pregnancy, childbirth, and postpartum care.
    • Interprets fetal heart rate patterns and assesses fetal well-being using electronic fetal monitoring.
  • Oncology RN:
    • Administers chemotherapy, manages side effects, monitors vitals, and manages pain.
    • Explains treatments, answers questions, and provides information on resources.
    • Provides emotional and psychological support to patients and their families.
  • Orthopedics RN:
    • Provides specialized care for patients with musculoskeletal conditions, injuries, and diseases.
    • Provides care for Orthopedic patients encompassing pre-operative and post-operative care.
    • Conducts peripheral/vascular assessments.
    • Treats patients with immobilization devices.
    • Provides pain management.
    • Provides patient education.
  • PACU RN:
    • Assesses the patient's level of consciousness and responsiveness as they wake up from anesthesia.
    • Evaluates pain levels and administers pain medications as prescribed.
    • Observes any side effects of anesthesia, such as nausea, vomiting, shivering, or muscle aches.
    • Monitors for and respond to any post-operative complications.
    • Administers medications, including pain relievers and other post-operative medications, as prescribed.
    • Regulates intravenous (IV) fluids and monitor fluid balance.
    • Checks and changes dressings on surgical wounds.
    • Ensures a clear airway and provide oxygen support as needed.
    • Educates patients and families about post-surgery care, potential complications, and discharge instructions.
  • NICU RN:
    • Continuously assesses and monitors vital signs (heart rate, respiratory rate, blood pressure, oxygen saturation) and other signs of distress.
    • Administers prescribed medications, intravenous fluids, and other treatments, including respiratory support and oxygen therapy.
    • Manages feeding needs, including tube, breast milk feeding support, and ensuring adequate nutrition.
    • Provides basic care tasks like diaper changes, bathing, and positioning.
    • Performs procedures like inserting IV lines, administering medications, and assisting with intubation or ventilation. Operates and adjusts specialized medical equipment used in the NICU.
  • Telemetry RN:
    • Using telemetry equipment to track heart rhythms (EKG), blood pressure, oxygen saturation, and other vital signs.
    • Analyzes telemetry data to identify trends, abnormalities, and potential problems, and reports these findings to physicians.
    • Provides direct patient care, including medication administration, wound care, and patient education, with a focus on cardiac health.
    • Recognizes and responds to emergencies, such as cardiac arrest, and implements appropriate interventions.
  • Dialysis RN:
    • Sets up and operates dialysis machines, monitors patients before, during, and after treatment, and adjusts treatment parameters as needed.
    • Takes vital signs, monitors signs of complications, and responds to changes in patient condition.
    • Educates patients and families about kidney disease, dialysis procedures, and the importance of adhering to treatment plans, diet, and medication.
    • Inspects and maintains dialysis machines and equipment.
  • Cath Lab RN:
    • Pre-Procedure:
      • Reviews medical history, assesses patient's overall health, and prepares them for the procedure.
      • Intravenous (IV) Line Initiation: Starts and maintains an IV line for medication administration.
      • Administers medications as prescribed by the physician.
      • Educates patients and families about the procedure and what to expect.
      • Verifies that surgical consents have been signed.
    • During the Procedure:
      • Assists the Cardiologist during the catheterization process.
      • Closely monitors the patient's vital signs, hemodynamic data, and sedation levels.
      • Ensures proper functioning of equipment and supplies.
      • Manages potential complications and responding to emergencies.
    • Post-Procedure:
      • Continues to monitor the patient's vital signs and overall condition after the procedure.
      • Administers post-procedure medications as needed.
  • Performs other duties as assigned.
  • Maintains regular and reliable attendance.
  • Complies with all policies and standards.
Qualifications
  • 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required
Knowledge, Skills and Abilities
  • Strong knowledge of the nursing process and clinical nursing practices.
  • Ability to perform thorough patient assessments and communicate findings effectively.
  • Proficient in administering medications and monitoring for side effects.
  • Effective communication and interpersonal skills to collaborate with interdisciplinary teams.
  • Strong organizational skills and attention to detail in documenting patient care.
  • Knowledge of safety standards, infection control, and quality improvement initiatives.
Licenses and Certifications
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required
  • BCLS - Basic Life Support required
  • ACLS - Advanced Cardiac Life Support preferred
  • PALS - Pediatric Advanced Life Support preferred
  • NRP - Neonatal Resuscitation preferred
  • Refer to facility or unit-specific guidelines for additional requirements.
Vacancy posted 5 days ago
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