RN- Per Diem Same Day Surgery

Registered Nurse

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Location: Penn Medicine Doylestown Health, Same Day Surgery, 595 West State Street, Doylestown Pa 18901

Hours: Per Diem (Day Shift)

Job Summary: To provide professional nursing care in accordance with the Nurse Practice Act, to collaborate with the physician's medical plan, and to execute the objectives and the policies of the hospital.

Accountabilities:

• Assess, plan, implement, document, coordinate, and manage patient care according to department and ASPAN and hospital standards and giving consideration to age-specific accommodations.
• Utilizes the nursing process for all patients assigned to his/her care:
• Completes admission assessment according to unit standards
• Performs and documents ongoing assessment of patients according to department standards.
• Implements nursing/physician orders that result in achievement of organizational, nursing and physician goals.
• Utilizes analytical skills to provide efficient patient care and be able to handle critical situations in a timely and safe manner.
• Maintains evolving plan of care based on nursing assessment, the medical plan of care and patients need. The plan is initiated according to department standards.
• Provides skilled patient care by demonstrating a comprehensive knowledge of normal physiology and disease pathophysiology, appropriate nursing and medical interventions and a knowledge of the principles of growth and development over the lifespan.
• Implements patient plan of care based on evidence-based practice.
• Documents patient response to treatment and effectiveness of care.
• Provides teaching and discharge planning based on assessment of self-care knowledge/ability on an ongoing basis.
• Ensures appropriate completion of chart and other documentation including transcription of physician orders, computer entry and medication reconciliation.
• Ensures that no unapproved abbreviations are used when documenting on patients medical record.
• Demonstrates appropriate skill in utilization of the computer for automated order entry, data retrieval, medication administration, nursing care planning and intervention and interdepartmental communication as determined by defined access levels.
• Implements nursing/physician orders that result in achievement of patient, nursing, and physician goals. Evaluates, revises, and improves patient care using creative strategies, current research findings, and consideration of age-specific accommodations.
• Appropriately assigns all Associates under his/her supervision according to their skill level.
• Demonstrates initiative and self-direction in completion of assigned responsibilities in accordance with department needs.
• Performs selected therapeutic interventions and diagnostic procedures according to department standards as ordered to include but not limited to:
• Medication administration according to hospital policy
• Wound care
• Point of care testing
• Initiation and maintenance of oxygen therapy
• Specimen collection
• Phlebotomy (venipuncture)/IV certified
• SDS Chart checks to be done daily, the day prior to the scheduled procedure.
• 2 patient identifiers will be utilized before performing these interventions and/or procedures
• Bladder scanning
• Assists patients physically by providing physical support through pushing, pulling, lifting, reaching, turning, kneeling, standing, sitting and balancing, and psychologically by providing emotional intervention.
• Demonstrates ability to perform with clinical proficiency in crises and medical emergencies.
• Demonstrates ability to be technically competent in all psychomotor interventions when administering physical and psychosocial care to patients.
• Utilizes managerial skills to effectively direct other nursing personnel and coordinate patient care as required by the Nurse Practice Act and unit and hospital standards.
• Verifies expiration dates on supplies/materials in the unit and replaces as needed.
• Ensures that equipment supply (IV, sequential and foot pumps etc.) is maintained. Cleans equipment according to the germicidal disposable wipe contact time and cleaning procedure.
• Communicates and collaborates with patients, physicians, family members, and other health care disciplines in order to achieve excellence in patient care during hospitalization.
• Utilizes effective interpersonal skills including interaction with staff through understanding, talking, hearing, seeing and listening.
• Involves patient/significant other in all aspects of the plan of care, serving as an advocate when necessary.
• Effectively communicates, consults and shares pertinent information regarding changes in patient status and patient care.
• Uses interpersonal communication techniques that show a willingness to accept and give constructive feedback for the purpose of promoting professional excellence.
• Analyzes data and responds to unusual/undesirable clinical status by consulting appropriate personnel and taking appropriate action in a timely manner.
• Effectively communicates pertinent patient/significant other information during shift-to-shift report according to department standards.
• Demonstrates leadership skills in team building and interpersonal relationships to create a cohesive and productive environment.
• Performs the role of resource nurse when assigned. Utilizes leadership skills to effectively direct other nursing personnel and coordinate patient care as required by the nurse practice act as well as departmental and hospital standards.
• Recognizes the existence of cultural differences and utilizes appropriate resources available throughout the hospital to respond to the needs of the pediatric, adolescent, adult and geriatric patient, family member and/or visitor.
• Follows staffing guidelines. In the interest of patient care, responds to changes or needs within the Patient Services Team by cooperating with staff rotation, reassignment to other departments and holiday scheduling.
• Promotes patient safety through adherence to protocols, policies, procedures, evidence-based guidelines and Joint Commission National Patient Safety Goals.
• Maintains safety precautions while providing patient care including infection control isolation, patient/bed positioning, side rails, restraint utilization, skin care, patient/specimen transport, physical environment, fall prevention, seizure precautions, and work injury prevention.
• Analyzes data and responds to unusual/undesirable clinical status by consulting appropriate healthcare team members, including Rapid Response Team, and taking appropriate action in a timely manner.
• Maintains equipment in good working order, reports equipment failure, and initiates corrective action. Where appropriate, adheres to defined computer generated quality monitoring or procedures for validation of equipment functionality.
• Safely administers medications and treatments as ordered according to hospital policy and formulary using the appropriate principles of safe medication administration with 2 patient identifiers.
• Safely handles various types of drugs and body fluids using knowledge of appropriate standard precautions.
• Identifies patient using patient name and date of birth.
• Completes Procedure/Surgical Verification Checklist prior to procedure.
• Recognizes legal responsibilities and functions within limitations as specified by the Nurse Practice Act.
• Actively participates in and supports departmental and organizational quality initiatives and goals.
• Identifies professional goals, which reflect own strengths and weaknesses and seeks assistance for improvement of performance.
• Attends and participates in meetings according to department standards.
• Participates in unit/hospital committees.
• Supports and participates in department, hospital, and evidence-based care quality initiatives, including core measures.
• Participates as a team member or in workgroups on department, hospital and/or Improving Systems Leadership Team (ISLT) evidence-based care quality initiatives.
• Maintains clinical competency according to unit-specific standards.
• Demonstrates competency in maintaining specific technological skills required by job category and/or specialty area. See individual department competencies for unit specific requirements. Demonstrates recognition of equipment or technological adaptations dependent on age-specific patient needs (See Scope of Practice as delineated in departmental standards and/or related Policy and Procedure in the computer).
• Maintains technological competence through practice and ongoing participation in in-services and formalized professional conferences.
• Recognizes legal responsibilities and functions within limitations as specified by the Pennsylvania Nurse Practice Act.
• Attends annual