Registered Nurse - Operating RM-PRN

PRN Nursing Position

Job Requirements:

A. Skills and Abilities:

1. Ability to correlate clinical data with patient's medical and nursing care.

2. Ability to set priorities.

3. Ability to provide direction to others that is clear, concise and promotes efficiency throughout the clinical areas of the facility.

4. Ability to communicate well with patients, families, Teammates, physicians, other members of the healthcare team, etc.

5. Recognizes legal and policy limits of individual practice.

B. Clinical Quality:

1. Assesses, plans, evaluates and ensures the implementation of the patient's care to achieve identified outcomes and delivers safe patient care according to facility policy and procedure.

a. Assesses patient status on admission and on an ongoing basis.

b. Implements appropriate standards of care based on assessment data and patient's own goals. Goals are mutually set with the patient and family

c. Coordinates nursing interventions to enhance achievement of expected outcomes and to ensure readiness for discharge.

d. Ensures provision of patient care daily in an organized and timely manner.

e. Adheres to all facility policies and procedures when providing patient care.

f. Utilizes nursing care standards when planning and implementing patient care.

g. Demonstrates ability to direct and provide for patient care in emergency situations.

h. Assesses learning needs according to patient's level of understanding and readiness to learn.

i. Evaluates patient's progress toward outcome achievement on an ongoing basis.

j. Revises plan of care based on change in patient status and/or information gathered at change of shift

k. Documents patient's progress toward achievement of outcomes.

l. Directs others in the implementation of the teaching plan.

2. Assumes an active role in the provision of quality nursing care for patients receiving care.

a. Utilizes specialized nursing knowledge, nursing process and discriminative judgment while giving direct or indirect care.

b. Analyzes nursing care provided in the facility related to the established standards of care.

c. Participates in the monitoring and evaluation of nursing care provided.

d. Demonstrates ability to coordinate the nursing care provided.

e. Assigns patient care responsibilities based on patient needs and abilities of available staff.

f. Assumes charge nurse responsibility as assigned.

g. Demonstrates ability to make decisions concerning facility-based problems.

h. Participates on quality council to facilitate improvement of patient care.

i. Participates in the orientation of nursing staff.

j. Participates in developing standardized patient education programs, as requested.

k. Participates in team conferences on assigned patients.

3. Demonstrates continued competence in assessing, treating, and caring for individuals based upon age-specific needs utilizing a developmental perspective.

a. Demonstrates appropriate knowledge and competence of designated skills identified for position.

b. Displays an understanding of each patient's cognitive, physical, emotional, and chronological maturity in the assessments, treatment, and care undertaken based on age-specific criteria.

c. Appropriately modifies approach to the patient based upon patient age utilizing a developmental perspective.

d. Provides appropriate age-specific interventions related to safety issues.

4. Demonstrates appropriate knowledge and competence of designated skills identified for position in patient care duties.

a. Checks updated schedule each morning and prepare supplies and equipment.

b. History and physical assessment of patient.

c. Completes review of medical record.

d. Maintains patient normothermia.

e. Promotes physical comfort and provide emotional support and safety for patient.

f. Administers and charts medications as ordered by physician.

g. Reinforces and clarifies physician instructions and explanation of procedures to patient.

h. Provides nursing care and appropriate monitoring according to policies and procedures.

i. Communicates relevant information to physician, Facility Manager and appropriate staff.

j. Verifies surgical/procedure site with patient and according to surgical schedule and patient History and Physical.

k. Obtains and verifies operative/procedure consent.

l. Communicates relevant information to physician, Facility Manager and appropriate staff.

m. Provides for patient safety by use of monitors, side rails, and assistance in ambulating and instruction on the use of call bell in bathroom.

n. Provides instructions according to patient need.

o. Completes nursing documentation on each operative procedure

p. Assembles cases according to schedule and preference cards.

q. In Pre-Operative Area, introduces self to patient, verifies patient identity, assesses patient's physical needs, alleviates patient anxiety, clarifies operative site, and checks chart for necessary documentation.

r. Practices and monitors aseptic techniques.

s. Ensures that the surgical site time-out process is followed and completed.

t. Performs duties as circulating or scrub nurse.

u. Is responsible for positioning patient relevant to procedure with awareness of body alignment, circulation and pressure points.

v. Applies electrosurgical return electrodes, tourniquets, etc., according to physician preference, policies and procedures.

w. Provides necessary supportive equipment for patient comfort (i.e., pillows, blankets, protective paddings, etc).

x. Accurately completes intraoperative record.

y. Is accountable for accuracy and documentation of sponge, needle and instrument counts.

z. Properly labels and cares for specimens.

aa. Provides and records all intraoperative medications.

bb. Maintains adequate room supplies.

cc. Is knowledgeable of operation, cleaning and sterilization of instruments.

dd. Is knowledgeable of operation and cleaning of surgical equipment.

ee. Assists in stocking, replenishing, outdating and preparation of supplies.

ff. Reviews and updates physician preference cards.

gg. Has working knowledge of sterilizers and recorders.

hh. Assists physician and anesthesia personnel as needed.

ii. Provides emergency care according to physician and administrative policy.

jj. Sets priorities to facilitate the flow of patient efficiently.

kk. Cleans equipment and operating room/procedure room according to procedure.

ll. Reviews charts for completeness and signatures of physicians.

mm. Prepares and restocks area for following day.

nn. Checks inventory and notifies appropriate staff member to re-order.

oo. Notifies appropriate staff member to order supplies.

pp. Initiates appropriate infection control measures.

qq. Maintains an environment that promotes safety:

n Temperature range

n Electrical safety measures

n Oxygen and Suction Equipment

n Resuscitation Equipment

n Noise Control

n Traffic Control

n Control of Contamination

C. Teamwork/Accountability/Integrity:

1. Utilizes time effectively.

2. Follows established facility policies and procedures with regard to attendance.

a. Maintains attendance according to guidelines and policy established by facility.

b. Adheres to tardiness policy.

c. Provides notification for unscheduled absences or tardiness in accordance with established departmental procedures as noted by supervisor.

d. Requests scheduled time off according to procedure as noted by supervisor.

3. Completes all documentation to ensure the availability of accurate and up to date information in accordance with established standards.

a. Maintains accurate records of controlled substances.

b. Documents nursing care and physicians orders according to facility policy and best practice guidelines.

4. Adheres to established facility safety requirements and procedures to ensure a safe working environment.

a. Demonstrates competent usage of proper body mechanics in all activities.

b. Identifies potentially unsafe situations and notifies supervisor.

c. Completes all Teammate/patient event and Variance documentation in a thorough and