Registered Nurse - Surgery

Job Overview:

This position applies the nursing process in providing direct and indirect holistic care to patients and their families. The position also collaborates, in a collegial manner, with physicians and other health care team members in meeting the patient's needs. This position may delegate certain aspects of care to those under their direct supervision, within the scope of nursing practice.

Job Requirements:

• Associate's Degree or Diploma in Nursing (Required)
• New hires required to obtain BSN within 5 years of hire (Required)
• Up to 1 year Clinical in Nursing experience (Required)
• Knowledge, judgment, and skills derived from the principles of biological, physical, behavioral, social, and nursing sciences to meet complex health care needs at various stages of the life cycle
• Registered Nurse
• Preferred certification in applicable specialty once eligible Preferred and
• Preferred membership in related professional organization Preferred

Job Responsibilities:

• Performs initial and ongoing assessment of patient and family. Completes initial assessment tool. Documents ongoing assessment per unit/TriHealth guidelines. Communicates assessment findings to other health care providers as appropriate. Includes health counseling and health teaching needs in assessment.
• Plans care for patient and family based on assessment, standards of care, and optimal specific outcomes. Initiates and individualizes appropriate patient care guidelines/plan of care or clinical pathways. Updates current plan of care as needed based on patient/family input and healthcare needs. Develops both short and long term goals with patient/family and healthcare team including discharge planning. Communicates plan of care to others.
• Implements plan of care for patient. Provides a safe and therapeutic environment while maintaining patient’s autonomy, dignity, and rights. Determines plan of care based on ethical principles as outlined in the TriHealth Code of Ethical Business and Professional Behavior. Acts as a patient advocate. Delivers care in a non-judgmental and non-discriminatory manner that is sensitive to patient diversity. Seeks available resources to help formulate ethical decisions. Prioritizes the workload according to patient’s needs, requests, and the needs of the unit/facility. Recognizes emergency situations, notifies appropriate personnel, and begins emergency measures. Completes patient assignment including documentation within scheduled timeframe. Bases interventions on clinical data, desired outcomes, nursing judgments, process management and improvement measures, and standards of care. Documents interventions and outcomes according to unit/TriHealth guidelines. Delegates care to other team members within the scope of nursing practice. Implements and documents patient and family teaching program. Assists with the coordination of patient care by all disciplines including physicians. Utilizes critical thinking skills in daily care including accurately receiving, interpreting, and executing physician orders.
• Evaluates the plan of care for patient based on optimal specific patient outcomes. Documents the patient/family response to care including teaching. Collaborates with the patient/family and with other members of the health care team, including physicians, to revise plan of care as needed. Supervises the care that was delegated to other health care team members.
• Performs technical skills according to policy and procedure and accepted standards within their area of practice. Safely administers medications/treatments and monitors their effects. Uses all equipment in a safe, appropriate manner.
• Demonstrates organizational responsibilities. Identifies areas for self-improvement through self-assessment and peerreview. Functions in roles and provides leadership on the unit as needed and requested. Cooperates with instructor to facilitate learningexperiences for students. Demonstrates knowledge and is supportive of organizational and unit changes. Supportsorganizational activities by participating in activities such as committees, staff meetings, councils. Utilizes chain ofcommand appropriately. Builds collegial relationships with physicians and other health team members. Demonstratesautonomy in identifying opportunities for process improvement. Maintains and improves current knowledge in area ofpractice through activities such as continuing education, formal education, professional organization membership, and/orcertification. Shares knowledge and skills with colleagues and others. Provides peers with constructive feedbackregarding their practice.

Other Related Information:

The TriHealth Nursing Vision, Mission, and Philosophy speaks to professional development, collaboration, and our nursing culture. To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care.

Working Conditions:

• Bending - Frequently
• Climbing - Rarely
• Concentrating - Consistently
• Continuous Learning - Consistently
• Hearing: Conversation - Consistently
• Hearing: Other Sounds - Consistently
• Interpersonal Communication - Consistently
• Kneeling - Occasionally
• Lifting <10 Lbs. - Consistently
• Lifting 50+ Lbs. - Consistently
• Lifting <50 Lbs. - Consistently
• Pulling - Consistently
• Pushing - Consistently
• Reaching - Consistently
• Reading - Consistently
• Sitting - Occasionally
• Standing - Consistently
• Stooping - Consistently
• Talking - Consistently
• Thinking/Reasoning - Consistently
• Use of Hands - Consistently
• Color Vision - Consistently
• Visual Acuity: Far - Consistently
• Visual Acuity: Near - Consistently
• Walking - Consistently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS

• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service

Respect: ALWAYS

• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone's opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS

• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS

• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community