Advanced Practice Nurse (Fulltime)

Job Description - RN- Minor Procedure Suite (Full Time, Days) (302107)

RN- Minor Procedure Suite (Full Time, Days) - 302107

Responsible for the planning and delivery of care utilizing nursing processes: assessment, implementation, and evaluation. Oversees the plan of care, utilizes effective problem solving strategies, and applies evidence based practice. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director and has passion for learning, provides compassionate and family centered care for Minor Procedure Suite patients.

Completes all nursing multi-system assessments that include head to toe, vitals, pain management, falls risk assessment, post anesthetic scores, and airway management.

Ensures completion of patient pre-admission/admission history and prepares and accurately completes the discharge planning process accurately as per department and hospital policies and procedures.

Communicates and documents the patient’s progress including critical findings, changes in patient’s condition with the physician or disciplines involved in the care of the patient.

Implements and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care.

Provides nursing care that includes IV site monitoring, specimen collection, and assists surgical team with specific procedures.

Follows physician’s orders, administers and reconstitutes medications when needed. Adheres to six rights of medication administration per medication administration policy.

Ensures proper and safe sedation administration to patients and monitors recovery as per the PACU Policy and Procedure.

Cross trained to provide safe patient care in Pre-Op, Intra-Op, PACU 1, and PACU 2.

Leads turnover between cases with Care Assistants to provide safe and clean environment of care.

Ensures advanced directives, secures blood consents, documents time-out procedures, and ensures the correct site/side is marked (when applicable per Universal Protocol Policy).

Greets family and patient, transports patient into OR. Collaborates with a multi-disciplinary team in daily care planning, as appropriate, and fosters a Family Centered Care Environment.

Remains with the patient during emergence and intubation and assists Anesthesia team as needed.

Transports the patient to recovery room and completes the SOAR checklist for the procedure with transition of care performed with a hand-off to the PACU RN.

Plans, implements, and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care.

Performs reassessments as per policy and when there is a change in the plan of care or when an intervention is performed.

Accesses electronic health record independently according to hospital policy and completes accurate and timely documentation in the patient’s electronic health record.

Communicates and documents critical lab results per hospital policy and procedures.

Ensures all surgical procedure documentation is obtained (i.e.; Educates patients and families about the medical procedure, diagnosis, and discharge instructions.

Communicates with patients and families to review plan of care and solicits input. Communicate any patient and family concerns to physician.

Collaborates and rounds with a multi-disciplinary team in daily care planning rounds, as appropriate, and fosters a Family Centered Care Environment.

Provides education and documents on patient/family teachings on health related needs (i.e. disease, medications, treatments, pain, discharge, safety, nutrition, skin care, etc.).

Communicates and documents critical lab results per hospital policy and procedures.

Promotes an “error free” working environment by consistently providing high-quality safe care as prompted (as per Universal Protocol Policy).

Assesses all body systems, ensures safe effective, and efficient care delivery with emphasis on the absence of medication errors, avoidance of falls & reduction of pain post-op.

Provides patient information and effectively completes the hand off process during patient reassignments as per SOAR document.

Accountable to optimize first case starts to prevent delay of patient care per departmental goals.

Actively participates in hospital-wide committees and unit based committees on turnover or first case starts and utilizes lean processes.

Performs skin & structural assessment, takes measures to accommodate patient & ensures safe care while ensuring no medication errors. Performs falls risk assessment & takes appropriate steps.

Accountable to ensure the proper steps are followed in the processing of Gastro Intestinal scopes per departmental policy/protocol which meets infection control standards.

Meets or exceeds unit standards in achieving CEI standards; completes documentation in a timely manner & accountable to regulatory requirements of the DNV, CMS, DOH & other agencies.

Documenting all implants and blood transfusion products per the Surgical Services Policy on blood transfusions, implants, and time-out procedures.

RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) - maintain active and in good standing throughout employment

A minimum of 1 year experience as a RN preferred.

National Certified Pediatric Nurse (CPN) and/or certification equivalent within 5 years of hire preferred.

Possesses proficiency in computers and EMR preferred.

Able to analyze and interpret data and utilize the information to make judgments regarding patient care.

Able to float within Surgical Services while maintaining the delivery of clinical excellence and high quality service.

Coverage for on-call assignments per departmental and hospital policy.

Nursing - Clinical

#J-18808-Ljbffr Nicklaus Children's