RN - Hospital - PRN Shifts

Ambulatory Surgical Nurse

Provides care in the ambulatory setting directed towards meeting the psychosocial and physical needs of the surgical patient. Communicates with the physicians about the patient's clinical condition regarding the planned surgical procedure. Care given reflects initiative and responsibility indicative of professional expectations. care provided reflects the mission, ethics, and goals of the facility, as well as the focus statement of the department.

Ability to perform a head-to-toe assessment of all patient populations and perform reassessments per facility policy.

Makes decisions reflecting knowledge of facts, knowledge of diseases/surgical conditions, care required and good judgment. Identifies physical symptoms and changes, reports changes to surgeon/anesthesiologist, and initiates appropriate actions.

Performance reflects knowledge in all areas of care specific to outpatient surgery.

Organizes and manages nursing activities with respect for the needs of the patient and their families and the needs of the hospital and staff.

Manages and operates equipment safely and correctly.

Demonstrates an ability to assist physicians in performing treatments/procedures. Utilizes medical and surgical asepsis during treatments and special procedures.

Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.

Ability to formulate an individualized plan of care, as indicated, and evaluates for effectiveness.

Ensures completion of documentation including but not limited to, H/P, consents, hand off communication tool, medication administration, pre-anesthetic questionnaire, medication reconciliation form, allergies.

Knowledge of cardiac monitoring and can identify dysrhythmias, notifies physician of changes, treats appropriately based on facility protocol. Able to perform waived or moderate complexity testing per clinical laboratory and unit policy and procedure. Able to interpret results of lab testing and take appropriate action on waived test results.

Coordinates and supervises patient care. Communicates appropriately and clearly to departmental charge nurse or outpatient supervisor/manager, co-workers, and physicians.

Demonstrates an ability to be flexible, organized and function under stressful situations.

Meets current documentation standards and policies and completes within the shift.

Charge Nurse Responsibilities

Makes daily patient assignments, monitors the surgery schedule and daily unit progress, reports changes to involved departments.

Supports/oversees unit staff and monitors staffing efficiency. Staff's unit according to nursing standards. Supervises staff to ensure quality of nursing care, delegates' specific duties and tasks. Provides and controls supplies, and equipment needed for successful operation of the department. Directs and delegates control of inventories to ensure proper amounts available.

Supervises care and cleanliness of equipment and supplies to ensure good working conditions.

Promotes the hospital's mission, values, and goals.

Utilizes initiative, strives to maintain a steady level of productivity, completes assigned projects by due date.

Knowledgeable of lab procedures and laboratory equipment.

Completes duties as assigned by Nurse Manager.

Communications - Communicates well both verbally and in writing. Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Meets dress code standards and adheres to policy.

• Completes annual education requirements and unit in-services.
• Maintains regulatory requirements.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.
• to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.
• 1 year of nursing experience preferred.

CR.1c) As part of the Advanced Orthopedic and Spine Certification, at a minimum, the Program direct-care staff, must have four (4) hours of education specific to the Program scope, initially, and at least annually thereafter.

(CR.1e) As part of the Advanced Orthopedic and Spine Certification, staff possess adaptability to processes as related to up-to-date best practices, collaboration between departments, compliance with protocols/processes, communication, cooperation, and exceptional customer service.

Regulatory Requirements

~ Graduate of an accredited school of nursing