Same Day Surgery Registered Nurse

Position Summary
The Same Day Surgery RN is defined as the Registered Nurse (RN) who, using the nursing process, develops a plan of nursing care and then coordinates and delivers care to patients undergoing operative or other invasive procedures. Perioperative nurses have the requisite skills and knowledge to assess, plan, intervene, and evaluate the outcomes of interventions. The SDS nurse addresses the physiological, psychological, socio-cultural, and spiritual responses of surgical patients. The Perioperative nurse provides care in compliance with hospital policies and the standards of practice of AORN Standards, Recommended Practices, and Guidelines and ASPAN Standards. In addition, the Perioperative nurse possesses knowledge of CMS (HICFA) standards specific to Critical Access Hospitals, New Hampshire Department of Health guidelines, New Hampshire Board of Nursing rules, and the rules, regulations, policies, procedures and Standards of Nursing Practice of Weeks Medical Center.
Current RN license in the State of New Hampshire
Two (2) years Med-Surg experience required.
Current BLS, ACLS and Basic Dysrhythmia certifications required
PALS required within one year of hire
Specialty Certification preferred
Computer skills strongly preferred
Excellent interpersonal communication skills and organizational skills required
Essential Functions of the Job
Required skills and competencies. Has competency checklist been completed with all competencies met, i.e. job skills, job knowledge, equipment knowledge?
Demonstrates current technical and clinical competence and excellence in practice.
Accepts professional responsibility and accountability for the quality of care provided to surgical patients in all phases of care (pre-op. intra-op, and post-op.
Participates as an effective member of the patient care team contributing to the efficient operation of the unit.
The perioperative nurse assumes responsibility for maintaining clinical competence. Assumes responsibility for continuous education through personal study, attendance at institutional inservice programs and seminars.
Demonstrates competency in PACU should the OR request assistance. Immediately recognizes abnormal airway, breathing and circulation and intervenes quickly and appropriately. Understands the Aldrete scoring system for discharge from PACU and discharges appropriately.
If requested to help in endoscopy room, has knowledge for monitoring the patient during sedation/analgesia and understands the pharmacology of the agents administered and the role of pharmacologic antagonists. Is able to recognize complications associated with sedation/analgesia. The RN possesses the requisite knowledge and skills to assess, diagnose, and intervene in the event of complications or undesired outcomes and to institute nursing interventions in compliance with orders.
Manages time effectively to ensure that deadlines are met and that personal priorities support organizational objectives. Demonstrates an understanding of the relationship between departmental/personal responsibilities and overall organizational goals/strategies and acts accordingly.
Actively participates in the orientation of new personnel to SSU. Orients new personnel by demonstrating processes and observing a return demonstration, to ensure that the new employee performs according to Weeks policy and standard.
Quality of work is accurate and consistent with expected levels of professional performance based upon Standards of Practice and policies.
Performs nursing actions that demonstrate accountability by exercising safe judgment in decision making, demonstrates flexibility and adaptability to changes in nursing practice, responds in a positive manner to constructive criticism and demonstrates tact and understanding when dealing with patients, team members, members of other disciplines, and the public.
Performs all other duties as assigned.
Develops a realistic pre-op and post-op plan of care for each patient to ensure all assessment requirements have been met.
Demonstrates the skill and judgment necessary to implement physician orders, nursing interventions, and procedures as necessary for safe, efficient, effective and appropriate total care of the patient.
Reports significant changes in patient's status to the physician and anesthesia provider as indicated by documentation in the record.
Assures pre-op checklist completed along with any orders written by surgeon for pre-operative treatment. This also included verification of surgical permit completed and site verified. Completed less than 90% of the time = needs improvement; Completed 90% - 95% of the time = meets; Completed 95% - 100% of the time = exceeds.
Accurately administers medications (all routes) and IV fluids. Follows all medication and IV policies and procedures.
Will assist physicians with bedside procedures such as thoracentesis, paracentesis or any other minor bedside procedures utilizing monitoring as necessary and according to standard.
Will administer all blood transfusions scheduled for SSU sing the Blood Transfusion Protocol. Also responsible for the administration of outpatient IV therapy.
Ensures proper and economical use of equipment and supplies for patient care. Makes recommendations to improve the cost effective use of supplies. Makes recommendations on new products to the Value Analysis Committee.
Manages time effectively. When cases finished meets departmental requirements and leaves at appropriate time.
Provides equipment and supplies based on patient needs by anticipating needs and assuring all equipment functioning before use.
Monitors and controls the environment by regulating temperature and humidity as indicated.
Ensures that proper charges are generated from each OR, SSU, Outpatient for medications and supplies utilized.
Assesses the physiological, psychosocial health through primary survey and documents findings.
Documents known drug allergies.
Reports significant changes in patient's status as indicated by documentation in the record.
Evaluates patient outcomes by reassessing status and immediately recognizing abnormalities and report them to physician and intervene as necessary.
Implements initial, ongoing, and discharge assessment and management according to policy and standards of Perianesthesia Nursing Practice.
Utilizes an interdisciplinary approach to the assessment and management of pain in order to eliminate or minimize pain. This is achieved using the Numeric Pain Distress Scale. The Wong-Baker FACES Pain Rating Scale is used for patients who are unable to comprehend the NPDS.
Accepts responsibility and accountability to identify and report Risk Management situations. Completes occurrence and analysis reports and submits them to the Risk Manager within 24 hours of the event. Notifies the Department Manager or Supervisor when risk related situations arise.
Respects patient???s rights by demonstrating awareness of the individual rights of the patient, provide for privacy through maintaining confidentiality, and provides for privacy through physical protection.
The perioperative nurse acts as a patient advocate by protecting the patient from incompetent, unethical, or illegal practice. She respects Patient???s Bill of Rights; Complies with Occupational Safety and Health Administration; Adheres to professional standards such as AORN???s Standard of Perioperative clinical practice and ASPAN standards.
Identifies Quality Improvement projects for your department. In collaboration with the Department Manager, identifies indicators to monitor.
Initiates follow-up phone calls to patients twenty-four to forty-eight hours following discharge and document this as part of the peri-operative process and CQI for the Short Stay Unit.
Adhere to Medication Safety policies in regards to appropriately bar-coding medications and patient ID bands. Obtaining a witness whenever a barcode override for a medication to be administered is necessary. Meeting this standard would be using barcode override 3% (or less) of the time.
Exceeds = 1.9% or less
Meet = 2.0% - 3.9% of barcode administration override
Needs Improvement = 4% or more
Job Code:62101022 Posted:Nov-3-2017 Click Here to Apply Online
Current Employees Click Here to Apply Online

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