Registered Nurse - Operating RM-PRN

About the role

This position is a PRN (Per Request) role.

Responsibilities

• Correlates clinical data with patient's medical and nursing care.
• Sets priorities and provides direction to others.
• Communicates well with patients, families, Teammates, physicians, other members of the healthcare team, etc.
• Recognizes legal and policy limits of individual practice.
• Affirms patient’s goals and collaborates with them and their families.
• Coordinates nursing interventions to enhance achievement of expected outcomes and readiness for discharge.
• Ensures provision of patient care daily in an organized and timely manner.
• Adheres to all facility policies and procedures when providing patient care.
• Utilizes nursing care standards when planning and implementing patient care.
• Demonstrates ability to direct and provide for patient care in emergency situations.
• Assesses learning needs according to patient’s level of understanding and readiness to learn.
• Evaluates patient’s progress toward outcome achievement on an ongoing basis.
• Revises plan of care based on change in patient status and/or information gathered at change of shift.
• Documents patient’s progress toward achievement of outcomes.
• Directs others in the implementation of the teaching plan.
• Assumes an active role in the provision of quality nursing care for patients receiving care.
• Analyzes nursing care provided in the facility related to the established standards of care.
• Participates in the monitoring and evaluation of nursing care provided.
• Demonstrates ability to coordinate the nursing care provided in the facility.
• Assigns patient care responsibilities based on patient needs and abilities of available staff.
• Assumes charge nurse responsibility as assigned.
• Demonstrates ability to make decisions concerning facility-based problems.
• Participates on quality council to facilitate improvement of patient care.
• Participates in the orientation of nursing staff.
• Participates in developing standardized patient education programs, as requested.
• Participates in team conferences on assigned patients.
• Demonstrates continued competence in assessing, treating, and caring for individuals based upon age-specific needs utilizing a developmental perspective.
• 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.
• Provides appropriate age-specific interventions related to safety issues.
• Checks updated schedule each morning and prepares supplies and equipment.
• Completes history and physical assessment of patient.
• Completes review of medical record.
• Maintains patient normothermia.
• Promotes physical comfort and provides emotional support and safety for patient.
• Administers and charts medications as ordered by physician.
• Verifies surgical/procedure site with patient and according to surgical schedule and patient history and physical.
• Obtains and verifies operative/procedure consent.
• Communicates relevant information to physician, Facility Manager and appropriate staff.
• Verifies surgical/procedure site with patient and according to surgical schedule and patient history and physical.
• Communicates relevant information to physician, Facility Manager and appropriate staff.
• Provides for patient safety by use of monitors, side rails, and assistance in ambulating and instruction on the use of call bell in bathroom.
• Provides instructions according to patient need.
• Completes nursing documentation on each operative procedure.
• Assembles cases according to schedule and preference cards.
• 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.
• Practices and monitors aseptic techniques.
• Ensures that the surgical site time-out process is followed and completed.
• Performs duties as circulating or scrub nurse.
• Is responsible for positioning patient relevant to procedure with awareness of body alignment, circulation and pressure points.
• Applies electrosurgical return electrodes, tourniquets, etc., according to physician preference, policies and procedures.
• Provides necessary supportive equipment for patient comfort (i.e., pillows, blankets, protective paddings, etc…).
• Accurately completes intraoperative record.
• Is accountable for accuracy and documentation of sponge, needle and instrument counts.
• Properly labels and cares for specimens.
• Provides and records all intraoperative medications.
• Maintains adequate room supplies.
• Knows operation, cleaning and sterilization of instruments.
• Knows operation and cleaning of surgical equipment.
• Assists in stocking, replenishing, outdating and preparation of supplies.
• Reviews and updates physician preference cards.
• Has working knowledge of sterilizers and recorders.
• Assists physician and anesthesia personnel as needed.
• Provides emergency care according to physician and administrative policy.
• Sets priorities to facilitate the flow of patient efficiently.
• Cleans equipment and operating room/procedure room according to procedure.
• Reviews charts for completeness and signatures of physicians.
• Prepares and restocks area for following day.
• Checks inventory and notifies appropriate staff member to re-order.
• Notifies appropriate staff member to order supplies.
• Initiates appropriate infection control measures.
• Maintains an environment that promotes safety.
• Cleans equipment and operating room/procedure room according to procedure.
• Reviews charts for completeness and signatures of physicians.
• Prepares and restocks area for following day.
• Checks inventory and notifies appropriate staff member to re-order.
• Notifies appropriate staff member to order supplies.
• Initiates appropriate infection control measures.
• Maintains work area and equipment in a neat, organized manner.
• Assists with housekeeping tasks as necessary to provide a safe environment for patient’s, teammates, physicians, and guests.
• Performs all other duties as assigned by manager.

Continuous Improvement

• Maintains and evaluates own clinical expertise and clinical practice.
• Attends 75% of unit based staff meetings and demonstrates review of minutes for any meetings missed.
• Provides in-services as requested by management.
• Participates in scheduled performance appraisals and demonstrates dedication to ongoing performance improvement.
• Strives to be professional, courteous, helpful and cooperative.
• Performs all other duties as assigned by management.

Compliance

• Upholds and practices the principles and policies of the compliance program.
• Demonstrates the safe operation of equipment and machinery and follows procedures for reporting and correcting an unsafe situation.

Service Excellence

• Communicates patient information to assure confidentiality and continuity of care.
• Documents all patient information according to established standards of care, policies and procedures.
• Provides hand-off reports to other teammates that are accurate, concise and pertinent to the patient’s condition and response to care.
• Provides pertinent patient information to the physician, family, teammates and other members of the multidisciplinary team.
• Discusses patient information with other health team members in an appropriate environment.
• Documents patient’s/significant other’s response to teaching interventions.
• Interacts with all patients, families, visitors and fellow employees in a mature, responsible manner to ensure a positive and professional facility environment.
• Displays a caring and responsive attitude and conducts all activities respecting patient, family and employee rights and expectations.
• Maintains confidentiality of all facility and patient information as required by facility policy.
• Fosters a positive and professional facility environment by interacting with all persons in a considerate, helpful and courteous manner and by participating as a team member.
• Diffuses/resolves conflict by appropriately communicating with those involved.
• Accepts constructive criticism and gives suggestions in a professional manner.
• Considers age specific needs in communication.

Financial Skill

• Completes appropriate financial management responsibilities.
• Provides input re: equipment needs/supply needs.
• Completes patient charges in accordance with facility procedure.
• Demonstrates sound cost containment techniques.
• Participates in periodic inventory count as assigned by management.