Registered Nurse - Operating Room- PRN

This position is primarily responsible for effectively coordinating and participating in pre-operative and intra-operative procedures in the role of the circulator and functioning as a Service Leader for a specialty. This position is also responsible for assisting in the maintenance of equipment and supplies. Applies knowledge of age related factors to patients ranging from adults and geriatrics. Job Duties: Assessment Collects and analyzes data about the patient leading to an accurate identification of problems necessary to make a nursing diagnosesSystematically and continuously collects, records, and appropriately communicates data regarding the infant'/family's health statusPerforms initial physiological needs assessment within established time framesAccurately and timely completes the admission assessment forms to include biophysical, psychosocial, educational, and environmental factorsDerives appropriate nursing diagnosis from identified problems based on data collectedReassess and documents the patient's infant's total needs per established unit policyRoutinely reviews assessment data, identifies educational needs, and initiates discharge planning Clinical Competency Possess the knowledge edge and clinical skills required to deliver quality carePerforms clinical skills per unit procedures and/or specific check listsWillingly assists physicians as needed in an efficient mannerInterprets lab values and responds appropriately; reporting areas of concern to the physician in a timely mannerEffectively responds to crisis situations and/or prevents patient deterioration by early interventionDemonstrates ability to care for patients as outlined in standards of careDemonstrates critical thinking by considering the implications of medical orders with relationship to the current therapy and the individual needs of the patientAppropriately manages patients receiving medications commonly used in procedural sedation Departmental Responsibilities Strives to improve the overall effectiveness of the nursing unitUses work time productively; limits personal phone calls, personal written communication, visitors, etc. to break and meal timesRoutinely maintains a safe and clean patient care work area to promote patient and visitor satisfactionDemonstrates flexibility in working hours, shift schedules, and patient assignments in order to meet staffing requirementsAccepts responsibility for attending staff meetings, reviewing staff meeting minutes, and all other unit communicationsProvides proper cleaning, care, and timely reporting of equipment repairs Documentation and evaluation Evaluates and documents the appropriateness and effectiveness of the nursing care administeredEvaluates and documents patients responses to all interventions and procedures carried out both on a physical, psychological, and developmental basisConsults, re-evaluates, and revises multidisciplinary plan of care based on patient's progress and behaviorsDocuments medication/narcotic administration per policyAssesses and documents the effectiveness of all PRN medications within l hour of administration or per unit policyDocuments changes from baseline assessmentDocuments verbal orders on the physician order sheet and ensures co-signature per policyAccurately and legibly documents using hospital approved abbreviations, appropriate signatures, titles, error corrections and black inkAppropriately communicates and documents occurrences in a timely mannerAssures completeness of nursing documentation on the legal record Implementation Ensures delivery of efficient nursing careEstablishes priorities and implements or delegates nursing actions consistent with the patient plan of careSafely performs and correctly documents nursing interventions consistent with scientific principle and unit policyProvides care for individuals based upon age-specific needs utilizing a developmental perspectiveCommunicates accurate information about the nursing care plan to patient/parent/guardianAssists in referring patient/family to Social Services or to appropriate community agencies as neededGives accurate report on patients to other health care members including care given and changes in patient condition to ensure continuity of patient care Leadership/Charge Nurse Demonstrates and utilizes effective leadership and decision making skillsIdentifies and appropriately communicates problems on the unit and actively participates in resolution methodsAppropriately delegates duties and tasks based on clinical competency and experience level of the available staffAccurately communicates to Nursing Supervisor the need for staffing assistance and adjusts assignments as necessaryEffectively coordinates and supervises assigned RNs, LPNs, and Nursing Assistants in performance of dutiesAssists physicians with patient rounds and communicates pertinent patient informationOrganizes work load and assists other staff members as needed Patient Education Encourages participation and share responsibility for providing information related to prevention, maintenance and restoration of healthUtilizes assessment data to develop an educational plan in conjunction with the patient/family/parent/guardian, and/or other disciplines to effectively meet the identified needsActively participates in patient education by appropriately utilizing available resources and adjusting it to meet the patient's individual needs and level of understandingEvaluates and documents patient and/or family's response to education givenDocuments discharge teaching information given Planning of Patient Care Makes decision about priorities of care, establishes goals and selects the best nursing actions to achieve desired results, making adaptations as neededInitiates plan of care reflecting the assessment of the immediate physiological needs of the infant within established time framesDevelops plan of nursing care in conjunction with the individual/parent/guardian and/or family and includes expected outcomes appropriate for the nursing diagnosis and unique patient/family needsPrioritizes and prescribes appropriate nursing measures to achieve the expected outcomesEvaluates, modifies, and updates the nursing care plan based on observable patient responses and attainment of patient outcomes within established time framesOrganizes, plans, and documents discharge needs in the care plan Professionalism and self development Maintains awareness of current techniques, procedures, developments, etc., within the nursing profession and strives to maintain a high level of professionalismParticipates in continuing education to enhance knowledge and skillsAccepts accountability for actions by utilization of self-evaluation, peer and supervisor evaluation to modify job performanceActs as a resource model for other team members and students as needed by providing help and accurate information when requestedParticipates in orientation of new staff members and provides feedback to Clinical Coordinator/Instructor as necessaryUtilizes appropriate channels to communicate stressful situations and/or areas of concernAttends required educational in-services as scheduled Safety Provides a safe environment according to established hospital policies and proceduresDemonstrates knowledge of and adheres to hospital and departmental fire and safety regulations and disaster plansMonitors emergency equipment and maintains documentation; reports problems immediatelyAccurately identifies high risk patients and implements appropriate safety measuresRoutinely checks patients ID bracelet prior to administration of medications, treatments, and/or proceduresUtilizes appropriate measures when assisting and transporting patientsRoutinely follows Infant Safety/Security Guidelines Education: Graduate of an approved Nursing Program (BSN preferred) Certifications and Licensure: Active license as a Registered Nurse to practice in the state of Tennessee. BLS Required. ACLS preferred. Experience: 1 Year Operating Room Experience Preferred Nashville General Hospital is an Equal Opportunity Employer/Disability/Veteran.