Registered Nurse Surgery Center Per Diem

PURPOSE AND SCOPE

Serves the organization's mission, vision, core values, and customer service philosophy. Adheres to the organization's Compliance Program, including regulatory and organizational policy requirements.

QUALITY

• Supports and drives organization quality standards through meeting regulatory and accrediting body requirements and Continuous Quality Improvement (CQI).
• Accountable for outstanding quality of patient care, as defined by the organization's quality goals, to ensure policies and procedures are followed.
• Addresses and acts on adverse events and action thresholds in collaboration with facility management.
• Maintains integrity of medical records and other organization administrative and operational records.
• Complies with all data collection and auditing activities.
• Maintains facility environmental integrity and safety.

PATIENT

• Obtains necessary medical history, discusses procedure, and performs nursing assessment on the day of the procedure.
• Provides education to patients and their families regarding post-procedure care of vascular access.
• Monitors patient condition before, during, and after the procedure, especially patients having moderate sedation and contrast media injections for possible complications or reactions.
• Identifies and communicates patient-related issues to facility management, as needed.
• Completes documentation of patient information from admission to discharge in an accurate manner.
• Confirms written orders, consents, and lab work are completed and documented in accordance with facility policies.
• Administers medications and IV moderate sedation to patients as directed per physician's orders, and in compliance with organization, company, federal, state, and local regulations.
• Acts as a scrub technologist to assist the physician during procedure as needed, maintaining a sterile technique.
• Assists with patient workflow by transporting patients as needed.
• Performs point-of-care laboratory testing as directed per physician's orders and in compliance with organization, company, federal, state, and local regulations.
• Performs IV insertion as per physician orders.
• Performs additional tasks as designated by Physician, practicing in compliance with state regulations.

PHYSICIANS

• Provides regular and effective communication with physicians on an as-needed basis.
• Attends and participates in CQI meetings with physicians, reporting on assigned topics.
• Aids facility management in verifying necessary instruments and equipment.
• Aids in the completion and reporting of state-required adverse event reports and internal reporting as per organization/FMC policy and procedure.

Maintenance/Technical

• Operates appropriate facility equipment and technology, including patient monitors, defibrillators, medical recording devices, sterilizers, and computers in a safe and efficient manner.
• Inspections operation of all facility equipment and reports malfunctions and maintenance needs to ensure the safe and effective operation of all vascular access equipment.
• Inspections operation of all facility operating systems, including temperature checks in appropriate areas and physical structure of the facility, and reports any issues to the Facility Manager.
• Maintains a clean, safe, and sanitary environment in the vascular access facility at all times.
• Maintains a clean and sanitary environment in response to blood spills.

Administrative

• Affords efficient utilization of medication, laboratory, inventory, supplies, and equipment to achieve supply cost goals following all guidelines established in the organization formularies.
• Affords assistance in the development and revision of any applicable policies and procedures related to the facility to ensure continuous process improvement.
• Affords assistance in Continuous Quality Improvement (CQI) activities including monthly reports and attending meetings as required.
• Affords assistance in maintaining medication supply, including inventory control, checking for expired medications, and ensuring appropriate recording of controlled substances as required by law.
• Affords assistance in completing usage logs for all medications with appropriate documentation, as well as, records of drug disposal in accordance with local, state, and federal law.
• Affords assistance in maintaining facility supply inventory, including ordering and restocking of supplies as needed.
• Affords assistance in examining emergency equipment and supplies, including stocking of the crash cart on a regular basis.
• Affords assistance in completing medical records in an accurate manner in compliance with organization policies and procedures prior to discharge of the patient.
• Affords assistance in performing chart audits on a regular basis.
• Affords assistance in participating in facility regulatory and accreditation surveys and action plans to address any deficiencies.
• Affords assistance in completing state required records for all implanted devices in an accurate and timely manner and in accordance with organization/FMS records management guidelines.
• Affords assistance in participating in staff meetings, training, and orientation as assigned.
• Affords assistance in complying with HIPAA policies and standards regarding patient information and medical records.
• Affords assistance in various projects as assigned by direct supervisor.

Physical Demands and Working Conditions

• Day-to-day work includes desk and personal computer work and interaction with patients, facility staff, and physicians.
• The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.
• Equipment aids and/or coworkers may provide assistance.
• Frequent prolonged periods of standing.
• Frequent bending over.
• Occasional movement of patients and equipment of up to 200 lbs. with a two-person assist program and material assist devices for the heavier items.
• The work environment is characteristic of a healthcare facility with air temperature control and moderate noise levels.
• May be exposed to infectious, contagious diseases/materials and radiation.
• May be required to wear protective gear in procedure rooms for extended periods of time.

Education

• High School Diploma required; Associate's Degree desirable; and Bachelor's Degree strongly preferred.
• Graduate of an accredited School of Nursing (R.N.).
• Current appropriate state licensure and ACLS certification required.

Experience and Required Skills

• 4 - 6 years' related experience preferred.
• Office-Based Surgical Center/Ambulatory Surgical Center/Vascular Access, Cardiac Cath Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU or emergency department experience preferred.
• Proficient in the use of computers and related software such as Microsoft Office is necessary.
• Proficient in IV insertion.
• Proficient in cardiac rhythm recognition.
• Experience with Medical database software.
• Certified in BLS & ACLS successfully completed course certifications.