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.
• Makes rounds to monitor patient condition before, during, and after the procedure, especially for patients receiving moderate sedation and contrast media injections.
• Communicates patient-related issues to facility management as needed.
• Completes documentation of patient information accurately from admission to discharge.
• Verifies and documents lab work and orders in accordance with facility policies.
• Administers medications and IV moderate sedation to patients as directed by physician's orders.
• Assists with patient workflow by transporting patients as needed.
• Performs point-of-care laboratory testing as directed by physician's orders.
• 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 safely and efficiently.
• Inspections of facility equipment and systems, reporting malfunctions and maintenance needs to ensure safe and effective operation.
• Maintains a clean, safe, and sanitary environment in the vascular access facility at all times.
• Ensures immediate addressing of blood spills according to the organization/FMCNA Bloodborne Pathogen Control Policies.

Administrative

• Affords efficient utilization of medication, laboratory, inventory, supplies, and equipment to achieve supply cost goals following all guidelines established in the organization formularies.
• Aids in the development and revision of applicable policies and procedures related to the facility to ensure continuous process improvement.
• Affords Continuous Quality Improvement (CQI) activities including monthly reports and attending meetings as required.
• Affords medication supply management, including inventory control, checking for expired medications, and ensuring appropriate recording of controlled substances as required by law.
• Affords medical record completion in an accurate manner in compliance with organization policies and procedures prior to discharge of the patient.
• Affords chart audits on a regular basis.
• Affords participation in facility regulatory and accreditation surveys and action plans to address any deficiencies.
• Affords state required records for all implanted devices in an accurate and timely manner and in accordance with organization/FMS records management guidelines.
• Affords participation in staff meetings, training, and orientation as assigned.
• Affords compliance with HIPAA policies and standards regarding patient information and medical records.
• Affords assistance with 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.
• Direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.
• Frequent prolonged periods of standing.
• Occasional movement of patients and equipment of up to 200 lbs with assistance from equipment aids or coworkers.
• Two-person assist program and material assist devices for heavier items.
• Work environment is characteristic of a health care 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.