Pre & Post-Op RN
27 days ago
Buffalo
Job Description Job Summary: Provides direct nursing care to patients and supervises the LPNs and Nursing Assistants. Duties and Responsibilities: • Philosophy, • Supports the center's ideology, mission, goals, and objectives., • Performs in accordance with the center's policies and procedures., • Follows the center's standards for ethical business conduct., • Conducts self as a positive role model and team member., • Recognizes patients' rights and responsibilities and supports them in performance of job duties., • Participates in center committees, meetings, in-services, and activities., • Communication, • Communicates effectively and professionally with patients, visitors, physicians, and coworkers., • Interacts with others in a positive, respectful, and considerate manner., • Financial practices, • Uses center resources appropriately and avoid wasteful practices., • Reports wasteful practices., • Analyzes work area and makes recommendations for potential cost-effective improvements., • Compliance program, • Contributes to the progress and development of the organization's adopted compliance program., • Performs according to established compliance policies and procedures, • Performance-improvement program, • Contributes to the progress and development of the organization's adopted performance-improvement program., • Performs according to established performance-improvement policies and procedures., • Safety/risk-management program, • Adheres to safety policies and procedures in performing job duties and responsibilities., • Reports observed or suspected safety violations, hazards, and policy/procedure noncompliance to safety officer or other designated person., • Professional competence, • Participates in continuing education and other learning experiences., • Shares knowledge gained in continuing education with staff., • Maintains membership in relevant professional organizations, • Seeks new learning experiences by accepting challenging opportunities and responsibilities., • Welcomes suggestions and recommendations., • General Duties, • Effectively organizes time, equipment, supplies, and personnel., • Organizes nursing activities efficiently., • Considers staff abilities when delegating activities., • Uses equipment effectively by anticipating patient needs and providing appropriate care., • Confirms that proper techniques and procedures are used according to accepted standards of practice., • Assists with inventory of supplies, drugs, and equipment to maintain availability and stock levels in the admission area., • Maintains order and cleanliness of admission area., • Pre-operative Duties:, • Greets patient and provides comfort and reassurance to the patient and supports the patient's right to privacy, dignity, and confidentiality., • Performs thorough admission assessment of patient., • Develops a plan of care for the patient based on assessment data and implements admission care (e.g., evaluates chart, administers medication)., • Informs patient about routine care and procedures related to the perioperative experience., • Confirm patient name, DOB, intended procedure, surgical site, • Ensure responsible adult escort available prior to admission, • Establish safe physical environment, • Secures signed surgical consent, witness as appropriate, • Review admission criteria per center policy/procedure, • Obtain H&P. If not performed within 30 days of scheduled date, obtain new one from provider and incorporate into patient record, • Confirm presence of documentation of allergies including adverse reactions, • Perform initial medication reconciliation with patient input, • Assists in the monitoring of physical symptoms and behavioral changes, • Monitor/document patient vital signs per policy, • Perform pre-admission testing per established criteria, • Establish IV access, • Documents admission care according to policy and procedure., • Completes admission checklist when turning care of patient over to operating room personnel., • Initiates nursing actions based on interpretation of physiological changes, • Follows established criteria for monitoring of patient, assessment of pain, per established criteria, • Post-Operative Duties, • Assess patients' condition after a surgery has been performed, • Ensure that all vitals are within normal range, • Log all findings in patients' files, • Answer patients' questions and ensure that they are kept comfortable, • Make sure that all relevant IVs are in check, • Administers medication according to policy, • Provide nourishment per policy, • Discuss pain management. Both prescribed medications and alternative treatment options, • Develop individualized care plans based on each individual patient's condition, • Ensure that the all nursing activities are carried out in accordance to individual patient care plan, • Monitor patients for condition changes and report any changes to the doctor, • Initiate patient education programs to ensure that both patients and families are educated on procedures and medications, • Determine when patients are ready to discharge, • Ensure responsible adult escort available prior to discharge, • Evaluate patient ability to ambulate safely, • Assist patient in dressing as needed, • Review discharge instructions with patient and available family member. Provide information both verbally and in written format., • Provide supplies for at home care as deemed needed, • Perform medication reconciliation and provide copy to patient with discharge information. Document when next dose of medications due (pain, antibiotic, etc.), • Perform intervention duties in cases of post-operative emergencies, • Record sedation levels and body temperature, • Ensure that the post-operative space is clean and sanitized, • Change bandages and dress surgical wounds Education and Experience: Required • Graduate of accredited school of nursing, • RN with active license in New York State, • ACLS Certification, PALS Certification within 6 months, • Evidence of leadership qualities, • Strong ethical and moral character references Physical/Mental Requirements • Ability to sit/stand for a considerable amount of time; ability to walk., • Visual and auditory acuity for frequent use of computer, telephone, and occasional use of other office equipment., • Ability to perform occasional overhead and low reaching., • Physical strength required for equipment needs and patient-care activities., • Visual and auditory acuity for responsiveness and patient-care assessment activities., • Ability to move quickly in response to center needs., • Constant and frequent judgment and response., • Occasional judgment and response to disasters or emergencies or drills. Working Conditions (Environmental) • Well-lit and ventilated, with non-hazardous and hazardous equipment., • Category I: involves occupational exposure to blood and other potentially infectious body fluids and materials.
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