RN Hospital
2 weeks ago
Function in the PreOP/PACU role to directly assess, develop, and evaluate individualized plans of care for all postoperative and postprocedural patients requiring anesthesia.
Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients
- Documents patient history, symptoms, medication, and care given
- Assess learning needs and provides education to patients, family members and/or care givers; Standard I: Utilizes the Nursing Process
- Spiritual, and development needs of patient and families
- Communicates findings to appropriate healthcare team members
- Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice.
- Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals
- Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s).
- Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population
- Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift
- Demonstrates good stewardship in proper use and maintenance of equipment and Supplies
- Educates and trains others on the operations, ethics, and regulations within the industry.
- Demonstrates accountability for nursing research and quality improvement activities
- Provides evidence-based nursing care
- Communicates patient information effectively across the continuum of care
- Educates and trains others on the operations, ethics, and regulations within the industry.
- Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities.
- Analyzes policy and standards documentation and ensures organizational compliance
- Assists in the development and implementation of specific procedures
- Works with control and monitoring mechanisms, tools and techniques
- Describes the flow of information between various stations or units
- Discusses the functions, features and document flow of electronic documentation
- Explains health information documentation best practices and their rationale across health care practices.
- Describes experience with basic medical equipment used in own unit or facility
- Uses standard diagnostic tools and techniques to resolves common equipment problems
- Educates patients about the appropriate use of home medical equipment
- Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety
- Inspects, troubleshoots and evaluates incoming equipment
- Shares experiences with processing medical orders for one or more groups of patients or conditions
- Describes functions and features of the system used to enter, validate, update and forward medical orders
- Describes experiences in reading and interpreting patient charts for patients on unit and under own care
- Recognizes unexpected readings and alerts nursing or medical staff
- Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.
1 to 2 years experience ER or ICU, 3 to 5 years preferred
Full Time
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