RN- Same Day Surgery

2 weeks ago

Miami, United States Nicklaus Children's Hospital Full time
RN- Same Day Surgery (Full Time, Day shift)

Job Summary: Responsible for the planning and delivery of care utilizing nursing processes; assessment, implementation, and evaluation. Oversees the plan of care, utilizes effective problem solving strategies, and applies evidence based practice. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director and has passion for learning, provides compassionate and family centered care for Same Day Surgery patients. Minimum Job Requirements: * RN licensure within the State of Florida in good standing and throughout employment. * CPR: Healthcare Provider - must maintain active and in good standing throughout employment. * PALS within two years of hire and in good standing prior to expiration and throughout employment. Essential Job Duties: Nursing Care Functions: * Supports the Service Recovery Program. Ensures that his/her behavior meets/exceeds acceptable Service Scores as measured by the Service Index. (SEI). * Ensures completion of patient admission history. Prepares and accurately completes the discharge planning process accurately as per department and hospital policies and procedures * Plans, implements, and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care. * Follows physician's orders, administers, and reconstitutes medications when needed. Adheres to six rights of medication administration per medication administration policy * Ensures proper and safe sedation administration to patients and monitors recovery as per the Sedation Policy and Procedure. * Performs reassessments as per policy and when there is a change in the plan of care or when an intervention is performed. * Plans, implements, and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care. * Collaborates with a multi-disciplinary team in daily care planning , as appropriate, and fosters a Family Centered Care Environment Charting/Documentation: * Communicates the patient's progress including critical findings and changes in the patient's condition with the physician. Performs and documents discharge planning per policy. * Ensures all surgical procedure documentation is obtained; labs, consents, advance directives, custody documentation in a timely and accurate manner. * Accesses Electronic Medical Record (EMR) and performs charge reconciliation according to hospital policy and completes accurate and timely documentation in the patient's electronic health record. * Communicates and documents critical lab results per hospital policy and procedures. Patient Family Communication: * Communicates with patients and families to review plan of care and solicits input and communicates any patient and family concerns to physician. * Collaborates and rounds with a multi-disciplinary team in daily care planning rounds, as appropriate, and fosters a Family Centered Care Enviroment. * Provides education and documents on patient/family teachings on health related needs (i.e. disease, medications, treatments, pain, discharge, safety, nutrition, skin care, etc.). Quality and Safety: * Promotes an "error free" working environment by consistently providing high-quality safe care as prompted (as per Universal Protocol Policy). * Provides patient information and effectively completes the hand off process at shift change and patient reassignments. Utilizes Same Day Surgery checklist. * Works to meet/exceed standards in achieving a 95% CEI by completing documents in a timely manner & being accountable to regulatory requirements of the DNV, CMS, DOH & other accrediting agencies. * Accountable to optimize first case starts to prevent delay of patient care per departmental goal. * Performs skin & structural assessment, takes measures to accommodate patient and ensures safe care, while ensuring no medication errors. Performs falls risk assessment & takes appropriate steps. * Meets or exceeds unit standards in achieving a 95% CEI; completes documentation in a timely manner; accountable to regulatory and requirements of the DNV, CMS, DOH & other accrediting agencies. * Assesses all body systems, ensure safe, effective, and efficient care delivery with emphasis on the absence of medication errors, avoidance of falls & reduction of pain post-op. Common Duties: * Maintains accountability to ensure compliance thru timely completion of licensures, certifications, competencies, health requirements (PPD, N95, Flu), initial competencies & education requirements. * Maintains professional accountability & timekeeping expectations as outlined by policy and complying with attendance guidelines & procedures. Ensures behavior is compliant with standards. Knowledge/Skills/Abilities: * BSN degree preferred or currently enrolled in BSN program (requiring proof) within 6 months of hire. * A minimum of 1year experience as an RN preferred. * Nursing experience in a pediatric healthcare surgery setting preferred. * Possesses proficiency in computers and Electronic Medical Record (EMR) and Cerner preferred. * Career Development: National Certified Pediatric Nurse (CPN) and/or certification equivalent within 5 years of hire preferred. * Possesses proficiency in computers and Electronic Medical Record (EMR) and Cerner preferred. * Able to analyze and interpret data and utilize the information to make judgments regarding patient care. * Effective verbal and written communication skills. * Ability to positively influence, hold self, and others accountable * Able to work effectively in collaborative environment. * Ability to apply principles of evidence-based practice, analytical thinking, and service excellence in practice. * Able to float within Surgical Services while maintaining the delivery of clinical excellence and high quality service.

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