Pre & Post-Op Nurse

2 weeks ago

Buffalo NY United States Northtowns ASC Full time
Job Description

Job Summary:

Provides direct nursing care to patients and supervises the LPNs and Nursing Assistants.


Duties and Responsibilities:

  1. Philosophy
  2. Supports the center's ideology, mission, goals, and objectives.
  3. Performs in accordance with the center's policies and procedures.
  4. Follows the center's standards for ethical business conduct.
  5. Conducts self as a positive role model and team member.
  6. Recognizes patients' rights and responsibilities and supports them in performance of job duties.
  7. Participates in center committees, meetings, in-services, and activities.
  8. Communication
  9. Communicates effectively and professionally with patients, visitors, physicians, and coworkers.
  10. Interacts with others in a positive, respectful, and considerate manner.
  11. Financial practices
  12. Uses center resources appropriately and avoid wasteful practices.
  13. Reports wasteful practices.
  14. Analyzes work area and makes recommendations for potential cost-effective improvements.
  15. Compliance program
  16. Contributes to the progress and development of the organization's adopted compliance program.
  17. Performs according to established compliance policies and procedures
  18. Performance-improvement program
  19. Contributes to the progress and development of the organization's adopted performance-improvement program.
  20. Performs according to established performance-improvement policies and procedures.
  21. Safety/risk-management program
  22. Adheres to safety policies and procedures in performing job duties and responsibilities.
  23. Reports observed or suspected safety violations, hazards, and policy/procedure noncompliance to safety officer or other designated person.
  24. Professional competence
  25. Participates in continuing education and other learning experiences.
  26. Shares knowledge gained in continuing education with staff.
  27. Maintains membership in relevant professional organizations
  28. Seeks new learning experiences by accepting challenging opportunities and responsibilities.
  29. Welcomes suggestions and recommendations.
  30. General Duties
  31. Effectively organizes time, equipment, supplies, and personnel.
  32. Organizes nursing activities efficiently.
  33. Considers staff abilities when delegating activities.
  34. Uses equipment effectively by anticipating patient needs and providing appropriate care.
  35. Confirms that proper techniques and procedures are used according to accepted standards of practice.
  36. Assists with inventory of supplies, drugs, and equipment to maintain availability and stock levels in the admission area.
  37. Maintains order and cleanliness of admission area.
  38. Pre-operative Duties:
  39. Greets patient and provides comfort and reassurance to the patient and supports the patient's right to privacy, dignity, and confidentiality
  40. Performs thorough admission assessment of patient.
  41. Develops a plan of care for the patient based on assessment data and implements admission care (e.g., evaluates chart, administers medication).
  42. Informs patient about routine care and procedures related to the perioperative experience.
  43. Confirm patient name, DOB, intended procedure, surgical site
  44. Ensure responsible adult escort available prior to admission
  45. Establish safe physical environment
  46. Secures signed surgical consent, witness as appropriate
  47. Review admission criteria per center policy/procedure
  48. Obtain H&P. If not performed within 30 days of scheduled date, obtain new one from provider and incorporate into patient record
  49. Confirm presence of documentation of allergies including adverse reactions
  50. Perform initial medication reconciliation with patient input
  51. Assists in the monitoring of physical symptoms and behavioral changes
  52. Monitor/document patient vital signs per policy
  53. Perform pre-admission testing per established criteria
  54. Establish IV access
  55. Documents admission care according to policy and procedure.
  56. Completes admission checklist when turning care of patient over to operating room personnel.
  57. Initiates nursing actions based on interpretation of physiological changes
  58. Follows established criteria for monitoring of patient, assessment of pain, per established criteria
  59. Post-Operative Duties
  60. Assess patients' condition after a surgery has been performed
  61. Ensure that all vitals are within normal range
  62. Log all findings in patients' files
  63. Answer patients' questions and ensure that they are kept comfortable
  64. Make sure that all relevant IVs are in check
  65. Administers medication according to policy
  66. Provide nourishment per policy
  67. Discuss pain management. Both prescribed medications and alternative treatment options
  68. Develop individualized care plans based on each individual patient's condition
  69. Ensure that the all nursing activities are carried out in accordance to individual patient care plan
  70. Monitor patients for condition changes and report any changes to the doctor
  71. Initiate patient education programs to ensure that both patients and families are educated on procedures and medications
  72. Determine when patients are ready to discharge
  73. Ensure responsible adult escort available prior to discharge
  74. Evaluate patient ability to ambulate safely
  75. Assist patient in dressing as needed
  76. Review discharge instructions with patient and available family member. Provide information both verbally and in written format.
  77. Provide supplies for at home care as deemed needed
  78. Perform medication reconciliation and provide copy to patient with discharge information. Document when next dose of medications due (pain, antibiotic, etc.)
  79. Perform intervention duties in cases of post-operative emergencies
  80. Record sedation levels and body temperature
  81. Ensure that the post-operative space is clean and sanitized
  82. Change bandages and dress surgical wounds


Education and Experience:

Required

  1. Graduate of accredited school of nursing
  2. RN with active license in New York State
  3. ACLS Certification, PALS Certification within 6 months
  4. Evidence of leadership qualities
  5. Strong ethical and moral character references


Physical/Mental Requirements

  1. Ability to sit/stand for a considerable amount of time; ability to walk.
  2. Visual and auditory acuity for frequent use of computer, telephone, and occasional use of other office equipment.
  3. Ability to perform occasional overhead and low reaching.
  4. Physical strength required for equipment needs and patient-care activities.
  5. Visual and auditory acuity for responsiveness and patient-care assessment activities.
  6. Ability to move quickly in response to center needs.
  7. Constant and frequent judgment and response.
  8. Occasional judgment and response to disasters or emergencies or drills


Working Conditions (Environmental)

  1. Well-lit and ventilated, with non-hazardous and hazardous equipment.
  2. Category I: involves occupational exposure to blood and other potentially infectious body fluids and materials.

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