Charge RN

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JOB TITLE: Charge RN

SUPERVISOR: Director of Surgery Centers

HOURS PER WEEK: 40hrs (10 hour shifts)/Non-Exempt

DEPARTMENT: Day Surgery

The following information is designed to outline the essential functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained.

HIRING BONUS: $1,000 after 90 days

PRIMARY FUNCTION: To provide quality care to patients undergoing surgical intervention.

DUTIES AND RESPONSIBILITIES:
1. Receive patient (and parents if working with pediatric patients) in pre-operative area. *
2. Check the wristband of patient, confirm patient identity. *
3. Check the chart for completed procedural consent and verify with patient. *
4. Complete pre-op patient assessment and document in EMR as required by policy (Use pediatric aids where appropriate). *
5. Complete all practitioners' orders and document in EMR. *
6. Remain available for questions throughout process. *
7. Complete short-term patient teaching, preparing patient for procedure and post-operative care. *
8. Be vigilant as to the change in condition, with immediate assessment, interpretation and documentation of signs and symptoms, notifying surgeon of any changes. *
9. Maintenance of safety*
a. Participate in team time outs to ensure all elements complete including instrument sterility double check.
b. Remove all outer instrument containers before patient enters if possible.
c. Assure that sponge, needle, and instrument counts are correct.
d. Position the patient keeping in consideration:
i. Functional alignment.
ii. Exposure of surgical site.
iii. Maintenance of position throughout procedure.
e. Verify safe zone with tech during time outs.
f. Apply grounding device to patient, if necessary.
g. Provide physical support.
10. Physiological Monitoring*
a. Calculate effects of patient of excessive fluid loss.
b. Distinguish normal from abnormal cardiopulmonary data.
c. Report changes in patient's pulse, respirations, temperature, and blood pressure.
11. Psychological Monitoring*
a. Provide emotional support to patient.
b. Stand near/touch patient during procedures/induction.
c. Continue to assess patient's emotional status.
d. Communicate patient's emotional status to other appropriate members of the health care team.
12. Nursing Management*
a. Provide physical safety for the patient.
b. Maintain aseptic, controlled environment.
c. Effectively manage human resources.
d. Complete documentation in a timely and accurate manner.
13. Receive oral post-operative report from anesthesia personnel. This will include procedure, type of anesthesia, medications used, general condition of patient and any other pertinent O.R. information. *
14. Note level of consciousness, complete thorough assessment and document in EMR as required by policy. *
15. Discharge patients when they meet criteria per policy. *
16. Review discharge instructions and medications with the patient and the family. Provide all patients with copy of written discharge instructions.*
17. Nursing Management / Leadership *
a. Support on-going efforts to create a culture focused on patient safety and learning.
b. Effectively communicate and support staff in maintaining a culture where open communication and dialogue is supported and encouraged by all members.
c. Support leadership initiatives as assigned and delegate responsibilities appropriately while maintaining accountability.
d. Effectively manage human resources and staff schedules to meet targets.
e. Participate in medication and supply ordering as needed.
f. Act as a mentor to new employees and help monitor training.
g. Helps to educate staff on policies, procedures or new initiatives.
h. Provide guidance and acts as resource for staff.
i. Attend continuing education courses as directed by nursing supervision.
j. Adhere to infection prevention guidelines and model behaviors for staff.
k. Assist in staffing the unit as needed for coverage or breaks.
l. Help coordinate equipment service and repairs.
18. Attend staff meetings. *
19. Uses appropriate use of PPE for patient care and other settings where required. *
20. Be an active participant in committees (i.e. Safety Committee, Infection Control). *
21. Participate in orienting new staff. *
22. Maintain regular work attendance and punctuality. *
23. Understand hazard risk and demonstrate complete understating of established emergency procedures for the Surgery Center. *
24. Reports incidences or issues through chain of command and maintains confidentiality. Complete all employee/patient incident documentation in a thorough and timely manner. *
25. Assist/floats to other departments as needed.
26. Follows rights of medication administration, appropriately signs out medications. *
27. Employees will not be discourteous or disrespectful to a customer or any member of the public while in the course and scope of company business. *
28. Work in a cooperative manner with management/supervision, coworkers, patients and vendors. *
29. Abide by company policies. *
30. Other duties as assigned.

EDUCATION/LICENSES REQUIRED:
Graduate of a Professional School of Nursing
Valid Oregon Nursing license
Current CPR/BLS & ACLS & PALS certification

EXPERIENCE/QUALIFICATIONS PREFERRED:
Works on initiatives to maintain financial stability of unit
Basic understanding of infection control
Strong patient assessment ability
Organizational skills and ability to prioritize work flow
Ability to react calmly and effectively in emergency situations and to work under pressure
Proficiency and legalities of charting and telephone conversations
Compassionate, patient and tactful
Skill in establishing and maintaining effective working relationships with patients and staff
Proactive, independent, and accountable
Proficient computer skills
Values team success

COMPENSATION AND BENEFITS (Benefits eligibility begins at 20hrs/wk):
401k plan with Employer Matching up to 4.5% annually
Roth IRA
Comprehensive Medical, Dental and Vision insurance
Flexible Spending Account
Company provided $10K Group Life/AD&D insurance
Voluntary benefits: Life/AD&D, Dependent Life/AD&D, Short-Term Disability, Critical Illness, and Disability
4.92 hours of PTO accrual per pay period (PTO accrual is prorated based upon FTE)
One paid Wellness day per year
Seven paid holidays, and 1 partially paid holiday (mid-day closure)
Employee Assistant Program