Post-Operative Nurse
4 days ago
Job Summary:
We are seeking a skilled and compassionate Post-Operative Nurse to join our team at Northtowns Ambulatory Surgery Center, LLC. As a key member of our surgical services team, you will provide direct nursing care to patients and supervise LPNs and Nursing Assistants.
Duties and Responsibilities:
- Philosophy
- Support the center's ideology, mission, goals, and objectives.
- Perform in accordance with the center's policies and procedures.
- Follow the center's standards for ethical business conduct.
- Conduct yourself as a positive role model and team member.
- Recognize patients' rights and responsibilities and support them in performance of job duties.
- Participate in center committees, meetings, in-services, and activities.
- Communicate effectively and professionally with patients, visitors, physicians, and coworkers.
- Interact with others in a positive, respectful, and considerate manner.
- Use center resources appropriately and avoid wasteful practices.
- Report wasteful practices.
- Analyze work area and make recommendations for potential cost-effective improvements.
- Contribute to the progress and development of the organization's adopted compliance program.
- Perform according to established compliance policies and procedures.
- Contribute to the progress and development of the organization's adopted performance-improvement program.
- Perform according to established performance-improvement policies and procedures.
- Adhere to safety policies and procedures in performing job duties and responsibilities.
- Report observed or suspected safety violations, hazards, and policy/procedure noncompliance to safety officer or other designated person.
- Participate in continuing education and other learning experiences.
- Share knowledge gained in continuing education with staff.
- Maintain membership in relevant professional organizations.
- Seek new learning experiences by accepting challenging opportunities and responsibilities.
- Welcome suggestions and recommendations.
- Effectively organize time, equipment, supplies, and personnel.
- Organize nursing activities efficiently.
- Consider staff abilities when delegating activities.
- Use equipment effectively by anticipating patient needs and providing appropriate care.
- Confirm that proper techniques and procedures are used according to accepted standards of practice.
- Assist with inventory of supplies, drugs, and equipment to maintain availability and stock levels in the admission area.
- Maintain order and cleanliness of admission area.
- Greet patient and provide comfort and reassurance to the patient and support the patient's right to privacy, dignity, and confidentiality.
- Perform thorough admission assessment of patient.
- Develop a plan of care for the patient based on assessment data and implement admission care (e.g., evaluate chart, administer medication).
- Inform 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.
- Secure 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.
- Assist 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.
- Document admission care according to policy and procedure.
- Complete admission checklist when turning care of patient over to operating room personnel.
- Initiate nursing actions based on interpretation of physiological changes.
- Follow established criteria for monitoring of patient, assessment of pain, per established criteria.
- 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.
- Administer 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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