RN - Circulator, Outpatient Surgery

3 weeks ago

Manchester, United States SSM Health Full time
Job Summary

The Registered Nurse is a professional practitioner who assesses, manages, directs, and provides nursing care activities during the patient's hospital stay and coordinates planning with other disciplines utilizing a patient/customer driven approach.

Responsibilities and Requirements
  • Performs comprehensive nursing assessment/reassessment.
  • Establishes, coordinates and evaluates a plan of care based on analysis of assessment data, patient diagnosis, lab data, tests, procedures, physician orders, protocols and standards of care and other information as relevant.
  • Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient status.
  • Coordinates daily plan of care for assigned patients.
  • Administers and documents medications accurately according to policies and procedures.
  • Monitors, maintains and documents accurate IV fluids and parenteral nutrition according to policies and procedures.
  • Completes referrals as indicated by assessment data.
  • Requests consultation for special needs, equipment, or information for patient and/or family.
  • Provides patient/family education and discharge planning per documentation guidelines and protocol.
  • Clarifies all physician orders as warranted.
  • Acknowledges and implements physician orders in an accurate and timely manner as evidenced by documentation in the medical record.
  • Assists physician with procedures/treatments as requested or delegates to Care Partner as appropriate.
  • Documents "Readback" for all telephone/verbal orders.
  • Takes telephone/verbal orders only in emergency situations.
  • Recognizes changes in patient's condition and takes appropriate nursing actions.
  • Involves the family/guardian when providing care and in decision-making as appropriate.
  • Recognizes risks for patient and takes appropriate action.
  • Incorporates use of Infection Control practices in daily care.
Specialized Care
  • Provides specialized care to patients at high risk for injury.
  • Restraint Care: Initiates/evaluates alternatives to restraint prior to application, applies restraints consistent with the approved procedure, monitors and assesses patient's response throughout the restraint period at the appropriate intervals, provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis, provides consultation for peers to determine alternatives to restraints and 1:1 observation, documents restraint use and associated care thoroughly.
  • Pain Management: Assesses patient for presence of pain on admission and during assessments/reassessments, incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan, implements pain management techniques, focuses on prevention rather than treatment, includes patient and/or family members in developing a pain management plan, considers other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy.
  • Abuse Assessment: Is aware of abuse recognition criteria and incorporates it into assessments, reports signs of possible abuse/neglect to the Administrative Director of Behavioral Health, physician, Risk Management and Social Work, takes appropriate action to support patient safety when signs of abuse are noted.
Accountability for Own Professional Practice
  • Adheres to all quality and performance standards, policies, procedures, protocols when implementing clinical and technical aspects of care.
  • Participates in learning experiences that increases professional competence.
  • Demonstrates appropriate technical and cognitive skills for area of practice.
  • Maintains currency in all hospital/unit information, communication, policies and procedures.
  • Assumes responsibility for completing all annual mandatory requirements: maintains current license and certifications, maintains up to date BLS and HI, annual TB Screening and Influenza vaccination, annual Ethics Training (Initial Ethics, if new employee), annual Safety Training, required Information Security course, required Abuse & Neglect course, annual Blood Borne Pathogens training (if required), coursework as assigned for.edu, annual competency, age/population specific competency (if applicable), orientation competency (if new hire), service specific.
Service
  • Demonstrates care and courtesy.
  • Communicates effectively and maintains confidentiality.
  • Demonstrates competence and collaboration.
  • Provides cost-effective services.
  • Ensures that customer satisfaction is maintained through the use of the "Principles and Commitments" of the hospital AIDET and "One Mission, One Spirit".
Performance Improvement and Evidenced-Based Practice
  • Assists in developing and implementing nursing unit goals.
  • Remains current with evidenced-based practice initiatives.
  • Identifies opportunities for improvement, participates in data collection when requested, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution.
  • Participates in the performance/process improvement process.
  • Participates in nursing research activities.
  • Participates in Departmental and Hospital Performance Improvement activities when warranted.
  • Participates in occurrence reviews.
  • Contributes to the maintenance/improvement of all nursing quality indicators.
Age-Appropriate Care
  • Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department.
  • Demonstrates ability to assess and interpret age-specific data to identify patient needs.
  • Utilizes communication skills necessary to interpret age-specific responses to service and interaction.
  • Involves family or significant other in decision-making related to services provided.
  • Demonstrates ability to provide service needed for the age groups routinely served by the department assigned.
Cost-Effective Services
  • Uses resources efficiently.
  • Recommends change in practice that increases efficiency and minimizes waste.
  • Documents chargeable supplies and equipment used to provide care.
  • Prioritizes responsibilities and completes work on time.
  • Utilizes non-clinical time in a constructive manner, i.e. completing chart audits,.edu, mandatory education requirements.

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