Outpatient Surgical Center Nurse
1 week ago
Job Overview
This role involves overseeing personalized, outcome-focused nursing care through the application of the nursing process. The position entails delivering care, treatment, and services through effective coordination and execution of a series of procedures, including assessment, care planning, and direct patient care, in alignment with departmental and organizational policies.
Key Responsibilities
1 - PATIENT ASSESSMENT
Conducts thorough evaluations to identify patient and family needs, ensuring high-quality care for assigned individuals.
a - Performs comprehensive pre-anesthesia assessments, including the patient's medical history, to identify factors that may affect the upcoming procedure.
1. Collects detailed patient health histories.
2. Completes a full review of systems.
3. Gathers all necessary preoperative test results.
b - Completes nursing assessment documentation in accordance with established guidelines.
c - Evaluates patient comfort levels using approved pain assessment tools tailored to specific age groups.
d - Determines necessary testing based on clinical indicators and risk factors, including age, pre-existing conditions, and the complexity of the surgical procedure.
2 - CARE PLANNING
Develops, discusses, and communicates a prioritized care plan for each patient, collaborating with patients, families, and significant others to address all identified needs.
a - Creates a written care plan that includes:
Problem identification
Nursing interventions
Additional healthcare team services
Outcome criteria assessment
b - Aids patients and families in establishing healthcare goals that are integral to the personalized care plan.
c - Formulates patient and family education and discharge plans, documenting them according to policy.
d - Identifies potential issues that may influence the surgical plan and communicates these effectively.
3 - MEDICATION MANAGEMENT
Exhibits the necessary skills and judgment to implement the medical care plan, nursing interventions, and procedures required for patient care.
a - Demonstrates understanding of organizational policies regarding medication documentation and reconciliation.
b - Displays knowledge of commonly used medications, including their actions, dosages, and side effects, and utilizes resources to review unfamiliar medications related to surgical procedures.
4 - RECORD KEEPING
Maintains accurate and current documentation of nursing care provided to ensure the integration of information for the healthcare team, promoting quality care.
a - Ensures the discharge plan accurately reflects the patient's and/or significant other's ability to manage care post-discharge.
b - Makes referrals based on identified needs and communicates these to the healthcare team in accordance with policy.
5 - TEAM LEADERSHIP
Directs both licensed and non-licensed personnel in the provision of patient care as assigned.
6 - SAFETY PRACTICES
Promotes a culture of safety through personal accountability and commitment to maintaining a safe environment.
a - Adheres to approved procedures for verifying physician orders, including verbal readbacks after receiving telephone orders.
b - Complies with current hand hygiene guidelines as established by health authorities.
c - Regularly assesses and reassesses each patient's fall risk using the approved assessment tool, following policy guidelines.
7 - PROFESSIONAL GROWTH
Takes responsibility for ongoing professional development by integrating evidence-based practices, research, and performance improvement initiatives into nursing practice.
a - Remains current with all hospital and unit-based educational requirements.
b - Incorporates insights gained from professional organizations and literature into practice.
c - Takes proactive steps to achieve goals identified during performance evaluations.
8 - COLLABORATION
Engages with and contributes to the professional development of peers and colleagues.
a - Shares knowledge and skills with colleagues through activities such as patient care conferences or presentations.
b - Provides constructive feedback to peers regarding their practice or performance.
c - Collaborates with colleagues to enhance professional practice.
d - Maintains compassionate and supportive relationships with peers.
e - Contributes to an educational environment for healthcare providers.
9 - LEADERSHIP SKILLS
The registered nurse demonstrates leadership capabilities.
a - Functions effectively as a team player and builder.
b - Mentors others to succeed and fosters loyalty by valuing individuals as essential assets.
c - Exhibits creativity and adaptability during periods of change, showing enthusiasm and passion for the role.
d - Accepts accountability for mistakes, fostering a culture where risk-taking is safe and encouraged.
e - Participates in key roles within the organization through committee and administrative team involvement.
TECHNOLOGY AND LEARNING
a - Engages in continuous learning and demonstrates a willingness to adopt new technologies and procedures relevant to the role.
b - Embraces technological advancements that facilitate effective communication of information.
JOB REQUIREMENTS
Minimum Education - Preferred
Graduate of an accredited School of Nursing.
Minimum Work Experience
Proven proficiency in acute care nursing, including relevant knowledge and skills.
Required Licenses / Registrations
RN - Registered Nurse.
Required Skills -
BLS - Basic Life Support.
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