Registered Nurse RN Surgery

ESSENTIAL FUNCTIONS

Performs plan of care intervention, including medication administration , specimen collection, clinical treatments, as well as other medical care treatment. Documents patient care given. Monitors, records, and communicates patient condition as appropriate to care team, physician, patient, and family. Assists patients with performing activities of daily living, including personal hygiene, elimination, nutrition, and ambulation.

Collaborates as needed across disciplines to coordinate patient care, including patient transfer, discharge, referral and spiritual/psychosocial support needs.
Evaluates learning needs of patient and/or family and provides patient/family education appropriate to age, culture, condition , and circumstances .
Works as an advocate for the physical and emotional well-being of the patient.
 

 SURGICAL SERVICES RN REQUIREMENTS

Utilizes initiative ; strives to maintain steady level of productivity; self motivated; manages activity and time well.
Actively participates in unit/hospital committees. Participates in performance improvement activities. Makes suggestions, gathers data and assists with analysis.
Considers factors relating to safety , effectiveness, and cost in planning and delivering care.
Effectively communicates and assists other nursing staff with delivery of nursing care; acts as a team leader/charge nurse as assigned. Problem solving reflects a calm demeanor with appropriate professional behavior.
Orients new staff or students as required.
Interacts with all levels of staff , physicians, patients and families in a respectful , professional manner. Participates in performance improvement activities . Makes suggestions , gathers data and assists with analysis. Demonstrates knowledge of Core Measures and consistently ensures measures are met and correctly documented for the perioperative patient. Educates the patient and family regarding pain management. Follows the five medication rights to reduce the potential for medication errors. Ability to adequately assess and reassess pain . Utilizes appropriate pain management techniques. Collaborates with the patient, significant others, and health care providers in providing patient care. Demonstrates knowledge of Malignant Hyperthermia including location of cart and treatment and care of the patient in crisis. Develops a prioritized holistic plan of care on a comprehensive assessment, desired outcomes and current knowledge.
Assesses the patient's physical, psychological, social, spiritual, educational, cultural needs and discharge planning needs to determine appropriate actions. Assures that medical orders are entered correctly, communicated appropriately and carried out accurately and in a timely manner. Delivers nursing care according to the standards of care defined within the Hospital Policies and Procedures. Acquires and maintains current knowledge in nursing practice. Supports and promotes excellence in customer/guest relations. Supports the philosophy, objectives and goals of the Department(s) and assesses areas of personal and professional growth. Able to interpret data about the patient's status in order to identify each patient's age specific needs and provide care needed by the patient group. Demonstrates ability to perform timely and accurate patient assessments on assigned patients within established time frames. Consults other departments, as needed and as appropriate, to provide for an interdisciplinary approach to the patient's needs. Evaluates the patient's and family response to care and teaching and revises the plan of care as needed. Appropriately responds to the patient in an emergency or physically distressful situation and communicates with physicians and change in patient status in a timely manner. Follows hospital policy for safe medication administration in the operating room. Effectively communicates and assists other nursing staff with delivery of nursing care; acts as a team leader/charge nurse as assigned. Problem solving reflects a calm demeanor with appropriate professional behavior.
 

RN PACU

Performs head-to-toe pre-procedure assessment on all patients and reassesses intra-procedure and post procedure as needed. This includes pediatric, geriatric and the general patient population. Carries out medical and surgical asepsis during treatments and special procedures. 

Demonstrates knowledge of perioperative factors that alter immediate post-operative phase.

Obtains, documents and assesses vital signs and cardio-respiratory systems every five (5) minutes for changes and provides appropriate treatment or care.

Identifies physical symptoms and changes and responds appropriately to the patient in an emergency or physically distressful situation. Communicates with Physician and/or Anesthesia of any pertinent changes in a timely manner.

Communicates "Hand off" report effectively and thoroughly on the patient's condition upon transfer from PACU to the receiving unit Registered Nurse.

Maintains moderate sedation competency. Demonstrates knowledge of sedation medications and ability to assess cardio-respiratory systems for changes and provides appropriate treatment.

Demonstrates knowledge of airway management and procedures and the ability to use the equipment.

NONESSENTIAL FUNCTIONS

Must have strong interpersonal, oral and written communication skills. Effective human relations skills are required for interfacing with team members, all levels of staff, physicians, patients, families and other contacts. Must possess the ability to effectively function in a stressful environment. Must possess the ability to use the following equipment; Telephone/Overhead Paging System/Fax Machine/Calculator/Computer. As pertinent to the position, must be able to use computer, telephone, calculator and adapt to new technology as it becomes available and necessary for the job. Must have a positive attitude, even temperament in stress/conflict situations.

ORGANIZATIONAL EXPECTATIONS

Organizational Skills

Exemplifies and is committed to the mission and values of the hospital. Adheres to the Code of Conduct of the organization.

Exemplifies and is committed to the Standards of Service of the hospital.

SYSTEM WIDE REQUIREMENTS

Maintains compliance with regulatory requirements, including all state, TJC and Federal regulations in their area of practice. Attends and participates in department staff meetings; reads and signs all meeting minutes as acknowledgement of information received; demonstrates compliance and knowledge of new changes within department and hospital. Consistently supports the mission, vision and goals of the organization. Acts in a positive, proactive manner to support department and hospital efforts in the community and with co-workers. Complies with annual TB and Fit Testing requirements as it related to the job. Has demonstrated an awareness and implementation of National Patient Safety Goals as applicable in their area of practice. Knows, understands, and adheres to system/hospital/department policies and procedures .Demonstrates and takes responsibility for workplace safety. Exhibits knowledge regarding the hazard and injury reporting procedures. Complies with Confidentiality/ HIPAA requirements and observes patient privacy needs.Understands Cultural/spiritual diversity issues as they relate to the job; is cognizant of patient's cultural differences and includes spiritual health as a component of patient care .Practices proper infection control techniques and understands importance of following IC requirements. Attends mandatory in-services, staff meetings and pertinent seminars. Completes mandatory annual education requirements. Maintains all licenses and certification in good standing and active.

FOUNDATIONAL FIVE 

Ability to describe and conduct a "Huddle" and explain when it is conducted and what is discussed Ability to describe and conduct a "Brief" and explain when it is conducted and what is discussed. Ability to describe and conduct a "De-Brief" and explain when it is conducted and what is discussed. Ability to describe the "Learning Board" and give an example of what has been put on the learning board in past. Ability to communicate what Executive Patient Safety Rounds (EPSR) are and participate when ESPR's are conducted.

LEADERSHIP CAPABILITIES

Standards of Service

EMPLOYEE KNOWS AND EXEMPLIFIES THE HOSPTIAL'S MISSION AND VALUES BY BEING COMMITTED TO:

- Quality Care - Customer Service - Genuine Compassion - Integrity - Community Value - Individual Dignity - Fiscal Responsibility

EMPLOYEE EXHIBITS A GOOD ATTITUDE BY:

- Welcoming customers in a friendly manner - Apologizing for problems and inconveniences - Avoiding the sharing of personal problems and frustrations with customers - Finding out the immediate needs of customers and asking if there is anything else you can do for the patient before you leave their room.

EMPLOYEE EXHIBITS GOOD COMMUNICATION SKILLS WHEN:

- Answering the telephone - Overhead paging - Providing information - Listening - Smiling, making appropriate eye contact, and giving undivided attention to customers.- Interacting with patients, always using AIDET (Acknowledge, Introduce, Duration, Explain/Educate, Thank You) 

EMPLOYEE EXHIBTS GOOD PUBLIC ETIQUETTE BY:

- Introducing yourself when meeting a patient or customer for the first time.- Smiling and making appropriate eye contact with people - Offering assistance to patients and visitors - Calling patients by name - Putting the customer's need above his/her own personal tasks or conversations - Communicating in a polite manner

EMPOLYEES PERSONAL APPEARANCE IS PROFEESIONAL BY:

- Dress is professional, clean and in good taste - Wearing identification badge appropriately at all times - Dress is in accordance with hospital and department dress code 

EMPLOYEE RESPECTS PRIVACY AND MAINTAINS CONFEDENTIALITY BY:

- Knocking before entering a patient's room - Providing proper fitting gowns and modestly covering patients who are transported through public areas - Closing curtains/doors during examinations, procedures, consultations - Closing window blinds at night - Allowing a patient privacy if you are not directly involved in care being rendered - Following HIPAA regulations - Sharing protected health information on a need to know basis only - Refraining from discussing inappropriate personal and patient information at nurses stations or other gathering places

EMPLOYEE RESEPECTS THE CUSTOMERS' TIME BY:

- Acknowledging patients immediately when they come into your area - Explaining the reasons for any delays and keeping the patient or customer apprised of the situation at least every 30 minutes - Training patients on the operation of their bed, television, controls, and telephone.- Answering patient call lights promptly with care, courtesy, and respect.

EMPLOYEE EXHIBTS A SENSE OF OWNERSHIP AND ACCOUNTABILITY BY:

 - Conducting yourself professionally - Never say or imply It is not my job. - Responding in a timely, accurate manner to assignments and requests - Maintaining fiscal responsibility by utilizing resources wisely, taking care of equipment, and preventing lost charges

EMPLOYEE SUPPORTS OTHER TEAM MEMBERS BY: - Not spreading gossip - Addressing conflicts quickly and appropriately - Not holding a grudge or acting out against other employees - Offering to help whenever and wherever needed 

EMPLOYEE ACTS WITH INTEGRITY BY: 

- Completing an honest hour of work for each hour of pay - Refraining from criticizing others - Upholding the standards of our Code of Conduct

FUNCTIONAL DEMANDS

POPULATIONS SERVED

Treat or care for patients in the following areas: Neonate (<30 days)

Infant (<1 year)

Early Childhood (1 year and <5 years) Late Childhood (5 years and <13 years) Adolescent (13 and <17 years)

Young Adult (17 to <30 years) Middle Adult (30 years to <60 years)

Older Adult {>60 years)

PROTECTED HEALTH INFORMATION

Type of Protected Information Accessed: X Demographic X Clinical X Insurance X Financial X Complete Medical Record

BLOODBONE PATHOGENS EXPOSURE

While performing this job, occupational exposure is present for all employees

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.