Surgical RN (UOS) - 7am - 3:30 pm, Trauma Orthopaedics
Company: Ortho Tennessee
Posted on: November 16, 2018
Position Summary: Responsible for delegating, coordinating and managing all aspects of nursing care provided to the patient, their family and our community in a timely and cost-effective manner. Patient care is delivered in collaboration with the patient, their family and all members of the health care team. Population Served: Neonatal Young Adult Geriatric Pediatric Child Bearing Not Applicable Adolescent Adult Access To Patient Medical Information Full Access Restricted Access* No Acesss * Requires departmental policy/procedure outlining any restrictions in accessing the patient record.
Key Responsibilities/Performance Standards (in italics): Assesses the patient, identifies surgical patient needs and prioritizes treatment in order to plan nursing care. a. Nursing Assessment started in Pre-Op or ASU and completed in 24 hours by acute care unit. b. Performs physical assessment of patient with regard to age specific parameters. c. Interviews family members when appropriate. d. Conveys perioperative teaching and emotional support to patient and family. e. Reviews all patient data sources (chart, x-rays, MRI video computer tapes, old charts), reports on and/or updates any incomplete or missing data and chart components (permits, consults, lab reports or H & P reports.) f. Confers with all other persons or departments for additional data and to report abnormalities or instabilities. Initiates the development of surgical care with appropriate persons, departments or agencies and set priorities. a. Schedules convergence of patient, surgical team, anesthesia team and other health care providers in surgical suite in appropriate order and a timely manner. b. Communicates time schedule of events to main O.R. office and Orthopaedic Surgery Manager and makes repeat contact with main office at intervals when schedule deviates. c. Contacts family members to relay progress of events when appropriate. d. Compares surgeon's preference sheet with description of planned intervention and modifies as needed. Prepares the surgical suite for implementation of the procedure to assure the short and long term needs of the patient are met. a. Nursing actions are based on standards of care, assist the patient to achieve maximum health capabilities and promote achievement of the expected outcomes at discharge. b. Patient and family education is based on readiness to learn, priorities of the patient's multi-disciplinary needs, utilization of appropriate resources and expected outcomes at discharge. c. Nursing interventions demonstrate critical thinking, sound judgments based on the presenting data, and a timely response based on the expected patient outcome and standards of care as well as unit/organizational policies. e. Collects appropriate supplies and equipment for age specific and surgery/doctor specific surgical intervention. f. Works with other team members to prepare supplies following aseptic technique. g. Performs accounting (counts) of surgical supplies in conjunction with sterile person (surgical tech or nurse) and documents outcome. h. Brings patient's data/information to surgical suite (x-rays, mammogram, MRI computer tape, etc.). i. Assembles and prepares appropriate IVF's, medications and/or blood products. j. Provides positioning aids and patient comfort supplies. k. The nurse addresses peer, unit and organizational educational needs by coordinating continuing education programs at the unit level. l. Nursing actions/interventions are based on knowledge of UHS and UOS standards of practice and organizational policies as well as specific patient population, unit-level competencies. Demonstrates competent performance of clinical skills in preparing the patient for surgery in the surgery suite and monitors and supports the surgical event. a. The nurse assists surgeon and anesthesia team with therapeutic and diagnostic procedures. b. Evaluation of the patient's response to medical and nursing interventions as well as the disease process is ongoing and directs the re-assessment, re-ordering of priorities and revisions in the plan of care. c. Anticipates the need for, procures and properly uses equipment and supplies in emergency situations. d. Works as the patient advocate to support patient's bill of rights and provide patient safety according to needs and age specific parameters. e. Monitors aseptic environment and techniques of the surgical team. f. Performs appropriate counts according to hospital policy. g. Documents all intervention and actions of the surgical event. Nursing notes are accurate and reflects patient's response/outcomes to plan of care, intervention and expected outcomes at discharge. Incorporates research process(es), principles and practices in the delivery of professional nursing services. a. The nurse integrates professional practice guidelines and current research findings into the development of practice standards. b. The nurse actively participates in the data collection process. c. Nursing care is consistent with appropriate research protocols and standards. Uses Performance Improvement principles and practices to address unit-based issues related to the quality of the care, the appropriate use of technology and the efficiencies of service delivery. a. The nurse identifies and reports deviations from standard medical, nursing and/or multidisciplinary order sets for a specific patient population. b. The nurse identifies, communicates and resolves patient care, unit and/or organizational issues in a timely manner with the appropriate documentation. c. The nurse participates in the identification, data collection, analysis/evaluation and presentation of those aspects of care and service delivery important for quality monitoring. d. The nurse incorporates QI/PI findings into the delivery of patient care services. e. The nurse maintains annual unit-level competencies and submits the required documentation within the designated timeframe. f. The nurse maintains annual hospital mandatory and required competencies and submits the required documentation within the designated timeframe. g. The nurse participates in the development, revision and/or periodic review of the standards of care. Establishes and maintains positive interpersonal relationships and promotes effective teamwork with patients, families, customers and the community. a. A professional, caring service-oriented attitude is demonstrated in all interactions with patients, families, co-workers and the community. b. The nurse promotes team spirit, a willingness to collaborate and voluntary assistance to all members of the health care team. c. The nurse actively participates in unit, service-line and organizational initiatives by attending unit staff meetings, nursing forums, nursing grand rounds, and/or process improvement team meetings. d. The nurse resolves interpersonal and interdepartmental issues/conflict in a timely manner using effective resolution techniques and an accurate interpretation of UHS and UOS standards of care and organizational policies. e. The nurse contributes to the health status and welfare of the community through active participation in unit, service-line, and UHS and UOS activities. Uses ethical decision-making process(es) and advocates for acceptable patient outcomes. a. The nurse maintains privacy, security and confidentiality of patient, staff and organizational data and/or information. b. The nurse fosters a non-discriminatory work environment in which care and services are delivered in social-culturally sensitive manner. c. The nurse's care practices and management skills preserve their patient's co-worker and the community's right of autonomy, dignity and respect. d. The nurse appropriately seeks out hospital and community resources in identifying, formulating and resolving ethical decisions/dilemmas. Uses effective leadership skills and serves as a role model to enhance the delivery of care and services and overall operation of the work environment. a. The nurse uses sound judgment in prioritizing and meeting patient care needs. b. The nurse completes preceptor class and acts as preceptor within the designated timeframe. c. The nurse supports and follows-up with patients, co-workers and visitors on unit, service-line quality improvement and process improvement activities. d. The nurse sets a positive caring example for new employees, co-workers, patients and visitors. e. The nurse adheres to the time and attendance standard. f. The nurse submits a professional development record annually. g. The nurse adheres to the dress code. h. Accepts charge nurse responsibility as assigned. i. The nurse delegates patient care and service-related activities appropriately and follow-up with issues which arise. Promotes the effective and efficient allocation, distribution and use of unit, service-line and organizational resources for the delivery of safe, cost-effective patient care services. a. Monitors supply use and returns unused materials to the appropriate place. b. Maintains equipment. c. Assists with staffing shortages. d. Provides care in a cost-effective manner, attentive to expiration dates, eliminate waste. e. Cares for high acuity without assistance from others. f. Charges the appropriate patient for floor stock. g. Demonstrates an awareness of unit, service-line and organizational cost saving initiatives. h. Discharges patient promptly. Acts as a resource person for new employees and team member. a. Provides new employees with accurate and clear information and instructions. b..... click apply for full job details
Keywords: Ortho Tennessee, Johnson City , Surgical RN (UOS) - 7am - 3:30 pm, Trauma Orthopaedics, Healthcare , Knoxville, Tennessee
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