RN Perianesthesia II (Full Time, Day shift)

Job Summary

Responsible for the planning and delivery of care utilizing nursing processes: assessment implementation and evaluation. Oversees the plan of care utilizes effective problem-solving strategies and applies evidence-based practice. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director and has passion for learning provides compassionate and family centered care for Pre and Post Anesthesia care patients.

Job Specific Duties

• Supports the Service Recovery Program. Ensures that behavior meets/exceeds acceptable Service Scores.
  
• Ensures completion of patient admission history assessments and pre-procedure verification process in accordance with universal protocol and hospital policy in a timely and accurate manner.
  
• Evaluates and manages the patient airway post-operatively applying knowledge of the physiological changes to the airway as a consequence of anesthesia and surgery.
  
• Completes all nursing multisystem assessment that includes head to toe vitals pain management and post anesthesia scores.
  
• Plans implements and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care.
  
• Follows physicians orders administers and reconstitutes medications when needed. Adheres to six rights of medication administration per medication administration policy.
  
• Programs and troubleshoot PCA/NCA syringe and macro pumps according to orders following policy and procedure for medication and blood/blood products.
  
• Performs reassessments as per policy and when there is a change in the plan of care or when an intervention is performed.
  
• Communicates and documents the patients progress including critical findings critical lab results and changes in the patients condition with the multidisciplinary team. Performs and documents discharge planning per policy.
  
• Accesses Electronic Medical Record (EMR) and performs charge reconciliation according to hospital policy and completes accurate and timely documentation in the patients electronic health record.
  
• Communicates with patients and families to review plan of care and solicits input and communicates any patient and family concerns to physician.
  
• Provides education and documents on patient/family teachings on health-related needs (i.e. disease medications treatments pain discharge safety nutrition skin care etc.).
  
• Provides patient information and effectively completes the hand off process between phases of care at shift change and patient reassignments and documents handoff in EMR.
  
• Works to meet/exceed standards in achieving quality index goals by completing documents in a timely manner & being accountable to regulatory requirements of the DNV CMS DOH & other accrediting agencies.
  
• Accountable to optimize first case starts to prevent delay of patient care per departmental goal.
  
• Demonstrates knowledge and adherence to HAC/HAI prevention program protocols to minimize risk and harm to patients.
  
• Monitors surgical site and performs post-surgical site assessment checking for circulation color temperature and movement.
  
• Promotes a safe error-free working environment by consistently adhering to infection prevention on assigned shift and demonstrates proper personal protective equipment (PPE) indication and use.
  
• Participates in the environment of care rounds to ensure adherence to regulatory and safe standards.
  
• Responsible for providing care in the PACU I phase 50% of the time ensuring PACU I phase competencies
  
• Maintains availability for on-call assignments (nights weekends holidays) per departmental and hospital policy.
  
  

Minimum Job Requirements

• Registered Nurse RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) maintain active and in good standing throughout employment
  
• American Heart Association BLS maintain active and in good standing throughout employment
  
• American Heart Association PALS required within 1 year of hire must maintain active and in good standing throughout employment
  
• American Heart Association ACLS required within 1 year of hire - maintain active and in good standing throughout employment

Knowledge Skills and Abilities

• BSN degree preferred or currently enrolled in BSN program (requiring proof) within 36 months of hire.
  
• A minimum of 1 year experience as an RN preferred.
  
• Nursing experience in a pediatric healthcare surgery setting preferred.
  
• Possesses proficiency in computers and Electronic Medical Record (EMR) and Cerner preferred.
  
• Career Development: National Certified Pediatric Nurse (CPN) and/or certification equivalent within 5 years of hire preferred.
  
• Able to analyze and interpret data and utilize the information to make judgments regarding patient care.
  
• Effective verbal and written communication skills.
  
• Ability to positively influence hold self and others accountable
  
• Able to work effectively in collaborative environment.
  
• Ability to apply principles of evidence-based practice analytical thinking and service excellence in practice.
  
• Able to float within Surgical Services while maintaining the delivery of clinical excellence and high quality service.
  
• Responsible for providing care in the PACU I phase 50% of the time ensuring PACU I phase competencies.
  
• Available for on-call assignments (nights weekends holidays) per departmental and hospital policy.