MA Gardner, MA Registered Nurse, Surgical Day Care

Essential Functions

• Assesses (and reassesses) plans implements and evaluates nursing interventions/plans of care/patient goals.
• Provides patient care based on standards of care standards of practice protocols and established policies and procedures.
• Respects each patient as an individual; provides care that fosters the patient s sense of dignity and positive self-regard.
• Provides patient/family teaching based on identified learning needs readiness to learn and barriers to learning.
• Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary.
• Appropriately delegates and supervises nursing interventions performed by others.
• Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources reassigns personnel as necessary recognizes need for emergency intervention etc.).
• Provides thorough timely and accurate documentation of all pertinent data therapeutic interventions and patient responses according to established standards.
• Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care.
• Promotes learning for colleagues and self (e.g. functions as preceptor instructor trainer attends professional development programs etc.).
• Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents).
• Identifies ethical issues in care and develops plan to address.
• Safely administers medications and intravenous therapy in accordance with physician s orders protocols policies and procedures.
• Assesses patient pain level upon admission and as necessary depending upon diagnosis utilizing the numerical pain scale.
• Reassesses effectiveness of pain control and notifies physicians as needed as well as documents assessment and patients response to medication.
• Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD.
• Performs pre-admission testing on Surgical Day Care patients.
• Performs nursing assessment and coordinates ancillary testing for patients undergoing day surgery including performing blood draws and EKGs.
• Reviews pre-operative orders and consults with the surgeon and/or anesthesiologist as necessary to assure appropriate tests are ordered per guidelines.
• Reviews test results checks for abnormal results and communicates abnormalities to the surgeon anesthesiologist and/or primary physician prior to surgery.
• Reviews preoperative chart for completeness verifying that all paperwork is present and complete preoperatively such as consent form H&P and lab results.
• Provides emotional support to patients undergoing a change in body image and/or activity level due to surgery.
• Initiates and documents post-operative phone calls to SDC patients.

Job Requirements

Minimum Education

• Graduate of an accredited school of nursing

Minimum Work Experience

• Minimum one year acute care nursing experience required.
• Prior SDC PAT Endoscopy or OR experience preferred.

Minimum Licenses and Certifications

• Registered Nurses Current MA License required
• Current ACLS PALS required and IV certifications preferred

Required Skills

• Proficiency in peripheral IV insertion and nursing assessment required.