RN- Same Day Surgery (Part Time, Days)

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 Same Day Surgery patients.

Job Specific Duties

• Supports the Service Recovery Program. Ensures that his/her behavior meets/exceeds acceptable Service Scores as measured by the Service Index. (SEI).
  
• Ensures completion of patient admission history. Prepares and accurately completes the discharge planning process accurately as per department and hospital policies and procedures.
  
• 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.
  
• Ensures proper and safe sedation administration to patients and monitors recovery as per the Sedation Policy and Procedure.
  
• Performs reassessments as per policy and when there is a change in the plan of care or when an intervention is performed.
  
• Plans implements and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care.
  
• Collaborates with a multi-disciplinary team in daily care planning as appropriate and fosters a Family Centered Care Environment
  
• Communicates the patients progress including critical findings and changes in the patients condition with the physician. Performs and documents discharge planning per policy.
  
• Ensures all surgical procedure documentation is obtained labs consents advance directives custody documentation in a timely and accurate manner.
  
• 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 and documents critical lab results per hospital policy and procedures.
  
• Communicates with patients and families to review plan of care and solicits input and communicates any patient and family concerns to physician.
  
• Collaborates and rounds with a multi-disciplinary team in daily care planning rounds as appropriate and fosters a Family Centered Care Environment.
  
• Provides education and documents on patient/family teachings on health-related needs (i.e. disease medications treatments pain discharge safety nutrition skin care etc.).
  
• Promotes an error free working environment by consistently providing high-quality safe care as prompted (as per Universal Protocol Policy).
  
• Provides patient information and effectively completes the hand off process at shift change and patient reassignments. Utilizes Same Day Surgery checklist.
  
• Works to meet/exceed standards in achieving a 95% CEI 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.
  
• Performs skin & structural assessment takes measures to accommodate patient and ensures safe care while ensuring no medication errors. Performs falls risk assessment & takes appropriate steps.
  
• Meets or exceeds unit standards in achieving a 95% CEI; completes documentation in a timely manner; accountable to regulatory and requirements of the DNV CMS DOH & other accrediting agencies.
  
• Assesses all body systems ensure safe effective and efficient care delivery with emphasis on the absence of medication errors avoidance of falls & reduction of pain post-op.