Registered Nurse Preop/PACU - HCA (Altamonte Springs, Florida) in Orlando, Florida For Sale

GENERAL SUMMARY OF DUTIES: Contributes to the company by utilizing the nursing process in planning, executing, and evaluating the nursing care rendered postoperatively until patient is dismissed from the facility. SUPERVISOR - Nurse Manager, Nurse Supervisor, or designee. SUPERVISES - None CLASSIFICATION – Non-Exempt OPERATIONAL DUTIES INCLUDE BUT ARE NOT LIMITED TO: Demonstrates necessary practical, technical, or specialized skills required for the role of the post-operative nurse in accordance with patient care and regulatory standards of practice. Prepares patient care area adequately and ensures availability of necessary equipment and supplies. Demonstrates proper airway management techniques (oral airway, extubation, pulse oximetry monitoring, O2 administration, etc.) Demonstrates understanding of principles of hemodynamic monitoring and monitors patient according to policy (vital signs, temperature, cardiac, etc.). Recognizes signs and symptoms of patient’s condition that indicate potential post procedure or anesthesia related complications and report to anesthesiologist immediately. Monitors and maintains proper intravenous intake and output. Exhibits proper technique for insertion, maintenance, and removal of IV catheters and saline locks. Performs head to toe assessment of patient and evaluates patient utilizing approved scoring system upon admission and as indicated by policy. Documents patient assessment upon admission. Checks dressings and operative site and reports abnormalities to the surgeon. Provides a safe and comforting environment for patient and family while restraining patient for safety reasons, as needed and in accordance with facility policy. Prepares and administers medications in accordance with current practice (i.e. antibiotics, narcotics, preparing/labeling medications, identifying high alert medications, utilizing 7 patient rights for medication administration and appropriate handling of narcotic waste). Demonstrates thorough understanding of medications utilized intra and poster operatively and recognizes the need for use of reversal drugs, when necessary. Recognizes emergency situations and responds effectively in a calm and controlled manner. Prepares patient for transfer to hospital when necessary. Assures that patient meets all discharge criteria. Patient is evaluated by a physician/anesthesia provider prior to discharge. Written discharge order is received from the attending physician prior to patient discharge. Patient is discharged home with a responsible adult, unless otherwise approved by physician. Confirms that patient and family receives and verbalizes understanding of written discharge instructions. Documents all appropriate patient information in accordance with charting guidelines. Conducts patient post procedure calls. Documents and reports to patient&#xxxxx;s physician any abnormalities communicated by patient/family member during the follow up call. Takes responsibility for careful and accurate handling and/or logging of narcotics. Utilizes appropriate body mechanics in moving patients and stretchers to prevent injury to patient and self. Complies with principles of hand hygiene, aseptic and sterile technique. Demonstrates knowledge related to maintenance and cleanliness of instruments and equipment. Maintains a sanitary environment for the provision of patient care. Appropriately handles the disposal of biohazardous materials. Restocks area daily, using appropriate par levels and daily stock sheets. Spends appropriate time and energy on tasks and assignments based on the policies that are supportive of the Center’s goals and objectives. Functions independently according to job responsibilities and within scope of practice utilizing current standards of care. Takes personal initiative to maintain current RN licensure, BCLS, ACLS, and PALS (if indicated) and other professional certifications current as defined by job role. Uses facility resources appropriately and avoids wasteful practices. Attends all mandatory in-services, staff meetings, and participates in emergency drills. Participates in the orientation of new employees. Completes annual competency and other required education as assigned. Maintains confidentiality and security of records and patient information at all times. Age Specific Care: The patient care requirements may include those of pediatric, child, adolescent, adult, and geriatric populations. BEHAVIORAL SPECIFIC EXPECTATIONS: Adheres to all company and Center policies. Adheres to HCA Code of Conduct and HIPAA requirements. Adheres to personnel policies which specify privileges and responsibilities of employment, including: compliance with an adverse incident reporting system, quality improvement program, patient safety initiatives, and risk management program. Participates in Best Practices, Quality/Risk Initiatives, RCA’s and other teams to improve patient care. Interacts with patients, fellow employees, physicians, and other stakeholders in a manner which encourages quality patient care, harmonious working relationships, positive customer relations, and enhances the image and reputation of the center. Demonstrates dependability and accountability. Demonstrates a willingness to help others. Supports the center’s mission by providing flexibility in assignment changes, dependability in attendance, punctuality, timely completion of assignments. Maintains a professional image through proper attire, language, and conduct. Keeps management informed of any malfunctions in instruments, equipment, and supplies. Displays willingness to speak up about safety issues or change practices to enhance safety. Asks for help when needed
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