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RN, Registered Nurse - Surgery

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POST DATE 8/10/2016
END DATE 10/21/2016

Christus Health Alexandria, LA

Alexandria, LA
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Entry Level (0 - 2 years)



The Perioperative Registered Nurse is responsible and accountable for the delivery of individualized nursing care to patients having surgical interventions. Incorporating current clinical knowledge with established nursing practice, he or she performs nursing interventions utilizing the nursing process. Assessing, planning, implementing and evaluating the nursing care delivered to assigned patients. Included within this assignment is the responsibility for ensuring effective communications between the nurse, the patient, other staff, supervisors, physicians, anesthesia providers and other hospital departments.

Per the Departments Scope of Practice, this position requires providing quality care in an efficient and safe manner that demonstrates an understanding of the functional/developmental age of the individuals served (infant-older adults).

This position requires the full understanding and active participation in fulfilling the Mission of CHRISTUS St. Frances Cabrini Hospital. It is expected that the associate demonstrate behavior consistent with the Core Values. The associate shall support the CHRISTUS St. Frances Cabrini's strategic plan and the goals and direction of their Performance Improvement Plan (PIP).

Assessment of Nursing Care baed on Nursing Assessment, the Perioperative Registered Nurse will assessing Patient Care to meet individual Patient Needs.

Assesses patient on admission in a timely manner.

Uses clinical assessment skills accurately, assessing each patient psychological, psychosocial, safety and educational needs.

Notifies physician of any critical findings or changes following admission.

Demonstrates that the care plan is utilized providing patient care.

Documentation reveals that patients are assessed, changes in symptoms and reactions are evaluated, and appropriate action is taken in response to those changes.

Accepts work assignments.

The Perioperative Registered Nurse will interpret and coordinate the implementation of Physician's Orders.

Process physician's written and verbal orders in a timely manner.

Is able to prioritize implementation of physician orders according to patient needs, physician request, and interdepartmental procedures.

Demonstrates ability to carry out all assignments and procedures as ordered according to policy and procedures.

Determines and documents all pertinent information from the patient record using the O.R. nursing record.

The Perioperative Registered Nurse will communicate with the Medical Staff and Ancillary Departments to provide comprehensive and coordinated Patient Care Services.

Communicates patient needs to appropriate person and makes referrals to other departments when indicated.

Notifies attending physician/surgeon and/or anesthesia provider of changes in patient's condition in a timely and appropriate manner.

Interrelates with ancillary departments in a positive manner.

Communicates major changes in level of care to the supervisor and/or the designated personnel.

Documents patient response to all procedures in the O.R. nursing records.

Thoroughly completes the O.R. nursing record in a prompt and accurate manner.

Acts as an advocate in providing safe delivery of care at all times.

Shows knowledge of chain of command in follow up of concerns.

The Perioperative Regiestered Nurse shall administer Medication as prescribed by the Physician.

Is able to knowledgeably /safely provide all medications as ordered.

Periodically updates medication knowledge.

Accurately documents medication administration including time, date, route, response, and signature in the O.R. nursing record.

Documents allergies at the time of admission.

Documents all allergic reactions to medications, blood, adhesives, etc.

Initiates the teaching of patient, relating to medication being received.

The Patient's Right to Confidentially will be maintained by all Nursing Personnel.

Handles all patient communication and documentation in a confidential manner.

Does not release patient information/records without following hospital policy.

Demonstrates the ability to accurately assess and document Patient Care Activites .

Uses computer system(s) appropriately.

Documents in the medical record according to policy and procedures.

Complies with incident reporting.

Obtains knowledge of and demonstrastes compliance with Infectin Control Policy and Procedrues.

Practices universal precautions in all patient care.

Appropriately handles and disposes of sharps and biological matter.

Provides for the Education/Training of the Patient / Family

Identifies and documents patient/family educational needs upon initial assessment and thereafter.

Identifies barriers to learning.

Provides teaching based on identified needs.

Evaluates the effectiveness of instruction provided.

Assessment and teaching incorporates cultural and ethnic actors.

Demonstrates knowledge of Unit Specific Policies and Procedures and the ability to competently use Unit Specific Patient Care Equipment in the delivery of Quality Patient Care.

Completed Unit Specific Annual Competency Checklist.

Obtains necessary training prior to initial equipment use.

Assures equipment is in operating order prior to use.

Differentiates between patient complications and equipment malfunction.

Uses medical equipment in accordance with manufacturer's operating guidelines.

Demonstrates knowledge of OR Documentation and Record Completion.

Accurate and timely completion of O.R. nursing records.

Accurate and timely completion of O.R. charges.

Accurate and timely completion of O.R. implant documentation.

Accurate and proper handling of specimens.

Proper handling of chain of evidence.

Accurate and proper handling of all lab work.

Demonstrate knowledge of Patient Discharge from the Operating Room.

Accurately and completely reports patient information on surgical procedure, patient condition, pertinent medical history and/or outstanding circumstances to PACU/Day Surgery/ICU receiving personnel.

Checks surgeon's preference card for correctness.

Helps set up sterile back table and trays with appropriate instruments and supplies based on surgeon's preference cards.

Assists with draping of patients.

Anticipates needs of surgeon during cases.

Maintains operative field in a sterile, neat and dry environment.

Responsible for assisting the Surgery Technician (when time allows)

At completion of case

Proper disposal of sharps

Returns instruments and supplies to case cart

Places linen in linen hamper

Places trash in appropriate receptacles

Removes gown and gloves prior to leaving the operating room

Assists in returning equipment and unused supplies to their proper places

Assists in the cleaning and room turn over

Assists in maintaining a clean, neat, appropriate operating room environment

O.R. lounges

O.R. halls

O.R. store rooms

O.R. central core

The Patient's Rights to Confidentiality will be maintained by all Nursing Personnel.

Handles all patient communication and documentation in a confidential manner.

Does not release patient information/records without following hospital policy.

Obtains knowledge of and demonstrates compliance with Infection Contraol Policy and Procedures.

Practices universal precautions in all patient care

Appropriately handles and disposes of sharps and biological matter.

Duties Specific to Service Line Coordinators:

Team Coordinators should take Lead Responsibilty regarding Coordination of Care, Supplies and Equipment involved in their Service Line(s). This involves the following:

Initiate and follow up on the process of repairing or replacing any broken or damaged equipment or instruments for your designated service(s).

Initiate and follow up on the process of approval and ordering any new equipment, instruments or supplies for your designated service(s).

Check all stock specific to your service(s) monthly to assure stock is being rotated so that the oldest stock is used first.