Registered Nurse, Perioperative Services and Radiology Float, Surgical Day Care, Per Diem, Varied day and evening hours, Call on weeknights, weekends, and holidays as needed

Hours: Per Diem, Varied day and evening hours, Call on weeknights, weekends, and holidays as needed

$37.26 - $76.63

Job Summary:

Perioperative Services and Radiology Float RN is a valuable member of Perioperative Services who functions fluently in Surgical Day Care and PACU as well as in Radiology. Perioperative Services and Radiology Float RN is flexible with their assignment, which depends on operational needs. In addition to the responsibilities of PACU and SDC RNs,the Perioperative Services and Radiology Float RN is responsible for screening radiology patients, monitoring patients during radiology procedures, providing moderate sedation or assisting with procedures as needed.

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, to include moderate sedation 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 and performs ancillary testing with the Radiologist for patients undergoing day surgery including performing blood draws and EKG's.
• Coordinates daily work flow with the Radiologist and Supervisor of Imaging in an effort to increase efficiency and provide quality and expeditious care undergoing Radiology Interventional procedures.
• Initiates peripheral intravenous therapy as needed including PICC lines upon completion of required training and competency.
• Responsible for maintaining competency once trained.
• Reviews pre-operative/pre-procedural orders and consults with the surgeon and/or anesthesiologist and/or Radiologists 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.
• Continuously monitors post operative patients to ensure safety while recovering from anesthesia.
• Monitors and observes patients during the recovery phase of general or regional anesthesia.
• Monitors for potential problems/complications immediately post operatively, giving special attention to oxygenation, ventilation, circulation and temperature.
• Supports the perioperative plan of care through implementation of the recovery plan of care for the patient.
• Demonstrates knowledge of dosage, action, use and side effects of medications commonly used during anesthesia.
• Checks patient dressing, is alert for signs of unusual bleeding and administers ice packs PRN.
• Provides communication to all team members to ensure continuum of patient care during the perioperative process.
• Provides a comprehensive patient summary to the staff accepting the patient in transfer or providing temporary coverage.
• Collaborates with surgeons, anesthesiologists and nursing staff to provide continuum of care during perioperative process.
• Safely administers blood and blood products to replace loss during surgery.
• Administers and monitors patients receiving blood and blood products as well as observes and documents patients' response to blood transfusions.
• Documents, accurately and thoroughly, blood administration according to nursing policy and procedure.
• Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD.