Under the direction of the designated Nurse Manager, the Staff Nurse is responsible for professional, direct patient care in the nurse role. The Staff Nurse will utilize the nursing process within their scope of practice to assess, develop nursing diagnosis, develop plan of care, implement plan of care, monitor for effectiveness, and adjust appropriately, for patient’s plan of care. The Staff Nurse is responsible for care, in areas assigned, within the Surgery Center, as needed.
Per Diem RN Pre, Intra and Post procedure Care Endoscopy (Bilingual in Spanish/Cantonese/Mandarin or Vietnamese Preferred).
The starting pay is at $55/hr based on experience and would need to be available 2-3x/week.
ESSENTIAL DUTIES, TASKS and RESPONSIBILITIES
• Follows all policies and procedures of the Center
• Uses equipment effectively following manufacturer’s instruction for use
• Uses proper techniques and procedures according to accepted standards of practice
• Organizes nursing activities efficiently and effectively
• Continuously assess and monitors the physical and emotional status of the patient and documents and reports per policy and procedure
• Uses two patient identifiers to assure correct patient and “ask don’t tell” to identify correct procedure and physician
• Addresses patient needs specific to the anticipated procedure
• Transports patients, as needed, observing policies, procedures and safety requirements
• Verifies and explains procedure with the patient and discusses plan of care prior to transporting to procedure room
• Provides comfort and reassurance to each patient
• Maintains patients privacy and dignity
• Work collaboratively with the healthcare team to provide safe continuity of patient care
• Actively participates as a team member in support of the total endoscopy process
• Organizes time, activities, equipment, supplies and personnel to provide efficient, cost effective patient care
• Supervises and directs patient care in pre, intra and post- op
• Reviews patient’s medical record and needs to provide continuity of care in collaboration with other members of the healthcare team and communicates variances
• Considers cost containment by using supplies economically and by managing efficient turnover time
• Assists with supplies, drugs and equipment inventories to maintain stock level and availability ; maintains order and cleanliness of pre procedure area(s), endoscopy room and PACU
• Works collaboratively with the healthcare team to prepare for the patient in their assigned area according to requirements of the patient, physician and procedure to include but not limited to, assembling and providing functions equipment, supplies and instruments including sterilization and high level disinfection of supplies and
equipment
• Administers medication (s) per order of the physician and documents appropriately
• Monitors and reports any abnormal observed complications to the anesthesia provider and physician
• Accurately comprehends and interprets physician orders and direction, following policy and procedures
• Documents in the patients medical record and other forms accurately, legibly and timely in a timely manner, following policies and procedures
• Proper aseptic and sterile techniques are used according to acceptable standards of practice – monitors and identifies breaks in sterile technique
• Demonstrates ongoing competencies with patient assessment and appropriate interventions when variances occur
• Assesses each patient for fall precautions and addresses per policy
• Successfully able to start patient peripheral IV
• Participates in the time out
• Uses the Safe Surgical checklist
• Works collaboratively with healthcare team to ensure physician preference cards are maintained and updated as needed
• Handles and logs tissue specimens correctly and accurately according to policy and procedures
• Ensures the appropriate and safe positioning of the patient meeting patient needs and the planned procedure and monitors throughout the procedure
• Monitors and assess patient for recovery from anesthesia
• Prepares patient for discharge to include: assisting with dressing, discharge instructions, medication reconciliation and follow-up physician appointment with patient and responsible adult
• Determines and documents patient and responsible adult understanding of the discharge instructions and indications for seeking emergent care indications for seeking emergent care
• Develops a plan of care, based on patient needs, related to the procedure and type of anesthesia
• Attends all required education
• Performs other miscellaneous duties as assigned
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