RN - Pre-Op Hospital - RH

Summary

Summary

Provides care in the preoperative setting directed towards meeting the psychosocial and physical needs of the surgical patient. Communicates with the physicians about the patient’s clinical condition regarding the planned surgical procedure. Care given reflects initiative and responsibility indicative of professional expectations. Utilizes initiative, is a self-starter and strives to maintain steady level of productivity. Is compatible, supportive, and a team player.

Communicates on behalf of the patient (patient advocate); care provided reflects the mission, ethics and goals of the facility, as well as the focus statement of the department.

• Ability to perform a thorough medical history, obtain medication history and give preoperative instructions while utilizing the electronic medical record for all patient populations and per facility policy.
• Ability to follow-up on orders for all surgeons and to follow up on orders per Anesthesia Guidelines.
• Makes decisions reflecting knowledge of facts, knowledge of diseases/surgical conditions, care required and good judgment. Identifies physical/mental problems of patient, reports changes to surgeon/anesthesiologist, and initiates appropriate actions.
• Performance reflects knowledge in all areas of care specific to pre-op area.
• Organizes and manages nursing activities with respect for the needs of the patient and their families and the needs of the hospital and staff.
• Identifies and addresses psychosocial needs of patients and family.
• Manages and operates equipment safely and correctly.
• Assures pre-op interview rooms are equipped with all anticipated supplies, instruments, and equipment for all procedures. Assists co-workers as needed.
• Utilizes initiative; strives to maintain steady level of productivity; a self-starter; compatible and supportive; a team player.
• Knowledge of medications and correct documentation of same. Able to instruct patient on what medications to take pre-operatively.
• Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
• Ability to formulate an individualized plan of care, as indicated, and evaluates for effectiveness.
• Formulates a teaching plan, based on identified patient learning needs, and evaluates effectiveness of learning; family is included in teaching, as appropriate, from pre-op to discharge.
• Provides patient with explanations and verbal reassurance consistently.
• Utilizes Universal Protocol (i.e. identifies patient using 2 identifiers and verifies procedure with patient).
• Ensures completion of documentation including but not limited to, H/P, consents, hand off communication tool, pre-op clearance, surgery preadmission history and assessment medication reconciliation form, allergies, and preoperative instructions.
• Able to perform 12 Lead EKG. Able to recognize and follow up appropriately if further attention is needed.
• Able to perform waived or moderate complexity testing per clinical laboratory and unit policy and procedure. Able to interpret results of lab testing and take appropriate action on waived test results.
• Coordinates and supervises preoperative patient care. Communicates appropriately and clearly to departmental charge nurse or outpatient director, co-workers and physicians.
• Demonstrates an ability to be flexible, organized, and functions under stressful situations.
• Treats patients and their families with respect and dignity, maintains an environment that provides the patient and family with feelings of safety and security, practices good guest relations.
• Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient. Consults with other departments as needed to provide for an interdisciplinary approach to the patient’s needs.
• Meets current documentation standards and policies and completes within the shift.

• Ability to perform a thorough medical history, obtain medication history and give preoperative instructions while utilizing the electronic medical record for all patient populations and per facility…