RN Surgery - Per Diem* (*on call/as needed)

*IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.

POSITION SUMMARY:

Manages individualized, goal directed nursing care through use of the nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures.

POSITION REQUIREMENTS:

Minimum Education

• Graduation from an accredited school of nursing.

License Required

• Current NV Nursing license.

Certificate Required

• BLS
• ACLS
• PALS required for Pre/Post Anesthesia Unit (must obtain within 90 days).

Minimum Work Experience

• Demonstrated proficiency in acute care nursing, knowledge, and skills.
• Ability to communicate effectively.
• Must show initiative, maturity, and effectiveness in dealing with people.
• Appreciation of and desire to be part of a healthcare team.

POSITION ESSENTIAL FUNCTIONS:

Patient Care

• Assesses and diagnoses patient and family needs in order to provide quality care to assigned patients.
• Verification of patient identity, operative procedure, operative site, surgeon, consents, patient's allergies, NPO Status and when the patient last voided.
• Assesses psychological status, Including level of understanding, perception of surgery and anxiety level.
• Obtains pre-operative medical history and documents clearly in the patient record in accordance with department's policy and procedures.
• Checks the current history and physical, laboratory result, the execution of preoperative orders, and results of ordered diagnostic tests.
• Reviews completed chart with the Anesthesiologist on duty as necessary.

Communication

• Develops, discusses, and communicates a realistic problem list (plan of care) for each patient in collaboration with each patient/family/significant other to address all identified needs.
• Develops patient/family teaching and discharge plan, ensuring patient/family is adequately informed of perioperative instructions.
• Follows procedures/preferences for pre-operative anesthesia interventions.
• Follows procedures for surgical interventions along with preferences of surgeon.
• Checks for availability and proper condition of necessary Instruments, supplies, and equipment prior to start of case.

Judgment

• Demonstrates the skills and judgment necessary to implement medical plan of care, nursing interventions and procedures as necessary for the care of the patient.
• Demonstrates knowledge of hospital policies and procedures for administering, transcribing, and recording medications.
• Demonstrates knowledge of commonly used meds: action, dose, and side effects.
• Observes 10 rights of medication administration: right med, right dose 1 right time, right route, right patient, right education, right documentation, right to refuse, right assessment, right evaluation (policy 105.724).
• Demonstrates proper procedures in all methods of medication administration.
• Initiates and maintains IV access according to hospital policy and procedures.
• Identifies priorities and executes nursing care accordingly.
• Provides emotional support and comfort measures.
• Gives Information or explanation to patients and their families.
• Applies and monitors principles of aseptic technique throughout the intraoperative period.
• Acts as a scrub/circulating nurse during the intraoperative phase.
• Assures safe transfer/transport of patient to and from operating room.
• Performs sponge, needle, and instrument counts according to policy and procedure.
• Ensures safety of patients during the use of electrical equipment.
• Preps the surgical site using aseptic technique.
• Correctly collects and accurately labels specimens.
• Confines and contains sources of contaminations.
• Revises physician's preference cards and communicates changes to appropriate personnel.

Documentation

• Maintains up to date accurate documentation of nursing care provided to assure the integration of information for use by the health care team, to ensure quality care.
• Nursing assessment is complete and accurate during pre-operative and post-operative phase of admission per policy.
• Medication administration record must reflect full documentation by nurse administering med, tin1e given, reason for omission, and site for injection (if applicable).
• Demonstrates proper access, documentation of narcotics in the Pyxis and EMR.
• Accurately and promptly documents unusual occurrences noted during the perioperative phase.

CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE

"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021 & 2022!

WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!