REGISTERED NURSE SURGICAL

Primary function.

Proficiently provide quality patient care to the surgical patient with minimal risk to the patient.

Duties and responsibilities

• Performs comprehensive nursing assessments in an efficient manner.

• Conducts full body system analysis.
• Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action.
• Administers and performs nursing assessment in accordance with the applicable patient type which may include: Medical, Surgical, Obstetrical, Newborn, Pediatric, and or Telemetry/cardiac patients.
• Performs all aspects of blood component administration by following applicable procedures and protocols.

• Follows lab procedure for sign out.
• Obtains patient consent appropriately.
• Ensure identification and documentation procedures are followed.
• Monitors and responds in an appropriate and effective manner to untoward events.
• Performs intravenous therapy dynamics by following administration principles in an effective manner.

• Monitor’s fluid replacement/electrolyte imbalance.
• Effectively handles the operations of various I.V. related equipment, including I.V. pumps and P.C.A. pump.
• Performs I.V. access skills proficiently.
• Administers I.V. Additives appropriately.
• Effectively performs PICC, midline, port access and maintenance.
• Collaborates with Medical Staff, management, and other health care providers to coordinate medical and nursing management of patient care from admission through discharge.

• Promotes team concept through effective communication regarding patient condition, patient care plan, and patient satisfaction with appropriate individuals that are involved in the patient’s care.
• Works effectively with ancillary areas as part of the team approach to patient care.
• Directs patient support team members effectively and appropriately.
• Demonstrates initiative and flexibility in the provision of patient care.
• Informs and involves manager regarding patient care issues in a timely and appropriately manner.
• Maintains and performs all patient related documentation

• Utilizes only approved abbreviations in all documentation.
• Accurately reflects the plan of care.
• Follows all policies and procedures related to the documentation requirements.
• Performs Emergency treatment as required.

• Initiates or assists in patient care in an effective and responsive manner as each situation requires.
• Triages each Emergency situation appropriately and involves other resources as appropriate.
• Administers and performs emergent care in accordance with the applicable patient population type which may range from newborn to geriatrics.
• Follows standards of BLS, ACLS, NRP preventions as needed.
• Follows emergency policies, procedures, and protocols in an effective manner.
• Promotes and ensures patient safety in all aspects of responsibilities.

• Follows procedures and protocol to ensure safe administration of medications and monitoring for adverse effects.
• Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self.
• Implements infectious disease controls as appropriate including isolation procedures, proper use of hand washing and gloves.
• Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials.
• Performs OR Circulating Duties.

• Observes surgical staff for sterile technique and intervenes when sterility is compromised.
• Maintains patient’s body temperature by utilization of BAIR Hugger and warm I.V. fluids and Irrigation.
• Assists with patient positioning while protecting boney prominences.
• Accompanies patient from OR to the RR and ensures the patient’s condition is stable before returning to the OR.
• Gives a detailed report to the RR nurse to include type of procedure done, any complication, Intake and Output, and estimated blood loss.
• Ensures family notification of patient’s condition during the procedure.
• Completes other duties as assigned to include, but not limited to the following.

• Is able to perform Recovery Room Nurse Duties.
• Assists with outpatient procedures to include GI procedures, biopsies, excisions, etc.
• Assist with Surgery and OP procedure scheduling.
• Reviews preoperative lab results, EKG’s, and H&P prior to day of procedure
• Assists with Quality Assurance and Infection Control Audits.
• Participates in a rotating on call schedule and shows flexibility in schedule adjustments.
• Performs First Assistant scrub duties after adequate training.
• Performs all other duties as assigned.

Qualifications

Qualifications include:

• Graduate of accredited school of practical nursing.
• Current Missouri RN License
• BLS and ACLS certification required; NRP preferred. If certifications are not current upon hire, must complete within six months.
• Minimum 2 years of Acute Care experience required.

Working conditions

Incumbent will be exposed to virus, disease, infection from patients. May include working variable hours, work nights, weekends, and holidays.