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RN Registered Nurse Surgery Outpatient

Company: Methodist Health System
Location: Council Bluffs
Posted on: January 15, 2021

Job Description:

  • Purpose of Job
    • Accountable for the delivery of quality care to patients and families according to the individualized needs of the patient.
    • Job Requirements
      • Education
        • Bachelor of Science in Nursing (BSN) from an accredited school of nursing preferred.
        • Graduate of an accredited school of nursing required.
        • Satisfactory completion of annual mandatory education requirements.
        • Experience
          • No experience necessary.
          • License/Certifications
            • Current valid Registered Nurse (RN) License, valid compact multistate license to work, or a temporary permit while awaiting licensure required.
            • Maintain current American Heart Association Basic Life Support (BLS) Certification required.
            • Preferred: core certification related to area of specialty from National Certification Corporation (NCC) within 1 year of eligibility.
            • Skills/Knowledge/Abilities
              • Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
              • Ability to multi-task and prioritize work assignments.
              • Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.
              • Physical Requirements
                • Weight Demands
                  • Medium Work - Exerting up to 50 pounds of force.
                  • Physical Activity
                    • Occasionally Performed (1%-33%):
                      • Climbing
                      • Crawling
                      • Kneeling
                      • Sitting
                      • Frequently Performed (34%-66%):
                        • Balancing
                        • Carrying
                        • Crouching
                        • Distinguish colors
                        • Keyboarding/typing
                        • Lifting
                        • Pulling/Pushing
                        • Repetitive Motions
                        • Stooping/bending
                        • Twisting
                        • Constantly Performed (67%-100%):
                          • Fingering/Touching
                          • Grasping
                          • Hearing
                          • Reaching
                          • Seeing/Visual
                          • Speaking/talking
                          • Standing
                          • Walking
                          • Job Hazards
                            • Not Related:
                              • Electrical Shock/Static
                              • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
                              • Rare (1-33%):
                                • Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)
                                • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only
                                • Occasionally (34%-66%):
                                  • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
                                  • Equipment/Machinery/Tools
                                  • Explosives (pressurized gas)
                                  • Hazardous Drugs (exposure risks, personal protective equipment required)
                                  • Frequent (67%-100%):
                                    • Chemical agents (Toxic, Corrosive, Flammable, Latex)
                                    • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
                                    • Mechanical moving parts/vibrations
                                    • Essential Job Functions
                                      • Essential Functions I
                                        • Provides appropriate care specific to the age and population of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.
                                          • Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs and culture.
                                          • Performs an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs.
                                            • Includes data from the patient/significant other(s) in the assessment as appropriate.
                                            • Prioritizes data collection according to patient's immediate needs.
                                            • Uses assessment findings in discharge planning.
                                            • Participates in surgical time-out, fire risk assessment, and case summary for each operative procedure.
                                            • Wears appropriate Personal Protection Equipment (PPE) and follows standard and policy for attire in the Operating Room (OR).
                                            • Identifies labels and handles specimens according to facility policy and procedure, including hand-off situations and disposition of specimen.
                                            • Applies base knowledge of anatomy and physiology, medical terminology, microbiology and pharmacology for optimal surgical patient care.
                                            • Implement a plan of care:
                                              • Protects the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources.
                                              • Assist with patient positioning. Communicate any pre-op assessment that may impact the position.
                                              • Performs counts according to facility policy and procedure during procedures and hand-off situations to protect the patient from unintended retained surgical items.
                                              • Performs interventions to maintain patient normothermia during the operative procedure.
                                              • Performs interventions to protect the patient from surgical site infection.
                                              • Applies the principles of asepsis and sterile technique during the surgical procedure.
                                              • Provides care for all patient populations (i.e. pediatric, adolescent, geriatric) as needed, identifying specific needs of population.
                                              • Act as patient advocate and maintain privacy and confidentiality of individuals and health information.
                                              • Develops/reviews/revises and individualizes the plan of care to address the patient's nursing care needs for optimum patient care outcomes.
                                                • Collaborates with physicians and other clinical disciplines as appropriate.
                                                • Provides teaching specific to the patient's health care problem.
                                                • Care plan reflects continuing care needs and/or referrals for discharge/transfer.
                                                • Implements interventions that are consistent with the established plan of care in a safe and appropriate manner.
                                                  • Is familiar with, and follows, nursing protocols and standards of care for their unit.
                                                  • Uses current knowledge in nursing practice based on standards and research literature.
                                                  • Administers medication without error and utilizes critical thinking regarding medication effects on patient.
                                                  • Evaluates patient care to determine response to care/interventions for optimal patient outcome.
                                                    • Monitors outcomes and documents patient response to interventions.
                                                    • Evaluates the patient's capabilities and/or limitations related to nursing and medical interventions.
                                                    • Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal.
                                                    • Gives a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements, to include SBAR content, and is familiar with the overall plan of care.
                                                    • Recognizes and addresses patient and family capabilities and limitations (physical and mental).
                                                    • Performs technical skills competently and independently to assure patient safety (autonomy).
                                                      • Able to competently perform technical skills independently.
                                                      • Is accountable to learn new skills and equipment within areas' specifications and time frame.
                                                      • Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.
                                                      • Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
                                                      • Charges accurately for use of supplies and equipment according to policy.
                                                      • Maintains competence in area of experience.
                                                      • Know location and operation of emergency equipment and supplies.
                                                      • Assures equipment is in working order prior to use, and follows procedures to send malfunctioning equipment for repair.
                                                      • Performs surgical scrub role, adhering to all essential functions demonstrated in that role.
                                                      • Demonstrates proper use of instruments, equipment, suturing, and stapling devices.
                                                      • Actively performs time out procedure and case summary: assuring participation of all team members.
                                                      • Maintains a professional behavior in attitude, demeanor, interactions to achieve organization's mission.
                                                        • Participates in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.
                                                        • Identifies and participates in performance improvement activities.
                                                        • Adjusts hours to meet patient services when cases are more or less than scheduled.
                                                        • Maintains compliance with the department call coverage.
                                                        • Adapts to change in a positive, professional manner.
                                                        • Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns).
                                                          • Completes appropriate report form for any risk (e.g., incident report, patient concern report, maintenance request).
                                                          • Works within the scope of practice as defined by the Nurse Practice Act.
                                                          • Observe appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
                                                          • Follows infection control guidelines and practices.
                                                          • Demonstrates an ongoing awareness of, and participation in the Performance Improvement program. Is alert to potential performance improvement problems and actively participates in solving such problems.
                                                          • Reviews..... click apply for full job details

Keywords: Methodist Health System, Council Bluffs , RN Registered Nurse Surgery Outpatient, Healthcare , Council Bluffs, Iowa

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