Registered Nurse RN
Company: Insight Global
Location: Charlottesville
Posted on: April 18, 2024
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Job Description:
Relocation assistance and Sign on bonus available!
Insight Global is seeking a pre/post operative registered nurse for
an outpatient surgery center located in Charlottesville, VA. The
Registered Nurse is responsible and accountable for providing and
directing individualized care during the immediate preoperative and
postoperative period utilizing the nursing process and established
standards of care. This requires assessing, planning, implementing
and evaluating the care of patients through clinical knowledge and
skills. Will treat all customers with actions that contribute to
high levels of customer service.
***This description is not all-inclusive of the duties that may be
assigned***
RESPONSIBILITIES:
1. Selects and prepares appropriate supplies for the pre-operative
and post-operative based on the OR schedule, clinical knowledge,
and the physicians plan of care.
2. Has a clear understanding of the anesthetic agents and
medications used by Anesthesia.
3. Able to recognize, communicate, delegate, and coordinate
management of emergent situations in a rapid and effective
manner.
4. Provide direct and indirect patient care using the nursing
process to assess, plan, implement and evaluate patient
requirements as directed by the physician; use medical equipment in
accordance with standards; demonstrate continued competence in all
facets of ambulatory surgery.
5. Preceding Day:
a. Check the next day's schedule for assignment
b. If unfamiliar with the procedure, read up on it
c. Ensure each patient care area is supplied with necessary
supplies and properly functioning equipment.
6. Pre- Operative: Accurately and thoroughly completes and reviews
the pre-operative assessment prior to procedure time to include but
not limited to:
a. Identification of patient
b. Completion of consent forms
c. Review of chart for completeness
d. Contacts appropriate individuals regarding any abnormalities
e. Assessing of health status of patient through use of history and
physical and nursing assessment as related to:
1. Site preparation
2. Nutritional status
3. Emotional status
4. Patient's understanding of post-operative procedures
5. Time of last voiding
6. Time of last oral intake
7. Patient's perception of the procedure
8. Allergies
9. Health aide devices (dentures, etc.)
f. Interviews patient and completes patient history
g. Post-operative teaching instructions to patient and family
h. Documents all the above on appropriate forms
i. Have patient change into patient gown
j. Carries out any pre-operative physician orders
k. Performs peripheral IV puncture if ordered
7. Post Anesthesia Care Unit (Phase 1) - is proficient in assessing
the patient's level of anesthesia emergence in accordance with
policies and procedures and ASPAN standards by:
a. Receiving report from OR Nurse and/or Anesthesiologist
b. Monitors vital signs and reports initial and any abnormalities
to Anesthesiologist
c. Assesses patient's respiratory, cardiovascular, circulatory, and
neurological status
d. Maintains oxygenation and patent airway
e. Assessing fluid administration site and appropriate rate
f. Assesses tubes, drains, etc. for patency, drainage amount,
character, and position
g. Observe surgical site for bleeding
h. Administers medications safely and accurately
i. Executes physician's orders specified while in unit in a timely
manner
j. Implements patient comfort measures as appropriate (medication
for pain and nausea & vomiting, position changes, and temperature
control)
k. Documents all observations and nursing care provided accurately
and thoroughly on the appropriate forms.
l. Prevents cross-contamination through frequent and proper hand
washing using universal precautions
m. Discharges patient to Phase 2 according to physician's orders,
patient's condition, and standards of care
8. PACU Phase 2: Assesses the post-operative care of the patient in
accordance with the patient's condition, policies and procedures,
and standards of care by:
a. Receiving report from OR/PACU Nurse or anesthesiologist
b. Monitors vital signs according to policy and procedure
c. Assesses patient's respiratory, cardiovascular, circulatory, and
neurological status
d. Assessing fluid administration site and appropriate rate
e. Assesses tubes, drains, etc. for patency, drainage amount,
character, and position
f. Observe surgical site for bleeding
g. Administers medications safely and accurately
h. Executes physician's orders in unit in a timely manner
i. Implements patient comfort measures as appropriate medication
for pain and nausea & vomiting, position changes, and temperature
control)
j. Documents all observations and nursing care provided accurately
and thoroughly on the appropriate forms.
k. Prevents cross-contamination through frequent and proper hand
washing using universal precautions
l. Provides patient with food based on physician's orders
m. Educates patient and family on post-operative instructions
n. Discharges patient to post-operative area according to
physician's orders, patient's condition, and standards of care
o. Does pre and post-operative telephone calls
9. End of Day:
a. Collect all soiled and used supplies and take to decontamination
area
b. Take soiled trash, hazardous waste, and linen to linen/trash
room; any hazardous trash will be placed in red bags.
c. Restock all the patient areas
d. Put away all extra supplies
10. Maintains working status of instruments and equipment;
ascertains that broken and/or missing instruments are properly
repaired or replaced.
11. Observes cost containment practices; evaluates and maintains
appropriate inventory levels.
12. Respects and complies with decisions made by the Administrator
and the Clinical Director; communicates with others in a direct,
respectful, and effective manner; will treat customers with actions
that exemplify high levels of customer service.
13. Will address and respond to all complaints in a timely manner;
will notify Clinical Director of any physician or patient
complaints.
14. Will participate in the QI plan by tracking any data in
accordance with established guidelines.
15. Actively participates in staff meetings and in services and
professional organizations.
EDUCATION: Current Virginia RN license
ACLS required
PALS required
EXPERIENCE/ KNOWLEDGE: Minimum of three years knowledge and
experience in a Recovery Room and/or Intensive Care `preferred
Prefer Ambulatory Surgery experience
IV therapy skills required
Keywords: Insight Global, Charlottesville , Registered Nurse RN, Healthcare , Charlottesville, Virginia
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