Registered Nurse (RN)- Outpatient- OR Circulator, Orthopedic Surgery Center, PRN at Prisma Health

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Job Summary

Provides clinical direction for all aspects of patient care in an outpatient setting. Demonstrates clinical competency utilizing evidence based practices/research in all areas of the nursing process: assessment, planning, implementation, evaluation and outcomes. Incorporates knowledge of safety protocols, cost containment and quality improvement throughout the nursing process. Identifies patient, unit, and organizational priorities and incorporates into the nursing process.

Adheres to all compliance and policy and procedure requirements of the organization including, but not limited to: licensure renewal, assigned training, employee health screenings, time and attendance policy, dress code policy, patient confidentiality, infection control, medication administration. Demonstrates knowledge of regulatory agency requirements (e.g., AAAHC, JCAHO, DHEC). Provides care within the scope of the SC Nursing Practice Act.

The outpatient setting usually does not require staff to be scheduled for a significant amount of shift, weekend, holiday, and on-call work.

Accountabilities

Assessment - Collects data and completes nursing assessment utilizing appropriate area and/or age specific standards/policies and tools. Completes appropriate forms.  Assesses and recognizes subtle or actual changes in patients' status and patient response to intervention. Identifies nursing priorities for patient plan of care based on nursing assessment (and other data as appropriate).  Validates these priorities with healthcare team members and documents appropriately. - 20%

Planning/Outcomes: - Develops an individual plan of care based on the age and assessed needs of the patient. Develops the plan in collaboration with the patient and/or family, the physician, and other members of the interdisciplinary health care team. Updates the plan based on changes in the patient's condition and communicates changes in the plan to other members of the team. Identifies realistic and measurable goals and outcomes to be attained prior to discharge.  Validates these with the patient and/or family. Demonstrates respect for the patient's/family's cultural, spiritual, and belief system in planning for care. Includes planning for discharge to assure continuity of care and a smooth transition post discharge from one level of care to another (to include appropriate referrals). - 20%

Implementation - Provides direct care to assigned patients consistent with the established nursing plan.  Performs specific tasks based on organizational, departmental and/or unit policies and procedures within the RN scope of practice. Delegates nursing tasks as appropriate to members of the healthcare team, developing written assignments (if appropriate) and ensures completion of assigned tasks. Monitors quality of care delivered on a continual basis; ensures appropriate surveillance of assigned patients. Provides care based on  patient and unit priorities, coordinating and organizing tasks as appropriate, utilizing known resources internal and external to the unit.   Incorporates cost containment principles into nursing care. Assumes responsibility for patient safety by maintaining a safe environment to include awareness of safety procedures, protocols and adherence to patient care standards. Utilizes appropriate technology in daily practice. Utilizes performance indicators to collect data, monitor quality and effectiveness while providing nursing care.  Completes assigned hospital/unit performance improvement monitoring (audits).  - 20%

Evaluation: - Evaluates nursing plan of care for effectiveness and determines progress toward expected outcomes.  Revises diagnosis, outcomes and plan of care based on evaluation of data. Reports changes in patient status and refers unresolved problems to appropriate health team members.  Discusses outcomes with peers via shift to shift report and with other healthcare team members as appropriate. Evaluates opportunities for quality improvement and based upon evaluation, incorporates PI recommendation into nursing plan of care as appropriate. - 15%

Patient/Family Education/Teaching- Identifies/assesses patient/family learning needs and teaches accordingly by:

- using language and terminology that the patient/family is familiar with

- providing examples to clarify ideas

- implementing and evaluating teaching plan (encourages patient/familyinvolvement/participation)

- Micromedex utilization

- computer resources

Communicates the patient/family's need for education/teaching to others in the healthcare continuum. - 15%

Professional Accountability - Evaluates own nursing practice in relation to professional practice standard guidelines, state statutes, family policies, procedures, rules and regulations and current specific knowledge.  Maintains competency through education and professional activities.  Reflects on identified areas of strength that offer opportunity for improvement. - 10%

Supervisory/Management Responsibilities

This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

• Associate's Degree in Nursing. BSN preferred.

• One year experience as a registered nurse.

Required Licensure/Registrations/Certifications

• Licensed to practice as a Registered Nurse in South Carolina

In Lieu Of The Above Minimum Requirements

• In lieu of 1 year of registered nurse experience, will accept successful completion of the Prisma Health Nurse Residency Program or successful completion of a comparable residency from another organization.

• In lieu of 1 year of registered nurse experience, will accept 1 year of licensed practical nurse (LPN) experience.

Other Required Skills and Experience

• Basic Computer Skills

• Mathematical Skills

• Patient Equip (vitals, suction, defib)

Work Shift

Day (United States of America)

Location

104 Saluda Pointe Dr Lexington

Facility

1302 Prisma Health Orthopedic Surgery Center

Department

13021000 Prisma Health Orthopedic Surgery Center - Practice Operations

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