Registered Nurse, RN |Perianesthesia - Hillsboro Medical Center

Ensures the delivery of quality nursing care for patients undergoing surgical and non-invasive procedures in accordance with age-related and individual needs, physician's orders, hospital policy, standards of care and nursing practice.  Responsible for assessing the needs of patients, planning nursing care to meet those needs, and ensuring that the plan of care is carried out and documented according to the principles defined in the nursing process. 

Perianesthesia nursing care consists of 3 phases:

Preop:       (66101-DSU; 65911-TOPS Pre Post)

Phase I:     (66501 Recovery Room; 65911 TOPS Pre Post)

Phase II:    (66101-DSU; 65911-TOPS Pre Post)

KEY RESPONSIBILITIES 

Performed majority of the time -- 

• Performs and documents assessments and data collection in an ongoing and systematic manner for pre-op/post-op patients utilizing hospital and departmental charting formats
• Assemble required patient data for pre-op chart
• Administers medication as ordered by physician. via all routes safely and accurately according to procedure
• Utilize PACU equipment safely and accurately.
• Performs the following accurately following established procedures and manufacturer’s recommendations (see job description)
• Manages Hemodynamic in post-op patients as ordered utilizing specific supplies
• Assembles appropriate equipment and assists physicians as needed (i.e. insertion of art lines, spinal, epidural, and intubation).
• Follows the procedures for use of personal protective equipment, infection control, and disposal of hazardous waste and sharps.
• Participates in “Stand by call” according to department policy.
• Utilizes the nursing process of assessment, implementation planning and evaluation to deliver care to patients in the post anesthesia care unit.
• Prioritizes patient care based on essential patient needs and available unit resources of time, personnel, equipment and adapts efficiently to patient emergencies.
• Performs efficiently in emergency patient situations according to established policies/code procedures
• Adapts care to accommodate unexpected changes in patient status
• Identifies patient and/or significant other’s learning needs and implements appropriate measures to meet these.
• Utilizes the appropriate standard of care for the identified surgical or procedural diagnosis.
• Demonstrates self-directed learning and participation in continuing education.
• Demonstrates awareness of legal issues in all aspects of patient care and unit function and strives to manage situations in a reduced risk manner.
• Participates in QI and PI activities.
• Performs or appropriately delegates/coordinates tasks and duties of the health care team.
• Utilizes problem-solving techniques to make decisions regarding patient care and unit activity.
• Uses cost effective measures in the delivery of patient care.
• Communicates patient needs, changes in condition, and delays/time changes to staff, family members and patients as appropriate.
• Communicates an accurate and complete hand off report to staff members when transferring care of patient (i.e. breaks, lunch, and end of shift).
• Advocates for patient’s/significant other’s rights
• Effectively manages conflict utilizing effective working relationships with all health care team members, patients and significant others.
• Collaborates appropriately for the benefit of the patient and the department with respect for coworker’s differences while accomplishing tasks.
• Functions as a preceptor to new staff members.
• Participates in a cooperative effort to accomplish all unit tasks.

Performed occasionally but critical to successful performance of the job:

• Attends and participates in staff meetings, in-services and continuing education opportunities.
• Participates in the Quality Improvement process to help make decisions that focus on the patient/customer and what is best for the organization as a whole.
• Assists with coordination and monitoring of specialty supply loan/borrow process.
• Follows correct procedures in unusual and emergent procedures/ situations.
• Participates in annual inventory process.
• Implements skills of advanced cardiac life support in code blue situations.

Decision making and budget responsibilities (e.g. impact limited to the employee, entire unit or organization-wide):

• Promotes cost effectiveness through the proper use and conservation of supplies and equipment.
• Identifies cost saving measures.

JOB SPECIFICATIONS

Education:

Required

·         Associates Degree in Nursing.

Preferred

·         Bachelor or Master of Science in Nursing. 

Experience:

Required

·         N/A

Preferred

·         Phase I:  Minimum one year experience in PACU or Critical Care experience preferred

All Phases:

·         Membership in appropriate professional organization, preferred

·         Demonstrates skills in caring for pediatric, adolescent, adult and geriatric patients

·         Demonstrates excellent customer service skills

·         Demonstrates knowledge and understanding of rules/regulations established by governmental and regulatory agencies

·         Practices effective communication and interpersonal skills including written, verbal, and non-verbal

·         Utilizes a problem solving process to make decisions related to patient care and unit activity

·         Develops skills in use of hospital computerized information/ordering system

·         Demonstrates proper, professional appearance and personal conduct

·         Must clearly speak, write and communicate in the English language

·         Bilingual, with Spanish as second language, preferred

·         Previous outpatient ambulatory setting experience preferred-TOPS, DSU

·         For TOPS Pre Post department only (65911) to ensure appropriate skill mix, two years of Pediatric experience in Perianesthesia may be required for this position

Licenses, Certifications and/or Registrations:

Required

·         Current licensure as a registered nurse by the Oregon State Board of Nursing

·         American Heart Association Healthcare Provider BLS

·         ACLS Certification required within 6 months of hire

·         For TOPS Pre Post department only (65911) Pediatric Advanced Life Support (PALS) required upon hire; internal candidates required within 6 months of transfer

Preferred

·         CAPA, CPAN

·         Membership in appropriate professional organization

·         For PACU department (66501) and Day Surgery department (66101) Pediatric Advanced Life Support (PALS) certification

Job Related Skills, Abilities and Behaviors:

Required

·         Demonstrates skills in caring for pediatric, adolescent, adult and geriatric patients

·         Demonstrates excellent customer service skills

·         Demonstrates knowledge and understanding of rules/regulations established by governmental and regulatory agencies

·         Practices effective communication and interpersonal skills including written, verbal, and non-verbal

·         Utilizes a problem solving process to make decisions related to patient care and unit activity

·         Develops skills in use of hospital computerized information/ordering system

·         Demonstrates proper, professional appearance and personal conduct

·         Must clearly speak, write and communicate in the English language

·         Demonstrates high level of technical proficiency with equipment and instrumentation used for surgical procedures

·         Effectively manages the utilization of supplies

·         Maintains HIPAA compliance and other patient confidentiality policies

·         Follows policies for disposal of hazardous waste and sharps, use of personal protective equipment

·         Displays an in-depth knowledge of specialty procedures and instrumentation/equipment

·         Respects and advocates for patients/significant others rights

·         Performs or appropriately delegates all independent functions as defined in the Oregon Nurse Practice Act

·         Creates an environment in which diversity is encouraged and honored

Preferred

·         Bilingual, with Spanish as second language

Other:

Required

·         Standby call required for Recovery room specific positions

Preferred

·         N/A