Job Objective :
Under the supervision of the Director of Surgical Services and / or the OR Charge Registered Nurse, is responsible for the nursing care of patients undergoing surgical and / or other invasive procedures. The RN shall function under the guidelines of AORN Standards, as well as the policies and procedures of the hospital.
Essential Duties :
Meets all essential duties of a Registered Nurse
1. Nursing Process
Applies nursing process in direct patient care.
- Responsible for creating a safe and comfortable environment for the surgical patient
- Insures that patients have a safe intraoperative period from general, regional or local anesthesia
- Provide accurate and ongoing patient assessment
- Creation and maintenance of quality care provided for patients undergoing surgery
- Allows the patient to participate in his / her care and respects and carries out wishes accordingly, i.e. decision to decline blood transfusion, etc
- Acts as patient advocate while patient is impaired either under general anesthesia, regional or sedation
- Accounts for sponges, needles, instruments, and sharps during intraoperative phase
Skills and Abilities :
Meets all skills and abilities of a Registered NurseKnowledge and application of surgical asepsis and sterile techniqueAbility to work under pressure in a fast-paced environmentKnowledge of proper supplies equipment and instrumentation needed for surgical procedures, i.e. electrocautery, patient monitoring equipment, and equipment such as neurological, cardiovascular, orthopedic equipment during proceduresDemonstrates competency in use of the new technologies relating to equipment and proceduresAbility to take charge of unit for the assigned shift, within two year from date of hireMust complete accredited Perioperative Nursing Course and Preceptor Program and / or a one year surgical experienceFacilitates education / growth of employees / studentsDemonstrate ability to supervise care provided by othersAdheres to accepted policy and procedure in providing patient careRequired Licensure and / or Certifications :
Meets all required licensure and / or certifications of a Registered NurseBCLSNational certification such as Certified Nursing in Operating Room (CNOR) desirableWorking Conditions :
Meets required working conditions of a Registered NurseMay be required to take night as well as weekend call shifts in rotation with other OR staffA detailed description of the physical requirements of this job is maintained in the Employee Health Department.
Job Objective :
A Registered Nurse is responsible for the nursing care of patients as established by the Nursing Practice Act of the Board of Registered Nursing of the State of California and as guided by policies and procedures of the hospital.
Duties and Responsibilities :
Nursing ProcessApplies nursing process in direct patient care :Provides accurate assessment and documentation of physiological, psycho social, cultural, developmental, socioeconomic, and spiritual needs of patient as evidenced by assessment within time frame appropriate for level of careProvides logical sequence of action, updates nursing care plan as evidenced by notations on care plan, provides evaluation each shift of patient’s progress In relation to the patient care plan, if applicable to area of careProvides Information to patient / family relating to educational resources available, Directs patient / family educational processProvides discharge planning beginning on admission with appropriate referrals and update as required by the patientAdheres to the admission and transfer criteriaAdheres to all current policies and procedures in providing patient care and seeks clarification if needed.Evaluates and documents outcomes of medical, nursing, and ancillary team interventionsIncorporates time management skills in accomplishing careNursing Care Delivery ProcessKnowledgeable regarding current nursing practices and proceduresDemonstrates knowledge and use of resources and formsDemonstrates knowledge of hospital structure and administrative resourcesDemonstrates ability to interpret rules and regulationsKnowledge of legal aspects of nursing careDemonstrates knowledge of legal documents pertinent to unit / area of careDemonstrates knowledge of Patient rightsActs as liaison between medical staff and patient care teamTechnical EquipmentAble to operate technical equipment in area of care, safely, efficiently, and accuratelyEnvironmentAssists in maintenance of a safe, comfortable and therapeutic environmentAssesses safety / cleanliness of patient / unit environment and reports conditions requiring changeUtilizes resources, equipment, and supplies efficiently and with cost awarenessReports hazardous conditions to appropriate department for correctionUses clean and aseptic techniques for protection of patients and personal safetyPrevents contamination and / or transfer of Infection by use of the Exposure Control Plan and Standard Precautions in daily workDemonstrates knowledge of emergency codesLeadership / ProfessionalismSupervises care provided by othersAssumes responsibilityfor quality of care givenGives accurate and concise patient care report to appropriate personsGives accurate, concise patient care reportsDemonstrates knowledge of scheduling guidelinesMaintains professional attitude and effective working relationships with fellow staff members, other departments, patients’ families, medical staff and volunteersFunctions appropriately and effectively under pressure. Provides care as part of team effort in crisis or emergency situationAdheres to all privacy laws when dealing with confidential and protected health information (PHI)Maintains the confidentiality of patient, hospital and department informationAdheres to the Code of ConductAdheres to all Antelope Valley Hospital Compliance & Integrity Program policies and procedures including the duty to report compliance violations and the duty to disclose conflicts of interestCompletion of all mandatory initial and annual training within assigned time frames per established guidelinesDemonstrates ethical decision making, integrity, and a willingness to promote a culture of safetyCommunicationCommunicates effectively with patients, families, visitors, and physiciansResponsible for problem solving and crisis intervention related to physicians, patients, families, and staffFollows the Chain of Command and Conflict Management process established by AVHDisplays a willingness to follow directions and to accept and utilize constructive criticismAge Specific & Cultural RequirementDemonstrate knowledge regarding special needs and behaviors of age specific and cultural groupsParticipates in age specific and cultural educational and training programsDemonstrates proficiency in required age specific and cultural competenciesNon-Essential Duties :
Participates on unit or hospital based committeesOther duties as assigned, within compliance with Title 22, The Joint Commission, and CMS.Knowledge, Skills and Abilities :
Knowledge
Supports and adheres to the values and mission statement established by the AVH Board of DirectorsConforms to required accreditation standards.Conforms with and supports hospital quality management and performance improvement guidelinesSkills
Skill and ability to follow telephone etiquette / standardsDisplays a willingness to work as a team playerSafely and effectively uses all equipment necessary to carry out dutiesAbilities
Ability to adhere to all established AVH policies and procedures and to interpret and function under these.Ability to organize work and establish prioritiesAbility to expand on own initiative in performance of dutiesAbility to function effectively under pressure and meet time parametersAbility to relieve clerical staff at desk, or to adopt any function commonly assigned to unlicensedassistive personnel, or as allowed within scope of nursing practice, as neededAbility to give and support the highest level of patient / customer satisfaction at all timesAbility to be flexible in meeting staffing requirements of the facilityAbility to meet basic health requirements and physical job standardsAVH Values : All AVH employees will effectively demonstrate these values :
Patients Come First – We listen actively and communicate with our patients and families, placing safety as a top priority.Accountability & Ownership – We fully complete tasks, are transparent, effectively communicate, and recognize that what we do reflects on us.Teamwork – We build trusting relationships, promote a sense of community, and are respectful of everyone. Success is about the whole team.Integrity & Honesty – We tell the truth at all times, speak up when something is wrong, and do the right thing when no one is looking.Excellence – We take pride in our work, are goal-oriented, and on a never-ending quest for top tier quality.Initiative & Innovation – Our can-do attitudes, creativity, and resourcefulness empower us to improve the patient’s experience, solve our own problems, make timely decisions, and look for opportunities to add value.Tenderness & Compassion – We have genuine empathy, show kindness, and encourage and advocate for each other.Education and Experience :
Education
Maintains current licensure, certifications, education, and physical health standardsParticipates in mandatory and / or optional educational activities / offerings. Attends staff meetings regularly and as required by assigned unit
Demonstrates knowledge and competency on hospital information technologies used in the designated patient care area.Successfully completes written and practical competencies annually or otherwise as assigned.Experience
Two years’ acute care nursing preferred, new grad training provided as appropriateRequired Licensure and / or Certifications :
Current California Registered Nursing licenseBCLS CertificationACLS, PALS, and / or other additional Certifications required for some specialty areasResuscitation credentials such as (BLS, ACLS, PALS, etc) are required before completion of orientation period.AVH Conduct / Compliance Expectations :
Ability to adhere with AVH Absenteeism and Tardiness PolicyAbility to adhere with AVH Leaves of Absence PolicyAbility to adhere with AVH Paid Time Off (PTO) PolicyAbility to adhere with AVH Recording of Hours Worked PolicyAbility to adhere to the department dress codeAbility to organize work and establish prioritiesAbility to expand on own initiative in performance of dutiesSkill and ability to follow the telephone etiquette / standardsConforms to AVH Standards of ExcellenceAbility to function effectively under pressure and meet time parametersAbility to communicate effectively while maintaining good working relationships with co-workers, managers and other hospital staffAbility to adhere to the normal standards of courtesy and conduct as defined under the rules of hospitality at AVHAbility to maintain the confidentiality of patient, hospital and department informationAbility to adhere to safety rules and regulationsSafely and effectively uses all equipment necessary to carry out dutiesAbility to interpret and function under hospital and department policies and proceduresConforms with required and appropriate The Joint Commission requirementsConforms with and supports hospital quality assurance and improvement guidelinesAbility to participate effectively in department and hospital staff educationDisplay a willingness to work as a team playerAbility to give and support the highest level of patient / customer satisfaction at all timesSupports and adheres to the values and mission statement established by the AVH Board of DirectorsAbility to demonstrate knowledge and understanding of the Compliance & Integrity Program and its established policies.Ability to follow the Code of ConductPhysical Requirements and Working Conditions :
Work often performed under stressful, emotional, and physical conditionsAccepts additional workload during times of unexpected circumstances, e.g., high activity, high census, and sudden emergenciesMay be exposed to contaminated instruments that may cause infections, burns, or cutsMay also be exposed to wet and / or humid conditions, fumes or airborne particles, toxic or caustic chemicals, risk of electrical shock, and risk of radiationA detailed description of the physical requirements of this job is maintained in the Employee Health Department.
NOTE : THE ABOVE STATEMENTS ARE INTENDED TO DESCRIBE THE GENERAL NATURE AND LEVEL OF WORK PERFORMED BY PEOPLE ASSIGNED TO THIS JOB. THIS DOCUMENT IS NOT INTENDED TO BE AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, SKILLS, AND WORKING CONDITIONS FOR THE PERSONNEL SO CLASSIFIED.
Required Licensure and / or Certifications :
Meets all required licensure and / or certifications of a Registered NurseBCLSNational certification such as Certified Nursing in Operating Room (CNOR) desirable