Operating Room Rn- Contract & Per Diem-North Shore University Hospital- Flexstaff

Job Responsibilities:

• Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate.
• Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously.
• Assesses level of pain and pain management.
• Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status.

• Communicates/documents patient’s physiologic health status and plan of care.

• Elicits perception of medical/nursing care and the expectation of care;
• Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction;
• Determines coping mechanism, knowledge level, and ability to comprehend;

• Communicates and documents psychological status and care plan; support group, counseling services, social services.

• Develops criteria for measurement of patient outcomes;
• Identifies patient’s need for teaching based on psychosocial and developmental assessment;
• Identifies actual/potential patient problems;

• Develops patient outcome statement (s) and establishes individualized patient goals.

• Documents the plan of care and collaborates with physicians and other health team members.
• Identifies care activities and establishes the priorities necessary to achieve expected outcome;
• Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome;

• Exercises professional skills related to the plan of care;
• Correctly administers prescribed treatments;
• Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.);
• Reassesses patients as needed and appropriately revises plan of care;

• Applies scientific principles in performing procedures; carries them out safely, timely and efficiently.
• Provides emotional support to patient and significant other;
• Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions.
• Correctly uses equipment necessary for patient care;
• Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate.

• Acts rapidly and effectively during any emergency situation, managing self, patients and other employees.
• Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers.
• Uses appropriate methods of documentation according to departmental policy;
• Provides discharge instructions to patient and significant other.
• Participates in planning for discharge and coordinates referrals, as appropriate.

• Keeps accurate documentation of patient’s treatment, activity and condition.
• Designs, implements, and evaluates systems to improve care in Unit.
• Performs variance analysis related to outcome data for performance improvement.
• Demonstrates ability to measure effectiveness of care provided and documents same.

• Uses appropriate methods of documentation according to departmental policy.

• Collaborates with the appropriate physician on patient’s plan of care.
• Accurately interprets and implements treatment regimen as prescribed by the Physician.
• Assists the Physician during treatments and/or diagnostic procedures;

• Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion.
• Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate;

• Applies simple dressings, maintaining principles of aseptic technique;
• Performs preventive skin care measures

• Performs irrigations, consistent with Facility procedure;
• Applies warm & cold compresses, consistent with facility procedure;
• Performs other procedures related to skin care, as necessary.

• Correctly identifies medication: action; dosage; side effects and implications for the patient;

• Demonstrates preparation of I.V. drips;
• Administers and documents medication correctly;
• Demonstrates preparation of local solutions;
• Meets standard on medication administration examination;
• Administers IVP medication as per department policy and procedure;

• Educates patients and significant others related to drug and food interactions.

• Provides the patient with an explanation of his/her condition as indicated;
• Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching;
• Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies;

• Evaluates the effectiveness of teaching by feedback from patient/family and documents same.
• Provides for early discharge planning and appropriate referrals for post-hospital care;

Job Qualifications:

• Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after September 1, 2010 and obtain a BSN Degree within five (5) years of employment date.
• BCLS preferred.
• Current license to practice as a Registered Professional Nurse in New York State.