Registered Nurse, Rn |Perianesthesia

Position Summary

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 --

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

Performed occasionally but critical to successful performance of the job:

• Assists with coordination and monitoring of specialty supply loan/borrow process.
• Implements skills of advanced cardiac life support in code blue situations.
• Participates in annual inventory process.
• Attends and participates in staff meetings, in-services and continuing education opportunities.
• Follows correct procedures in unusual and emergent procedures/ situations.
• 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.

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

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

JOB SPECIFICATIONS

JOB SPECIFICATIONS

Education

Required

• Will consider Associate Degree in Nursing prepared if candidate is committed to enrolling in a BSN program within 2 years of hire and completing BSN program within 4 years of hire.
• Bachelor or Master of Science in Nursing.

Preferred

• N/A

Experience

Required

• N/A

Preferred

• Phase I: Minimum one year experience in PACU or Critical Care experience preferred
• PreOp/Phase II: Minimum one year experience in DSU or Med/Surg preferred

All Phases

• Demonstrates excellent customer service skills
• Membership in appropriate professional organization, preferred
• Demonstrates proper, professional appearance and personal conduct.
• Previous outpatient ambulatory setting experience preferred-TOPS, DSU
• Develops skills in use of hospital computerized information/ordering system.
• Must clearly speak, write and communicate in the English language
• Demonstrates knowledge and understanding of rules/regulations established by governmental and regulatory agencies.
• Utilizes a problem solving process to make decisions related to patient care and unit activity
• 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
• Practices effective communication and interpersonal skills including written, verbal, and non-verbal.
• Bilingual, with Spanish as second language, preferred.
• Demonstrates skills in caring for pediatric, adolescent, adult and geriatric patients

Required

Licenses, Certifications and/or Registrations:

• American Heart Association Healthcare Provider BLS.
• Current licensure as a registered nurse by the Oregon State Board of Nursing.
• ACLS Certification required within 6 months of hire.
• For TOPS Pre Post department only (65911) Pediatric Advanced Life Support (PALS) required upon hire; current employees have until 1/6/19 to attain PALS certification.

Preferred

• CAPA, CPAN.
• Membership in appropriate professional organization.

Required

Job Related Skills, Abilities and Behaviors:

• Effectively manages the utilization of supplies.
• Develops skills in use of hospital computerized information/ordering system.
• Displays an in-depth knowledge of specialty procedures and instrumentation/equipment.
• Utilizes a problem solving process to make decisions related to patient care and unit activity
• Demonstrates skills in caring for pediatric, adolescent, adult and geriatric patients
• Maintains HIPAA compliance and other patient confidentiality policies.
• Follows policies for disposal of hazardous waste and sharps, use of personal protective equipment.
• Respects and advocates for patients/significant others rights.
• Demonstrates excellent customer service skills
• Practices effective communication and interpersonal skills including written, verbal, and non-verbal.
• Creates an environment in which diversity is encouraged and honored.
• Demonstrates knowledge and understanding of rules/regulations established by governmental and regulatory agencies.
• Must clearly speak, write and communicate in the English language.
• Demonstrates proper, professional appearance and personal conduct.
• Demonstrates high level of technical proficiency with equipment and instrumentation used for surgical procedures.
• Performs or appropriately delegates all independent functions as defined in the Oregon Nurse Practice Act.

Preferred

• Bilingual, with Spanish as second language.

Other

Required

• Standby call required for Recovery room specific positions.

Additional Posting Information

Hillsboro Medical Center believes in providing equal employment opportunities for all qualified individuals. Recruitment, hiring, promotions, transfers, working conditions, training, and compensation will be based on qualifications without regard to race, color, sex, sexual orientation, gender identity, religion, age, creed, national origin, marital status, family relationship, veteran status, genetic information, physical or mental disability, or any other status or characteristic protected by applicable law. We further commit ourselves to continuing the practical application of this policy in our daily business conduct.