Registered Nurse GI RN

Summary

This position possesses the knowledge to assess, implement and monitor the patient care for a variety of diagnostic and therapeutic procedures scheduled in this department. Outlines individual care plans, implements, evaluates, and documents the care of a patient pre and post operatively/procedurally. Provides leadership to the Riecker Surgery Center team and communicates with patient and family, Surgery Center team and manager and ancillary departments.

Participates in staff development through preceptorship and continuing education.

• (30%)
  * Completes admission procedure and obtains appropriate signatures. Assesses both patients physical and psychological needs and notifies attending physician and anesthesia as needed. Supervises ancillary departments in preparing patients for surgery and administers appropriate medications. Checks patient chart for completeness and documents appropriately.
• (25%)
  * Assesses patient readiness for discharge and proceeds accordingly. Carries out physician orders and documents information in compliance with medical center policy. Demonstrates a thorough knowledge of individual physicians' routine. Assesses both patients physical and medical needs and provides proper follow-up as applicable to each patient.
• (25%)
  * Supervises activity in procedure room. Anticipates and coordinates any schedule changes for the room. Assists anesthesia as necessary. Provides conscious sedation and monitoring of patient. Assesses the needs of the procedural patient and develops a plan of care specific for that patient. Implements, evaluates and makes necessary adjustments to the plan of care keeping patient safety a priority.
• (10%)
  * Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care.
• (10%)
  * Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner.

• Cover call shifts as assigned.
• Regularly assesses patient's/client's needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice.
• Possesses a thorough knowledge of normal pre-operative, intra-operative and post-operative routine and conveys this information to both patient and family in a relaxed empathetic, reassuring manner.
• Demonstrates a good basic knowledge of anesthetic agents and their side effects/complications.
• Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information.
• Possesses thorough knowledge of individual physician preference regarding discharge instructions.
• Demonstrates appropriate communication and assessment skills with both family and patient.
• Seeks assistance of necessary support services to guarantee appropriate home care.
• Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables.
• Provide education to meet the individual needs and ability to learn.
• Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient.
• Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient.
• Demonstrates a general ability to manage assignments and perform routine duties on the unit.
• Instructs other team members when appropriate, explaining goals and rationale for individualized care.
• Implements clinical and technical aspects of care in accordance with established policies and procedures.
• Demonstrates understanding of clinical pathways and utilizes appropriately.
• Remains calm and efficient when working in stressful situations.
• Documents in an accurate, clear, and concise way and includes pertinent clinical data.
• Shares information and reports significant changes and/or abnormal findings to appropriate team members.
• Participates in regulatory surveys.
• Assures compliance with regulatory agencies standards such as The Joint Commission (TJC), Centers for Medicare Services (CMS), and Michigan Department of Public Health.
• Participates in staff development by attending in-services, completing net learning modules, attending educational opportunities, and preceptorships.
• Participates in the performance improvement activities.
• Assists with orientation and ongoing competencies.
• Provides a safe and secure environment for patient…