Registered Nurse; RN; Joint Nurse Navigator & Pre Surgical Assessment

Registered Nurse (RN) - Total Joint Nurse Navigator & Pre Surgical Assessment# Careers## Registered Nurse (RN) - Total Joint Nurse Navigator & Pre Surgical Assessment Apply:
Riverside Smithfield Hospital - Smithfield, VA:
Full time:
Posted Today:
Smithfield, Virginia
** Hiring Range**$36.50 - $50.23/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.

This is a hybrid position acting as a Total Joint Nurse Navigator and Pre Surgical Assessment Nurse.  
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* What you will do:

**** Pre Surgical Assessment RN
*** Patient assessment and evaluation  + Conduct comprehensive nursing assessment including medical history, medication review and allergy verification  + Review diagnostic results (labs, EKG, Chest-xray, ETC) and identify potential perioperative risks.  + Collaborate with anesthesia providers and surgeons for medical clearance.
* Care Coordination  + Facilitate required consults (cardiology, endocrinology).  + Ensure timely scheduling and completion of preoperative testing.  + Communicate patient readiness and special considerations to the surgical and anesthesia teams.
* Patient Education  + Provide education on surgical preparation, NPO guidelines and medication management.
* * Act proactively to reduce same-day cancellations and complications.
*** Total Joint RN Navigator
*** Demonstrates ability to assess patient clinical and psychosocial needs by applying standards of practice as it relates to the specialty or patient population served. Completes preoperative screening calls and appointments completely and accurately. Assesses patient condition, history, and needs via chart review, telephone and/or in person in order to ensure optimization for procedure/surgery.
* Appropriately identifies significant findings and demonstrates a sense of urgency to escalate these findings to the appropriate member of the patient care team in a timely manner. Ensures significant issues are followed up on appropriately and in a timely manner and escalates to the leadership team as needed. Organizes and plans daily activities in order to balance quality care with efficient use of time and resources.

Accurately completes all required clinical and quality documentation consistently per RHS standards and regulatory requirements. Completes pre-assessment screening documentation in the electronic medical record in a timely manner. Clearly and accurately documents interactions with patients and caregivers throughout the pre-assessment process. Documents findings that require anesthesia review in a clear, concise manner to ensure effective communication with the anesthesia provider team.
* Collaborates with providers on patient needs, barriers and assessment changes to include understanding their individualized diagnosis, comorbidities, medications, procedures and rehabilitation. Collaborates with physicians, advanced practice providers, nursing leadership, therapy staff and support services to facilitate and promote improved patient outcomes. Works with specialty program patients and collaborates with the interdisciplinary team to guide, assist and transition patients/families through the treatment continuum.

Serves as the lead for pertinent collaborative committees and attends and other quality and committee meetings as appropriate.
* Facilitates PI activity for the total joint program. In collaboration with organization leaders, prepares the organization for the accrediting body certification review survey.
* Educates patients and their caregivers by assuming responsibility to individualize and coordinate patient education regarding pre- procedure/pre-op instructions. Provides patient and/or caregivers with clear, detailed instructions regarding preparation and arrival for their procedure/surgery as well as what to expect on the day of their procedure and during their immediate recovery period. Evaluates for patient and/or caregiver comprehension and documents accordingly.

Responds to patient inquiries related to their pre-procedural/pre-op instructions. Contacts the identified surgical population, including but not limited to the joint replacement patients, post-surgery at various intervals through recovery to reinforce discharge instructions, medications, rehabilitation/recovery plans and adherence to follow up appointments. Provides leadership for the Hip and Knee Replacement Program and assist with standardization of processes across the care…