Charge Nurse – Wailuku Medical Offices – Day Surgery

Charge Nurse – Wailuku Medical Offices – Day Surgery – FT (40)

Job Summary

Using the nursing process provides nursing care and services to patients/families and coordinates care activities with other ASC professionals during the perioperative period. Provides direction to licensed practical nurses (LPNs) and nursing assistive personnel. Delegates nursing care according to legal and regulatory guidelines/statutes and organizational policies. Utilizes reasonable judgment in carrying out prescribed medical orders of a practitioner. Functions as primary nurse/total patient caregiver.

Serves as resource nurse. Acts as preceptor and takes charge duties as assigned.

• Utilizes nursing process to deliver safe patient care based on AORN standards during the surgical care continuum.
• Assessment:
  Demonstrates a systematic ongoing process to data collection. Recognizes pertinent data and prioritizes relevant to the operative or invasive procedure.
• Diagnosis:
  Identifies nursing diagnoses consistent with the assessment. Validates and documents nursing diagnosis. Outcome  expected outcomes unique to the patient setting priorities and timeline. Communicates expected and attained outcomes to HCP for continuity of care.
• Planning:
  Develops an individualized plan of care to attain outcomes. Communicates the plan with the patient and or support person, and HCP. Obtains and demonstrates the skills and knowledge needed to provide age-appropriate care to patients and families through education, training, and experience. Utilizes knowledge of type of procedure to plan for appropriate set up.
• Implementation:
  Implements nursing interventions consistent with the plan in collaboration with the patient. Modifies and incorporates new knowledge. Documents interventions to promote continuity of care.
• Coordination of Care:
  Coordinates patient care continually throughout the patient Perioperative experience. Delegates tasks and functions based on scope and competency. Organizes nursing activities in an efficient manner in both circulating and scrub role.
• Consultation:
  Seeks specialized dialogue appropriate to the patient. Facilitates communication between health care professionals to enhance patient outcomes.
• Evaluation:
  Evaluates patient progress toward attaining outcomes. Conducts systematic ongoing evaluation measuring the effectiveness of the interventions. Monitors the patient progress, documents the progress disseminates as appropriate.
• Safety:
  Identifies Emergency situations and institutes appropriate measures in emergency situation according to unit policy and procedures based on ACLS/PALS AHA guidelines.
• Medication Safety:
  Demonstrates awareness of appropriate medication use and follows all policies concerning medication administration. Demonstrates proficiency in care of patients receiving conscious sedation. Utilizes assessment and reassessment of patients response to medications. As appropriate, may administer intradermal local anesthetic for IV placement.
• Safe Environment:
  Perioperative nurse will follow safe patient handling and movement in the perioperative setting using correct body alignment in positioning and transferring patients. Follow the fire prevention and management plan per policy/procedure. Demonstrate proper use of equipment and supplies used with the perioperative setting.
• Safe Culture:
  Actively participates in communication that promotes safe care including but not limited to SBAR, Sponge, sharp/instrument counts, pre‑op briefing, and time out.
• Infection Control:
  Complies with all infection control policies and procedures to include; standard precautions, hand hygiene, and principles of aseptic technique.
• Teaches LPNs and nursing assistive personnel special tasks of nursing care.
• Follow specimen handling procedures.
• Sets priorities for patient and unit/clinic needs.
• Identifies patient care problems and ensures follow‑up.
• Verifies staff competency to perform special tasks of nursing care as appropriate.
• Coordinates departmental activities and staff to ensure optimum patient care and resource utilization.
• Develops and documents assignments taking into account patient needs and staff competencies.
• Monitors…