Job Summary
Provides planned, skilled nursing care for patients in the critical preoperative and postoperative periods. Provides continuous patient surveillance for early recognition and immediate emergency treatment of medical or surgical complications that may arise in any postoperative patient.
Qualifications
- Graduate of accredited school of nursing required.
- Current state licensure required.
- Experience in postoperative or critical care area preferred.
- CPR/ACLS certification required.
Mental Demands
Require constant and frequent judgment and response; occasionally in response to disasters or emergencies, actual events or drills. Require language skills adequate for high‑level written and interpersonal communication in American English.
Physical Demands
Require high‑level visual and auditory acuity for timely response and patient care assessment activities. Ability to move quickly in response to physician and patient needs, to stand for long periods, occasional overhead and low reaching, and to exert force of up to 50 lbs occasionally, up to 20 lbs frequently and/or up to 10 lbs constantly. Patient care activities may require the ability to exert force of up to 30 lbs constantly, up to 40 lbs occasionally and up to 100 lbs rarely.
Occupational Exposure
Category I exposure to bloodborne pathogens; frequent exposure to chemical hazards; may encounter radiation hazards.
Essential Functions and Objectives
- Supports the philosophy, goals, and objectives of the Organization.
- Supports, and performs according to, approved policies and procedures.
- Participates as a team member in support of the total perioperative process.
- Considers patient rights in performance of job duties.
- Participates as a functional team member in admitting and discharging patients in a safe and timely manner.
- Contributes to the progress and development of the approved Quality Management Program.
- Supports risk management and participates in programs directed to patient and staff safety.
- Contributes to the quality management process; identifies role and contributions to functional teams; participates in data collecting; collaborates with team to identify opportunities to improve patient safety.
- Objectively evaluates suggestions, grievances, procedures to identify opportunities to improve performance and quality of care.
- Places the best interest of the Team (and OESC) ahead of self interests.
- Accepts changes in patient care assignments with a positive attitude and response.
- Readily accepts changes in work schedule to meet unanticipated OESC scheduling needs.
- Communicates effectively with patients, visitors, physicians, and coworkers.
- Interactions are respectful and courteous.
- Communicates effectively on the patient’s level, keeping in mind age, mental ability and education. Uses a translator when necessary.
- Documents pertinent patient information on the chart and gives report to appropriate staff.
- Communicates effectively and educates the patient regarding the admission and discharge processes as they occur.
- Recognizes when there is a need for patient’s caregiver and/or family member to assist in the admission process.
- Maintains and promotes professional competence through continuing education and other learning experiences.
- Attends and actively participates in team meetings, committees, conferences, and quality management activities.
- Researches and submits pertinent articles and information for review at staff meetings.
- Seeks new learning experiences by accepting challenging opportunities and responsibilities.
- Objectively evaluates suggestions and constructive criticism presented by administration or team members.
- Maintains current RN license and fulfills obligation for required continuing education.
- Attends mandatory and voluntary meetings, in‑services, workshops, seminars and conferences according to job responsibilities.
- Assists with orientation and training of new personnel.
- Completes “team” assignments within the required guidelines.
- Adheres to safety policies and procedures in performing job duties and responsibilities.
- Reports observed or suspected violations, hazards, and noncompliance according to Facility policy.
- Observes safety measures and enforces compliance with safety and security policies and procedures.
- Responds to emergency situations with competence and composure; familiar with alarm sounds, code alarms, crash cart, eye wash stations and spill kits.
- Interacts appropriately with various age groups.
- Accurately assesses and interprets age‑specific patient data and communicates appropriately.
- Involves the patient’s family/significant other in decision‑making about the patient’s care.
- Provides age‑appropriate care during pre‑ and postoperative periods.
- Recognizes when to seek assistance in resolving problems.
- Effectively organizes time, equipment, supplies, and personnel.
- Organizes nursing activities efficiently; considers staff abilities when delegating.
- Prioritizes patient care and uses available time to prepare for the next workday.
- Demonstrates proficiency in operating all equipment in the pre‑post area.
- Assists with inventory of supplies, drugs, and equipment to maintain availability.
- Considers cost effectiveness in the provision of care.
- Maintains order and cleanliness of pre/postoperative area.
- Performs thorough preoperative patient assessment required by the outpatient setting.
- Assists in assessing the physical, emotional and developmental status of the patient upon admission.
- Develops a plan for patient care based on assessment data.
- Educates patient and family about routine pre‑/post care.
- Provides comfort and reassurance, supporting patient’s privacy and confidentiality.
- Implements and documents preoperative care according to Facility policy.
- Identifies the patient and involves the patient in the identification process.
- Identifies and marks the correct operative site involving the patient.
- Verifies patient compliance with preoperative instructions and obtains vital signs.
- Confirms that proper techniques and procedures are used according to accepted standards of practice.
- Communicates “Need to Know” report to CRNA during admission and to circulating RN upon transport to OR.
- Reviews and cosigns pre‑op assessments completed by Licensed Practical Nurses.
- Performs safe and individualized nursing care for the patient in the immediate postoperative period.
- Organizes nursing activities efficiently; prioritizes greeting the patient and circulating RN.
- Receives report from the circulating RN and seeks clarification when necessary.
- Assesses and documents the patient’s physical and emotional status upon arrival in the postoperative area.
- Documents postoperative care and identity of second person in the postoperative area.
- Provides nursing care to meet patient needs related to surgical condition and type of anesthesia administered.
- Observes safety measures in patient care activities.
- Ensures discharge instructions are given and understood by patient or caregiver.
- Verifies patient has met facility discharge criteria before release.
- Reviews and cosigns postoperative assessments completed by Licensed Practical Nurses.