Registered Nurse Pre Admissions

Utilizes a systematic approach to nursing practice incorporating assessment, planning, implementation, and evaluation. Provides continuing health care and education to individuals and families to help them achieve their optimal level of health, and plays a key role in assessing, preparing, and coordinating patient care prior to their surgery.

Schedule:
9AM-5:30 PM M-F
10:00 AM-6:30 PM M-F

Location: BTNRH West

MAJOR RESPONSIBILITIES & DUTIES:

• In collaboration with other members of the health care team, the nurse uses the nursing process to complete the preoperative physical, cognitive, spiritual, and psychosocial assessment of patients awaiting surgery.

• Initiates contact with the patient/family when surgery scheduling is complete. Performs a thorough assessment of the patient's medical history and current health status, including a complete accounting of the patient's current medications. Documents all pertinent information in Epic.

• Ensures completion of all pre-op testing, history and physical, pre-op orders, and pre-op patient education. Serves as a liaison between the primary physician, surgeon, anesthesia, and the Surgery Center.

• Accountable for obtaining pertinent information and reports (H&P, lab, EKG, etc.) from the physician offices. Reviews the information and consults with anesthesia and/or surgeon for any issues or concerns relating to appropriateness of performing surgery at BTNRH, according to anesthesia criteria for such review.

• Enters physician orders for surgery into the Epic, based on respective physician orders. Verifies that the correct surgery, including site and side, is scheduled and that all pre-admission orders have been entered.

• Educates patient regarding their surgery, including time of surgery and their pre-op instructions.

• Reviews any pertinent information with anesthesia and/or surgeon, as needed.

• Assures appropriate information management and documentation using the nursing process in accordance with hospital OR policy; communicates with other members of the health care team.

• Formulates plan of care and reviews and revises plan on an ongoing basis. Able to plan and give care based on the patient’s age and level of development.

• In collaboration with the other members of the health care team, the nurse uses the nursing process to assess the patient/family understanding and response to care provided; and patient/family educational needs. The nurse redirects care as needed.

• Communicates closely with the Surgery Scheduling department keeping updated on newly scheduled surgeries.

• Participates in staff meetings. Serves as a resource to Surgery Center staff.

• Maintains "The Joint Commission" standards on an ongoing basis and assists in unit responsibilities for readiness for "The Joint Commission" visits.

• Participates in department performance improvement activities involving other staff members as appropriate, and posts results for staff to review.

• Serves on hospital or system committees as assigned; maintains two-way communication between Surgery Center staff and assigned committee.

• Provides patient care and education according to the patient population served.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Ability to apply the knowledge of a professional Registered Nurse acquired through the completion of an approved course of study in nursing leading to an associate degree, diploma, or baccalaureate degree in nursing.

• Ability to maintain licensure and professional growth by participation in professional conferences.

• Ability to demonstrate clinical competence in providing patient and family education on upcoming surgical procedure.

• Ability to apply knowledge of all ages and developmental levels.

• Ability and willingness to contribute to staff development within the nursing department through active participation.

• Ability to assist in orientation of new staff members

• Ability to complete documentation in a thorough and concise manner.

• Ability to work in a fast-paced environment with frequent interruptions.

• Ability to respond quickly and calmly to emergencies and stressful situations.

• Ability to independently manage multiple priorities.

• Ability to operate phone system, "Microsoft Software" (Word, Outlook e-mail), and Epic.

REQUIRED QUALIFICATIONS:

• Registered nurse who is a graduate of an accredited school with a current state license required.

• CPR (BLS) certificat