SDS RN

Location/Department:  Hospital - Surgery 

PRN

Job Summary:

A clinically competent RN who demonstrates expertise in the perioperative field. Effectively delivers care to the surgical patient through the nursing process.

 Supervisory Responsibilities:  None

Duties/Responsibilities:

• Uses only approved abbreviations.
• Understands patient safety goals & actions taken.
• Uses 2 patient identifiers before giving treatments, demonstrates process.
• Understands read back of verbal orders/critical lab values & can state process.
• Understands procedure to clarify physician orders.
• Uses standing orders when indicated.
• Accurately calls report to MD as warranted by condition; reports to other providers as needed.
• Reports sentinel events or adverse drug reactions or incidents as warranted.
• Uses final verification before invasive procedures & can verbalize correct process & documents in EHR.
• Reassesses patient in response to changes in condition after intervention as needed & documents in EHR.
• Communicates with & provides education to patients, caregivers, & family members in a timely manner (using respect & dignity when dealing with death & dying) & documents in EHR.

SDS Nurse

• Completes pre-op prep, reviews charts, obtains diagnostic reports, notifies anesthesia as needed.
• Contact patients pre-op for phone assessment & teaching.
• RN completes admission assessment & RN completes teaching of patient & family. Displays knowledge of pediatric, adolescent, adult & geriatric standards of care.
• Initiates pain management & teaching.
• Initiates individual age-appropriate patient’s plan of care.
• Conducts preoperative process to verify correct patient, procedure & site. Documents appropriately.
• Completes & performs appropriate discharge teaching to patient & family. Demonstrates knowledge of doctor specific discharge instructions.
• Demonstrates skills & knowledge to provide phase 2 recovery care to patient.
• Schedules, RN completes admission assessment & RN provides care of ESI patients.

PACU Nurse

• In phase one recovery, completes initial assessment of patient’s physiological & psychological status according to policy.
• Performs ongoing assessment.
• Develops plan of care & prioritizes interventions based on the patient assessment.
• Provides for effective pain management & documents response.
• Gives thorough concise report of all pertinent information when transferring patients to SDS, MS or SCA.

Provides care, treatment & services

• Charge Nurse - Fulfills duties outlined in the “Role of the charge nurse”.
• Demonstrates knoweldge of nursing medication administration policy.
• Verifies correct patient using two patient identifiers prior to mneciation administration.
• Checks patient’s allergies before administration of medication.
• RN obtains, prepares & administers IV’s, RN obtains & administers blood products according to policy & procedure.
• Observes & documents patient response to pertinent medication.
• Handles adverse medication & blood reactions in a competent manner.
• Educates patient on safe use of patient controlled medication administration according to nursing policy.
• Consistently follows process for securing all medication.
• RN follows policy for narcotics in the OR/SDS.
• Follows policy for RN administering moderate sedation.
• Complies with read back policy for telephone orders & reporting of lab results.
• Demonstrates understanding of & follows policy for use of PPE, hand hygiene, surgical hand scrub & attire in the OR.
• Ensures that supplies & equipment necessary for safe patient care are stored in an organized & efficient manner & available for patient care.
• Demonstrates correct & safe technique in the use of equipment according to specific product information & policy & procedure manual in the OR/PACU.
• Demonstrates proper use of the emergency communication system in the OR/SDS dept.
• Maintains clear, legible variance of hours worked & completes timely.
• Reviews & updates policies (on request).
• Participates on teams (on request).
• Attends 75% of scheduled department meetings & reviews written minutes of those meetings not attended.
• Attends continuing education