Registered Nurse 3 - Pre/PACU - Full Time bei Umiami

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CORE JOB SUMMARY                                                                                                                                    

The Registered Nurse 3 delivers patient centered care in a culturally competent manner utilizing and promoting evidence-based standards of quality, safety, and service while ensuring population-specific   The Registered Nurse 3 demonstrates towards nursing processes.

CORE JOB FUNCTIONS                                                                                                          

Completes assessments and documents patient interactions and general observations, per unit standards, including the need for age and cultural considerations, care management and teaching; makes necessary referrals. Demonstrates advanced level of competency in the area of practice Administers and maintains accurate records related to medications and treatments as per regulatory bodies, policies and procedures. Reassesses and documents the effectiveness of intervention as per guidelines and protocols; evaluates diagnosis/ problems on the plan of care based on the patient’s status. Communicates plan of care clearly in an effective and timely manner to patient, family and the appropriate team members.  Participates in the development of policies, procedures, protocols and standards of care.; examines and questions treatment to determine if they are within best practices. Represents nurses by actively participating in committees and task forces. Begins discharge planning upon admission; uses available resources to assist in preparing for discharge. Involves patient and patient support network in plan of care Manages own work and time, and prioritizes assignments to ensure work assignments are completed on time. Adapts to changing work demands and environment. Anticipates possible problems and assists nurse leader(s) in the development of contingency plans. Evaluates other staff in the provision of care; provides concise, constructive feedback to employee and leadership Serves as a preceptor to students and new staff, as needed. Serves as a Charge Nurse or Resource Nurse when needed. Initiates unit-level projects with significant impact on patient care, expense reduction, safety and/or patient experience. 

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS                                                                                                         

Education:

Bachelor of Science in nursing required

Certification and Licensing:

Registered Nurse License; Basic Life Support Certification (BLS); Advanced Cardiac Life Support (ACLS); Pediatric Advanced Life Support (PALS)

Experience:

Minimum 4 years of nursing experience

Knowledge, Skills and Attitudes:

• Knowledge of medical terminology
• Knowledge of nursing care methods and procedures
• In-depth knowledge of health and safety guidelines and procedures (i.e. sanitation, decontamination etc.)
• Excellent patient experience skills
• Ability to recognize, analyze, and solve a variety of problems.
• Ability to maintain effective interpersonal relationships
• Ability to communicate effectively in both oral and written form

Department Specific Functions

Meets requirements of Pre/PACU Nurse

Performs all responsibilities/duties required by the Recovery department/patient care services as specific to

the scope of service, to ensure that the unique nature of the patient is addressed.

Demonstrates the ability to titrate intravenous medications according to the patient’s hemodynamic status. Initiates IV therapy for both OR/IR/GI Areas. Demonstrates the ability to care for the patient with continuous cardiac monitoring including rhythm identification, interpretation and follow through with appropriate intervention. Demonstrates knowledge of anesthetic agents, techniques and actions. Demonstrates the ability to care for the population served: post-op patient Demonstrates the ability to perform rapid assessment differentiating between short-and long-term needs. Verification of the operative procedure, operative site, surgeon and consents. Assesses psychological status, including level of understanding, perception of surgery/procedure, and anxiety level. Verification of patient allergies, NPO status, and whether or not patient has voided. Checks the current history and physical, laboratory results, the execution of Perioperative orders, and results of ordered diagnostic tests. Communicates relevant findings to Physician/Anesthesiology/CRNA/PA Assists and expedites the transfer of patients to and from the Recovery to In-Patient and or other facility Assists with emergency situations, such as rapid response and Code. Functions in the assessment and care of both pre/post post procedure monitoring. Communicates to accepting staff via Hands-Off Communication. Ensures patients’ privacy, comfort level and complaints are responded to immediately. Assists with pre-procedure calls to patients, as well as post-procedure calls (PCM). Engages and is committed to UHEALTH Service Pillars, AIDET and telephone etiquette. Follows UHEALTH Standards of Behavior.

Assessment

Performs assessments, including vital signs and reassessments focusing on the physical and psychosocial health status of the patient in an ongoing timely and systematic manner in both the pre and post areas and enters in the Electronic Medical Record. Obtains baseline information utilized for the development of individualized patient plan of care. Provides direct and indirect patient and family care to assess needs. Facilitates/patient/family education with interdisciplinary team involvement. Monitors patient’s progress against plan of care until discharge from designated patient care area. Collaborates with interdisciplinary team members to identify potential barriers and variances to the plan of care

Planning

Coordinates the plan of care with patients, family and interdisciplinary team. Ensures the plan of care is accessible to the patient and family to assist them in understanding goals of care and movement toward these goals. Plans discharge and teaching needs as applicable. Ensures patients and family fully understand discharge instructions. Promotes development of clinical practice based on research and evidence. Assists leadership team with maintenance of initial and ongoing unit-based clinical competencies

Implementation

Acts as a liaison between patients, caregivers and community resources. Educates interdisciplinary team, patient/family on plan of care. Serves as a direct care provider, as appropriate, to ensure outcome obtainment. Serves as preceptor to new staff. Documents concise, accurate and legible according to nursing policies and procedures and nursing standards. Provides patient/family teaching using available resources and tools. Acts as consultant to clinical staff in assisting with unfamiliar procedures/treatments. Utilizes process of performance improvement. Promotes patient safety. Communicates changes in plan of care to the patient/family and the health care team members in a timely manner. Demonstrates creativity and innovation in approach to complex problem solving. Leads crisis management. Delegates’ aspects of care to qualified personnel. Administers and/or monitors blood and blood products following hospital policy and procedures Demonstrates the skills and judgment necessary to implement medical plan of care, nursing intervention and procedures as necessary for the care of the patient Delivers sedation and analgesia according to hospital policy and procedure. Demonstrates knowledge of commonly used meds: action, dose, and side effects. Observes five Rights for administering meds: right patient, right drug, right dose, right method, and right time Medication Administration as per hospital policy and procedure

Evaluation

Evaluates patient for improvement after implementation of plan of care to assess for the attainment of goals.  Readjusts plan of care based on evaluation of the patients’/families’ needs. Monitors outcomes of patients undergoing new procedures or interventions. Evaluates staff competencies and reports to leadership team. Participates in staff evaluations

Professional Accountability

Consistently maintain complete confidentiality of all medical, financial, employees, computer and other sensitive materials, which may violate HIPAA regulations and/or jeopardize the privacy of others.  Attends meetings as needed.  Acts as role model and maintain professional demeanor at all times.  Develops and maintains clinical competency.  Demonstrates professional independence in the practice of nursing.  Consults internal experts when appropriate.  Maintains documentation of the continuing education requirements.  Maintains BLS, ACLS, and PALS.  Attends all mandatory in-services as directed Participates in professional organization, such as ASPAN, AORN. Actively supports and participates in performance improvement activities.  Seeks/accepts training to learn new skills and maintain current competencies. Maintains and completes Personnel Development Record as per policy. Maintains professional certifications/licensure in active status. Practices within the guidelines as set forth by the Florida Board of Nursing. Displays courtesy toward customers by introducing self and addressing customer by name.  Meets customers’ expectation by listening to them, demonstrating sensitivity and awareness of others.  Follows through to ensure that established expectations are satisfied; keep customers informed of progress. Works effectively and cooperatively in groups/teams to ensure quality patient care.  Communicates effective with manager and other members of the interdisciplinary team. Attempts to resolve patient/physicians and visitors complaints and refers unresolved issues to managers. Demonstrate dependability/reliability by promptly reporting to work when scheduled. Cross-trains to other nursing units and floats as necessary to Evening and Night Shifts as needed. Follow hospital and nursing policies and procedures. Serves as mentor and role model

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Supervision Received:

• Reports directly to the unit Nurse Manager

Supervision Exercised:

• None

Minimum Qualifications (Essential Requirements):

• Graduate from an accredited school of nursing
• Current/valid Florida nursing license.
• BSN; CCRN or CPAN preferred
• 3 years recent Recovery, ICU, ER, or Telemetry nursing experience preferred
• Strong interpersonal communication/customer service skills
• Proven track record of building relationships with physicians, direct reports and key staff
• Moderate Sedation Competencies as appropriate
• BLS, ACLS, PALS

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

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