Dermatology Associates of KY, PSC Job Description

Transcription

1 Dermatology Associates of KY, PSC Job Description Job Title: Perioperative R.N. Department: Ambulatory Surgery Center Reports To: ASC Manager FLSA Status: Non-Exempt;Hourly; Full-Time Summary Responsible for assessing, planning, and implementing the nursing care patients receive before, during and after surgery within the scope of practice as determined by the KY Board of Nursing. Essential Duties and Responsibilities include the following. Other duties may be assigned. Circulating Nurse Duties: Prepares recovery room for patients. Dispenses narcotic prescription pads to employees in the ASC and secures narcotic pads at the end of the shift. Verifies the patient's identity and necessary consent forms. Reviews patient history and assessment for completeness and develops an individualized perioperative patient plan of care. Implements the plan of care by: Protecting the patient from injury by performing an individualized risk assessment; Performing interventions necessary to ensure that the patient's procedure is performed on the correct site, side, and level; Communicating the patient's current status to the appropriate parties throughout the continuum of care; Administering medications safely and correctly; Performing interventions to maintain the patient's vitals signs and respiratory status at or above baseline levels; Performing interventions to protect the patient from surgical site infection; Assessing the knowledge level of the patient or designated support person; Providing education regarding the expected psychosocial response, medication management, pain management, wound management, and expected responses to the operative or invasive procedure; Actively involving the patient or designated support person in decisions affecting his or her perioperative plan of care; Protecting the patient's rights, dignity, and privacy; Observing the patient, recording significant conditions and reactions, and notifying the Physician of patient's condition and reaction to drugs, treatments and significant incidents. Scrub Nurse Duties: Ensures OR is clean and setup correctly. Prepares instruments and equipment needed for surgery. Explains procedures and treatments to patients/performs preoperative assessment. Accurately and thoroughly documents medical visits and procedures using Electronic Health Records (EHR) and transcribes medical notes dictated by surgeon. Assists patients with putting on gowns and drapes patients with covering.

2 Prepares and administers local anesthesia. Assists team members to place and position patient on table. Performs surgical counts before and after surgery. Scrubs arms and hands and dons gown and gloves, and aids team to don gowns and gloves. Cuts sutures and performs other tasks as directed by surgeon during operation. Maintains awareness of comfort and safety needs of patient. Observes patient, records significant conditions and reactions, and notifies Physician of patient s condition and reaction to drugs, treatments and significant incidents. Puts dressings on patient following surgery and explains wound care instructions. Washes and sterilizes equipment and cleans operating room. Infection Control Duties Maintains current knowledge of infection control standards and practices from the Centers for Disease Control (CDC) and Center for Medicare and Medicaid Services (CMS). Develops, reviews, and evaluates infection control policies and procedures in compliance with guidelines and regulations. Provides training in infection control and sterilization processes for all ASC personnel upon hire and annually thereafter. Evaluates staff competency in these processes through observation and/or written tests. Collects and analyzes data in order to prevent and mitigate risk through: Active surveillance of the ASC s sanitary environment through logs, reports, etc. Investigation of post-operative infections and employee occupational exposures. Monitoring employee compliance with facility infection control and sanitation policies. Reports progress, goals, data, recommendations, and trends to the Medical Director, Continuous Quality Improvement Committee, and Governing Board. Ensures immediate and effective corrective action to incidents of healthcare associated infections. Meets with surveyors and inspectors regarding the infection control program. Earns continuing education credits in infection control related topics annually. Other RN duties: Responds to life saving situations based upon nursing standards, policies, procedures and protocol. Participates in quality improvement activities. Inventories and orders medical supplies and materials. Schedules appointments. Assists clinical staff with post-operative questions from patients. Checks for expired medications on a weekly basis.

3 Supervisory Responsibilities This job has no supervisory responsibilities. Competencies To perform the job successfully, an individual should demonstrate the following competencies : Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Works well in group problem solving situations; Uses reason even when dealing with emotional topics. Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others. Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service ; Responds to requests for service and assistance; Meets commitments. Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things. Oral Communication - Listens and gets clarification; Responds well to questions; Participates in meetings. Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Able to read and interpret written information. Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Supports everyone's efforts to succeed. Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness. Cost Consciousness - Conserves organizational resources. Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences. Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values. Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values. Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Includes appropriate people in decision-making process; Makes timely decisions. Motivation - Demonstrates persistence and overcomes obstacles. Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives. Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. Quantity - Meets productivity standards; Completes work in timely manner.

4 Safety and Security - Observes safety and security procedures; Reports potentially unsafe conditions ; Uses equipment and materials properly. Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events. Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time. Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals.; Completes tasks on time or notifies appropriate person with an alternate plan. Initiative - Volunteers readily; Undertakes self-development activities; Asks for and offers help when needed. Innovation - Meets challenges with resourcefulness; Generates suggestions for improving work. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience Associate's degree or bachelor's degree in nursing required. Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills To perform this job successfully, an individual should have knowledge of Project Management software and Electronic Health Records software. Certificates, Licenses, Registrations Maintain current KY Registered Nurse License Maintain ACLS Certification Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel and talk or hear. The employee is frequently required to reach with hands and arms. The employee is occasionally required to sit; climb or balance and stoop, kneel, crouch, or crawl. The employee must frequently

5 lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually quiet.