Provide direct professional nursing care to patients during their surgical procedures. The nurse is accountable for ongoing evaluation and documentation of all components of care delivered to patients within the perioperative environment in accordance with the policies and procedures at the center and within AORN/AAAHC standards.
Assists the physician/provider with procedures and/or surgeries. Performs advanced clinical tasks or skills such as complex wound care, conscious sedation, venipuncture, etc., with demonstrated competency and under clinical supervision.
Recognizes changes in patient's condition, status and need for care. Provides ongoing assessment of patient and takes appropriate nursing actions when changes occur. Evaluates and implements changes of the plan of care as needed and collaborates with other health care team members to coordinate patient centered care. Documents, maintains and updates accurate patient records according to agency, state, and federal guidelines.
Administers medications, under physician/provider orders, which may include: antibiotics, narcotic pain medications, vitamins, topical agents, insulin, blood thinners, and allergy antigens. Initiates, maintains and discontinues IV therapy; performs mixing of medications according to protocols.
Monitors the patient's medication needs and response to treatment. Adjusts medication as appropriate within scope of practice and utilizing protocols established by the physician. Performs laboratory procedures and assists the physician/provider with procedures and surgeries using principles of aseptic technique and standard precautions/infection control guidelines. Performs nursing duties to deliver safe, therapeutic, and quality patient care through assessment of patients, establishment and implementation of the nursing care plan, and evaluation of clinical outcomes within an outpatient environment. Integrates theoretical knowledge with clinical experience in the care of patients and families. Consistently makes sound clinical decisions and delivers care utilizing a systematic approach, and increases awareness of patterns of patient responses in recurrent situations.
Provides ongoing patient centered nursing care. Completes initial assessment of patient including obtaining vital signs and gathering pertinent health information while following decision protocols. Provides triage and consultation to patient, family, and/or significant others according to protocol and established guidelines.
Initiates and implements a nursing plan of care individualized to the needs of each patient. Assesses patient/family readiness for participation and involves them in planning and implementing care. Seeks consultation from care team as needed.
Coordinates the discharge planning process by utilizing the interdisciplinary approach with the patient/family, physician, social worker, and other staff members as appropriate. Assesses and provides patient education and counseling to the patient, family, and/or significant others.
Completes routine maintenance and quality monitoring of equipment using appropriate technique when cleaning, sterilizing and caring for instruments and other equipment.
Conducts chart audits, collects data, implements performance improvement interventions, and/or offers suggestions for performance improvement. Participates in professional activities which contribute to personal professional development and the development of others.
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.
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