RN- Same Day Surgery

Job Summary: Responsible for the planning and delivery of care utilizing nursing processes; assessment, implementation, and evaluation. Oversees the plan of care, utilizes effective problem solving strategies, and applies evidence based practice. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director and has passion for learning, provides compassionate and family centered care for Same Day Surgery patients. Minimum Job Requirements: RN licensure within the State of Florida in good standing and throughout employment. CPR: Healthcare Provider - must maintain active and in good standing throughout employment. PALS within two years of hire and in good standing prior to expiration and throughout employment. Essential Job Duties: Nursing Care Functions: Supports the Service Recovery Program. Ensures that his/her behavior meets/exceeds acceptable Service Scores as measured by the Service Index. (SEI). Ensures completion of patient admission history. Prepares and accurately completes the discharge planning process accurately as per department and hospital policies and procedures Plans, implements, and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care. Follows physician's orders, administers, and reconstitutes medications when needed. Adheres to six rights of medication administration per medication administration policy Ensures proper and safe sedation administration to patients and monitors recovery as per the Sedation Policy and Procedure. Performs reassessments as per policy and when there is a change in the plan of care or when an intervention is performed. Plans, implements, and documents the plan of care in collaboration with the other disciplines and services to assure safe and efficient care. Collaborates with a multi-disciplinary team in daily care planning , as appropriate, and fosters a Family Centered Care Environment Charting/Documentation: Communicates the patient's progress including critical findings and changes in the patient's condition with the physician. Performs and documents discharge planning per policy. Ensures all surgical procedure documentation is obtained; labs, consents, advance directives, custody documentation in a timely and accurate manner. Accesses Electronic Medical Record (EMR) and performs charge reconciliation according to hospital policy and completes accurate and timely documentation in the patient's electronic health record. Communicates and documents critical lab results per hospital policy and procedures. Patient Family Communication: Communicates with patients and families to review plan of care and solicits input and communicates any patient and family concerns to physician. Collaborates and rounds with a multi-disciplinary team in daily care planning rounds, as appropriate, and fosters a Family Centered Care Enviroment. Provides education and documents on patient/family teachings on health related needs (i.e. disease, medications, treatments, pain, discharge, safety, nutrition, skin care, etc.). Quality and Safety: Promotes an "error free" working environment by consistently providing high-quality safe care as prompted (as per Universal Protocol Policy). Provides patient information and effectively completes the hand off process at shift change and patient reassignments. Utilizes Same Day Surgery checklist. Works to meet/exceed standards in achieving a 95% CEI by completing documents in a timely manner & being accountable to regulatory requirements of the DNV, CMS, DOH & other accrediting agencies. Accountable to optimize first case starts to prevent delay of patient care per departmental goal. Performs skin & structural assessment, takes measures to accommodate patient and ensures safe care, while ensuring no medication errors. Performs falls risk assessment & takes appropriate steps. Meets or exceeds unit standards in achieving a 95% CEI; completes documentation in a timely manner; accountable to regulatory and requirements of the DNV, CMS, DOH & other accrediting agencies. Assesses all body systems, ensure safe, effective, and efficient care delivery with emphasis on the absence of medication errors, avoidance of falls & reduction of pain post-op. Common Duties: Maintains accountability to ensure compliance thru timely completion of licensures, certifications, competencies, health requirements (PPD, N95, Flu), initial competencies & education requirements. Maintains professional accountability & timekeeping expectations as outlined by policy and complying with attendance guidelines & procedures. Ensures behavior is compliant with standards. Knowledge/Skills/Abilities: BSN degree preferred or currently enrolled in BSN program (requiring proof) within 6 months of hire. A minimum of 1year experience as an RN preferred. Nursing experience in a pediatric healthcare surgery setting preferred. Possesses proficiency in computers and Electronic Medical Record (EMR) and Cerner preferred. Career Development: National Certified Pediatric Nurse (CPN) and/or certification equivalent within 5 years of hire preferred. Possesses proficiency in computers and Electronic Medical Record (EMR) and Cerner preferred. Able to analyze and interpret data and utilize the information to make judgments regarding patient care. Effective verbal and written communication skills. Ability to positively influence, hold self, and others accountable Able to work effectively in collaborative environment. Ability to apply principles of evidence-based practice, analytical thinking, and service excellence in practice. Able to float within Surgical Services while maintaining the delivery of clinical excellence and high quality service.