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Posted: Thursday, May 11, 2017 5:40 AM

GENERAL SUMMARY OF DUTIES: Contributes to the company’s mission and vision by utilizing the nursing process in planning, executing, and evaluating the nursing care rendered preoperatively by conductive preoperative assessment, ensuring that patient is prepared, and cleared for surgery. Nursing care meets the standards of the profession, the policies and procedures of the Center, and is appropriate to the Center’s patient population to identify patient and family needs.

SUPERVISOR - Nurse Manager, Nurse Supervisor, or designee.

SUPERVISES - None

CLASSIFICATION – Non-Exempt

OPERATIONAL DUTIES INCLUDE BUT ARE NOT LIMITED TO:

  • Demonstrates necessary practical, technical or specialized knowledge and skills required for the role of the pre-operative nurse in accordance with patient care and regulatory standards of practice.

Pre-Admissions/Pre-Admissions Testing:

  • Maintains adequate supplies for the phone calling area, as required.
  • Performs preoperative patient phone calls to conduct preadmission assessments and to provide appropriate pre-operative instructions to patient. Document information in patient chart as appropriate. . **Facilities using Source One Passport or other online preadmission assessment tool will handle pre-admission process in accordance with facility policy/practice.
  • Ensures that the H/P is a complete full examination of all body systems and dated within 30-days prior to procedure.
  • Ensures that H/P, orders for the procedure, and consent form are consistent prior to placing in medical chart.
  • Reports test abnormalities in pre-op assessment, diagnostic studies, and any other pertinent information to surgeon, anesthesiologist, operating room staff, and other pre-operative area staff as necessary.
  • Obtains pertinent patient records prior to patient’s arrival for preoperative testing.
  • Coordinates and/or perform necessary preoperative testing and evaluations, as needed.
  • Compiles patient chart to ensure that all required documentation is immediately available (consents, orders, H/P, diagnostic studies, etc).
  • Maintains adequate supplies for the phone calling area.

Pre-op/Holding:

  • Greets patient and family in a timely manner and keeps them informed of any delays/changes.
  • Assesses patient’s level of fear/anxiety and provides comfort and support for patient and family.
  • Maintains patient privacy, comfort, and safety in the pre-op/holding area i.e. bed rails up, brakes on stretchers, etc.
  • Verifies two patient identifiers utilizing the armband prior to any interventions.
  • Conducts complete patient assessment and evaluation of each patient prior to surgery or treatment, which includes review of patient history and diagnostic tests, physical, and psychological assessment.
  • Assesses patient’s understanding of procedure and checks surgical consent for accuracy and completeness. Obtains and witnesses patient’s signature if needed.
  • Consistently reviews charts for completeness, in accordance with clinical protocols, prior to surgery (i.e. consents, H/P, diagnostic studies, assessments, home medications list, etc.)
  • Verifies surgical site verbally with patient per policy.
  • Participates in the anesthesia time-out process if performed in the pre-op area prior to administration of pre-operative blocks or prior to the induction of anesthesia.
  • Initiates intravenous therapy as prescribed, utilizing aseptic technique and appropriate IV start kit, catheter and fluid. Ensures that medication is labeled appropriately.
  • Receives and acknowledges preoperative physician’s orders and implements accordingly. Utilizes appropriate documentation for verbal/telephone orders, when applicable.
  • Administers pre-operative medications as prescribed and utilizes safety medication practices (i.e. aseptic preparation, labeling medications, identifying high alert and independent check medications, 7 medication rights, narcotic waste, etc.). Monitors patient until transferred to OR.
  • Monitors patient, per policy, if IV sedation given in pre-op setting to assure patient maintains airway and vital signs are stable. Administers oxygen saturation level and provides continuous monitoring and support as needed.
  • Demonstrates knowledge/understanding of pain blocks and is readily available to assist anesthesia as needed.
  • Recognizes emergency situations and responds effectively in a calm and controlled manner.
  • Documents all appropriate patient information in accordance with charting guidelines.
  • Relays appropriate hand off communication to circulating/procedure nurse and other appropriate nursing personnel to ensure continuity of care.
  • Assists in other areas as directed.
  • Takes responsibility for careful and accurate handling and/or logging of narcotics and specimens.
  • Utilizes appropriate body mechanics in moving patients and stretchers to prevent injury to patient and self.
  • Complies with principles of hand hygiene, aseptic and sterile technique.
  • Maintains a sanitary environment for the provision of patient care.
  • Restocks area daily, using appropriate par levels and daily stock sheets.
  • Spends appropriate time and energy on tasks and assignments based on the policies that are supportive of the Center’s goals and objectives.
  • Functions independently according to job responsibilities and within scope of practice utilizing current standards of care.
  • Takes personal initiative to maintain current LVN licensure, BCLS, ACLS, and PALS (if indicated) and other professional certification current as defined by job role.
  • Uses facility resources appropriately and avoids wasteful practices.
  • Attends all mandatory in-services, staff meetings and participate in emergency drills.
  • Participates in the orientation of new employees.
  • Completes annual competency and other required education as assigned.
  • Maintains confidentiality and security of records and patient information at all times.
  • Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”.
  • While this is intended to be an accurate reflection of the current Position, it is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Management reserves the right to revise the Position or require that other or different tasks be performed when circumstances warrant (i.e. emergencies, changes in personnel or staffing, workload, rush jobs, or technical developments).

Age Specific Care:

  • The patient care requirements may include those of pediatric, child and adolescent when such patient populations are served, as well as adult and geriatric.

BEHAVIORAL SPECIFIC EXPECTATIONS:

· Supports and adheres to all company and Center policies and procedures.

· Supports and adheres to HCA Code of Conduct, related Ethics and Compliance policies, and HIPAA requirements.

· Supports and adheres to personnel policies and programs which specify privileges and responsibilities of employment, including compliance with an adverse incident reporting system, quality improvement program, patient safety initiatives, and risk management program.

· Participates in Best Practices, Quality/Risk Initiatives, RCA’s and other teams to improve patient care.

· Interacts with patients, fellow employees, physicians, and other stakeholders in a manner which encourages quality patient care, harmonious working relationships, positive customer relations, and which enhances the image and reputation of the center.

· Demonstrates dependability and accountability.

· Demonstrates a willingness to help others.

· Supports the center’s mission by providing flexibility in assignment changes, dependability in attendance, punctuality, timely completion of assignments.

· Maintains a professional image through proper attire, language, and conduct.

· Keeps management informed of any malfunctions in equipment and supplies.

· Displays willingness to speak up about safety issues or change practices to enhance safety; asks for help when needed; enhances teamwork; follows the safety standards/practices/policies.

Click here for more info: https://hca.taleo.net/careersection/0hca/jobdetail.ftl?job=26858-73914&lang=en


• Location: Houston

• Post ID: 50474118 houston
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