Staff Nurse- Endoscopy - FT- Days
Company: Luminis Health
Location: Lanham
Posted on: September 21, 2023
Job Description:
Staff Nurse- Operating Room Position Purpose The Registered
Nurse is responsible for the delivery of safe, effective and
quality patient-family centered care in the Operating Room for all
patient population by utilizing Nursing Care Plans. Collaborates
with Physicians, Medical Professionals and other Staff to ensure
that the unique, physical and psychosocial needs of the patient are
met. The Registered Nurse involves appropriate parties (i.e.,
patient's family or guardian, outside agencies) in the assessment,
treatment and continuing care of the patient as needed. Supports
the Mission, Vision, and Values of Doctors Community Hospital. Role
Specific Competencies 1. Adheres to professionalism standards.
- Serves as a role model/resource for other team members and
exhibits flexibility and adaptability to change in department
practices.
- Identifies strengths and development needs of self.
- Identifies active/potential problems and seeks appropriate
solutions to those problems, and assumes responsibility and
accountability for "judgments" and actions.
- Appearance consistently complies with department policy.
- Participates in orientation and training of new personnel.
- Utilizes work time productively.
- Willingness to cover varying shifts as requested. 2. Delivers
quality nursing care to surgical patients in the pre, intra and
immediate post-operative phase of surgical intervention that is
consistent with published standards for nursing practice
- Plans for patient care needs by reviewing assigned scheduled
cases / procedures against the surgeon's preference cards.
- Demonstrates competence and knowledge in the assessment,
treatment and care of pediatric, adult and geriatric patients
within the perioperative setting.
- Asses the physiological health of the patient and psychosocial
health status of the patient/family.
- Participates in patient/family/significant other
education.
- Provides equipment and supplies based on patient needs and
surgeon's preference.
- Provides appropriate positioning devices and assists with
positioning the patient safely.
- Appropriately admits and transfers patients per DC H
standard/policies and complies with Advanced directive
requirements.
- Observes standard precautions and practices aseptic technique
in caring for the patient.
- Observes safe practices and maintains a safe environment while
caring for the patient.
- Performs nursing actions that demonstrate accountability.
- Orchestrates the services of operating room personnel to
provide rapid progression from cleaning to preparing room (OR) for
the next case.
- Delegates effectively in daily operations and utilizes critical
thinking skills in crisis situations in a calm and professional
manner.
- Assists in maintaining surgeon's preference cards for
accuracy.
- Enforces and maintains intraoperative standards of care.
- Maintains accurate documentation of nursing care provided to
patients during surgery, this includes accurate implant logs and
charge supplies. 3. Demonstrates skills and knowledge necessary to
provide quality care services for patients.
- Clinical competency skills checklist is maintained and
completed prior to annual evaluation.
- Assumes responsibility and accountability for professional
development by attending and completing required annual
in-services.
- Attends and participates in monthly staff meetings and
department specific in-services.
- Initiates and adheres to infection control practices consistent
with department and hospital standards. 4. Demonstrates skills and
knowledge necessary to provide quality care services for patients.
- Clinical competency skills checklist is maintained and
completed prior to annual evaluation.
- Assumes responsibility and accountability for professional
development by attending and completing required annual
in-services.
- Attends and participates in monthly staff meetings and
department specific in-services.
- Participates in on-going evaluation of job performance and
identifies personal & professional goals and objectives during each
appraisal session.
- Initiates and adheres to infection control practices consistent
with department and hospital standards. 5. Develops and implements
a plan of care based on nursing diagnosis and subsequent patient
outcome goals by using the following interventions:
- Protect patient from injury caused by chemical, electrical,
laser, positioning, thermal sources, and extraneous objects.
- Perform sponge, sharp, and instrument counts according to DC H
standards to protect patient from unintended retained foreign
objects.
- Perform Universal Time-Out Protocol during the surgery to
ensure correct site, side and level. The debriefing part of the
Time-out ensures that the correct specimen, procedure and any
concerns regarding the care of the patient has been addressed.
- Handle patient's specimen according to established DC H
protocols.
- Communicate patient's current status throughout the continuum
of care.
- Perform interventions to maintain the status of the patient's
organ systems at or above baseline levels.
- Perform interventions to ensure the patient is at or returned
to normothermia at the conclusion of the immediate postoperative
period.
- Creates and maintains a sterile field; monitors the traffic in
and out of the OR.
- Administers drugs and solutions as prescribed to the patient /
sterile field per DC H standards in compliance with the Maryland
Nurse Practice Act.
- Physiologically monitors the patient during surgery. 6. Perform
activities that support Nursing Staff and facilitates patient care.
- Assists with room tum-over and clean up after each case.
- Assists with environmental services support such as linen
management, trash removal and cleaning of equipment when
needed.
- Assists with returning unused instruments, equipments and
supplies after each case, as appropriate.
- Assists with the transfer and positioning of patients on and
off the OR table, stretcher, bed, etc.
- Saves all used supply wrappers for charge purposes.
- Reports to Operations C oordinator seeking additional
responsibility when assignments are completed.
- Demonstrates ability to react quickly and confidently to
changing priorities and stressful emergency or conflict situations.
7. Performs professional development activities. Participates in
orientation and training of new personnel.
- Participates in the development of unit and hospital based
standards of practice.
- Demonstrates willingness to pursue leadership roles with
increasing levels of accountability, comfort with
decision-making
- responsibilities, coaching, teaching and counseling skills, and
the ability to inspire and build confidence in others. 8. Performs
special department assignments and stocking functions in the
Surgical Suite within established time frames while following
department policies and procedures, Infection Control practices,
Blood Borne Pathogen procedures, OSHA Standards, and Universal
Precautions.
- Assists with restocking OR rooms at the end of shift in
accordance with established PAR levels, as needed.
- Assists with checking supply outdates.
- Demonstrates knowledge of techniques, procedures, and correct
use of personal protective equipment (PPE).
- Reports malfunction of equipment/instrumentation to Operations
Coordinator and lor IPS Manager and / or Equipment Manager
immediately upon completion of procedure.
- Tags and removes malfunctioning equipment in need of repair
from use.
- Assists with clearing the hallways and returning equipments and
supplies to proper storage throughout the day.
- Assists in docking the Neptune machine at the end of
shift.
- Performs other duties as assigned. Qualifications and
Experience
- CNOR Preferred.
- Current ACLS is required.
- Current CPR/BLS is required.
- Graduate of an accredited nursing program, BSN preferred.
- Knowledgeable of AORN standards.
- Knowledgeable of Universal Precautions.
- Maintains current licensure by the state of Maryland or a
compact state license for Registered Nurse.
- Minimum of two (2) years of O.R. experience is desirable;
experience in all service specialties is preferred.
- Technical skills/knowledge necessary to function in O.R.
environments. Physical Requirements
- Concentrates on moderate to fine detail for extended periods of
time with irregular telephone and other interruptions.
- Full range of body motion including handling and lifting
patients; manual and finger dexterity; hand/eye coordination.
- Lifting and carrying items weighing up to 50 pounds.
- Remembers schedules, tasks to be completed, where activities
left off, etc.
- Sitting, standing and walking for extensive periods of
time.
- Understands and can operate from the conceptual basis of tasks
and activities.
Keywords: Luminis Health, Washington DC , Staff Nurse- Endoscopy - FT- Days, Healthcare , Lanham, DC
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