RN – Critical Care Unit

Job Summary: The Recovery Room RN (PACU RN) provides professional nursing care in accordance with known/accepted standards of practice and AVH policy.# Utilizes the Nursing Process to assess, plan, implement and evaluate nursing care.# The PACU RN Works in support of the medical staff treatment plan and makes recommendations for changes to medical treatment plan as appropriate.# The PACU RN educates patients and family around the plan of care and disease management.# The PACU RN actively supports the nursing philosophy by striving for excellence in patient care, professional development, interpersonal relations, time management, and continuous quality improvement.# # The PACU RN will be an active member of the entire department, with the ability to help in roles outside of surgically specific job duties if needed. The RN will work collaboratively with others within the department to ensure an efficient, professional and respectful environment. The RN will work with other departments as well, in regards to patient safety and communication. RN ESSENTIAL FUNCTIONS WEIGHT I NURSING PROCESS AND CLINICAL PRACTICE SKILLS 10% # Fully competent in primary nurse role on unit; performs patient and family assessment # problem identification, plans care accordingly, implements and evaluates plan of care so that problems are resolved. # # Develops a problem based plan of care for every patient with appropriate nursing interventions # # Records pertinent clinical documentation in accordance with regulatory requirements, professional standards and hospital policy. # # Prioritizes patient situations and takes appropriate action in an efficient, effective manner # # Responds to clinical needs of patients in accord with experience, nursing standards, and hospital/nursing policies and procedures. # # Makes value-added resource decisions for patient care with respect to supplies, equipment, and acuity of care # II PATIENT TEACHING 5% # Provides individualized patient and family education consistent with patient#s learning style, readiness to learn and self care needs # # Evaluated the effectiveness of patient learning # III CARE COORDINATION 5% # Coordinates with all members of the hospital team in order to address patient care, resolve problems, and improve the delivery of multidisciplinary care on a daily basis # # Applies individual and group problem solving; shares knowledge with others freely, consults openly, and assists others to interpret data # # Uses verbal and written communication methods effectively # # Provides input into refinement of nursing care plans developed by others # IV PATIENT SAFETY # CONFIDENTIALITY # # Adheres reliably to all accepted patient safety standards # # Identifies and promotes new learning around changing patient safety standards of practice # # Serves in advocacy role; encouraging active involvement of patient and family in their care # # Follows all security, confidentiality, and privacy policies # V PROFESSIONAL DEVELOPMENT # INTEGRATION 5% # Develops professional goals and diversity of responsibilities within nursing practice; consistent with hospital mission and goals # # Demonstrates role awareness and seeks individualized/department specific continuing education that improves patient care or professional practice: [insert department specific areas of focused learning] # # Able to express nursing values around patient/family centered care and assists others to achieve shared understanding # # Active participant in quality improvement processes # # Identifies need to seek out additional information when needed and apply relevant findings to nursing practice # VI LEADERSHIP 5% # Demonstrates responsibility and accountability for own professional decision making # # Participates and contributes to unit meetings and activities # # Acts as a relief charge nurse when assigned # VII.# UNIT SPECIFIC DUTIES # RESPONSIBILITIES 10% # Maintains competency in Peri-operative procedures, equipment and standards of care according to AORN standards and unit specific Policies.# # # Researches and coordinates new-case-specific equipment and procedures.# Then communicates that information to the Director, materials staff and other team members as necessary. Learning the functionality and operation of new equipment is the responsibility of the individual nurse.# # # The Nurse will maintain competency and take responsibility for medication administration in accordance with hospital policy.# All narcotic discrepancies will be handled in accordance to hospital policy. # # All nursing documentation and assessment of the patient is to be carried out in accordance to unit specific and hospital policy using ORM electronic documentation.## # # The Nurse will be responsible for working on Policies and Procedures, Preference Cards and other needed projects as assigned by the Director or Charge Nurse for the department when not engaged in cases. # # The Nurse will responsibly document Charges in both the EMR, as well as when Pulling /Taking supplies for cases through Pyxis. # # The Nurse will show competency with all equipment, systems or procedures that are performed within the Surgical Services Department. # # Assistance with any needed functions within the department. This includes, but is not limited to: Housekeeping Functions, Assisting in Sterile Processing/Instrument Cleaning, Materials Management and Room Stocking, and Floating to other Departments within Surgical Services or the Hospital if needed. These roles will be assigned by the Charge Nurse or Director as needed. # # The Nurse will be dressed in AVH Scrubs at the assigned start of the shift, ready to perform their job duties. # # The RN will communicate clearly with the Charge Nurse, Director and other staff in regards to plans for procedures, patient flow and personal needs. # POPULATION SPECIFIC CRITERIA Pass/No Pass # Ensures developmentally appropriate care for pediatric, adult and geriatric patient.## # # # # VII CORE VALUES 50% # Patient Centered:is passionate about patient care, creating positive impressions on a consistent basis and exceeding our patients# expectations. Exhibits courtesy and sensitivity to the needs of patients and their families, responds with a sense of urgency to patient problems, anticipates patient requirements, responds proactively and places the patient#s safety above all else. # # Teamwork:works collaboratively with physicians and other staff and assists whenever possible. He/she openly shares information, provides feedback and participates in appropriate decision making as part of a team of healthcare professionals. Hospital and departmental objectives are placed ahead of individual agendas # # Respect for Others:actively listens to others, takes other opinions into account, and communicates openly and honestly.# He/she demonstrates respect for others by being timely with communications, completion of tasks, and meeting attendance.# The employee is respectful of all physicians, colleagues, patients, visitors, and other stakeholders # # Accountability:takes responsibility for his/her actions, abides by the hospital#s guiding philosophies and policies, and follows through on commitments and physician orders.# He/she provides complete and accurate information to the Physician and/or other members of the work team. takes personal pride and ownership in the quality of care and services provided to all internal and external customers # # Integrity:is truthful, trustworthy, and principled.#He/she#demonstrates character, conviction, and honest and ethical behavior in all interactions with others.##The employee#s word can be trusted.##Behavior is#consistent with these AVH Core Values # KNOWLEDGE, SKILLS # ABILITIES # # EDUCATION/EXPERIENCE REQUIREMENTS Associate Degree in Nursing BSN graduate preferred Experience 2yr preferred LICENSE/REGISTRATION/CERTIFICATIONS Current Colorado nursing license or temporary permit Current BLS certification ACLS within six months of hire PALS within six months of hire KNOWLEDGE AND SKILL REQUIREMENTS Ability to concentrate and show attention to detail Relatively high degree of analytical abilities Strong interpersonal skills required Ability to work independently LANGUAGE SKILLS Ability to read and communicate effectively in English Spanish preferred WORKING CONDITIONS Normal patient care environment with little exposure to excessive noise, dust and temperature May be exposed to communicable diseases through normal or careless performance of responsibilities May be exposed to mechanical dangers associated with mechanical devices May be exposed to stressful situations DESCRIPTION OF PHYSICAL DEMANDS # PHYSICAL DEMANDS # On-the-job time is spent in the following physical activities.# # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # – Percent of Time- Stand:####################################################################### 40% Walk:######################################################################## 30% Sit:############################################################################ 30% Talk or hear:############################################################# 99% Use hands to finger, handle or feel: # # # # # # # # # # #100% Push or pull:############################################################# 10% Stoop, kneel, crouch or crawl: # # # # # # # # # # # # # # # #10% Reach with hands and arms: # # # # # # # # # # # # # # # # 10% Taste or smell:########################################################## 00% # This job requires that weight be lifted or force be exerted. # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # – Yes/ No – Up to 10 pounds:######################################################## yes## Up to 25 pounds:######################################################## yes## Up to 50 pounds: # # # # # # # # # # # # # # # # # # # # # # # # # # # #yes Up to 100 pounds: # # # # # # # # # # # # # # # # # # # # # # # # # # no### More than 100 pounds: # # # # # # # # # # # # # # # # # # # # # # #no # This job has vision requirements as follows: #- Yes/No – Clear close vision:###################################################### yes# Clear distance vision:################################################## yes# Depth perception:####################################################### yes# Three-dimensional vision; ability to judge ## Distances and spatial relationships: # # # # # # # # # # #yes# Ability to adjust eye to bring an object into ## Sharp focus: # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # #yes# # Specific demands not listed: WORK ENVIRONMENT # Job may have exposure to the following environmental conditions: # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # # #-Yes/No – Wet, humid conditions (non-weather): # # # # # # # # # no### Work near moving mechanical parts: # # # # # # # # # # #yes## Fumes or airborne particles: # # # # # # # # # # # # # # # # # # yes### Toxic or caustic chemicals: # # # # # # # # # # # # # # # # # # # #no### Outdoor weather conditions: # # # # # # # # # # # # # # # # # # no### Extreme cold (non-weather): # # # # # # # # # # # # # # # # # #no### Extreme heat (non-weather): # # # # # # # # # # # # # # # # # no### Risk of electrical shock: # # # # # # # # # # # # # # # # # # # # # #yes### Work with explosives: # # # # # # # # # # # # # # # # # # # # # # # #no### Risk of radiation:######################################################## yes### Vibration:##################################################################### no### # Hearing ability required for work environment is:### – Yes/No – Ability to hear alarms on equipment: # # # # # # # # # # # # yes## Ability to hear patient call:########################################## yes## Ability to hear instructions clearly:############################# yes## # ################################################################################## – Hi/Med/Lo – The typical noise level for the work environment is: #med## # Repetitive Motion Actions############################# – Percent of Time – Repetitive use of foot control: # # # # # # # # # # # # # # # #00%### Repetitive use of hands: # # # # # # # # # # # # # # # # # # # #50%## Grasping – simple/light: # # # # # # # # # # # # # # # # # # # # # 80%## Grasping – firm/heavy: # # # # # # # # # # # # # # # # # # # # # 15%## Fine dexterity:######## 50%