- Purpose of Job
- Accountable for the delivery of quality care to patients and families according to the individualized needs of the patient.
- Job Requirements
- Bachelors of Science in Nursing (BSN) from an accredited school of nursing required by December 31, 2020 if hired after 2012 or five years from hire date for nurses hired after 2015.
- Successful completion of annual mandatory education requirements.
- Graduate of an accredited school of nursing required.
- No experience necessary.
- Current valid Nebraska Registered Nurse (RN) License, valid compact multistate license to work in Nebraska, or a temporary permit while awaiting licensure required.
- Current American Heart Association Basic Life Support (BLS) Certification required.
- Certification(s) in area of specialty preferred.
- From National Certification Corporation (NCC) within 1 year of eligibility.
- Current American Heart Association Advanced Cardio Life Support (ACLS) Certification for Cardiovascular and Cath Lab required.
- Certified Nurse Operating Room (CNOR) Certification is preferred.
- Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
- Ability to multi-task and prioritize work assignments.
- Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.
- Physical Requirements
- Weight Demands
- Medium Work - Exerting up to 50 pounds of force.
- Occasionally Performed (1%-33%):
- Frequently Performed (34%-66%):
- Distinguish colors
- Repetitive Motions
- Constantly Performed (67%-100%):
- Not Related:
- Electrical Shock/Static
- Rare (1-33%):
- Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)
- Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only
- Occasionally (34%-66%):
- Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
- Explosives (pressurized gas)
- Hazardous Drugs (exposure risks, personal protective equipment required)
- Frequent (67%-100%):
- Chemical agents (Toxic, Corrosive, Flammable, Latex)
- Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
- Mechanical moving parts/vibrations
- Essential Job Functions
- Essential Functions I
Provide appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.
- Demonstrate ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
Perform an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs.
- Include data from the patient/significant other(s) in the assessment as appropriate.
- Prioritize data collection according to patient's immediate needs.
- Use assessment findings in discharge planning.
- Participates in surgical time-out, fire risk assessment, and case summary for each operative procedure.
- Wears appropriate Personal Protection Equipment (PPE) and follows standard and policy for attire in the Operating Room (OR).
- Identifies labels and handles specimens according to facility policy and procedure, including hand-off situations and disposition of specimen.
- Applies base knowledge of anatomy and physiology, medical terminology, microbiology and pharmacology for optimal surgical patient care.
- Implement a plan of care:
- Protects the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources.
- Assist with patient positioning. Communicate any pre-op assessment that may impact the position.
- Performs counts according to facility policy and procedure during procedures and hand-off situations to protect the patient from unintended retained surgical items.
- Performs interventions to maintain patient normothermia during the operative procedure.
- Performs interventions to protect the patient from surgical site infection.
- Applies the principles of asepsis and sterile technique during the surgical procedure.
- Provides care for all patient populations (i.e. pediatric, adolescent, geriatric) as needed, identifying specific needs of population.
- Act as patient advocate and maintain privacy and confidentiality of individuals and health information.
Develop/review/revise and individualize the plan of care to address the patient's nursing care needs for optimum patient care outcomes. (Consultation and resources, nurses as teachers.)
- Collaborate with providers and other clinical disciplines as appropriate.
- Provide teaching specific to the patient's health care problem.
- Care plan reflects continuing care needs and/or referrals for discharge/transfer.
Implement interventions that are consistent with the established plan of care in a safe and appropriate manner (Professional Models of Care).
- Is familiar with, and follows, nursing protocols and standards of care for their unit.
- Use current knowledge in nursing practice based on standards and research literature.
Evaluate patient care to determine response to care/interventions for optimal patient outcome.
- Monitor outcomes and documents patient response to interventions.
- Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions.
- Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal.
- Give a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements, to include SBAR (situation, background, assessment and recommendation) content, and is familiar with the overall plan of care.
- Recognize and address patient and family capabilities and limitations (physical and mental).
Perform technical skills competently and independently to assure patient safety (autonomy).
- Able to competently perform technical skills independently.
- Is accountable to learn new skills and equipment within areas' specifications and time frame.
- Demonstrate correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.
- Follow appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
- Know location and operation of emergency equipment and supplies.
- Assures equipment is in working order prior to use, and follows procedures to send malfunctioning equipment for repair.
- Performs surgical scrub role, adhering to all essential functions demonstrated in that role.
- Demonstrates proper use of instruments, equipment, suturing, and stapling devices.
- Actively performs time out procedure and case summary: assuring participation of all team members.
Maintain a professional behavior in attitude, demeanor, interactions to achieve organization's mission. (Quality Improvement, Image of Nursing, Interdisciplinary Relationships, Professional Development, community and the healthcare organization.)
- Communicate effectively to solve problems at the personal and unit level.
- Is approachable and professional in working with other health professionals, ancillary staff, patients and family.
- Take pride in the unit by active participation in restocking and maintaining a clean environment.
- Maintain a professional appearance, behavior, and work environment.
- Maintain competence in area of experience.
- Participate in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.
- Adjusts hours to meet patient services when cases are more or less than scheduled.
- Maintains compliance with the department call coverage.
- Adapts to change in a positive, professional manner.
Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns). (Quality of Care)
- Complete appropriate report form for any risk (e.g., variance/incident report, patient concern report, maintenance request).
- Communicate to appropriate personnel regarding unresolved issues.
- Work within the scope of practice as defined by State Nurse Practice Act.
- Observes appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
- Demonstrates an ongoing awareness of, and participation in the Performance Improvement program. Is alert to potential performance improvement problems and actively participates in solving such problems.
Review, delegate and evaluate plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.
- Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome).
- Right person (assess competency by: certification/licensure, job description, skills checklist, demonstrated skill).
- Right communication (clear, concise, correct, complete).
- Right feedback: the Reciprocal Process (ask teammates' input first, recognize effort, get teammates' solution to problem, check off points).
- Act professionally responsible for human and other resources.
- Charge accurately for use of supplies and equipment according to policy.
Safely Administers Medications.
- Checks patient's allergies before administering any medications.
- Prepares and administers medication with 100% accuracy within a designated safe period of time according to nursing policy and procedure.
- Obtains, prepares an administers IVs and blood products according to nursing policy and procedure.
- Demonstrates proficiency in preparing A-line and cell saver set up.
- Observes and documents patient's response to pertinent medications.
- Handles and documents medication reactions in a competent manner.
- Assures medications are all labeled on back table.
Participate in ongoing planning, implementation and initiation of new Operating Room staff and students.
- Facilitate the clinical orientation of the orientee.
- Assists the orientee in identifying learning needs and implementing a developmental plan.
- Provides learning experiences, facilitates new experiences based on case availability and available mentors.
- Coordinates orientee's patient assignments to ensure completion of learning needs.
- Evaluate the care planning and documentation by the orientee.
- Evaluate the organizational skills of the orientee.
- Evaluate and document orientee's progress on appropriate forms.
- Evaluates orientee informally on a daily basis, completes evaluation forms and assists staff development nurse and service leader in discussions and mentoring for success.
- Assists orientee in completion of skill checklist, orientation checklist and map.
Essential Functions II
Participate in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.
Follow and understand the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.
Other duties as assigned.