Registered Nurse - PreAssessment

Job Description

Job Description

Description:

GENERAL SUMMARY

The Registered Nurse-PreAssessment is responsible for overseeing intake, performing an initial physical assessment, interviewing the patient to obtain medical history, and performing tests ordered by the surgeon such as EKG and drawing blood for lab work. The RN works closely with the surgeon and anesthesia team to ensure the patient is ready for surgery.

ESSENTIAL JOB FUNCTION/COMPETENCIES

Responsibilities include but are not limited to:

• Gathers pertinent patient information related to the scheduled case.
• Arranges collected data into the appropriate patient record.
• Utilizes critical thinking in the assessment of patients.
• Responsible for contacting all patients scheduled for surgery to assess their biophysical, psychosocial, spiritual, cultural, and educational status.
• Develops an individualized perioperative patient plan of care.
• Serves as a liaison between physician offices and the surgical team.
• Administers medications safely and correctly per written provider orders.
• Assesses the knowledge level of the patient or designated support person. Provides education regarding the expected psychosocial response, nutritional management, medication management, pain management, wound management, and expected responses to the operative or invasive procedure.
• Actively involves the patient or designated support person in decisions affecting his or her perioperative plan of care and the rehabilitation process, and discharge planning. Evaluates the patient’s progress toward attaining outcomes.
• Protects the patient’s rights, dignity, and privacy.
• Ensures that documentation is completed in a timely and thorough manner, which is able to be read and understood by clinical staff.
• Contributes to the provision of quality nursing care through excellence in customer service and performance improvement techniques that demonstrate positive outcomes in patient care.
• Performs other position related duties as assigned.
• Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training.

CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS

• RN license and certification as required by state.
• BLS certification required, ACLS preferred.
• Certified Nurse Post-Anesthesia (CAPA) preferred.

KNOWLEDGE | SKILLS | ABILITIES

• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Strong analytical and problem-solving skills.
• Patient focused with ability to remain calm in difficult situations.
• Excellent interpersonal skills. Must be compassionate and personable.
• Basic computer skills and use of Microsoft Office software. Previous experience with electronic Health Records (EMR Software) required.
• Complies with all health and safety policies of the organization.
• Complies with HIPAA regulations for patient confidentiality.

EDUCATION REQUIREMENTS

• Graduate of an accredited school of nursing required. BSN preferred.

EXPERIENCE REQUIREMENTS

• 2 years' perioperative services experience preferred.

REQUIRED TRAVEL

• N/A

PHYSICAL DEMANDS

Carrying Weight Frequency

1-25 lbs. Frequent from 34% to 66%

26-50 lbs. Occasionally from 2% to 33%

Pushing/Pulling Frequency

1-25 lbs. Seldom, up to 2%

100 + lbs. Seldom, up to 2%

Lifting - Height, Weight Frequency

Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33%

Floor to Chest, 26-50 lbs. Seldom: up to 2%

Floor to Waist, 1-25 lbs. Occasional: from 2% to 33%

Floor to Waist, 26-50 lbs. Seldom: up to 2%