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RN - (OB)','Part-time','Nursing - RN','Rotating','Rotating','48','48','Occasional','Occasional','NORTH DAKOTA-DICKINSON-ST JOSEPHS HOSPITAL AND HLTH','','!*! 


Key Responsibilities


Initiates and revises the plan of care/Kardex according to policy and individual patient needs.

Participates in discharge planning per policy.

Assesses patient per policy and need in age appropriate manner.

Teaches patient and family about treatments, diagnosis, care, medications and discharge plan.

Adapts nursing care to specific age group.  When unfamiliar, consults resource nurse or resource guide.

Documents accurately and timely (at the time of occurrence) in the medical record the following:  Assessments, Teaching, Family Involvement, Interventions, Patient response, Discharge plan, Implementation of MD orders, and medication.

Assists director in other related duties as required and assigned.


Responsibilities of RN Circulating Nurse:


Assess patients at intervals as stated I policies and procedures

Develop and individualized perioperative plan of care using PNDS (Perioperative Nurse Data Set) guidelines.

Assists director and charge nurse in other related duties as required and assigned
 
 

Implement the plan of care using the following:


Protect patient from injury caused by chemical, electrical, laser, positioning, thermal sources and extraneous object.

Perform count procedures to protect patient form unintended retained foreign objects

Perform interventions necessary to ensure patient’s procedure is performed on the correct site, side and level.

Manage patient’s specimen(s) in the appropriate manner

Communicate patient’s current status throughout the continuum of care

Administer medication(s) appropriately

Perform interventions to maintain patient’s wound and tissue perfusion at or above baseline levels

Perform intervention to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline

Perform interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period.

Perform interventions to protect patient from infection

Assess knowledge level of patient or designated support person and provide education regarding the expected psychosocial response, nutritional management, medication management, pain management, wound management, and expected responses to the operative or invasive procedure.

Actively involve patient or designated support person in decisions affecting his or her perioperative plan of care and the rehabilitation process

Protect patient’s rights, dignity and privacy

Provide culturally competent, age-appropriate, ethical care within legal standards of practice

Provide consistent and comparable care regardless of the setting.


Evaluate the patient’s progress toward attaining outcomes

Transfer care as appropriate

Delegate tasks as appropriate according the state of ND Nurse Practice Act and job descriptions

Document nursing care

Collaborate effectively with other disciplines ad appropriate

Participate in quality reviews and performance improvement projects

Participate in the performance appraisal process

Use problem-solving and conflict resolutions skills to foster effective work relationships with team members

Maintain required competencies

Attend required meetings and education al session. Complete LEARN assignments as assigned

Act as a patient advocate and maintain privacy of all appropriate information

Please refer to call schedule policy regarding call requirements.

Responsibilities for Day Surgery RN:



Responsibilities of Charge Nurse


Admit surgical patients, discharge patients, start IV’s, give injections, port care, PIC line care, access ports and lab draws from ports. Makes patient placement decisions based on patient need and staff ability.

Supervises CNAs, WCs, RNs and LPNs, acts as a resource to nursing staff on care problems, assists with patient care as requested by staff, confronts staff and takes appropriate action when necessary, assists in performance appraisals for a designated group of staff.

Assesses staffing needs according to activity level, workload measurement, staffing pattern / skill mix, geographic districts and patient needs.

Communicates effectively with all members of the health care team, patients and families, reporting critical incidents to Administrative staff, acting as a resource to physicians by providing information, contacting family when necessary, making rounds with physicians

Assists with staff scheduling by approving trades, placing daily staff changes on permanent schedule and assisting with calling in staff/low census.
 
 


Charge Nurse responsibilities (specific to the Department of Surgery)


Demonstrates knowledge of AORN standards and practice guidelines.

Assures that physician preference cards are completed and updated.

Assists in ordering supplies and equipment through controlled and approved purchasing mechanisms under the direction of the unit director.

Assures availability of adequate supplies, equipment, instrumentation, and materials for the department and for scheduled cases.

Assists with education and training of new and current employees as assigned.

Demonstrates the ability to perform circulating and scrub nurse duties.

Assists others in time of need (i.e. PTO, STD, etc.)

Participates in quality control/process improvement programs.

Coordinates repairs of equipment under the direction of the unit director.

Performs clerical functions as needed for appropriate record keeping.

Maintains all PAR levels in the area under the direction of the unit director.

Assists in enforcing policies, procedures, and professionalism within the department and hospital; disciplinary action is the responsibility of the unit director but the RN-charge nurse assists the director with identifying issues for resolution.

Assists with the overall flow of patient activities within the operating room, day surgery, and post anesthesia care unit under the direction of the unit director.

Post assignments for the case board daily and make scheduling adjustments as needed

Assist director in related duties as assigned

Assists with the overall flow of patient activities within the Surgical Services department

Assist staff with and monitor call schedule

Use effective conflict resolution techniques

Participate in interviews for staff selection

Pursue professional growth and participate in a professional organization

Demonstrate effective communication and collaboration skills with members of the perioperative team, other departments, patients and families.

Act as clinical resource for perioperative services staff members using evidence-based knowledge and prevailing standards.

Responsibilities of a Perianesthesia Nurse:


Admission to PACU

Assess type of anesthesia, monitor vital signs every 10-15 min & prn ( BP, pulse, O2 sat., resp., temp, EKG, consciousness, color, age specific assessment)

Airway management

Positioning/Safety measures as appropriate to procedure

Intake & Outtake

IV therapy, airway(Foley) catheter gastric, auto transfusion, drains)

Dressings

Pain & Comfort management

Thermoregulation (Bear Paw, warm blanket)

Labs-X-rays-respiratory

Medication control-dispensing, documentation, ordering, charging

Supply & equipment availability

 Assisting Anesthesia staff –blocks/other injections

On call work schedule

Daily monitor documentations- Temps, crash cart, blanket warmer

Family/significant other updates as indicated

Transport patients to & from OR/PACU

Update MDA/surgeon of complications

Discharge from PACU to other unit (hands off communication)','!*!

Job Requirements/Qualifications

Current North Dakota Registered Nurse License

Capable of meeting the physical and emotional demand of the position

Unit Specific requirements:


Emergency Dept:  CPI, BLS, ACLS, PALS and completion of Trauma Nursing Core Curriculum within one year of employment.  One year ICU/ Medical/Surgical experience preferred.

Intensive Care Unit:  CPI, BLS, ACLS and one year Medical/Surgical experience preferred; (required to advance to Charge Nurse role) and obtain ACLS and PALS within one year of employment in St. Joseph’s Intensive Care Unit

Level II Nursery:  NRP

Perianesthesia Nurse:  
RN Lic/minimum 1 year Med/Surg/Peds experience
BLS
PALS
ACLS

Pediatrics: BLS and  PALS

RN Circulating Nurse: 
Preferred ACLS, CNOR
Graduate from accredited school of nursing
Current RN Lic in North Dakota
3.BLS certification: required for all areas


ANCC Certification preferred


Obstetrics

Surgery

Medical/Surgical

Critical Care


BSN preferred

Must meet the criteria required for the nursing area

FIT testing

For Day Surgery RN: Cross train to PACO (Recovery Room)','We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.','2017-R0137036','CHI St. Alexius Health - Dickinson','RN - (OB)

Company info

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