Ability to communicate clearly and effectively and to delegate and coordinate through leadership skills.
Ability to communicate with people of diverse backgrounds and educational levels, including patients, families, employees, and physicians.
Participation in continuing education and continued professional self-improvement.
Ability to work any shift, day of the week, or irregular hours as required by emergencies.
Ability to exert up to 50 pounds of force occasionally, 25 pounds frequently, and 10 pounds constantly.
Ability to work in an environment with biohazard and blood-borne pathogen exposure.
Ability to adapt to varied age-specific patient populations.
Compliance with hospital policies, attendance requirements, infection control procedures, standard precautions, personal protective equipment requirements, privacy laws, safety procedures, and applicable nursing practice laws.
Responsibilities
Provide quality patient care by assisting with outpatient procedures.
Assess, plan, implement, and evaluate patient care.
Communicate with doctors, physician assistants, and nurse practitioners about patient conditions.
Assist physicians during procedures, including charting vital signs and patient status and collecting and labeling specimens.
Prepare procedure suites according to the daily schedule and procedure requirements.
Place blood pressure cuffs, pulse oximeter sensors, nasal cannulas, and cardiac electrodes appropriately.
Assist with patient positioning.
Delegate tasks to medical assistants within their scope of practice.
Handle instruments and equipment properly to ensure optimal outcomes.
Clean, disinfect, and reprocess instruments according to manufacturer recommendations and hospital policies.
Maintain knowledge of sterile, non-sterile, and disinfected instrument inventory, function, availability, and location.
Operate and handle special equipment according to manufacturer recommendations.
Troubleshoot malfunctioning equipment and contact biomedical services when further service is required.
Maintain adequate inventory of supplies and equipment based on department needs.
Use equipment and supplies economically.
Maintain confidentiality of patient care information and protect patient privacy.
Communicate timely and appropriate information to the healthcare team.
Participate in procedure scheduling, staff training, statistics maintenance, quality assurance projects, staff meetings, and required education in-services.
Perform independent patient monitoring.
Chart appropriately in the electronic medical record.
Scan patients and medications when administering medications and document in the electronic medication administration record.
Communicate changes in patient condition immediately to the appropriate care provider.
Evaluate treatments and document patient responses.
Notify care providers of untoward responses to treatments.
Maintain a well-stocked and clean department by cleaning equipment and replacing supplies.
Respond appropriately to emergency situations and hospital emergency codes.
Perform assigned tasks completely and thoroughly.
Description
JOB DESCRIPTION
Under the supervision of the Emergency Department Manager, the primary function of the Outpatient Procedure Registered Nurse is to provide quality patient care by assisting in the performance of all outpatient procedures in Mid Valley Hospital. Assess, plans, implements and evaluates the care of patients. Communicates with the doctors, PA, NP as needed about patient’s condition, assists with procedures, and assists with maintaining equipment and inventory. Participates in performance improvement projects, maintain regulatory agency requirements, nursing and medical center policies and standards.
Other responsibilities may be assigned or delegated by the Emergency Department Manager or CNO.
SPECIFICATIONS
1. Ensures quality patient care by following department policies and guidelines.
2. Maintains IV competency.
3. Prepares each suite prior to each case by following the daily schedule and procedure requirements.
4. Ensures safe patient care by placing blood pressure cuff, sensor for pulse oximeter, nasal cannula, and cardiac electrodes appropriately.
5. Assists with positioning of patients.
6. Assists the MD in the procedure rooms, including but not limited to: charting vitals/patient status and the collection and labeling of specimens.
7. Delegate’s tasks to the MAs, recognizing what duties are within their scope of practice.
8. Ensures optimal outcomes by proper handling of instruments and equipment.
9. Maintains manufacturer’s recommendations and Mid Valley policies by proper processes-cleans, disinfects and reprocess instruments.
10. Understands the inventory of sterile, non-sterile and disinfected instruments by demonstrating proper handling, function, availability and location.
11. Prioritizes activities based on knowledge and comprehension of Outpatient procedures.
12. Understands operation, function and handling of special equipment according to manufacturer’s recommendations.
13. Provide assessment by troubleshooting malfunctioning equipment. If further service is required, process equipment, complete paperwork and calls biomed.
14. Assists where needed to insure efficient and safe care in the Outpatient patient continuum.
15. Maintains adequate inventory based on department need.
16. Demonstrates economic use of equipment and supplies.
17. Maintain confidentiality of all pertinent patient care information to assure patient’s rights are protected.
18. Communicate appropriate information to other members of the healthcare team in a timely manner.
19. Participate in overall Mid Valley Outpatient functions including, but not limited to, scheduling of procedures, training of new staff, maintaining appropriate statistics, assisting with Quality Assurance projects, education to improve self and others, and attending staff meetings and annual education in-services as required.
20. Comply with attendance requirements.
21. Channel suggestions, criticism and questions to appropriate individuals.
22. Accept and act on constructive criticism to improve professional abilities.
23. Respond appropriately to emergency situations, recognizing the need for assistance and obtaining support from personnel and/or physician as needed.
24. Recognize legal responsibilities and function within limitations as specified by law.
25. Responsible for complete and thorough performance of assigned tasks.
26. Demonstrates an awareness of safe conditions and safe acts as related to Mid Valley employment.
27. Exhibits cooperation, self-control, and courtesy in relating to coworkers and job-related contacts.
28. Maintains BLS and ACLS certification thru RQI.
29. Compliance with universal precautions and the use of personal protective equipment
30. Understands the safety precautions associated with the use chemicals in the healthcare environment.
31. Other duties as assigned.
PLANNING
· Worked performed to predetermine the course of action to obtain quality patient care.
· Effectively manages use of physical resources based on outpatient procedures and continuing patient assessment.
· Ensures that supplies and equipment necessary for emergency care are readily available at all times.
· Implements safety procedures for each patient in accordance with that patient’s specific needs.
· Plans for effective interdepartmental communications.
· Plans for need of special equipment and supplies needed for specific procedures.
INTERVENTION:
· Performs independent monitoring of patients.
· Charts appropriately on the EMR.
· Appropriately scans patients and medications when administering medications, and Documents accordingly on the EMAR.
· Communicates changes in patient’s condition immediately to appropriate care provider.
PROFESSIONAL ACCOUNTABILITY:
· Evaluates treatments given and documents response of patient.
· Notifies care provider of untoward responses to treatments given.
· Adheres to departmental hospital policies and procedures.
· Follows guidelines for obtaining permission to treat for minors or unconscious persons.
· Emergency Room nurse exercises authority consistent with the role and responsibility in accordance with the nursing practice act.
· The Emergency Department nurse assumes responsibility and accountability for individual nursing judgments and actions.
· Serves as a professional role model.
· Safeguards patient’s right to privacy by judiciously protecting confidential information.
· Emergency Department nurse is able to remain calm and perform necessary duties during challenging and stressful situations.
· Participates in unit activities.
· Participates in departmental and intradepartmental problem solving.
CONTINUING EDUCATION:
· Record on file in HR. Each individual is responsible for keeping file current and updated on needed Education and CEU’s.
· Attendance may be required at departmental staff meetings to formulate needed changes in procedures and work schedules. Make suggestions, constructive criticism and personal requests in a non-abrasive manner.
· Read and initial memos and administrative directives as posted.
· Maintain a well-stocked and clean department by cleaning equipment and replacing supplies before leaving the unit.
Requirements
GENERAL RESPONSIBILITIES
· Reports for scheduled shift on time and prepared to assume responsibilities.
· Reports to work in proper uniform/attire.
· Leaves for meal break on time and returns on time.
· Varies work schedule to meet the needs of the department.
· Ensures the department manager has approved all scheduled overtime.
· Seek supervisor approval before working beyond scheduled hours that will result in overtime.
· Schedules all time off with supervisor’s approval.
· Strictly adheres to hospital attendance/tardiness policies 100% of the time.
· Performs all duties as assigned.
· Wears I.D. badge in a visible location at all times on hospital property.
· Protects I.D. and access badge and reports any issues or loss immediately to supervisor or to the Human Resource Department.
· Attends and participates in meetings and is responsible for information communicated at meetings and in email.
· Attends all mandatory in service on a timely basis as scheduled.
· Participates as an active team member at staff meetings.
· Reads communications and acts upon in a positive and informative manner.
· Responds to all training/recertification notices timely and completes required training and/or recertification prior to deadline or expiration.
· Exercise a commitment to practicing behaviors that are in agreement with the spirit of cooperation and reflect the values described in the Code of Mutual Respect and Professionalism.
· Assists all patients, family members, physicians, visitors, and employees in a professional and courteous manner.
· Extends special attention and sensitivity to all patients, visitors, physicians, and fellow employees.
· Actively promote diversity and inclusion across organization for both patients and coworkers while avoiding any language or actions considered to be discriminatory or derogatory regarding race, creed, color, ethnicity, national origin, religion, sex, sexual orientation, gender expression, age, height, weight, physical or mental ability, veteran status, military obligations, and marital status.
· Assists in maintaining an atmosphere of cooperation and teamwork with other departments and community partners.
· Demonstrates a genuine willingness to prevent or resolve inter-personal conflicts.
· Demonstrates the ability to participate in and/or implement team decisions.
· Adheres to HIPAA and all applicable privacy laws at all times, only sharing information on a “need to know” basis.
· Follows Infection Control procedures at all times.
· Clinical Personnel: Strictly adheres to standard precautions by adhering to the usage of personal protective equipment when handling blood or body fluids.
· Non-Clinical Personnel: Washes hands and other skin surfaces with soap and water thoroughly and often in an effort to control spreading of germs within the department and facility.
· Adheres to isolation procedures at all times as applicable.
· Adheres to the following environmental care standards.
· Demonstrates adequate knowledge of safety policies and procedures, the use of MSDS sheets, hazardous material procedures, and safety codes.
· Respond appropriately to any Codes while working any shift (Code Blue, Code Gray, Code Silver, Code Amber, Code Red, Code Orange, Rapid Response Team).
· Demonstrates adequate knowledge of security issues, i.e. personal protection, protection of personal and hospital property.
· Be familiar with and comply with the Mid-Valley Hospital & Clinic Personnel Handbook and Policies.
· Be familiar with the collective bargaining agreement (Union Contract) of the UFCW21 and Mid-Valley Hospital.
· Demonstrates the ability to adapt to varied age-specific patient populations.
· Non-Clinical Personnel: This position has no responsibility for the assessment, treatment, or care of patients. However, the ability to communicate and interact with patients of all ages is required.
EDUCATION: Graduated from an accredited School of Nursing
EXPERIENCE: The Emergency Department will employ only registered nurses who meet the requirements of a staff nurse at Mid-Valley Hospital plus the special qualifications necessary to render quality emergency care. She/he must demonstrate professional behavior.
REQUIRED: Certification / Licensure/ Registration: Current unrestricted state nursing licensure. ACLS is required upon hire with biannual renewal, CPR annually.
OTHER QUALIFICATIONS: Ability to communicate clearly and effectively: delegate and coordinate through leadership skills. She/he must demonstrate professional behavior. She/he must participate in continuing education and demonstrate motivation for continued self-improvement. Ability to communicate with people of diverse backgrounds and educational levels; i.e. patients, families, employees, physicians, etc.
CAREER PATH: Nursing Supervisor
PERSONAL PROTECTIVE EQUIPMENT: Standard precautions.
PHYSICAL REQUIREMENTS
May be required to work any shift in emergencies.
May be required to work any day of the week.
Exerting up to 50 pounds of force occasionally, and/or up to 25 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
WORKING CONDITIONS
Majority of work is performed indoors. High risk for biohazards.
This person spends 95% of their time in temperature controlled space. The potential for exposure to bio-hazardous agents or exposure to blood-borne pathogens and other potential infectious agents is high. This position requires contact with patients and staff under a wide variety of circumstances. This person is subject to varying and unpredictable situations, many interruptions, long irregular hours, multiple calls and inquiries.
WAGE AND COMPENSATION
Wage range $ 40.70 hr. - $ 73.71 hr. – DOE
Mid-Valley Hospital offers a benefit package. This includes accrued vacation time in the amount of .076923 vacation hours per hour worked. Accrued sick leave at an accrual of .04615 per hour, Life insurance and a profit-sharing plan. We also offer medical, dental and vision insurance plans. Employees can enroll in a 403(b) deferred compensation plan and/or a 457 deferred compensation plan.