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Pre-op Assessment Nurse

Company: HCA Healthcare
Location: Kissimmee
Posted on: February 10, 2019

Job Description:

Job Code: 07278-2138

Full-time

No Weekends

HCA has been recognized as a WORLD S MOST ADMIRED COMPANY in the Health Care Medical Facilities Industry by FORTUNE MAGAZINE. The Ambulatory Surgery Division of HCA operates and jointly owns with physicians 130+ surgery centers across the United States. Our cases are performed Monday-Friday which means NO NIGHTS, NO WEEKENDS, OR ON-CALL will be required. The size of our surgery centers naturally creates a culture where everyone knows one another with a shared focus on providing the best possible experience for those that we serve. We are currently in search of additional members to join our team!



We value you and your future. We provide multiple health insurance plan options, tuition reimbursement, and many more programs to cover a wide variety of today s life and family needs. In addition to your salary and health insurance benefits, HCA provides a matching 401k as well as an Employee Stock Purchase Plan (ESPP). Members of HCA receive consumer discounts on cell phones, hotels, rental cars, and many others. Interviews are being set immediately, you are encouraged to apply today!





OPERATIONAL DUTIES:

Pre-op

* Prepares patient care area adequately before case and ensures availability of necessary equipment and supplies.

* Greets patient and family in a timely manner and keeps them informed of any delays/changes.

* Verifies two patient identifiers utilizing the armband prior to any interventions.

* Conducts complete patient assessment and evaluation of each patient prior to surgery or treatment, which includes review of patient history and diagnostic tests, physical, and psychological assessment.

* Assess patient s understanding of procedure and checks surgical consent for accuracy and completeness. Obtains and witnesses patient s signature if needed.

* Consistently reviews charts for completeness, in accordance with clinical protocols, prior to surgery (i.e. consents, H/P, diagnostic studies, assessments, home medications list, etc.)

* Ensures that H/P is a complete full examination of all body systems and dated within 30-days prior to procedure.

* Ensures that H/P, orders for the procedure, and consent form are consistent prior to placing in medical chart.

* Verifies surgical site verbally with patient per policy.

* Participates in the anesthesia time-out process if performed in the pre-op area prior to administration of pre-operative blocks or prior to the induction of anesthesia.

* Initiates intravenous therapy as prescribed, utilizing aseptic technique utilizing appropriate IV start kit, catheter and fluid. Ensures that medication is labeled appropriately.

* Receives and acknowledges preoperative physician s orders and implements accordingly. Utilizing appropriate documentation for verbal/telephone orders.

* Administers pre-operative medications as prescribed and utilizes safety medication practices (i.e. aseptic preparation, labeling medications, identifying high alert and independent check medications, 7 medication rights, narcotic waste, etc.). Monitors patient until transferred to OR.

* Monitors patient if IV sedation given in pre-op setting to assure patient maintains airway and vital signs are stable. Administers oxygen and provides continuous monitoring and support as needed.

* Demonstrates knowledge/understanding of pain blocks and is readily available to assist anesthesia as needed.

Post-op

* Prepares patient care area adequately and ensures availability of necessary equipment and supplies.

* Demonstrates proper airway management techniques (oral airway, extubation, pulse oximetry monitoring, O2 administration, etc.)

* Understand principals of hemodynamic monitoring and monitors patient according to policy (vital signs, temperature, cardiac, etc.).

* Recognizes signs and symptoms of patient s condition that indicate potential post procedure or anesthesia related complications and report to anesthesiologist immediately.

* Monitors and maintains proper intravenous intake and output.

* Exhibits proper technique for insertion, maintenance, and removal of IV catheters and saline locks.

* Performs head to toe assessment of patient and evaluates patient utilizing approved scoring system upon admission and as indicated by policy.

* Documents patient assessment upon admission.

* Checks dressings and/or operative site and reports abnormalities to the surgeon.

* Provides a safe and comforting environment for patient and family while restraining patient for safety reasons, as needed and in accordance with facility policy.

* Prepares and administers medications in accordance with current practice (i.e. antibiotics, narcotics, preparing/labeling medications, identifying high alert medications, utilizing 7 patient rights for medication administration and appropriate handling of narcotic waste).

* Demonstrates thorough understanding of medications utilized intra and poster operatively and recognizes the need for use of reversal drugs, when necessary.

* Recognizes emergency situations and responds effectively in a calm and controlled manner.

* Assures that patient meets all discharge criteria.

* Patient is evaluated by a physician/anesthesia provider prior to discharge.

* Written discharge order is received from the attending physician prior to patient discharge.

* Patient is discharged home with a responsible adult, unless otherwise approved by physician.

* Confirms that patient and family receives and verbalizes understanding of written discharge instructions.

* Documents all appropriate patient information in accordance with charting guidelines.

* Conducts patient post procedure calls. Documents and reports to patient s physician any abnormalities communicated by patient/family member during the follow up call.

* Takes responsibility for careful and accurate handling and/or logging of narcotics.

* Utilizes appropriate body mechanics in moving patients and stretchers to prevent injury to patient and self.

* Complies with principles of hand hygiene, aseptic and sterile technique.

* Demonstrates knowledge related to maintenance and cleanliness of instruments and equipment. Maintains a sanitary environment for the provision of patient care.

* Appropriately handles the disposal of biohazardous materials.

* Restocks area daily, using appropriate par levels and daily stock sheets.

* Spends appropriate time and energy on tasks and assignments based on the policies that are supportive of the Center s goals and objectives.

* Functions independently according to job responsibilities and within scope of practice utilizing current standards of care.

* Takes personal initiative to maintain current RN licensure, BCLS, ACLS, and PALS (if indicated) and other professional certifications current as defined by job role.

* Uses facility resources appropriately and avoids wasteful practices.

Diversity is valued and actively promoted in the workforce at all levels. We strive to celebrate cultural and other differences and consider them strengths of the organization.

We are committed to:

Providing an inclusive work environment where everyone is treated with fairness, dignity and respect.
Recruiting and retaining a diverse staff reflective of the patients and communities we serve.
Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, citizenship, age, disability, sexual orientation, genetic information, gender identity, protected veteran status, or any other legally protected category in accordance to applicable federal, state, or local laws.

The policy applies to all terms and conditions of employment including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves or absence, compensation and training.

Keywords: HCA Healthcare, Kissimmee , Pre-op Assessment Nurse, Healthcare , Kissimmee, Florida

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