OVERVIEW:
Responsible for performing fluoroscopy (C-arm) procedures in the operating room. Also responsible for participating in preoperative assessment of the patient, including C-arm procedures. Maintains and documents equipment are properly calibrated. Maintains log of all C-arm procedures.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
· Supports the philosophy, goals, and objectives of Center.
o Supports and performs according to approved policies and procedures.
o Participates as a team member in support of the total perioperative process.
o Considers patient rights in performance of job duties and responsibilities.
· Contributes to the progress and development of the approved QAPI Program
o Supports risk management and participates in programs directed to patient and staff safety.
o Contributes to the quality improvement process; identifies role and contributions upon request.
o Objectively evaluates suggestions, grievances and processes to identify opportunities to improve performance and quality of care.
· Communicates effectively with supervisor/management, patients, visitors, physicians and co-workers.
o Interactions are respectful and courteous.
o Communicates effectively and professionally using a translator when necessary.
o Documents that information received from the patient is disseminated to the appropriate people or departments.
· Maintains and promotes professional competence through continuing education and other learning experiences.
o Participates in committees and quality improvement activities.
o Seeks new learning experiences by accepting challenging opportunities and responsibilities.
o Objectively evaluates suggestions or criticism and attempts to improve performance or seeks further guidance as needed.
o Attends and actively participates in meetings, committees, and in-services according to job responsibilities and Center requirements.
· Adheres to safety policies and procedures in performing job duties and responsibilities.
o Reports observed or suspected violations, hazards, and noncompliance according to Center policy.
o Observes safety measures in performance of job duties and responsibilities.
o Responds to emergency situations with competence and composure.
· Interacts appropriately with various age groups.
o Accurately assesses and interprets age-specific patient data.
o Accurately interprets age-specific patient responses to questions and instructions.
o Involves the patient’s family/significant other in decision-making about the patient’s care.
o Provides care appropriate to the patient’s age group.
o Accurately applies knowledge of growth and development.
o Considers age-specific patient requirements when responding to emergency situations.
· Completes duties according to the requirements of each approved procedure needing radiological support.
o Assembles necessary supplies and positioning aids for scheduled procedures according to physician’s preference card.
o Tests and monitors equipment for proper working condition.
o Confirms that all persons in the room are properly shielded before activating C-arm.
· Applies the prescribed procedures to completely perform the radiology technician functions.
o Follows principles and aseptic technique in performing duties during the procedure.
o Remains available during the procedure to provide timely response to physician or patient needs.
o Follows manufacturer’s specifications and OSHA guidelines when performing C-arm procedures.
· Performs required maintenance of equipment by adhering to cleaning, care, storage and calibration procedures as directed.
o Handles equipment correctly to provide availability and safety.
o Maintains a clean and organized work area.
· Responds in a timely manner to meet the needs of the patient and the physician.
o Documents records and other forms according to CENTER policy.
o Communicates information about the patient’s status to others responsible for patient care.
o Accurately comprehends and interprets verbal orders and direction.
· Performs other duties that may be appropriately required or assigned.
SUPERVISORY RESPONSIBILITIES:
This job has no supervisory responsibilities.
COMPETENCIES - To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Intellectual
· Synthesizes complex or diverse information.
· Collects and researches data.
· Uses intuition and experience to complement data.
· Designs workflows and procedures.
· Generates creative solutions.
· Translates concepts and information into images.
· Uses feedback to modify designs.
· Applies design principles.
· Demonstrates attention to detail.
· Identifies and resolves problems in a timely manner.
· Gathers and analyzes information skillfully.
· Works well in group problem solving situations.
· Uses reason even when dealing with emotional topics.
· Develops project plans.
· Coordinates projects.
· Communicates changes and progress.
· Completes projects on time and budget.
· Manages project team activities.
· Assesses own strengths and weaknesses.
· Pursues training and development opportunities.
· Strives to continuously build knowledge and skills.
· Shares expertise with others.
Interpersonal
· Manages difficult or emotional customer situations.
· Responds promptly to customer needs.
· Solicits customer feedback to improve service.
· Responds to requests for service and assistance.
· Meets commitments.
· Focuses on solving conflict, not blaming.
· Maintains confidentiality.
· Listens to others without interrupting.
· Keeps emotions under control.
· Remains open to others' ideas and tries new things.
· Speaks clearly and persuasively in positive or negative situations.
· Listens and gets clarification.
· Responds well to questions.
· Demonstrates group presentation skills.
· Participates in meetings.
· Balances team and individual responsibilities.
· Exhibits objectivity and openness to others' views.
· Gives and welcomes feedback.
· Contributes to building a positive team spirit.
· Puts success of team above own interests.
· Able to build morale and group commitments to goals and objectives.
· Supports everyone's efforts to succeed.
· Recognizes accomplishments of other team members.
· Writes clearly and informatively.
· Edits work for spelling and grammar.
· Varies writing style to meet needs.
· Presents numerical data effectively.
· Able to read and interpret written information.
Organization
· Understands business implications of decisions.
· Displays orientation to profitability.
· Demonstrates knowledge of market and competition.
· Works within approved budget.
· Develops and implements cost saving measures.
· Contributes to profits and revenue.
· Conserves organizational resources.
· Demonstrates knowledge of EEO policy.
· Shows respect and sensitivity for cultural differences.
· Educates others on the value of diversity.
· Promotes a harassment-free environment.
· Builds a diverse workforce.
· Treats people with respect.
· Keeps commitments.
· Inspires the trust of others.
· Works with integrity and ethically.
· Upholds organizational values.
· Follows policies and procedures.
· Completes administrative tasks correctly and on time.
· Supports organization's goals and values.
· Supports affirmative action and respects diversity.
· Develops strategies to achieve organizational goals.
· Identifies external threats and opportunities.
· Adapts strategy to changing conditions.
Self-Management
· Adapts to changes in the work environment.
· Manages competing demands.
· Changes approach or method to best fit the situation.
· Able to deal with frequent change, delays, or unexpected events.
· Is consistently at work and on time.
· Ensures work responsibilities are covered when absent.
· Arrives at meetings and appointments on time.
· Follows instructions, responds to management direction.
· Takes responsibility for own actions.
· Keeps commitments; commits to long hours of work when necessary to reach goals.
· Completes tasks on time or notifies appropriate person with an alternate plan.
· Volunteers readily.
· Undertakes self-development activities.
· Seeks increased responsibilities.
· Takes independent actions and calculated risks.
· Looks for and takes advantage of opportunities.
· Asks for and offers help when needed.
· Displays original thinking and creativity.
· Meets challenges with resourcefulness.
· Generates suggestions for improving work.
· Develops innovative approaches and ideas.
· Presents ideas and information in a manner that gets others' attention.
· Displays willingness to make decisions.
· Exhibits sound and accurate judgment.
· Supports and explains reasoning for decisions.
· Includes appropriate people in decision-making process.
· Makes timely decisions.
· Sets and achieves challenging goals.
· Demonstrates persistence and overcomes obstacles.
· Measures self against standard of excellence.
· Takes calculated risks to accomplish goals.
· Prioritizes and plans work activities.
· Uses time efficiently.
· Plans for additional resources.
· Sets goals and objectives.
· Develops realistic action plans.
· Approaches others in a tactful manner.
· Reacts well under pressure.
· Treats others with respect and consideration regardless of their status or position.
· Accepts responsibility for own actions.
· Follows through on commitments.
· Demonstrates accuracy and thoroughness.
· Looks for ways to improve and promote quality.
· Applies feedback to improve performance.
· Monitors own work to ensure quality.
· Meets productivity standards.
· Completes work in timely manner.
· Strives to increase productivity.
· Works quickly.
· Observes safety and security procedures.
· Determines appropriate action beyond guidelines.
· Reports potentially unsafe conditions.
· Uses equipment and materials properly.
Language, Math and Reasoning
· Ability to read and comprehend simple instructions, short correspondence and memos. Ability to write simple correspondence. Ability to effectively present information in on and one and small group situations to customers, clients and other employees of the organization.
· Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio and percent and to draw and interpret bar graphs.
· Ability to apply common sense understanding to carry out detailed but involved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
EDUCATION, EXPERIENCE, and TRAINING:
· Associates Degree in Applied Science (A.S) or equivalent from two year college and technical school; six months to one year related experience and/or training; or equivalent combination of education and experience.
· Two (2) years of radiology technician experience preferred.
CERTIFICATES, LICENSES, REGISTRATIONS:
· A.A.R.T certification
· BLS
COMPUTER SKILLS:
Excellent computer skills in a Microsoft Windows environment.
PHYSICAL DEMANDS - The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
· The employee must regularly lift and /or move up to 50 pounds.
· While performing the duties of this job, the employee is regularly required to walk, sit, stand, use hands to finger, handle, or feel, reach with hands and arms, talk, hear, climb or balance, stoop, kneel, crouch, or crawl.
VISION REQUIREMENTS:
There are no special vision requirements.
WORK ENVIRONMENT - The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
· This position works in an environment with moderate noise level. (Examples: business office with computers and printers, light traffic.)
· While performing the duties of this job, the employee is frequently exposed to bloodborne pathogens.
· While performing the duties of this job, the employee is regularly exposed to risk of radiation.
· While performing the duties of this job, the employee is frequently exposed to chemical hazards.
Note: Nothing in this job specification restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
SUMMARY: The Pre/Post-operative Staff Nurse is responsible for the patient’s admission to the facility, comprehensive pre-operative care, immediate post-operative care, and stabilization for return to the home environment.
I. POSITION DUTIES
A. To utilize specialized nursing knowledge and discriminative judgment while giving direct and indirect patient care.
1. Responsible for patient’s admission and pre-operative care; holistic preparation for surgery, considering all needs, including pre-operative education, escort/family members, psychosocial needs, utilizing preference cards, and acting under established protocols, practices, and standing orders.
2. Coordinates pre-operative lab work required for individual patients, documenting and reporting pertinent results.
3. Responsible for the patient’s post-operative care and stabilization; holistic preparation for return to the home environment, considering all needs, including post-discharge care, escort/family members, educational and psychosocial needs, utilizing preference cards and acting under established protocols, practices, and standing orders.
4. Performs thorough and accurate continual patient assessment, anticipating potential problems and reporting pertinent assessments to the anesthesiologist, supervisor, and/or surgeon appropriately.
5. Documents actions in medical record completely and accurately in a timely manner.
6. Keeps safety of patient, self, and others a primary concern at all times; acts appropriately in an emergency situation.
7. Acts as discharge nurse when assigned, giving holistic and thorough discharge education.
8. Demonstrates good nursing knowledge base and rationale for actions, including cardiac monitoring.
9. Supervises and directs, as delegated, the activities of non-professional personnel.
10. Utilizes equipment and supplies effectively and efficiently, assisting with stocking, replenishing, and preparation of supplies.
11. Performs other related duties as assigned by supervisors.
B. To function effectively as a member of the Surgery Center team.
1. Participates as a team member in planning and implementation of patient care; takes responsibility for an adequate patient load, reviews schedule for next day with preference cards.
2. Reports for work in a timely manner and maintains good attendance record.
3. Shows flexibility in accommodating schedule changes, i.e. working late or early, changing work days, etc.
4. Utilizes time effectively.
5. Organizes work effectively and appropriately to finish in a timely manner, and demonstrates the ability to produce results.
6. Demonstrates the ability to deal with other team members.
7. Monitors surgery schedule continually, communicating arrivals, cancellations, delays; communicates with reception desk, contacts patients or surgeons who are late.
8. Demonstrates interest and enthusiasm towards work.
9. Contributes to increased morale and positive attitude in the department and facility.
10. Demonstrates the ability to accept change.
11. Requires minimal supervision in daily tasks.
12. Reports pertinent information to Charge Nurse and/or Nurse Manager.
C. To support quality activities.
1. Participates in on-going committees and other educational programs to enhance patient care.
2. Makes post-operative phone calls, assessing patient status and reporting any pertinent information to supervisor and/or anesthesiologist.
3. Utilizes critical thinking and problem solving skills, making suggestions for improvement.
4. Performs and documents daily assignments, including general housekeeping and maintenance of work environment.
5. Develops communication skills and promotes inter-departmental relationships to ensure continuity of care.
6. Maintains current CPR certification.
II. REPORTING RELATIONSHIPS
A. Immediate Supervisor: Administrator
B. Positions to be supervised: Aides as delegated
III. POSITION CHARACTERISTICS
It is necessary to perform some overtime beyond regularly scheduled work hours to provide patient care. Additionally, some on-call duty may be required. Because of the nature of patient care and the pace in the pre/post-operative care unit, this job can be stressful and hectic.
IV. POSITION REQUIREMENTS
Physical and mental – requires extensive mobility, waling, and standing. 90% of time spent pushing, pulling, lifting equipment; lifting, turning, and assisting patients. Potential exists for exposure to blood and body fluids as well as other hazardous materials. Personal protective equipment should be utilized as needed. Must be able to analyze, problem solve, and make decisions quickly and calmly. Employee must be able to work independently as well as within a team. Employee must have thorough knowledge of nursing theory and excellent patient assessment skills. Employee must present professional image. Must be willing to take responsibility and maintain accountability. Employee must possess good organizational and excellent communication skills as well as flexibility. Must have ability to prioritize and handle periods of stress. Requires respect for the confidential nature of the work environment.
V. POSITION SPECIFICATIONS
The Pre/Post-operative Staff Nurse must be a graduate of an accredited School of Nursing, and be currently licensed to practice nursing. A minimum of one year experience in acute care is required. Cardiac monitored nursing care preferred. The successful candidate must have the ability to work independently as well as function within a team; have the ability to assess patient needs, determine priorities, plan and direct pre/post-operative care of the patient; present good public relation skills; and possess the ability to handle stress.
Provides nursing care to the patient. Performs nursing activities in the operating room where the circulating nurse is the patient’s advocate. Answers patient needs by assisting the physician and person responsible for anesthesia care.
ESSENTIAL DUTIES AND RESPONSIBILITIES:· Supports the philosophy, goals and objectives of the Organization.
o Supports, and performs according to, approved policies and procedures.
o Participates as a team member in support of the total perioperative process.
o Considers patient rights in performance of job duties and responsibilities.
· Contributes to the progress and development of the approved Quality Improvement Program.
o Supports risk management and participates in programs directed to patient and staff safety.
o Contributes to the quality management process; identifies role and contributes upon request; participates in data collection activities in support of the Quality Improvement Program.
o Objectively evaluates suggestions, grievances and processes to identify opportunities to improve performance and quality of care.
· Communicates effectively with patients, visitors, supervisors/management, physicians, and co-workers.
o Interactions are respectful and courteous.
o Communicates effectively and professionally using a translator when necessary.
o Documents that information received from the patient are disseminated to the appropriate people or departments.
· Maintains and promotes professional competence through continuing education and other learning experiences.
o Participates in committees, conferences and quality management activities.
o Objectively evaluates suggestions or criticisms and attempts to improve performance or seeks further guidance, as needed.
o Attends and actively participates in meetings, committee and inservices according to job responsibilities and Facility requirements.
o Assists with orientation and training of new personnel and acts as a resource person for patient care problems.
· Adheres to safety policies and procedures in performing job duties and responsibilities.
o Reports observed or suspected violations, hazards and noncompliance according to Facility policy.
o Observes safety measures in performance of job duties and responsibilities; enforces compliance with safety and security policies and procedures.
o Responds to emergency situations with competence and composure.
· Organizes time, equipment, supplies, and staff to provide effective case management.
o Supervises and directs patient care in a single operating room.
o Organizes nursing activities efficiently and effectively delegating activities appropriate to the abilities of available staff members.
o Considers cost-containment by using supplies economically and in effective turnover time.
o Assists with supplies, drugs and equipment inventories to maintain stock level and availability.
· Addresses patient needs during admission to the operating room with attention to requirements specific to the outpatient setting.
o Transports patients to the operating room according to Facility policy, safety requirements and patient needs.
o Identifies the patient and correct surgical intervention according to Facility policy and communicates with all surgical team members.
o Reviews the patient’s medical record and needs to plan care with other health care team members.
o Provides comfort and reassurance to the patient; maintains patient’s privacy and dignity.
o Explains intraoperative phase routine procedures and care to the patient.
· Performs the circulating nurse’s functions adhering to approved operating room procedures for the scheduled procedure.
o Prepares operating room according to the procedure to be performed and patient needs.
o Assembles and provides properly functioning equipment, supplies and instruments before start of procedure; positions and adjusts equipment as required during the procedure.
o Anticipates needs of the surgical team; assists anesthesia staff by supporting the patient during administration and emergence of anesthesia.
o Assists with the proper and safe positioning of the patient and prepares the operative site as directed by consented procedure.
o Monitors compliance with principles of aseptic technique according to accepted standards.
o Assists with identification and confirmation of operative site, performs accurate surgical time out.
o Provides for comfort in the physical environment by monitoring designated parameters.
o Provides continuity of patient care by communicating with other perioperative care personnel and documenting records appropriately.
· Responds in a timely manner to meet the needs of the patient and physician.
o Accurately comprehends and interprets verbal orders and direction.
o Documents patient care records and other forms accurately according to Facility policy.
o Accurately advises others responsible for patient care about the patient’s status.
SUPERVISORY RESPONSIBILITIES:This job has no supervisory responsibilities.
COMPETENCIES - To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Intellectual
· Uses intuition and experience to complement data.
· Designs work flows and procedures.
· Generates creative solutions.
· Translates concepts and information into images.
· Uses feedback to modify designs.
· Applies design principles.
· Demonstrates attention to detail.
· Identifies and resolves problems in a timely manner.
· Gathers and analyzes information skillfully.
· Develops alternative solutions.
· Works well in group problem solving situations.
· Uses reason even when dealing with emotional topics.
· Coordinates projects.
· Communicates changes and progress.
· Completes projects on time and budget.
· Strives to continuously build knowledge and skills.
· Shares expertise with others.
Interpersonal
· Manages difficult or emotional customer situations.
· Responds promptly to customer needs.
· Responds to requests for service and assistance.
· Meets commitments.
· Maintains confidentiality.
· Keeps emotions under control.
· Remains open to others' ideas and tries new things.
· Speaks clearly and persuasively in positive or negative situations.
· Gives and welcomes feedback.
· Contributes to building a positive team spirit.
· Puts success of team above own interests.
· Able to build morale and group commitments to goals and objectives.
· Edits work for spelling and grammar.
· Varies writing style to meet needs.
· Presents numerical data effectively.
· Able to read and interpret written information.
Leadership
· Delegates work assignments.
Self Management
· Adapts to changes in the work environment.
· Able to deal with frequent change, delays, or unexpected events.
· Is consistently at work and on time.
· Ensures work responsibilities are covered when absent.
· Follows instructions, responds to management direction.
· Takes responsibility for own actions.
· Keeps commitments; commits to long hours of work when necessary to reach goals.
· Completes tasks on time or notifies appropriate person with an alternate plan.
· Volunteers readily.
· Seeks increased responsibilities..
· Asks for and offers help when needed.
· Displays original thinking and creativity.
· Develops innovative approaches and ideas.
· Presents ideas and information in a manner that gets others' attention.
· Displays willingness to make decisions.
· Exhibits sound and accurate judgment.
· Makes timely decisions.
· Sets and achieves challenging goals.
· Prioritizes and plans work activities.
· Uses time efficiently.
· Sets goals and objectives..
· Develops realistic action plans.
· Approaches others in a tactful manner.
· Reacts well under pressure.
· Treats others with respect and consideration regardless of their status or position.
· Accepts responsibility for own actions.
· Follows through on commitments.
· Looks for ways to improve and promote quality.
· Applies feedback to improve performance.
· Completes work in timely manner.
· Observes safety and security procedures.
· Reports potentially unsafe conditions.
· Uses equipment and materials properly.
Language, Math and Reasoning
· Ability to read, analyze and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals. Ability to write reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.
· Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to compute rate, ratio and percent and to draw and interpret bar graphs.
· Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
EDUCATION, EXPERIENCE, and TRAINING:
Associate’s degree (A.A.) or equivalent from two year college and technical school; six months to one year related experience and/or training; or equivalent combination of education and experience.
CERTIFICATES, LICENSES, REGISTRATIONS:· Nursing License (NC)
· BLS
· ACLS
· PALS (preop/postop RN)
COMPUTER SKILLS:Excellent computer skills in a Microsoft Windows environment.
PHYSICAL DEMANDS - The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
· The employee must regularly lift and /or move up to 50 pounds.
· The employee must occasionally lift and /or move up to 100 pounds.
While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; talk or hear; taste or smell.
VISION REQUIREMENTS:There are no special vision requirements.
WORK ENVIRONMENT - The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
· This position works in an environment with moderate noise level. (Examples: business office with computers and printers, light traffic.)
· While performing the duties of this job, the employee is occasionally exposed to risk of radiation.
· While performing the duties of this job, the employee is frequently exposed to Bloodborne pathogens.
· While performing the duties of this job, the employee is frequently exposed to chemical hazards.
Note: Nothing in this job specification restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.
