RN IPJob Number: RQ82378 Employment StatusPRNWage & Hour StatusNon-ExemptLocationPOST ANESTHESIA CARE UNIT (PACU) - SANFORD MEDICAL CENTER EAST WING - FARGO NDShiftsDay Weekends Evenings ScheduleHours primarily M-F between the hours of 0700-2330.OverviewThe Registered Nurse is responsible for utilizing the nursing process to provide individualized nursing care.
The nurse assumes the responsibility for the outcome of nursing care during a specified work period.
The nurse practices within the full scope of nursing expertise with knowledge of and utilizing appropriate age related nursing standards inclusive all patient populations age 0 and up.
The post anesthesia care unit (PACU) provides care to patient immediately following a procedure requiring anesthesia.
The PACU is fast paced requiring high level critical thinking skills, interdisciplinary teamwork and excellent communication.
Preference is given to one year or more experience in PACU, ICU or any critical care setting.
The PACU nurses also participate in block procedures requiring knowledge and skill of moderate sedation and administration of regional block medication under the direction of anesthesiologist.
The RN functions within the scope and standards of nursing practice as outlined in the North Dakota Nurse Practice Act and Administrative Rules.
The Sanford Nursing Practice recognizes the Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements, and the Social Policy Statement for Nurses as published by the American Nurses Association as the foundation for nursing care delivery.Reports toAs AssignedEducation, Experience and Skills RequirementsMust have graduated from an accredited school or college of nursing.
Bachelor's degree in nursing is preferred.
Specific services/positions may have additional education, training or experience requirements.
Must have attended a pre-licensure nursing program that included supervised clinical experience across the life span as part of the curriculum or have had a minimum of 400 hours of experience as a RN (or LPN) at another facility.Licensure/Certification RequirementRequires current licensure as a Registered Nurse in state(s) of practice and/or possess multi-state licensure privileges as required by position.
Nurses performing nursing practice over the telephone require licensure in the states where the patients being served reside.
Obtains and subsequently maintains required department specific competencies and certifications (ACLS and PALS).Competencies and continuing education as required by Sanford Health or the operating room to maintain safety and skills done on a yearly basis.
Specialty certifications requirement ASPAN preferred.
Job Specific CompetenciesNursing Process: Collects, organizes and analyzes data to identify expected outcomes.
Documents holistic assessment of patient emotional, spiritual and physical care needs.
Completes assessments within time frame identified in admission policy.
Develops plan of care and expected outcomes alongside with patient, family and health care team.
Formulates measurable expected outcomes using the electronic nursing diagnosis and standards of care.
Individualizes plan based upon identified patient needs inclusive of diversity and cultural needs.
Defines outcomes with attainable timeframes and documents as measurable goals.
Implements intervention identified and carries out safely, reliably and in a timely manner.
Evaluates patient progress toward attainment of outcomes based upon plan of care.
Documents evaluation results. Uses resources and collaborates with others to implement plan.
Implements physician and nursing orders.
Demonstrates total accountability for patient while providing care.
Acquires and maintains current knowledge in nursing practice.
Participates in ongoing educational-related activities.
Demonstrates commitment to lifelong learning and professional competence and documents.
Seeks experiences to maintain skills and competence for role performance.
Promotes nursing to students; maintains environment for learning and supervises students as requested.
Serves as preceptor as requested for new staff.
Educates patients per standards of practice.Delegation: Consistently delegates appropriate tasks to unlicensed assistive personnel (UAP) as defined within job descriptions, skills and patient care needs and the competence level of the delegate.
Demonstrates the ability to communicate clearly, tactfully and with sufficient direction when delegating to the UAP.
Provides adequate assistance and support to the UAPs to ensure safe, reliable administration of patient care.
Consistently monitors the progress of delegated tasks and seeks feedback to ensure patient outcomes are met.
Demonstrates overall accountability for the tasks delegated to the UAP.Communication: Demonstrates effective communication with patients and families under stress/experiencing grief through active support.
Communicates through clear, concise, accurate electronic documentation.
Demonstrates effective communication through skills to delegate, collaborate, and negotiate as a member of a team.
Contributes to building a positive environment through display of positive behaviors and the use of first party communication.
Recognizes and clearly understands individuals are responsible for his/her actions.
Performance Appraisal: Evaluates his/her own nursing practice in relation to professional practice standards and relevant statues, scope of practice and regulation.
Engages in self evaluation on a regular basis, identifying strengths and weaknesses.
Obtains informal feedback on performance from patients, peers, colleagues and others.
Acts to achieve identified performance goals.
Actively participates in Nursing Peer Review processes.Teamwork: Shares knowledge and skills with others (patient conferences, meeting presentations, precept/mentoring).
Provides peer feedback in constructive manner.
Engages in direct one-to-one communication and promotes great teamwork.
Actively contributes in a positive manner to a healthy work environment, safety, education and learning.
Engages interdisciplinary team members in care of patients.Quality of Care: Evaluates the quality and effectiveness of nursing practice and actively participates in quality improvement activities.
Documents in a responsible, accountable and ethical manner to promote safe, reliable patient centered care.
Uses results of quality improvement activities to initiate change.
Implements creativity and innovation to improve care delivery and enhance patient and workplace safety.
Provides safe patient transitions and hand-offs through effective communication with patient, family and RN/or other care provider, including the patient and family in communication related to their care.
Provides patient safety through application of policies and procedures.
Sanford ValuesCourageThe Strength To Persevere, Use Our Voices And Take Action.Places the patient first.Stands up for what is right, does the right thing and challenges status quo.Takes risks to advance knowledge and practice for the betterment of care for patients.Addresses and resolves difficult challenges.Embraces reality and perseveres amidst setbacks.PassionThe Enthusiasm For Patients And Work Commitment To The Organization.Shows an unwavering commitment to patients and strong commitment to the organization.Exhibits a positive, can do attitude.Energetically initiates and accomplishes work.Sets and maintains high performance standards.Demonstrates care and stewardship for the communities and people we serve.ResolveThe Adherence To The Systems That Align Actions To Excellence, Efficiency And Purpose.Pursues excellence and flawless execution through the avoidance of errors and inaccuracies.Creates and adheres to system rational standards to increase consistency and efficiency, and decrease variability.Adheres to procedure for the protection of those in our care.Follows rigorous methodology in practice and research.Holds self and others accountable.AdvancementThe Pursuit Of Individual And Organizational Growth And Development.Seeks opportunities to advance individual development and organizational growth.Advances the practice of medicine and discipline of research.Advances integrated healthcare.Determines individual and organizational strengths and weaknesses and plans and develops accordingly.Strives for organizational perfection through continuous individual and organizational improvement.Supports the development of others by delegating, coaching and mentoring.Teaches because we have been taught.Creates sustainable success through talent planning, and initiating and leading own development.FamilyThe Connection And Commitment We Have To Each Other Through It All.Fully supports and demonstrates the mission, vision and values both individually and organizationally.Shows commitment to each other through communication, dialogue, collaboration and inclusion.Sticks together through conflict, confrontation, mistakes and learning opportunities.Builds relationships based on trust and respect through honesty, integrity, openness and fulfilling commitments.Leverages differences in thought while promoting team and organizational decisions.Serves the organization and its employees.Blood ExposureThis position is classified as a Category I position under OSHA guidelines with high risk of exposure to bloodborne pathogens and other potentially infectious materials.Supervisory DimensionScheduled work hours will vary dependent on patient needs.
This may include overtime, undertime, and occasional limited weekend hours.
May be exposed to communicable diseases. Physical Requirements:View Physical Requirements