PRN Clinical Nurse - Same Day Services - PRN

The Surgical Services Department serves to provide coordinated care for all patients undergoing surgery, both planned and emergent and urgent cases. The WellSpan Waynesboro Hospital offers the following surgical services:
• ENT
• General
• OB-Gyn
• Oral and maxillofacial
• Orthopedic
• Plastics
• Podiatry
• Pain Management
• Urology

Hours of Operation:
• The Operating Room is staffed Monday – Friday from 645am-330pm

• Late Stay team is provided for cases that run past 315pm

PRN 3 - 48 Hours+ in a 6 week period

Must be willing to take call.

Job Description:

Under the general supervision of the Nurse Manager, provides professional nursing care at the beginner practitioner level in accordance with the principles of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Acts as a primary nurse for patients on the unit. Coordinates care planning with other disciplines. May require specialized skills depending on unit assignment.

Duties and Responsibilities

Provides and coordinates direct care in accordance with the principles of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Acts as a primary nurse for patients on the unit. Synthesizes patient data to develop outcome-driven plans.

1. Safely and independently administers prescribed treatments, medications, and nursing interventions based on assessment and plan of care.
2. Appropriately organizes and prioritizes time based on patient condition and expected workload. Identifies changes in patients’ status and acts accordingly. Knows and can activate resources to achieve outcomes for patients.
3. Seeks mentoring and coaching from the CN II & III.
4. Identifies and communicates individualized patient needs for safe handoffs during transitions of care. Collaborates with patient/family in care planning with all disciplines.
5. Appropriately and correctly documents the patient response to interventions and progress toward outcomes. Identifies and documents variances. Appropriately utilizes flow sheets, progress notes, and/or electronic medical record for documentation. Is able to identify system and unit-based nursing sensitive indicators; i.e. falls, pressure ulcers.
6. Identifies own areas of professional growth and development in performance improvement efforts. Recognizes the value of evidence based research as it applies to best practice.
7. Promotes a professional practice environment that supports patient safety and quality through interdisciplinary collaboration, Shared Decision Making activities including peer review. Integrate Shared Decision Making by unit committee membership or by supporting and helping fellow co-workers attend committee meetings and/or work on SDM projects. Serves as positive role model.
8. Delegates aspects of care to other nursing personnel in order to meet patient needs. Helps assistive personnel organize and set priorities for work. Monitors completion of tasks that are assigned or delegated to the patient care team.
9. Promotes collaboration and cooperation among physicians, nursing staff, and other members of the interdisciplinary team. Contributes to effective communications among all team members. Begins to display conflict resolution and negotiation skills to maximize team performance.

Common Expectations:

1. Demonstrates knowledge of the principles of growth and development over the life span of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care to assigned patient age group(s).
2. Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.
3. Maintains Adheres to established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
4. Enhances professional growth and development through advanced/continuing education to maintain up-to-date knowledge, skills, and competencies.
5. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

6. Providing surgical patients with perioperative care in recovery, procedure, and operating rooms.

7. Stocking operating rooms with sterile surgical equipment, linens, and supplies.

8. Developing and implementing nursing care plans for surgical patients.

9. Preparing patients for surgery by cleaning and disinfecting areas to be operated on.

10. Assisting surgeons during surgical procedures.

11. Applying sterile techniques in handling medical instruments and equipment pre-, during, and post-surgery.

12. Collaborating with surgical teams and other medical professionals on patient medication and post-surgery care.

13. Updating patient files and medical records.

14. Assisting with the ordering, maintenance, and safe storage of surgical equipment and supplies.

15. Providing patients with post-surgery care instructions and answering questions.

Qualifications

• Bachelor of Science in Nursing degree (BSN).

• State-approved Registered Nurse (RN).

• Certification as an Operating Room Nurse (CNOR).

• 3-5 years of experience as a nurse providing perioperative care.

• Exceptional knowledge of surgical instruments and equipment, as well as sterile techniques.

• Proficiency in recordkeeping and patient management systems, such as eHospital and PatientTrak.

• Advanced proficiency in developing and implementing perioperative nursing care plans.

• Ability to collaborate with surgical teams and healthcare specialists.

• In-depth knowledge of best practices in healthcare.

• Exceptional interpersonal and communication skills.

• Physical Demands:
  • Minimum Lifting Weight 50 pounds
  • Prolonged, extensive, or considerable standing/walking
  • Lifts, positions, pushes and/or transfers patients
  • Considerable reaching, stooping, bending, kneeling, crouching