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Registered Nurse -TOLAC Call

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Methodist Health System

2021-12-03 21:30:03

Job location Council Bluffs, Iowa, United States

Job type: fulltime

Job industry: Healthcare & Medical

Job description

  • Purpose of Job
    • Accountable for the delivery of quality care to patients and families according to the individualized needs of the patient.
  • Job Requirements
    • Education
      • Bachelor of Science in Nursing (BSN) from an accredited school of nursing preferred.
      • Graduate of an accredited school of nursing required.
      • Satisfactory completion of annual mandatory education requirements.
    • Experience
      • Previous surgical experience preferred.
    • License/Certifications
      • Current valid Registered Nurse (RN) License, valid compact multistate license to work, or a temporary permit while awaiting licensure required.
      • Maintain current American Heart Association Basic Life Support (BLS) Certification required.
      • Preferred: core certification related to area of specialty from National Certification Corporation (NCC) within 1 year of eligibility.
      • Current American Heart Association Advanced Cardiac Life Support (ACLS) Certification preferred.
    • Skills/Knowledge/Abilities
      • Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
      • Ability to multi-task and prioritize work assignments.
      • Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.
      • Requires that an individual take "call time".
  • Physical Requirements
    • Weight Demands
      • Medium Work - Exerting up to 50 pounds of force.
    • Physical Activity
      • Occasionally Performed (1%-33%):
        • Climbing
        • Crawling
        • Kneeling
        • Sitting
      • Frequently Performed (34%-66%):
        • Balancing
        • Carrying
        • Crouching
        • Distinguish colors
        • Keyboarding/typing
        • Lifting
        • Pulling/Pushing
        • Repetitive Motions
        • Stooping/bending
        • Twisting
      • Constantly Performed (67%-100%):
        • Fingering/Touching
        • Grasping
        • Hearing
        • Reaching
        • Seeing/Visual
        • Speaking/talking
        • Standing
        • Walking
    • Job Hazards
      • Not Related:
        • Electrical Shock/Static
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
      • Rare (1-33%):
        • Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only
      • Occasionally (34%-66%):
        • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
        • Equipment/Machinery/Tools
        • Explosives (pressurized gas)
        • Hazardous Drugs (exposure risks, personal protective equipment required)
      • Frequent (67%-100%):
        • Chemical agents (Toxic, Corrosive, Flammable, Latex)
        • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
        • Mechanical moving parts/vibrations
  • Essential Job Functions
    • Essential Functions I
      • Provides appropriate care specific to the age and population of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.
        • Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs and culture.
      • Performs an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs.
        • Includes data from the patient/significant other(s) in the assessment as appropriate.
        • Prioritizes data collection according to patient's immediate needs.
        • Uses assessment findings in discharge planning.
        • Participates in surgical time-out, fire risk assessment, and case summary for each operative procedure.
        • Wears appropriate Personal Protection Equipment (PPE) and follows standard and policy for attire in the Operating Room (OR).
        • Identifies labels and handles specimens according to facility policy and procedure, including hand-off situations and disposition of specimen.
        • Applies base knowledge of anatomy and physiology, medical terminology, microbiology and pharmacology for optimal surgical patient care.
        • Implement a plan of care:
          • Protects the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources.
          • Assist with patient positioning. Communicate any pre-op assessment that may impact the position.
          • Performs counts according to facility policy and procedure during procedures and hand-off situations to protect the patient from unintended retained surgical items.
          • Performs interventions to maintain patient normothermia during the operative procedure.
          • Performs interventions to protect the patient from surgical site infection.
          • Applies the principles of asepsis and sterile technique during the surgical procedure.
          • Provides care for all patient populations (i.e. pediatric, adolescent, geriatric) as needed, identifying specific needs of population.
        • Act as patient advocate and maintain privacy and confidentiality of individuals and health information.
      • Develops/reviews/revises and individualizes the plan of care to address the patient's nursing care needs for optimum patient care outcomes.
        • Collaborates with physicians and other clinical disciplines as appropriate.
        • Provides teaching specific to the patient's health care problem.
        • Care plan reflects continuing care needs and/or referrals for discharge/transfer.
      • Implements interventions that are consistent with the established plan of care in a safe and appropriate manner.
        • Is familiar with, and follows, nursing protocols and standards of care for their unit.
        • Uses current knowledge in nursing practice based on standards and research literature.
        • Administers medication without error and utilizes critical thinking regarding medication effects on patient.
      • Evaluates patient care to determine response to care/interventions for optimal patient outcome.
        • Monitors outcomes and documents patient response to interventions.
        • Evaluates the patient's capabilities and/or limitations related to nursing and medical interventions.
        • Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal.
        • Gives a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements, to include SBAR content, and is familiar with the overall plan of care.
        • Recognizes and addresses patient and family capabilities and limitations (physical and mental).
      • Performs technical skills competently and independently to assure patient safety (autonomy).
        • Able to competently perform technical skills independently.
        • Is accountable to learn new skills and equipment within areas' specifications and time frame.
        • Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.
        • Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
        • Charges accurately for use of supplies and equipment according to policy.
        • Maintains competence in area of experience.
        • Know location and operation of emergency equipment and supplies.
        • Assures equipment is in working order prior to use, and follows procedures to send malfunctioning equipment for repair.
        • Performs surgical scrub role, adhering to all essential functions demonstrated in that role.
        • Demonstrates proper use of instruments, equipment, suturing, and stapling devices.
        • Actively performs time out procedure and case summary: assuring participation of all team members.
      • Maintains a professional behavior in attitude, demeanor, interactions to achieve organization's mission.
        • Participates in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.
        • Identifies and participates in performance improvement activities.
        • Adjusts hours to meet patient services when cases are more or less than scheduled.
        • Maintains compliance with the department call coverage.
        • Adapts to change in a positive, professional manner.
      • Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns).
        • Completes appropriate report form for any risk (e.g., incident report, patient concern report, maintenance request).
        • Works within the scope of practice as defined by the Nurse Practice Act.
        • Observe appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
        • Follows infection control guidelines and practices.
        • Demonstrates an ongoing awareness of, and participation in the Performance Improvement program..... click apply for full job details

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