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Description

Job Summary

Responsible for the planning and delivery of patient care utilizing nursing processes. Oversees the plan of care for the patient in the immediate post-operative phase. Utilizes effective problem solving strategies and applies evidence based practices while supporting quality standards of a Magnet designated hospital. Practices under the supervision of the Nursing Manager/Director. Provides compassionate and family centered care for PACU patients.

Qualifications

Minimum Job Requirements

• Registered Nurse license within the State of Florida - maintain active and in good standing throughout employment
• American Heart Association BLS - maintain active and in good standing throughout employment
• American Heart Association PALS required within 2 years of hire - maintain active and in good standing throughout employment

Knowledge, Skills, and Abilities

• BSN degree highly preferred or currently enrolled in BSN program, requiring proof within 6 months of hire.
• Career Development: National certification Certified Pediatric Nurse (CPN) and/or certification equivalent, preferably within 5 years of hire.
• A minimum of 1 year of experience as an RN preferred.
• Proficiency in computers and EMR preferred.
• Possesses a passion for learning.
• Able to analyze, interpret data, and utilize the information to make judgments regarding patient care.
• Effective verbal and written communication skills.
• Ability to positively influence, hold self, and others accountable.
• Able to work effectively in collaborative environment.
• Ability to apply principles of evidence-based practice, analytical thinking, and service excellence in practice.
• Able to float within Surgical Services while maintaining the delivery of clinical excellence and high quality service.
• Available for on-call assignments (nights, weekends, holidays) per departmental and hospital policy.

Job Specific Duties

• Recovers patients and supports airway management in collaboration with Anesthesia during Phase I Post-Operative Care.
• Monitors surgical site and performs post-surgical site assessment checking for circulation, color, temperature, and movement.
• Monitors post-operative bleeding.
• Sets up all PCA pumps according to standards and initiates all transfusions of blood/blood products per policy to include cardiac, ICU, NICU, PICU, CICU patients.
• Administers direct patient care especially through the nursing process of assessment, recovery and vitals, intervention, and evaluation.
• Collaborates with the medical staff in review of all post op orders to minimize any delay of care.
• Completes all nursing multi-system assessment that includes head to toe, vitals, pain management, post anesthetic scores, and airway management.
• Communicates and documents the patient's progress including critical findings, changes in patients' condition with the physician and/or disciplines involved in the care of the child.
• Implements and documents the plan of care in collaboration with other disciplines and services to assure safe and efficient care.
• Follows physician's orders, administers and provides medications when needed. Adheres to six rights of medication administration per Medication Administration policy.
• Utilizes the EHR hand-off tool to initiate/accept handoff from the OR RN and Anesthesiologist and continue to provide airway management and pain management.
• Promotes family centered care by ensuring parental presence in the PACU. Educates patient and family on post-operative care and medications
• Works collaboratively with all levels of the hospital interdisciplinary team and promotes the team concept within the department & hospital wide.
• Interacts with patients and families to review plan of care, creates a family-centered environment by requesting input and communicating any patient and family concerns to physician.
• Collaborates with the PGR Representatives to provide timely and effective communication to families.
• Actively participates in the performance review process through chart reviews and documentation of quality metrics and ensures timeliness of charting and all requirements are met.
• Accesses electronic health record independently according to hospital policy and completes accurate and timely documentation in the patient's electronic health record.
• Promotes a safe "error free" working environment by consistently adhering to infection prevention on their assigned shift.
• Participates in the Environment of Care rounds to ensure that rounds are completed.
• Demonstrates proper personal protective equipment (PPE) indication and use.
• Provides patient information and effectively completes the hand off process.
• Meets or exceeds unit standards in achieving a 95% CEI; completes documentation in a timely manner, & is accountable to regulatory, requirements of the DNV, CMS, DOH, & other accrediting agencies.

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