Pre-Admission Testing Registered Nurse - Part Time

Monadnock Community Hospital•Peterborough, NH

1d•Onsite

About The Position

The RN cares for a varied case load of surgical and procedural patients, making advanced assessments of the patient’s physical and psycho-social needs. She/he will be assigned to provide service to patient populations in MCH. She/he is skilled in physical assessment related to peri-anesthetic care which includes respiratory management, pain management, and patient teaching. She/he is skilled in physical assessment related to pre-surgical state of a patient as well as the patient’s assessment post-operatively. She/he is well-versed on the post-op teaching necessary for the above-named patient populations. She/he functions as a team member facilitating patient flow through the pre-op, intra-op, and post-op phase. She/he is skilled in problem solving and emergency intervention. She/he has a strong interest in education of other professionals, providing for the education needs of staff, hospital-wide and in the community. This is a part time, 30 hours per week position.

Requirements

Skilled in physical assessment related to peri-anesthetic care which includes respiratory management, pain management, and patient teaching.
Skilled in physical assessment related to pre-surgical state of a patient as well as the patient’s assessment post-operatively.
Well-versed on the post-op teaching necessary for the above-named patient populations.
Functions as a team member facilitating patient flow through the pre-op, intra-op, and post-op phase.
Skilled in problem solving and emergency intervention.
Strong interest in education of other professionals, providing for the education needs of staff, hospital-wide and in the community.
Practice appropriate telephone and patient triage skills.
Perform verbal assessment with patient prior to admission – in person or via telephone, communicating information to appropriate team members.
Ensure pre-operative care requirements of patients are accomplished through use of the nursing process including assessment, planning, implementation, and evaluation.
Perform patient teaching/education as established by the department.
Assess pertinent information, plan, implement, and document interventions and evaluate results.
Maintain and promote patient’s safety by assessing physical and psychological needs.
Respond to telephone inquiries regarding expressed needs of the caller.
Refer caller to appropriate resources including medical/ambulatory care, hospital services, and community services within established procedures and guidelines.
Thoroughly document all call encounters utilizing manual and/or online information systems at the time of the call.
Alert anesthesia of results of labs, physical assessment, or special needs of individual with medical problems prior to the date of surgery.
Communicate arrival time and NPO instructions to patients as prescribed.
Communicate appropriate information including general health information to surgeons and anesthesiologists concerning patient care.
Communicate special physician’s orders and ensure patient charting is completed in an accurate, concise and timely manner.
Establishes an in-depth database by assessing the behavioral and physical status of a variety of presurgical patient populations utilizing interview, observation, physical exam and seeks information that completes the database from multiple and external sources.
Implements safe, competent, and efficient patient care within policies, procedures and standards, and interventions as noted on the multidisciplinary plan of care.
Sets priorities adapting to changing patient and unit/clinic situations.
Assumes responsibility and accountability for effectively managing nursing care of individual patients as a team member.
Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established outcomes and consults with Medical Staff, Care Team Leader, or Nurse Manager/Surgical Services Supervisor regarding clinical variances and recommends changes to the plan of care.
Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes.
Incorporates discharge/home care planning into the multidisciplinary plan of care on an ongoing basis.
Provide patient care in Pre/Post Op area based on operational needs.
Serve as preceptor/participates in unit teaching and orientation program for all new staff.
Answers patient questions and provides appropriate pre-operative instructions regarding surgical procedures, medications, anesthesia techniques and ambulatory.
Utilize material, equipment, and time in a safe, therapeutic and cost-efficient manner.
Practice flexibility in scheduling to provide adequate staff coverage on unit.
Participate in quality improvement activities as requested.
Assume other duties and responsibilities as assigned by Nurse Manager

Responsibilities

Practice appropriate telephone and patient triage skills, being aware of the need to balance quality care with efficient use of time and resources.
Perform verbal assessment with patient prior to admission – in person or via telephone, communicating information to appropriate team members.
Ensure pre-operative care requirements of patients are accomplished through use of the nursing process including assessment, planning, implementation, and evaluation.
Perform patient teaching/education as established by the department.
Assess pertinent information, plan, implement, and document interventions and evaluate results.
Maintain and promote patient’s safety by assessing physical and psychological needs.
Respond to telephone inquiries regarding expressed needs of the caller.
Refer caller to appropriate resources including medical/ambulatory care, hospital services, and community services within established procedures and guidelines.
Thoroughly document all call encounters utilizing manual and/or online information systems at the time of the call.
Alert anesthesia of results of labs, physical assessment, or special needs of individual with medical problems prior to the date of surgery.
Communicate arrival time and NPO instructions to patients as prescribed.
Communicate appropriate information including general health information to surgeons and anesthesiologists concerning patient care.
Communicate special physician’s orders and ensure patient charting is completed in an accurate, concise and timely manner.
Establishes an in-depth database by assessing the behavioral and physical status of a variety of presurgical patient populations utilizing interview, observation, physical exam and seeks information that completes the database from multiple and external sources.
Implements safe, competent, and efficient patient care within policies, procedures and standards, and interventions as noted on the multidisciplinary plan of care.
Sets priorities adapting to changing patient and unit/clinic situations. In response to data indicating urgent and/or emergent risk to the patient, initiates action to reduce or correct risk.
Assumes responsibility and accountability for effectively managing nursing care of individual patients as a team member.
Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established outcomes and consults with Medical Staff, Care Team Leader, or Nurse Manager/Surgical Services Supervisor regarding clinical variances and recommends changes to the plan of care.
Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes.
Incorporates discharge/home care planning into the multidisciplinary plan of care on an ongoing basis.
Provide patient care in Pre/Post Op area based on operational needs.
Serve as preceptor/participates in unit teaching and orientation program for all new staff.
Answers patient questions and provides appropriate pre-operative instructions regarding surgical procedures, medications, anesthesia techniques and ambulatory.
Utilize material, equipment, and time in a safe, therapeutic and cost-efficient manner.
Practice flexibility in scheduling to provide adequate staff coverage on unit.
Participate in quality improvement activities as requested.
Assume other duties and responsibilities as assigned by Nurse Manager