Registered Nurse Tier 1 (Union) OR

Appalachian Regional Healthcare•Beckley, WV

1d•Onsite

About The Position

The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. This specific role is for an RN Circulator working Monday-Friday from 7:15 am to 3:45 pm, with call duties. The role involves completing patient assessments, formulating and overseeing the implementation of care plans, and evaluating/adjusting them using critical thinking. It also includes performing other nursing acts authorized by the board, providing care, counseling, and health teaching using the Teach Back methodology, administering medications and treatments as prescribed, and supervising/delegating tasks to other personnel. The RN will mentor and precept students and new staff, report pertinent information up the chain of command, and participate in teams, committees, and performance improvement initiatives. Ensuring a safe environment, participating in discharge planning and transition of care, serving as a patient advocate, and timely documentation are also key responsibilities. The nurse will assist patients with daily living activities, assume responsibility for professional development, utilize effective communication and active listening skills, exhibit a compassionate and empathetic attitude, practice Hands Off communication using SBAR, and perform Bedside Shift reporting. The role requires functioning as a positive influence, role model, and adhering to the professional code of conduct, respecting patient dignity and confidentiality. The position also includes specific duties related to the surgical department, such as instructing the surgical team on procedures, preparing the operating room and equipment, preparing the patient for surgery, accompanying the patient to the recovery room, monitoring operative procedures, functioning as a team member within the surgical department, and maintaining a safe work environment. Successful completion of a training program and demonstrated competence in circulating nurse duties is required, along with orientation to unit policies, procedures, equipment, safety, infection control, and performance improvement activities.

Requirements

Associate's Degree Nursing Required
RN Required
Basic Life Support Certification Required
ACLS Required
PALS Required
De-Escalation Training within 6 months of hire Required

Nice To Haves

Bachelor's Degree Preferred
Up to 1 year Preferred

Responsibilities

Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills
The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses.
Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension
The administration of medication, intravenous therapy and treatment as prescribed by a LIP
Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care.
Mentors and precepts students and orient new staff as assigned
Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information
Participates on various teams, committees or performance improvement initiatives
Ensures a safe and secure environment for patients, coworkers and self
Participates in Discharge Planning and Transition of Care (able to define pt needs)
Serves as a patient advocate and escalates patient related concerns timely
Timely documents pertinent findings in medical record
Assist patients in performing activities of daily living and functions as an active team member
Assumes responsibility for personnel professional development
Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude
Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted)
Functions as a positive influence, role model and adheres to professional code of conduct
Respects dignity and confidentiality of all matters relating to patients
Refer to Special Addendum and Staff Nurse Position Description
Performs other job duties as assigned.
Assures all members of the surgical team have been instructed in the surgical procedures performed and periodically updates personnel on new techniques, instrumentation and procedures.
Prepares for each assigned case by ensuring the room is properly prepared and equipped, the required documentation is present on the medical record, and the patient is properly identified.
Prepares the patient for operative procedure by positioning and grounding the patient as required, securing the patient on the table, assisting with intubation, and preparing operative site.
Accompanies the patient to recovery room and may be required to provide nursing care in the recovery room.
Monitors operative procedures by documenting proper patient positioning, breaks in sterile procedure, instrument, needle and sponge counts, preservation and labeling of all specimens, drugs and blood administration, and critical incidents during the operative procedure.
Functions as a team member within the surgical department by assisting with gowning and gloving; procuring required medication, blood and supplies; coordinating involvement of other departments with the procedure; properly processing operative specimens.
Maintains a safe and productive work environment by assisting with cleaning, maintenance, and re-supply.
Successful completion of a training program and demonstrated competence in circulating nurse duties as determined by the Director of Surgical Services.
The nurse shall be adequately oriented to unit policies, procedures and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement activities.
Training for OR shall consist of completion of competencies in various areas or roles the nurse will function.