PRN Pain Management RN

KU MedWest Ambulatory Surgery•Overland Park, KS

18h•Onsite

About The Position

This position reports to the Clinical Nurse Manager and supervises no one. The job description is valid for one year from the effective date and may be revised by management. Interpersonal relationships are crucial, requiring all interactions with patients, families, physicians, and colleagues to be friendly, supportive, courteous, respectful, cooperative, and professional, fostering teamwork and positive relations. This role involves developing individualized perioperative patient care plans, ensuring patient safety by protecting them from various hazards, and demonstrating safe equipment operation. The nurse will handle specimens, adhere to standard precautions, and comply with Universal Protocol. Key responsibilities include communicating patient status, administering medications safely, monitoring aseptic technique, and managing patient recovery from anesthesia (moderate sedation and monitored anesthesia care). The nurse will assess patient status, provide nursing care, perform interventions to maintain physiological systems, ensure normothermia, protect from infection, and educate patients/support persons on recovery, pain management, and medication. Patient rights, dignity, and privacy must be protected, providing age-specific, culturally competent, ethical, and legal care. Progress towards outcomes will be evaluated, and care will be handed off accurately and concisely. Tasks will be delegated according to state regulations. Documentation must be accurate, timely, and complete. Effective communication and collaboration with the team are essential, participating in quality improvement projects and performance appraisals. Problem-solving and conflict resolution skills are needed to foster effective work relationships. Maintaining competencies, pursuing professional growth, acting as a patient advocate, and complying with all facility policies and regulatory standards are required. Fiscal responsibility and active participation in team meetings, trainings, and safety huddles are also expected. Additionally, the role involves functioning as a scrub person during procedures, protecting the patient from injury, ensuring safe equipment operation, performing accounting procedures to prevent retained items, handling specimens, adhering to standard precautions, and performing interventions to maintain wound and tissue perfusion and prevent surgical site infections. This includes assembling and preparing sterile supplies and instruments, providing them to the surgical team, protecting patient rights, and maintaining a fire-safe environment. Radiation safety must be maintained, and instruments cleaned and prepared for processing. Patient progress will be evaluated, documentation completed, and communication skills demonstrated with the perioperative team. The nurse will also assist with post-procedure cleaning and room preparation.

Requirements

Current state nursing licensure to practice in good standings
High School Graduate or equivalent
Graduate of an accredited school of nursing
Successful completion of Basic Life Support (BLS) within 90 of employment or documentation of current BLS certification.
Successful completion of Advanced Life Support (ALS) course within 6 months of employment or documentation of current ALS certification.

Nice To Haves

One year of Pre/Post, OR and/or medical/surgical nursing experience preferred.

Responsibilities

Develop an individualized perioperative patient plan of care by implementing: Protecting the patient from injury caused by extraneous objects and chemical, electrical, mechanical, and thermal sources.
Demonstrating safe operation of equipment and machinery and follows procedures for reporting and correcting an unsafe situation.
Speaking up with safety concerns acting as the patients advocate.
Handling specimens according to facility policy and procedures.
Adhering to standard precautions including the use of personal protective equipment.
Complying with Universal Protocol and facility site validation and time-out policy
Communicating the patient’s current status to relevant parties throughout the continuum of care.
Administering medications safely and correctly using the 8 rights of medication administration.
Practicing and monitoring aseptic technique.
Implementing the plan of care including the following interventions: Managing patient recovery from anesthesia – Moderate sedation and Monitored anesthesia care.
Assessing patient status at intervals in accordance with facility policies and procedures.
Providing nursing care and appropriate monitoring in accordance with policies and procedures.
Performing interventions to maintain the patient’s tissue perfusion at or above baseline levels.
Performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline levels.
Performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period.
Performing interventions to protect the patient from infection.
Assessing the knowledge level of the patient or designated support person.
Providing education regarding the expected psychosocial response, nutritional management, medication management, pain management, and expected responses to the procedure.
Involving the patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process.
Protecting the patient’s rights, dignity, and privacy.
Providing age-specific, culturally competent, ethical care within legal standards of practice.
Evaluate the patient’s progress toward attaining outcomes.
Transfer care as applicable.
Provide hand-off report to other teammates that are accurate, concise, and pertinent to the patient’s condition and response to care.
Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions.
Document episode of care accurately, timely, completely, and legibly.
Demonstrate effective communication and collaboration skills with members of the team and other stakeholders.
Serve as a member of a multidisciplinary team in planning patient care.
Participate in quality review and performance improvement projects.
Participate in the performance appraisal process.
Use problem-solving and conflict resolution skills to foster effective work relationships.
Maintain required competencies.
Pursue professional growth.
Act as a patient advocate and maintain privacy and confidentiality of individuals and health information.
Comply with all facility policies and procedures, regulatory and accreditation standards and professional guidelines when providing patient care.
Actively participate in team meetings, trainings, and daily safety huddles.
Demonstrate fiscal responsibility.
Function as a scrub person during operative and other invasive procedures by Protecting the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources.
Demonstrating safe operating of equipment and machinery and follows procedures for reporting and correcting an unsafe situation.
Performing accounting procedures to protect the patient from unintended retained surgical items.
Speaking up with safety concerns acting as the patient’s advocate.
Handling specimens according to facility policy and procedures.
Adhering to standard precautions including the use of personal protective equipment.
Performing interventions to maintain the patient’s wound and tissue perfusion at or above baseline levels.
Performing interventions to protect the patient from surgical site infection.
Assembling supplies and equipment required for the procedure.
Preparing and organizing sterile supplies and instruments for the procedure.
Providing instruments and supplies to the surgical team during the procedure.
Protecting the patient’s rights, dignity, and privacy.
Providing age-specific, culturally competent, ethical care within legal standards of practice.
Maintaining a fire safe environment.
Practicing and monitoring aseptic technique.
Complying with Universal Protocol and facility site validation and time-out policy
Maintain radiation safety at all times in accordance with facility policies and procedures.
Clean and prepare surgical instruments for processing and transport them to the decontamination areas (when applicable).
Evaluate the patient’s progress toward attaining outcomes.
Document episode of care accurately, timely, completely, and legibly.
Demonstrate effective communication and collaboration skills with members of the perioperative team and other stakeholders.
Assist with post procedure cleaning of the operative or other invasive procedure room and preparation of room for subsequent patients.