Staff Nurse I SCB Peri - Anesthesia Pre-Op & PACU

apartment UI Health location_onChicago, IL, US

Position Summary

Staff Nurse I is accountable for the delivery of patient care utilizing the Nursing Process and Relationship-Based Care model as the framework. The Staff Nurse I provides direct patient care and takes initiative to improve patient outcomes by integrating Shared Leadership, Evidence-Based Practice, Relationship-Based Care, and standards of nursing excellence into clinical practice. Through therapeutic relationships with patients, families, self, and colleagues, the Staff Nurse I is an interdisciplinary team member who provides quality patient care and fulfills unit and organizational goals. Will also adhere to the mission, vision, and goals of the Specialty Care Building (SCB).

Duties & Responsibilities

• Develops, implements, and updates the patient’s plan of care based on on-going assessment of the patient and input from the patient’s family.

• Shares information and collaborates with other members of the health care team to promote effective patient care.

• Verifies and implements orders from physician, physician assistant and/or advance practice nurse by performing interventions as prescribed by the provider and documenting accurately in the electronic medical record.

• Engages and obtains information from patient and/or family to develop an appropriate patient educational plan.

• Recognizes symptoms, establishes priorities, and responds to patient’s changing needs.

• Engages support personnel by delegating appropriate tasks per the Illinois State Nurse Practice Act and provides support and feedback.

• Advocates for patients, families, and their significant others, the community, and the nursing profession.

• Integrates theoretical knowledge, evidence-based research, current standards of practice and clinical experience to provide “quality” patient care as measured by established nursing quality standards and other governing/accrediting health care bodies.

• Assumes role of Charge Nurse when assigned, utilizing appropriate resources and tools.

• Collaborates with other nurses to identify, promote, and provide positive learning experiences for staff and students.

• Serves as preceptor and/or resource to other nursing, support staff and students.

• Takes responsibility for continued professional growth/development by identification of learning needs and initiates strategies to meet such needs.

• Other duties as assigned.

• Establishes an in-depth database by assessing the behavioral and physical status of a variety of pre-surgical patient populations, utilizing interviews, observation, and physical examination. Interprets overt and subtle data to determine physiologic or psychosocial risk.

• Evaluate patients’ responses to care based on the effectiveness of nursing interventions in establishing outcomes and consult with the medical staff, care team lead, and nursing supervisor.

• Recommends changes to the plan of care based on observed variances.

• Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice.

• Identifies learning needs of patients and families and teaches by adapting standard information to provide individualized and comprehensive learning.

• Incorporates discharge/home care planning into the multidisciplinary plan of care.

• Develops a therapeutic relationship by establishing trust and enabling the patient and family to verbalize the requirements for care comfortably.

• Supports and enhances the patient’s responsibility and self-determination in decision-making concerning health, treatment, and well-being.

• Competent in all three areas of peri anesthesia- Preop, Phase 1, and Phase 2 recovery areas

• Observing patients for side effects of anesthesia

• Monitoring and recording patient vital signs

• Monitoring patient’s level of consciousness throughout sedation recovery

• Performing post-operative tasks, such as administering medication or changing dressings

•Collaborating with surgeons, anesthesiologists, physicians, and other members of the patient’s care team

•Providing comfort and answering questions when patients wake from sedation

•Educating patients and their families regarding post-surgery care at home

•Requires adherence to all policies and procedures, including but not limited to standards for safety, attendance, punctuality, and personal appearance.

•Ability to administer a variety of treatments & medications, including all medicines on the crash cart

•Collaborating with the medical team on post-operative patient care and facilitating timely specialized interventions.

•Treating pain, nausea, and other post-operative symptoms of anesthesia.

•Demonstrates critical thinking by integrating theoretical knowledge and expertise to pose relevant clinical questions when evidence and practice differ.

•Evaluate the effectiveness of teaching interventions and the patient/family’s level of understanding.

•Assess and instruct patient/family before surgery

•Assure intake of the patient is accurate through chart review, questioning using safe communication tactics outlined in learning modules

•Assure that operative/informed consents are accurate and signed per policy

•Monitor and accurately document essential signs and ensure the patient meets discharge criteria before moving to next

•Monitor patients’ condition and report changes to the appropriate physicians

•Adheres to UI Health’s Code of Conduct.

•Treats patients/families, staff, students, and visitors with respect and dignity.

•Adheres to Nursing’s time, overtime, and attendance policies.

•Completes electronic learning modules and related programs as assigned by UI Health by the established

•Collaborates with other nurses to identify, promote and, provide positive learning experiences for staff

•Serves as preceptor and resource to other nursing staff and students.

•Takes responsibility for continued professional growth/development by identifying learning needs and initiating strategies to meet such needs.

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