Perioperative Staff Nurse — Care Lead

This position is responsible for providing general and specialized direct and indirect patient care through the application of evidence based nursing procedures and practices to patients of all ages on assigned nursing unit. This position is also responsible for demonstrating competency in the behavioral, growth, development and psychosocial needs of patients being treated.

POSITION DIMENSIONS

Reports directly to Nurse Manager, Perioperative Services

Reports indirectly to

Head Count Managed

Number of Direct Reports

Number of Indirect Reports

ROLE INTERACTS DIRECTLY WITH

TITLE/DEPARTMENT FREQUENCY TYPE OF INTERACTION

Various patient care areas As needed Patient care

KEY DECISIONS THE ROLE MAKES AND THE EXTENT OF THE IMPACT OF THE DECISION

Develop and implement plan of care, supervise Practical Nurses and collaborate with other health care professionals.

PRIMARY JOB DUTIES AND RESPONSIBILITIES

PATIENT CARE

• Completes timely patient admission and ongoing assessments, plans and updates plan of care based on individual patient needs
• Provides direct care and evaluates outcomes, incorporating principles of family centered care
• Monitors and documents patients’ condition and effectiveness of care and interventions
• Assesses educational needs of patients and significant others considering cultural needs and other special concerns
• Provides teaching and educational material to the patient and/or significant as appropriate
• Validates and documents patient and family understand of teaching
• Administers prescribed medications in accordance with approved policies and protocols, utilizing barcode scanning
• Carries out prescribed treatments in accordance with approved policies, protocols and educational material procedures

CLINICAL / PROFESSIONAL KNOWLEDGE

• Use the knowledge of one’s own role and the roles of other professions to appropriately assess and address the health care needs of the patients and populations served
• Demonstrates commitment to providing evidence based practice care by: adhering to protocols for the care of patient populations in which assigned, reporting needed changes in practice supported by evidence, and participating in evaluating patient outcomes utilizing evidence
• Delegates appropriate components of the nursing care plan to other members of the nursing team
• Maintains confidentiality regarding patient and family information by promoting professional interdisciplinary communication
• Respects Patient Rights and demonstrates behaviors of a Patients’ First Philosophy
• Incorporates the CCAD Professional Practice model and patient safety principles into clinical practice
• Reports errors and near-misses
• Responsible for completing charge capture education and in-service training for their Institute within CCAD. When charges are not captured automatically the nurse will complete within Epic in real time, Perioperative Services within 24 business hours

PROFESSIONALISM

• Leads the caregiver team in the delivery of patient care collaborating with other disciplines to facilitate achievement of planned and expected outcomes
• Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient/population-centered care that is safe, timely, efficient, effective, and equitable
• Maintains confidentiality with patients and families and adheres to Mubadala Code of Conduct
• Demonstrates active participation in resource stewardship
• Provides feedback on strategies to decrease costs, adherence to safe staffing models, and use of high-cost resources

INTERPERSONAL COMMUNICATION

• Work with individuals of other professions to maintain a climate of mutual respect and shared values
• Communicate with patients, families, communities, and other health professionals in a responsive and responsible manner that supports a team approach to maintaining health and treatment of disease
• Communicates with patients, families, visitors and vendors in a courteous, helpful manner, endeavoring to resolve issues at the unit/department level
• Communicates patient clinical information clearly and accurately, documenting pertinent information in medical record and ensuring complete documentation of patient care
• Engages patient and family in hand-off of clinical information and planning daily plan of care as appropriate

PRACTICE-BASED LEARNING AND PERSONAL DEVELOPMENT

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