RN-Outpatient Procedures/Pain Management- Baton Rouge Rehab Hospital

JOB PURPOSE OR MISSION: To improve the quality of life of patients and families by coordinating patient care processes of assessment, planning, implementation and evaluation in collaboration with the patient, family, physician, and appropriate support services for the age population served, as defined in the department’s scope of service.
Value Statements
TEAMWORK – Value the diverse contributions of all, we incorporate the skills of all staff members in collaborative care.
INTEGRITY – Always follow the highest standards of professionalism, ethics, and personal responsibility, deserving of our patients’ trust.
COMPASSION - Dedication to delivering the best care, treating all with sensitivity and passion for making a difference.
EXCELLENCE – Commitment to provide the highest quality outcomes and service through the wholehearted efforts of every team member.
JOB FUNCTIONS
ESSENTIAL JOB FUNCTIONS include, but are not limited to:
1. Coordinates patient assessment through collection of patient’s health data.
PERFORMANCE STANDARDS:
• Performs ongoing and systematic comprehensive physical and psychosocial assessments.
• Involves the patient, significant others and health care providers as appropriate.
• Performs functional, nutritional and other screenings as appropriate.
• Identifies and coordinates the need for further assessment.
• Documents patient care assessments in the medical record.
• Participates in both pre-op and post operative phone calls to patient for positive patient outcomes.
2. Analyzes patient assessments to determine nursing diagnoses and identifies expected outcomes.
PERFORMANCE STANDARDS:
• Assessment on all patients and follows protocols according to established department guidelines and policies.
• Demonstrates ability to proficiently assess patients in every age group.
• Demonstrates proficiency in the management of patients receiving Procedural Sedation.
3. Implements the interventions identified in the procedural plan.
PERFORMANCE STANDARDS:
• Collaborates with the interdisciplinary health care team to deliver direct patient care utilizing nursing practice standards, and universal blood and body fluid precautions.
• Maintains patient rights.
• Ensures that patients receive the appropriate treatments and medications in a timely manner.

• Delegates patient care to other members of the health care team; ensures the delegated task(s) are within the scope of practice of the assigned individual and maintains oversight and accountability.
• Coordinates direct patient care from appropriate support services.
• Provides individualized patient education to patient and families.
• Documents all treatments, medications, patient/family education and ongoing assessments.
4. Evaluates the patient’s progress toward attainment of outcomes.
PERFORMANCE STANDARDS:
• Performs ongoing and systematic reassessment according to department standard or more frequently based on patient condition.
• Evaluates the effectiveness of treatments, medications and patient teaching.
5. Provides ongoing patient assessment and emotional support to the patient prior to the induction of surgical procedures and during the procedure.
PERFORMANCE STANDARDS:
• Demonstrates proficiency in the assessment and documentation of patient status.
• Demonstrates the ability to build rapport and communicate effectively with patients to help alleviate fear and stress.
• Confirms identity, verifies operative site, surgical procedure, NPO status, and any patient allergies.
• Identifies baseline skin condition, body mobility, sensory impairments, cardiovascular and respiratory status.
• Assesses and reports any deviations from normal in preoperative diagnostic studies.
• Assesses readiness to learn based on patient’s perceptions and expectations of care.
• Identifies any spiritual, cultural and/or philosophical beliefs that may impact care provided.
6. Provides intraoperative nursing care.
PERFORMANCE STANDARDS:
• Implements aseptic technique by creating and maintaining a sterile field.
• Monitors physical status of patient, to administer drugs and solutions as prescribed.
• Monitors and controls the environment and considers all assessment information for the plan of care and demonstrates individual choice based on identified patient needs.
• Applies safety devices.
• Assesses the timing and need for a sponge, needle, and instrument count and performs required counts accurately.
• Manages culture/specimen collection, handling, and disposition according to hospital policy and procedure.
• Collaborates in fluid management.
• Provides status report to family/support person.
• Peer review ratings consistently excellent in maintaining communication.
• Patient/family compliment/complaint ratings consistently positive.
7. Sets up equipment and supplies for surgical procedures based on patient needs.

PERFORMANCE STANDARDS:
• Obtains correct supplies and accurately sets up for procedure according to department guidelines and policy.
• Follows department policy and procedure to ensure the creation and maintenance of a safe environment, as well as performing equipment checks.
• Minimizes the length of invasive procedure by planning care: anticipates needs for equipment and supplies and selects in an organized and timely manner.
• Uses supplies and equipment within safe parameters by ensuring all equipment is functioning before use and removing malfunctioning equipment for use.
• Implements protective measures to prevent injury due to electrical, laser, radiation, chemical, thermal, or mechanical sources.
• Uses supplies and equipment in a judicious and cost-effective manner and documents utilization.
• Records devices implanted during the operative or invasive procedure.
8. Administers and monitors Procedural Sedation.
PERFORMANCE STANDARDS:
• Demonstrates proficiency in management of patients receiving Procedural Sedation.
9. Performs other duties as assigned.

1 year Nursing experience preferred
SPECIAL SKILL, LICENSE AND KNOWLEDGE REQUIREMENTS
Current Louisiana Nursing License
CPR Certification
ACLS Certification Preferred