Post-Anesthesia Care - Nursing - Registered Nurse

BASIC PURPOSE OF THE JOB

Provides first-line authority, responsibility, accountability, and management of the 24/7 operations of the Pre-Operative, Intra-Operative Care and Post-Anesthesia Care Units. This includes but is not limited to overseeing the scheduling of procedures, scheduling and directing of surgical services staff, providing mechanisms for ensuring quality care, planning and controlling the physical environment, materials, inventory, supplies, and equipment.

CONTACTS

Supervises

No supervisor responsibilities

Approximate number of direct reports

Approximate number of indirect reports

Age of Patient Populations Served

(check all that apply)

Neonates (1 – 30 days)

Infants (31 days – 1 year)

Children (2 – 12 years)

Adolescents (13 – 18 years)

Adults (19 – 70 years)

Geriatrics (70+ years)

No patient contact

Internal Contacts

(check all that apply)

Patients

Providers (i.e. physicians)

Staff (i.e. clinical and admin support staff)

Volunteers

Others:

External Contacts

(check all that apply)

Patients

Providers

Vendors

Community agencies and advocates

Regulatory agencies

Others:

OVERTIME STATUS

Exempt (salaried – not eligible for overtime)

Nonexempt (hourly – eligible for overtime)

JOB REQUIREMENTS

Minimum Education

§Graduate of an accredited school of Nursing

Minimum Work Experience

§Minimum of 2 years of nursing in experience.

Required Licenses / Certifications

§Current Registered Nurse license from the Territory of Guam

§Current Healthcare Provider BLS Certification

Required Skills, Knowledge and Abilities

§Demonstrated proficiency in acute care nursing, knowledge and skills.

PHYSICAL REQUIREMENTS

Indicate the appropriate physical requirements of this job in the course of a shift.

Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.

General Activity

Number of Hours

6 – 8

4 – 6

2 – 4

1 – 2

None

Stand / Walk

Sit

Drive

Motion

Up to 1/3 of time

1/3 or more of time

Bend

Squat

Crawl

Climb

Reach

Lift

Carry

Push

Pull

Use of Hands / Feet

Gross Motor Function

Precise Motor Function

(Or Fine Manipulation)

Right Hand

Left Hand

Right Foot

Left Foot

Weight Lifted / Force Exerted

Show how much weight or force and how often by checking the appropriate boxes.

Up to 1/3 of time

1/3 or more of time

Up to 10 pounds

Up to 25 pounds

Up to 50 pounds

Up to 100 pounds

More than 100 pounds

Body Fluid Exposure

Yes

No

List any other physical requirements:

§

MENTAL AND EMOTIONAL REQUIREMENTS

Indicate the mental and emotional activities required of this job in the course of a normal shift (check all that apply).

Handles multiples priorities

Independent discretion / decision making

Makes decisions under pressure

Manages anger / fear / hostility

Manages stress appropriately

Works alone effectively

Works in close proximity to others and /or in a distracting environment

Works with others effectively

LEADERSHIP COMPETENCIES

Effective leadership communicates the organization’s vision and values that is to be carried out in the day-to-day activities throughout the hospital. Effective leadership depends upon the successful performance of the following leadership competencies:

1.Demonstrates the ability to communicate the hospital’s mission, vision, and values, as well as departmental goals, to all staff.

2.Provides leadership and guidance to other leaders and staff in goal setting, problem solving, resource management, and outcome achievement.

3.Defines performance objectives and metrics for the department and assesses the level of competence of staff in a timely manner.

4.Demonstrates a commitment to a healthy work environment by modeling the desired behaviors and encouraging those in others.

5.Demonstrates the ability to cope with and manage change, as well as help others do the same.

6.Collaborates with other departments to create systems and problem solve ongoing issues that impact departmental/organizational goals and/or patient care delivery.

7.Demonstrates fiscal accountability for department resources and the ability to achieve outcomes within allocated resources.

8.Incorporates quality improvement data and/or patient satisfaction data into departmental goals.

9.Demonstrates a clear understanding of regulations applicable to patient care and/or other department functions.

ESSENTIAL FUNCTIONS

Essential functions are those tasks, duties, and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job, along with the corresponding performance standards.

1.Administrative/Fiscal Duties:

a.In collaboration with the Director of Perioperative Services, develops, implements, and evaluates nursing practices and policies and procedures in the OR/Pre-OP/PACU.

b.Prepares and justifies for approval from Director and CNO annual operating, staffing, and capital budges based on projected departmental needs and goals.

c.Interviews potential employees and monitors new employees throughout the orientation phase

d.Prepares staff schedule and assigns staff consistent with established staffing patterns and acuity levels

i.Supervises proficiency of personnel monitoring both quantity and quality of work performed daily

ii.Reviews daily scheduled procedures to ensure adequate staffing levels

iii.Maintains scheduling for daily staffing and on-call coverage

e.Assigns, directs, and evaluates the performance of staff in accordance with the policies, procedures, and evidence-based standards and practices and makes recommendations for personnel actions.

f.Trains/provides staff competences and evaluates staff to ensure adherence to departmental and hospital-wide procedures.

g.Requests necessary supplies and equipment and monitors and maintains departmental and other direct expenses within budgetary expectations.

h.Develops and implements cost containment strategies and educates staff on their role in controlling costs.

i.Works collaboratively and cooperatively with physicians, anesthesia providers, CSSD staff, and other members of the surgical team and assures the availability of necessary equipment, supplies, and instrumentation.

j.Design and implement quality improvement program for assigned areas; collects data and monitors department for compliance with accreditation, safety, environmental and infection control standards.

k.Analyzes collected data and reports quality improvement projects to committees as required.

l.Maintains up-to-date and accurate documentation of nursing care through the Electronic Health Record system or through manual charting system to assure the integration of information for use by the health care team.

m.Makes written and oral reports and recommendations concerning the actives of the shift as required.

2.Clinical Duties:

a.Organizes, directs, and coordinates activities directly related to surgical care of patients from pre-operative to post-anesthesia phase of care.

b.Acts as clinical resource for surgical services staff and provide supervision and guidance using evidence-based knowledge and standards.

c.Ensures safe patient care by making patient assignment based on patient acuity and skill mix and by assuring that required equipment and supplies are available at all times.

d.Provides supervision and guidance to staff to ensure that surgical care is provided in accordance with evidence-based practices and standards.

e.Promotes a safe surgical environment and safe patent care by embracing and promoting a safety culture and identifying and action on areas of risk.

f.Identifies, analyzes and resolves patient-care related and staff-related issues and escalates them to Director and CNO as appropriate.

g.Reports equipment failures, safety and security issues, and/or reduction of supply inventory.

h.Ensure the appropriateness of staff’s documentation of care using electronic health record.

3.Personnel and Professional Standards

a.Maintains the current nursing and OR Department knowledge, nursing certification and licensure.Pursues professional growth and development.

b.Attends all required Safety Training programs and can describe his/her responsibilities related to general safety, department/service safety, specific job-related hazards.

c.Cooperates with all other hospital services departments to ensure that the patient’s total regimen of care is maintained.

d.Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and achievement of desired patient outcomes.

e.Responsibly follows the hospital exposure control plans/blood borne and airborne pathogens.

f.Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment.

g.Promotes effective working relations and works effectively as part of the inter- and intra-departmental teams, to facilitate the department’s ability to meet its goals and objectives.

NONESSENTIAL FUNCTIONS

Nonessential functions are those tasks, duties, and responsibilities that are not critical to the performance of the job. Following are the nonessential functions of the job, along with the corresponding performance standards.

1.Assumes all other duties and responsibilities as necessary.

a.Demonstrates willingness to identify and/or assume activities relative to the developmental needs of the unit and the nursing department.

b.Demonstrates dependability/flexibility in meeting scheduling needs of the unit and hospital.

c.Accepts assignment as preceptor for new staff.

ORGANIZATIONAL COMPETENCIES

Following are the organizational competencies and corresponding performance standards for all employees in the organization. Indicate how the employee performed relative to these standards by checking the appropriate boxes.

SERVICE:The extent to which an employee demonstrates an understanding of the department’s service standards and strives to achieve them, treats patients and families with dignity, compassion and respect at all times, and demonstrates courtesy in interactions with members of all departments and disciplines within the hospital.

§Consistently holds self and others accountable for meeting patient/customer service standards.

§Anticipates service needs and proactively resolves issues.

§Thoroughly pursues patient/customer issues.

§Creates patient/customer service experiences that heighten the overall perception of the hospital as a premier healthcare provider.

§Consistently holds self-accountable for meeting patient/customer service standards.

§Consistently delivers on patient/customer complaints.

§Follows policies and procedures that guide and support the provision of services.

TEAMWORK:The extent to which an employee acts as a cohesive member of a work team and demonstrates appropriate interactions with all hospital service providers.

§Promotes collaborative work relationships and influences others to work collaboratively.

§Decisions and actions are based on consensus after considering the perspectives of other team members.

§Consistently uses effective interpersonal skills.

§Works collaboratively with others inside and outside the department.

§Understands needs of patients, customers, and staff, and works with others to meet those needs.

§Maintains positive working relationship with others.

COMMUNICATION:Fosters an environment that nurtures collaboration, teamwork, and mutual respect through effective communication. Demonstrates positive communication skills evidenced by effective working relationships.

§Acts as a role model for other staff when articulating information and perspectives.

§Anticipates needed information and updates by proactively communicating to managers, colleagues, and customers.

§Actively listens to others’ perspectives in communications and encourages others to do so.

§Consistently articulates information and perspectives clearly and concisely.

§Provides managers, colleagues, and customers with necessary information and updates in a timely manner.

§Handles conflicts well.

RESPECT FOR OTHERS:Takes actions that indicate a consideration for others and being aware of the impact of one’s behavior on others, demonstrates respect for diverse backgrounds of all patients, families, and coworkers, and seeks accommodations.

§Bases decisions and actions on thorough understanding of perspectives of others.

§Finds collaborative solutions to conflicts and facilitates prompt assistance.

§Promotes nonjudgmental approach in delivery of services and carrying out actions.

§Invites and values the input and views of others, reacting nondefensively to inquiry and challenges.

§Considers the needs of others when communicating and carrying out actions.

§Examines the facts before judging the actions of others.

§Actively listens and considers the needs of others in interactions and service delivery.

TIME AND PRIORITY MANAGEMENT:Optimizes use of time by efficiently using resources to identify barriers and balance priorities. Efficiently utilizes tools, resources, techniques, and/or systems to organize tasks. Balances multiple priorities simultaneously, ensuring the timely and accurate completion of each task while maintaining quality standards.

§Consistently optimizes time efficiently and effectively and serves as a role model/resource for others.

§Consistently utilizes appropriate tools, techniques, and resources/systems to achieve maximum results and teaches others to do so.

§Is viewed as a resource within the department when dealing with issues of systems and resources and accomplishing tasks in the most efficient and effective ways.

§Has sound working knowledge of systems and resources and is able to complete tasks in an effective and time-sensitive way.

STANDARDS OF EMPLOYMENT: All employees must meet the following standards.

§Attends all mandatory education programs and can describe his or her responsibilities related to general safety and regulatory compliance.

§Attends all required department-specific education and training programs and can describe his or her responsibilities related to department safety and specific job related hazards.

§Follows the hospital exposure control plans/bloodborne and airborne pathogens.

§Attire is professional, neat, clean, and appropriate for the work environment.

§Wears proper identification while on duty.

§Maintains confidentiality of all hospital and patient information at all times, as observed by peers and management.

§Reports to work on time and meets acceptable standard for attendance.

§Attends a minimum of two staff meetings, reads minutes for all staff meetings, and participates in committees as required