RN Pre-Op Services

• Assesses the biophysical, psychosocial, environmental, self-care, educational and discharge planning of patients according to nursing standards.

• Uses knowledge and experience in identifying patient needs and prioritizing treatment. Recognizes and accurately documents and communicates subtle changes in patient assessment.
• Provides initial assessment and reassessments according to current organizational and department standards for Assessment of Patients and Nursing Assessment and documents according to policy.
• Anticipates potential changes in patient’s condition and responds appropriately.
• Anticipates needs based on assessment findings and proposed procedure or course of care.

• Ensures an effective plan of care for assigned patients based upon the standards for planning and providing care.

• Initiates individualized plan of care using nursing diagnosis based on identified patient needs and includes all available resources, e.g., family, caregivers, other disciplines and community agencies.

• Efficiently organizes and prioritizes patient care and seeks assistance when necessary in order to meet the needs of individual patients.
• Actively participates in development of standards of care according to departmental, organizational, professional or regulatory standards.
• Implements plan of care in compliance with hospital and nursing policies in accordance with all appropriate standards.

• Completely and accurately implements and documents nursing interventions and patient response. Communicates pertinent information to patient and members of the health care team in a concise and timely manner utilizing an interdisciplinary approach.
• Assures that the patient/family are updated regarding the status of the patient and any changes in the patient or plan of care as they evolve.
• Demonstrates flexibility in giving and receiving patient assignments on the department and hospital-wide based on skill mix of the staff available and patient care demands.
• Evaluates nursing care, which includes tools and equipment related to patient care.

• Reviews, evaluates and documents effectiveness of interventions, making modifications as needed on the plan of care.
• Evaluates new and existing equipment, policies, procedures and programs.
• Anticipates patient’s response to interventions and collaborates with patient/family and health care team to revise treatment plan accordingly.
• Identifies variances from expected outcomes and makes appropriate recommendations.
• Provides patient/family education

• Assesses patient/family for:
• Current knowledge of health status, condition or disease process; barriers to learning; readiness, willingness and ability to learn
• Cultural, religious, financial and patient preference implications related to learning.
• Identifies learning needs and establishes goals using standardized or individualized teaching plans.
• Implements the plan through direct, interactive teaching with additional use of teaching aids and materials as appropriate. Evaluates effectiveness of teaching.
• Communicates patient/family progress toward learning goals and need for follow-up to other nurses and health care disciplines.
• Integrates discharge planning and referral into the teaching process. Documents teaching per policy.
• Independently offers support to less experienced staff to aid in patient/family teaching.
• Demonstrates professional expectations as evidenced by:

• Incorporates suggestions for self-development and/or performance into daily practice.
• Meets all requirements of clinical ladder level.
• Actively engages in department efforts to promote retention of staff and provide for a high level of employee morale.
• Utilizes supplies, equipment, and technology to ensure quality of patient care.
• Floats to other nursing units in the hospital as requested
• Demonstrates leadership/accountability qualities.

• Consistently utilizes communication style that sets department tone for positive professional behavior. Promotes meaningful focused communication between all members of the healthcare team as appropriate.
• Encourages professional interactions between ancillary healthcare givers, including physicians.
• Demonstrates effective delegation skills as they pertain to nursing staff in the delivery of safe nursing care and communication to peers.
• Demonstrates effective precepting and mentoring skills for RN’s and ancillary staff. Adheres to program policies and participates in effective department orientation.

• Demonstrates accountability for the following which includes but is not limited to:

• Reviewing Quality Assurance report/data for accuracy and completeness according to departmental standards.
• Contributing to the evaluation/auditing process for CNA’s, Technicians, and peers, etc.
• Must complete all Hospital wide and Department specific competencies.

• Clinical competency in their departmental area of practice.
• Ability to use technology and equipment to perform job duties.
• Effective interpersonal and communication skills.
• Effective use of proper body mechanics when handling patients, supplies and equipment.
• Ability to handle a physically demanding environment.
• Skills and abilities to perform all job description duties according to the age specific patient population served by their department.
• Ability to meet the requirements annually of the FH Clinical Ladder.
• Ability to keep patient and employee information confidential
• Competency in operating equipment required to meet patient care needs.

• Eligible for or currently licensed as a Registered Nurse in State of Maryland or compact state.
• Associates degree in Nursing required; Bachelors of Science in Nursing preferred or willing to obtain within 5 years of employment
• Certified in Cardiopulmonary Resuscitation (CPR).
• BLS certification is required of ALL nurses within 90-days of hire.

• X Neonate (0 thru 30 days)
• X Infant (31 thru 12 months)
• X Child (13 months thru 12 years)
• X Adolescent (13 years thru 17 years)
• X Adult (18 years thru 65 years)
• X Geriatric (66+ years)

Frederick Health