The DSU nurse provides direct care to patients across the lifespan who are recovering from various levels of consciousness as a result of local, regional or general sedation. Assignments include, but are not limited to, PAT Visit, Pre-Op & Post-Op of interventional radiology, infusions, GI procedures, bronchoscopy, cardiovascular procedures, pain clinic, and surgical procedures; as well as, functioning in a circulator and/or assist role during minor, GI, and bronchoscopy procedures. Due to the possibility of rapid changes in a patient's physiological condition, DSU RNs are required to administer diligent care via monitoring, intervention, and frequent routine reassessment. In response to patient needs the nurse may provide mild sedation and administer medications per protocols, ACLS/PALS/PEARS guidelines and physician orders. DSU nurses must demonstrate an ability to cope with extreme emergency situations while displaying calm, and demonstrate recognition of the value and dignity of the individual without regard to the nature of illness or the circumstances. They address the psychosocial, physical and general aspects of care related to the procedural environment. The nurse must demonstrate strong communication skills with a multidisciplinary team approach; it is imperative to maintain effective communication with providers and the anesthesia team about patient conditions and receiving direction for patient management. DSU nurses function as a patient advocate and act as a liaison between patient, family, and procedural providers to ensure a smooth transition throughout their entire operative experience.
· Checks emergency supplies and equipment for proper function and adequate supply on regular basis.
· Admits and delivers patient care according to established guidelines throughout encounter. The following are highlighted care aspects:
§ Assesses the patient and family needs and completes admission assessment documentation.
§ Initiates Patient Care Plan from assessment information which includes nursing diagnosis, goals, and interventions.
§ Assess patient's response to procedures and/or interventions, while identifying pertinent age specific criteria.
§ Transcribe and carry out physician orders in a timely and efficient manner.
§ Documents patient status at the time of admission, transfer, or discharge to and from nursing unit.
§ Includes the patient and family in formulating the plan of care.
§ Sets priorities in planning for patient needs to include patient and/or family teaching.
§ Communicates with and utilizes available resource people within the facility and community in planning all aspects of nursing care.
§ Considers social, cultural, and economic factors as they relate to specific patients and families and documents this information on the plan of care.
§ Performs technical skills safely and according to accepted procedure.
§ Demonstrates ability to use equipment according to accepted procedure.
§ Explains procedures, treatments and medications to patient and family.
§ Carries out patient and family requests or explains to them why they cannot be done.
§ Is knowledgeable about signs and symptoms of patient conditions most commonly encountered in the adult, adolescent, pediatric, and geriatric patient and understands the patho-physiology as demonstrated by appropriate nursing interventions.
§ Is knowledgeable about medications and IV solutions in terms of purpose, side effects and contraindications in the adult and geriatric patient.
§ Instructs the patient and/or family in identified knowledge and/or skills deficits.
§ Revises Patient Care Plan as necessary, based on daily evaluation of patient's condition and response to nursing care.
§ Evaluates and documents the response of patients and/or family to teaching.
· Attends and participates in minimum 75% of staff meetings.
· Completes all TAMC mandatory education programs
· Performs all duties according to DSU approved policies and procedures.
· Works with manager and providers to represent the department in promotional activities
· Participates in professional growth opportunities, performance improvement, and continuous quality improvement activities, as well as, but not limited to data and statistical information gathering.
· Comply with mandated hospital and department education programs.
· Provides training and in-service education programs to other hospital departments involved in patient care.
· Demonstrate a commitment to the philosophy and objectives of the TAMC organization.
· Performs other work related duties as assigned.
· Cross training to CV Lab, PACU, and/or OR required for float eligible staff; highly recommended for float optional staff.
· Current Maine Registered Nurse License, or license eligible.
· Monday- Friday 0530-1800; Routine departmental coverage
· Must be available for On-Call coverage for GI services; nights, weekends and holidays.
EDUCATION SKILLS, EXPERIENCE REQUIREMENTS:
· Current BLS
· ACLS certification must be obtained within three months of job acceptance.
· PALS and/or PEARS certification is highly recommended
· Post Anesthesia, Critical Care, or Emergency experience preferred.
· Experience with patients across the lifespan.
· Skilled in the care of all levels of acuity.
· Skilled in the use of routine emergency equipment.
· Strong interpersonal skills.
· Desire to work with a comprehensive professional health care team.
PHYSICAL DEMAND REQUIREMENTS:
· Sitting. 1 -3 hours/day.
· Standing. 8 -10 hours/day.
· Walking. 8 - 10 hours/day
· Lifting. 25 - 50lbs with good body mechanics.
· Twisting. Frequently, 500 -1000 or greater twists/day.
· Bending. 130 - 480 bends per day.
· Squatting/Kneeling. 1 -3- hours/day.
· Endurance. Heavy energy requirements.
· Wrist Position. Extensive deviation.
· Pinching. Frequent, 130 - 480 pinches per day.
· Hand/Wrist Repetitions. 1000 – 2880 per day or more.
· Manual Dexterity. Frequent fine motor skills required.
· Either Handedness. 70%- 100% of job cycle time.
· Both Handedness. 70%-100% of job cycle time.
· Sight. Requires corrected 20/20 near vision and minimal far vision.
· Hearing. Can hear whispered voice at eight (8) feet (FAA class II).
· Speech. Frequent clear speaking ability required.
· Exposure to Infection. Moderate
Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.