Pain Management RN PRN - KU MedWest Ambulatory Surgery

Education, vocational training, and experience:

• High School Graduate or equivalent
• Graduate of an accredited school of nursing
• One year of Pre/Post, OR and/or medical/surgical nursing experience preferred. 
• Successful completion of Basic Life Support (BLS) within 90 of employment or documentation of current BLS certification. 
• Successful completion of Advanced Life Support (ALS) course within 6 months of employment or documentation of current ALS certification.    

Working Conditions/Physical Requirements:

• Physically demanding, high-stress environment 
• Exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions 
• Pushing and pulling heavy objects  
• Full range of body motion including handling and lifting patients and equipment 
• Manual and finger dexterity  
• Hand eye coordination 
• Standing and walking for extensive periods of time  
• Lifting and carrying items weighing up to 50 lbs 
• Corrected vision and hearing to within normal range 
• Working irregular hours  

Job Duties and Responsibilities:

• Develop an individualized perioperative patient plan of care by implementing: 

• Protecting the patient from injury caused by extraneous objects and chemical, electrical, mechanical, and thermal sources. 
• Demonstrating safe operation of equipment and machinery and follows procedures for reporting and correcting an unsafe situation. 
• Speaking up with safety concerns acting as the patients advocate.   

• Handling specimens according to facility policy and procedures. 
• Adhering to standard precautions including the use of personal protective equipment. 
• Complying with Universal Protocol and facility site validation and time-out policy
• Communicating the patient’s current status to relevant parties throughout the continuum of care. 
• Administering medications safely and correctly using the 8 rights of medication administration. 
• Practicing and monitoring aseptic technique. 
• Implementing the plan of care including the following interventions: 
• Managing patient recovery from anesthesia – Moderate sedation and Monitored anesthesia care. 
• Assessing patient status at intervals in accordance with facility policies and procedures. 
• Providing nursing care and appropriate monitoring in accordance with policies and procedures. 
• Performing interventions to maintain the patient’s tissue perfusion at or above baseline levels. 
• Performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline levels. 
• Performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period. 
• Performing interventions to protect the patient from infection. 
• Assessing the knowledge level of the patient or designated support person. 
• Providing education regarding the expected psychosocial response, nutritional management, medication management, pain management, and expected responses to the procedure. 
• Involving the patient or designated support person actively in decisions affecting his or her perioperative plan of care and the rehabilitation process.
• Protecting the patient’s rights, dignity, and privacy. 
• Providing age-specific, culturally competent, ethical care within legal standards of practice. 

• Evaluate the patient’s progress toward attaining outcomes. 
• Transfer care as applicable.  
• Provide hand-off report to other teammates that are accurate, concise, and pertinent to the patient’s condition and response to care.  
• Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing or professional registration requirements, state laws, and job descriptions.  
• Document episode of care accurately, timely, completely, and legibly. 

• Demonstrate effective communication and collaboration skills with members of the team and other stakeholders. 
• Serve as a member of a multidisciplinary team in planning patient care. 
• Participate in quality review and performance improvement projects. 
• Participate in the performance appraisal process. 
• Use problem-solving and conflict resolution skills to foster effective work relationships. 

• Maintain required competencies. 
• Pursue professional growth. 
• Act as a patient advocate and maintain privacy and confidentiality of individuals and health information. 
• Comply with all facility policies and procedures, regulatory and accreditation standards and professional guidelines when providing patient care. 
• Actively participate in team meetings, trainings, and daily safety huddles. 

• Demonstrate fiscal responsibility. 
• Function as a scrub person during operative and other invasive procedures by

• Protecting the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources.
• Demonstrating safe operating of equipment and machinery and follows procedures for reporting and correcting an unsafe situation.
• Performing accounting procedures to protect the patient from unintended retained surgical items.
• Speaking up with safety concerns acting as the patient’s advocate.
• Handling specimens according to facility policy and procedures.
• Adhering to standard precautions including the use of personal protective equipment.
• Performing interventions to maintain the patient’s wound and tissue perfusion at or above baseline levels. 
• Performing interventions to protect the patient from surgical site infection.
• Assembling supplies and equipment required for the procedure.
• Preparing and organizing sterile supplies and instruments for the procedure.
• Providing instruments and supplies to the surgical team during the procedure.
• Protecting the patient’s rights, dignity, and privacy.
• Providing age-specific, culturally competent, ethical care within legal standards of practice.
• Maintaining a fire safe environment.
• Practicing and monitoring aseptic technique.
• Complying with Universal Protocol and facility site validation and time-out policy.

• Maintain radiation safety at all times in accordance with facility policies and procedures.
• Clean and prepare surgical instruments for processing and transport them to the decontamination areas (when applicable).
• Evaluate the patient’s progress toward attaining outcomes.
• Document episode of care accurately, timely, completely, and legibly.
• Demonstrate effective communication and collaboration skills with members of the perioperative team and other stakeholders.
• Assist with post procedure cleaning of the operative or other invasive procedure room and preparation of room for subsequent patients.