Job Description/Competencies/Performance Appraisal s3

Job Description/Competencies/Performance Appraisal

Surgical Services Department

Operating Room Registered Nurse

FLSA Status – Non-exempt

Employee: ______Employee Number: ______Review Date: ______

Department: ______Division/Location: ______Job Code: ______

Job Summary/Purpose:

The Registered Nurse in the Operating Room is responsible for the comprehensive care of the surgical patient. This includes all activities, both technical and professional, that contribute to the safest perioperative course for the patient, as well as the most positive outcome possible. The Registered Nurse directs and coordinates the activities of other surgical team members in order to achieve this goal.

Minimum Qualifications:

·  Current State Illinois Registered Nurse License

·  One year experience in an Operating Room or completion of an approved Operating Room training course.

·  ACLS certified for administration of Moderate Sedation.

·  CPR certified.

·  CNOR certification preferred.

Essential Physical Requirements:

·  Ability to perform light to heavy work which includes frequent lifting and positioning of patients. For greater than 50 pounds it may be expected that the nurse will request assistance from a co-worker for lifting and transferring.

·  Ability to stand/walk 6 to 8 hours per shift.

·  Ability to frequently bend, twist, reach, stoop and occasionally kneel and squat.

·  Ability to perform various repetitive tasks i.e., simple grasping, pushing, pulling and fine manipulation (keyboard).

·  Good visual acuity is required for patient assessment, medication administration and documentation of care.

·  Good hearing is essential for accurate patient assessment.

·  All employees within this job classification may have high-risk exposure to blood borne pathogens or other potentially infectious materials.
Demonstrates the minimum knowledge, skills and abilities to care for the following patient population:

Adult Geriatric

*How Measured? Age Group Guidelines

O = Observation A = Adult (18 – 64 years)

D = Documentation G = Geriatric (over age 64)

P = Peer Review

RD = Return Demonstration

T = Test

V = Verbal

Definitions

RATINGS:

Exceeds:

·  Consistently exceeds performance expectations

·  Contributed significant result under own initiative

·  Demonstrates strong expertise within critical areas

Achieves:

·  Consistently accomplished performance expectations

·  Met requirements reliably, accurately and with attention to detail

Partially Achieves:

·  Requires development and cannot independently perform job expectations

·  Did not accomplish results expected within some of the key areas of the job

·  Performance improved, but requires continued improvement to consistently expectations of the performance plan

NOTE: Performance improvement plans are required for all employees that receive an overall evaluation of “Partially Achieves”

EE = Exceeds Expectations AE = Achieves Expectations PA = Partially Achieves

CRITIERIA / PERFORMANCE EXPECTATIONS / EE / AE / PA / HOW
MEASURED /
Position Specific Responsibilities and Competencies / Thoroughly reviews patient chart for required pre-op documentation prior to surgery.
Oversees and directs the work of department technicians maintaining overall accountability for care of assigned patients.
Reinforces pre-op teaching and initiates measures to reduce anxiety.
Assesses knowledge/perception of surgery and expectation of care.
Maintains sterility and initiates corrective action when breaks in technique occur.
Documentation meets current standards, policies and procedures and is completed consistently within shift.
Ability to navigate the clinical information systems as needed to perform job duties.
Adheres to hospital and departmental policy for reporting and handling malfunctioning equipment.
Monitoring supplies to ensure availability of appropriate supplies for patient care and departmental operations.
Maintains a clean and orderly environment in the perioperative department including breakroom and locker rooms.
Recognizes department problems and uses critical thinking skills to take appropriate actions.
Prioritizes patient care and organizes nursing activities in a logical sequence.
Maintains positive interdepartmental relationships while communicating and coordinating patient care activities.
Serves as a change agent by cooperatively adopting new processes determined through quality improvement initiatives.
Voluntarily cross-trains, covers for, and assists with other duties and departmental functions within his/her scope of practice and not covered by his/her job description.
Consistently ready and prepared for assigned patient care responsibilities.
Available at scheduled work time on scheduled day and voluntarily works during non-scheduled times as a response to departmental or hospital staffing needs.
Assists in the on-boarding of new stakeholders with a positive and inclusive attitude reflective of CTCA values.
Recognizes and follows chain of command for addressing and resolving departmental issues.
Effectively communicates with peers (and direct supervisor) to resolve conflict in a manner that prevents unnecessary departmental and external involvement.
Provides treatments, education, procedures, and other care as prescribed and according to patient care standards and plan of care either independently or under direct supervision of licensed personnel.
Thoroughly prepares patients for examinations and procedures.
Demonstrates a working knowledge of patient safety goals and optimizes patient safety to reduce the likelihood of medical/healthcare errors.
Safely and accurately prepares and administers medications by adhering to hospital, departmental, and regulatory agency policies and regulations and actively reports opportunities to reduce the potential for medication error.
Assures all equipment is available, set-up correctly, and functioning before use.
Ensures compliance of the universal protocol.
Active participation and documentation of completion of hospital and department required continuing education programs.
Active participation in hospital and departmental quality improvement initiatives.
Ensures compliance with all regulatory agencies including state, federal, and The Joint Commission, on a continual basis.
Care provided conforms to accepted practice standards (AORN, AST, ASPAN, AMMI/ANSI, SGNA).
Demonstrates knowledge of appropriate response to hospital emergency situations and is able to independently initiate appropriate actions.
Advocates for patients rights by utilizing established mechanisms for management of ethical issues and resolution of patient complaints.
Effectively manages costs by ensuring accurate patient charges as well as implementing cost effective practices while providing quality patient care.
Assists in departmental policy development and acquisition of new technology and procedures.
Maintains patient confidentiality according to HIPAA guidelines.
Appropriately reports abnormal and critical laboratory and diagnostic results.
Supervises care delivery by unlicensed support staff.
Identifies and requests appropriate ancillary services referrals and follow-up.
Accurately receive, prepare, label and record all specimens according to hospital policy.
Effectively accounts for all sponges, sharps, and instruments according to hospital policy and communicates effectively with physician regarding discrepancies and takes appropriate actions.
Accurately and consistently performs hand-off communication according to hospital policy.
CTCA Core Service Standards / Demonstrates the spirit of ______values and standards through actions and speech.
Connects with customers (patients, caregivers, co-workers) with a smile or pleasant demeanor.
Addresses customers (patients, care-givers, co-workers) by their preferred names whenever possible.
Finds ways to focus solely on the needs of our patients and their caregivers.
Listens attentively and educates patients and caregivers to ensure their understanding.
Offers choices to patients and caregivers and respects their decisions.
Teamwork, Communication and Citizenship / Promotes teamwork, nurtures relationships with others and is viewed positively by co-workers.
Carries own share of responsibility and willingly offers assistance to others.
Supports the goals of the department and participates in department performance improvement.
Attends required staff meetings in addition to net learning requirements.
Meets annual health screening requirements.
Safety / Demonstrates knowledge of patient safety goals relevant to the work environment.
Demonstrates knowledge of hospital variance reporting system and appropriate management procedures for unexpected occurrences.
Demonstrates appropriate response to organizational disaster codes.
Completes annual department Hazardous Communications Training.
Completes required Net Learning modules.
Adheres to employee safe workplace practices and identifies and reports safety concerns to supervisor.
Infection Control / Consistently follows organizational guidelines for effective hand hygiene.
Adheres to the hospital and department infection control policies including but not limited to hand hygiene, asepsis, isolation practice, and employee health practice.
Ensures compliance with hospital perioperative visitor policy.
Follows appropriate process to coordinate availability of sales representatives, supplies, or vendors for surgical cases.

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Accomplishments / Strengths: ____

____

Areas for Improvement: ____

______

Plan for Improvement: ____

____

Goals / Career Development: ____

Manager Signature: Date: ____

Manager’s Name (please print):

Employee Signature: Date: ____

Employee’s Name (please print):

OR REGISTERED NURSE AGE SPECIFIC COMPETENCY

METHOD LEGEND: O = Observation, D = documentation, P = Peer Review, RD = Return Demonstration

T = Test, V = Verbal *Please specify method if not listed

/ EE / AE / PA / HOW
MEASURED /
COGNITIVE:
A / ·  Understands individual pain threshold and observes patient for indication of pain, increased muscle tension or excessive quiet.
·  Recognizes physo-social resources effective to health and wellness.
A/G / ·  Understands individual pain threshold and observes patient for indication of pain, increased muscle tension or excessive quiet.
·  Demonstrates ability to interpret age specific data.
·  Appropriately interprets age specific responses to treatment.
TECHNICAL SKILLS:
A / ·  Correctly positions adults for procedure(s).
·  Demonstrates proper use and follow-through with the use of skin care plan.
·  Uses proper size equipment when taking vital signs.
·  Follows falls/risk protocol.
·  Demonstrates ability to conduct age specific assessments.
G / ·  Correctly positions Adults for procedure(s).
·  Assesses special needs related to decreased skin elasticity and potential for bleeding related to venipuncture.
·  Demonstrates proper use and follow-though with the use of skin care plan.
·  Demonstrates gentleness and sparing use of tape with venipuncture.
·  Follows falls/risk protocol.
·  Applies knowledge of specific safety factor to the care of the weak and geriatric patient to assure a safe environment and decrease risk factors.
·  Demonstrates ability to conduct age specific assessment.
INTERPERSONAL SKILLS:
A / ·  Demonstrates knowledge and competency in general nursing practice.
·  Addresses patient by given surname.
·  Encourage verbalization of fears.
G / ·  Demonstrates knowledge and competency in general nursing practice.
·  Addresses patient by given surname.
·  Speaks slowly and distinctly when talking to the patient.
·  Repeats instructions several times.
·  Teaches patient one item at a time.

OR REGISTERED NURSE COMPETENCY BASED EVALUATIONS

EE = Exceeds Expectations AE = Achieves Expectations PA = Partially Achieves

Performs the following according to clinical practice guidelines: / EE / AE / PA / HOW
MEASURED /
v  Blood Glucose Monitor
v  Code Blue, Cart Check/Defibrillator/O2 Set-Up
v  *Blood Product Administration / Transfusion Reaction
v  Central Line Care, Declotting of Central Line, Port Access
v  Moderate Sedation Monitoring
v  Malignant Hyperthermia
v  RFA (Radio Frequency Ablation)
v  Epidural
v  High Dose Brachytherapy
v  Gamma Probe
v  Cusa

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