PRN Pain Management RN

POSITION TITLE:  RN, Procedures/Pain Management

FACILITY/DEPARTMENT:   Nursing                                               

Position reports to: Clinical Nurse Manager

Position supervises: none

*Job description expires one year from effective date unless renewed after an annual review.  Renewals are effective in one-year increments.  Job descriptions may be revised in writing to add or delete duties at any time at the discretion of management.

Interpersonal Relationships:  As a representative of this facility, all comments, attitudes, actions, and behaviors have a direct effect on the facility’s image and perceptions of quality service. Interaction with patients, families, physicians, referral sources, affiliating schools, visitors, teammates, managers, vendors, etc. must be in a manner that is friendly, supportive, courteous, respectful, cooperative, and professional. This behavior should promote an atmosphere of teamwork, which is congruent with center standards and guidelines to promote positive relations. 

Licenses or Certifications: Current state nursing licensure to practice in good standings

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.