Lead Registered Nurse - Operating Room

The Lead Inpatient Nurse (Registered Nurse) works under the supervision of unit leadership. The Lead Inpatient Nurse (Registered Nurse) assesses, plans, implements, evaluates and supervises individual patient care according to standards. Accepts responsibility for direction of co-workers in the implementation of plans of care. May be required to work in other areas according to skill of staff and acuity of patients. The Lead Inpatient Nurse (Registered Nurse) role is practiced at the point of care, following a cohort of patients with a focus on evidence-based practice, safety, quality, and risk reduction. They take responsibility for leading coworkers in the work environment and oversee team work, throughput, and supporting novice nurses. They provide exceptional service to all patients and customers all while maintaining a role model status. They will maintain all competencies for the units they are assigned and performs other duties assigned within their scope.

• Complete shift assignments for the coordinating shift and collaborates with House Supervisor /Leadership throughout the shift when staffing changes arise.
• Assign nursing students to appropriate caregivers for the oncoming shift.
• Collaborate with care management team for the unit for throughput and plan of care for each patient and collaborate with assigned caregivers.
• Assist caregivers with admissions, discharges, transfers when appropriate.
• Monitor and provide support to the caregivers on the unit when increased workload is witnessed and situational management arises and collaborate with leadership. Completes assessment of patient and documents in medical record. Analyzes the information collected to determine patient’s needs and expected outcomes.
• Develops a plan of care based upon the assessment, diagnosis, and expected outcomes of patient.
• Implements plan of care and documents in medical record. Oversees the delegation of the plan to other licensed and unlicensed personnel and supervises these personnel.
• Evaluates patient's response to care, expected outcomes and updates plan of care.
• Ensures a discharge plan is a part of the individualized plan of care.
• Engages in patient/family/staff teaching to achieve the desired patient outcomes.
• Follows ANA code for nurses and standards of clinical nursing practice.
• Administration of medications, monitor patients’ response to medication and documents.
• Participates in staff training and departmental improvement activities and uses the results of the quality of care activities to initiate change in practice.
• Collaborates with other members of the interdisciplinary team to achieve the patient’s expected outcomes (example: rounds with physicians, attends team conference).
• Other duties as assigned

• Graduate of a school of nursing - Required
• BSN - Preferred

• 1 Year - RN experience - Preferred

• Registered Nurse (RN) - State Licensure/Or Compact State Licensure - State Licensure/Or Compact State Licensure in state, depending upon designated work location - Required within 90 Days
• Basic Life Support (BLS) - Required within 90 Days
• Advanced Cardiac Life Support (ACLS) - IF working in an inpatient area in which ACLS is required within 90 Days

• Must be able to travel between various system facilities and off-site locations as needed. - Required

Essential Technical/Motor Skills

• Ability to give injections, administer medications, change dressings; fine motor skills, eye/hand coordination, walk, ability to speak clearly, hear, answer phone, data entry.

Interpersonal Skills

• Exceptional - ability to assess the patient and obtain a comprehensive person oriented history in a minimum amount of time.
• Must build rapport with patient families, visitors, peers and physicians as well as other departments and divisions.
• Displays a friendly, positive attitude and communicates with patients, families, physicians and co-workers in a professional manner.
• Ability to communicate verbally and written.

Essential Physical Requirements

• Must be able to go from patient location to patient location to assess, evaluate and administer care plan; must be able to occasionally turn the average weight of an adult bedridden patient and ambulate patients who are recovering from surgery.
• Must move, kneel, crouch, stoop, reach, stand, push, pull, and lift.
• Must follow good body mechanics.

Essential Mental Abilities

• Ability to collect thorough information regarding patient's condition and evaluate effects of care; must be able to visually inspect patient's condition.
• Problem solve, manipulate numbers, adaptability, interpret data, calculate, comprehend, understand, explain, assess, evaluate short term and long term memory.

Essential Sensory Requirements

• Ability to visually assess patient condition; must be able to communicate with patient in order to assess condition and evaluate effects of care.
• Visual, hearing, feeling, smell.

Exposure to Hazards

• Needles, cuts, back injury, chemotherapy, body fluids, blood, punctures, scratches, physical injury from combative patients, radiation exposure, blood products, road and weather hazards when driving required.
• Infection/disease exposure from patients, visitors, and co-workers.

Other Skills and Abilities

• Utilize excellent customer service and teamwork skills portraying a ""Yes I can"" attitude congruent with patient treatment plan.
• Follows RESPECT document at all times.
• Completes competencies and all other requirements.
• If assigned travel to patient’s homes, must have access to transportation which will allow for timely scheduled home visits.