Pre/Post-Op Clinical Nurse - Feinberg Same Day Surgery, Full-time, Rotating

Experience: Candidates must have at least two years of Medical/Surgical or Pre/Post-Op Surgery work experience to be considered for this position. ACLS is required in addition to BLS certification, but this can be obtained after hire.

Schedule: 1.0 FTE, 40 hours per week with rotating days; 5:30am-4:00pm with rotation to 2 closing shifts, 11:30am-10:00pm, per 6-week schedule (Monday-Friday). No weekends or holidays.

The Same Day Surgery Unit (SDS) at Northwestern Memorial Hospital is a multifaceted pre-op and post-op unit. We strive to not only assist the patient through the surgical experience but also involve the families. Our nurses provide care for a variety of different surgical procedures ranging from urologic procedures to more complicated surgeries such as kidney transplants, in which care is provided to both the donor and or the recipient. We also preop and recover some of our total joint replacement surgeries that are discharged on the same day of surgery. These patients require extensive discharge teaching which includes family involvement. The SDS is a fast-paced unit that requires exceptional organizational, critical thinking, and communication skills. This unit allows nurses to advance their skillset by combining cutting-edge technology and critical thinking skills to provide evidence-based comprehensive nursing care to our highly complex patient population. It also requires our team to collaborate with other members of our surgical services teams to ensure the best patient outcomes.

Pre-op care is provided to surgical patients on the day of surgery for procedures including:

• Organ transplants
• Abdominal surgery
• Neurosurgical procedures
• Thoracic surgery
• Total joint replacement surgery
• Bronchoscopy
• Prostate surgical procedures
• Lap Cholecystectomy
• Laparoscopic Roux-En Y Gastric Bypass
• Colorectal, Reversal/Colectomy
• Anal rectal exam
• Hemorrhoidectomy
• Transurethral resection of bladder tumor
• Prostrate biopsy
• Cystoscopy/Cisview/Botox

The Pre/Post-Op Clinical Nurse reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, and all other regulatory and accreditation standards.

Responsibilities:

Advocate:

• Practices in accordance with the patient-centered care model.
• Develops an individualized age-specific culturally sensitive nursing plan of care for the patient that is based on the nursing process.
• Incorporates the role of patient advocate into the plan of care.
• Uses a team approach to develop and achieve daily patient-centered individualized care goals.
• Acknowledges and values the contributions of the patients significant others as an integral part of the plan of care.
• Identifies potential conflict situations and facilitates resolution using established communication channels.
• Promotes and strives to protect the health, safety and rights of the patient.
• Protects patients by maintaining a safe environment.
• Participate in research-related activities which includes evidence-based practice and quality improvement initiatives.
• Practices safe surgery specific post-operative care to include assessment, potential complications and discharge teaching.
• Identifies potential pre-anesthetic surgical risks factors.

Clinical Expert:

• Advances clinical expertise, as demonstrated through pursuit of informal and formal continuing education opportunities and obtaining specialty certification when eligible.
• Continuously enhances skills and abilities to ensure the highest quality patient care.
• Shares knowledge and expertise through educating team members, patients and students.
• Demonstrates critical thinking by integrating theoretical knowledge and expertise to pose relevant clinical questions when evidence and practice differ.
• Identifies priorities, sets realistic and measurable goals, prescribes and implements nursing interventions in a safe and timely manner.
• Develops and implements individualized education plans for patients and families using suitable instructional materials and methods.
• Evaluates and documents the patient's responses to nursing interventions in the health record and properly individualizes the plan of care based on the evaluation of findings.
• Identifies situations that require further intervention and escalates appropriately; consults appropriate experts and resources when needed.
• Participates in the formation, implementation and evaluation of team goals.
• Appropriately delegates and supervises interventions to implement the plan of care.
• Conveys complete, timely and accurate information at hand off at the bedside or any hand off.
• Adheres to ethical standards of practice.
• Possess the knowledge to intervene in the event of a complication or undesired outcome.

Community Volunteer:

• Participates in one or more volunteer initiatives annually, Northwestern Memorial organized or on his/her own.

Compassionate:

• Consistently demonstrates interpersonal connections with patients and families from introduction through discharge.
• Proactively responds to patient concerns such as speaking to patients about possible/expected delays in plan of care.
• Treats patients, families, visitors and staff in a caring manner with respect and dignity.
• Facilities recovery and where appropriate helps ensure a peaceful death for patients.

Professionally Engaged:

• Is a member of a professional organization or participates on a Northwestern Memorial committee or taskforce at the hospital-wide, departmental, or unit level.
• Demonstrates accountability and collaborative practice with co-workers, other disciplines, and departments.
• Assumes responsibility for continued professional growth and education reflecting knowledge and understanding of current nursing practice.
• Serves as a community mentor for team members.
• Serves as a preceptor for new team members.
• Participates in the peer feedback process by conducting a constructive assessment and evaluation of peer performance.
• Works collaboratively with all hospital services to accomplish daily work and maintain an environment of excellence.
• Participates in the development of policies, procedures and systems to support safe and effective care and advance nursing practice at NMH through the Shared Leadership Process.
• Assumes personal responsibility for meeting internal (i.e. Best People profile, ELMs, CPR, and health requirements) and external regulatory and accreditation requirements.
• Identifies opportunities for innovation and quality improvement; participates in innovation projects and the quality improvement process, including unit based quality committees.
• Demonstrates accountability to Northwestern Memorial strategic, operational and fiscal goals.
• Exemplifies a professional image in appearance and communications.
• Maintains and advances the professional image of nursing and the practice of professional nursing through an ongoing analysis of resources: Professional Organizations, literature, electronic resources, etc.

AA/EOE