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Registered Nurse-Ambulatory Care

Austin, TX, United States
Full-time  No Weekends 
Category: Nursing - Professional • Job ID: 08224-71471

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Description

SHIFT: No Weekends

SCHEDULE: Full-time

St. David’s North Austin Medical Center, which is part of St. David’s HealthCare, is a 425-bed multi-specialty, acute care facility dedicated to the highest level of women’s health services, including maternity and newborn care with Level I, II and III nurseries at the adjacent St. David’s Women’s Center of Texas. The facility also features a 24-hour emergency department, the Texas Institute for Robotic Surgery, the Bariatric Center, Heart and Vascular Center, neurology and neurosurgery, a kidney transplant program, inpatient and outpatient surgery and acute inpatient and outpatient rehabilitation, among many others. St. David’s North Austin Medical Center is also home to St. David’s Children’s Hospital. St. David’s Surgical Hospital, which opened in October 2016, is a campus of St. David’s North Austin Medical Center.


We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include 401k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.


Unit Description
North Austin Medical Center's Department of Surgery is comprised of seven units that provide a wide range of services. The Operating Room consists of eleven suits dedicated to performing a wide array of surgical interventions. Specialties include cardiac and neurology services with the only kidney transplant program in Austin. The Endoscopy Lab has three procedural rooms dedicated to providing procedural services. The Pre-Admission Testing, Ambulatory Services, Anesthesia, Post Anesthesia Care Unit, and sterile processing units all provide support for department volumes that exceed 7,000 procedures annually.
 
Position Description
Under the indirect supervision of the supervisor and Nurse Manager and according to PACU and hospital policies and procedures plans, implements, evaluates, and documents nursing care for assigned patients in the post anesthesia care unit. Assists with any other activities of the unit.

Job Function

  • Reviews patient's history prior to beginning physical assessment and incorporates findings into the exam.

  • Performs physical patient assessments/reassessments on a regular basis in accordance department standards.  Pertinent data is collected using appropriate assessment techniques.

  • Incorporates available technology to aid in physical assessment.

  • Prioritizes data collection by assessing the patient’s immediate condition or needs.

  • Is able to discern critical findings and timely communicates changes in the patient’s condition to the appropriate patient care providers.  

  • Data collection is inclusive of the patient, significant others and health care providers when appropriate.

  • The data collection process is systematic and ongoing.

  • Considers the developmental goals for infant, toddler, preschool, school age, adolescent, adult and geriatric patients during the assessment of patients.

  • Assesses patient/family learning needs, including any tasks that the patient can or cannot accomplish as related to his or her current health problem. Consideration of age, cultural values, religious beliefs, emotional barriers, desire and motivation to learn, physical and/or cognitive limitation, and language barriers, as indicated.

  • Assesses for signs of abuse and neglect. Documents findings and reports as appropriate when required.

  • Develops patient centered nursing diagnoses.

  • Nursing diagnoses are derived from the assessment data.

  • Assists in the completion of diagnostic testing as ordered by the medical team and other health care providers.

  • In collaboration with interdisciplinary members of the team, formulates a plan of care including expected outcomes for each patient based on diagnoses derived from patient assessments.

  • Prescribes appropriate nursing care to meet the goals, as well as the physical, psychological, psychosocial, emotional, and social needs of the patient.

  • Applies knowledge of the principles of growth and development over the life span to identify patient and family requirements relative to age-specific needs

  • Demonstrates the ability to organize and set priorities.

  • The plan is individualized to the patient’s condition, age or needs.

  • The plan incorporates the discharge planning process at time of development.

  • The plan is developed with the patient, significant others, and health care providers, when appropriate.

  • The plan reflects current nursing practice.

  • The plan is documented.

  • The plan provides for continuity of care.

  • The plan is appropriate to the patient’s age, developmental age, educational needs, and family/guardian expectations as related to the diagnosis.

  • Coordinates and participates in providing direct patient care.

  • Performs skills proficiently and in accordance with the standards of nursing care.

  • Utilizes all equipment in the unit appropriate to patient with maximum efficiency and effectiveness based on knowledge and education.

  • Interventions are implemented in a safe and appropriate manner and documented.

  • Performs nursing care in an organized and systematic manner.

  • Can organize work and utilize time efficiently based on knowledge of nursing theories and procedures.

  • Can interpret reports, data and medical information to determine the needs of the patient and family.

  • Can interpret an extensive variety of technical instructions and manage several abstract and concrete variables.

  • Addresses patient’s nutritional needs as appropriate.

  • Verifies accuracy of medication administration by following all safety measures.

  • Ensures medications are kept secure and stored appropriately.

  • Educates patients on potential side effects of prescribed medications.

  • Explains the purpose of all prescribed medications and teaches patient’s the appropriate self- administration of medications as part of discharge planning process.

  • Evaluates the patient’s progress toward attainment of goals defined in the plan-of-care.

  • Evaluation is systematic and ongoing.

  • The patient, significant others, and health care providers are involved in the evaluation process when appropriate.

  • Is able to articulate the organization mission, vision and values and how it relates to the SDHRN role.

  • Advocates on behalf of our patients and their family.

  • Continuously pursues patient safety.

  • Teaches, supervises, and serves as a resource person and delegates in accordance with the competency level of all staff members.

  • Serves as a preceptor and completes the appropriate documentation of training and competency.

  • Performs unit specific technical skills.

  • Can manage multiple priorities.

  • Has advanced time-management skills.

  • Adapts to a rapidly changing work environment.

  • Demonstrates the ability to work with people from diverse socio-economic backgrounds.

  • Is an engaged member of the unit and seeks opportunities to participate on various hospital committees.

  • Is an active participant in achieving facility patient throughput goals of the organization.

  • Increases the value of the care provided by ensuring efficient and appropriate use of supplies.

  • Ensures patient charges are correctly assigned by utilizing point of use accounting systems in supply rooms and other areas.

  • Manages incremental overtime by minimizing occurrence through proactive transition of care planning.

  • Manages time and attendance by arriving on-time for work assignment, facilitating coverage when absent from work, clocking in and out accurately.

  • Is highly engaged on all service excellence quality initiatives such as: rounding, AIDET, and KWAKT.

  • Provides exceptional service to hospital medical staff.  

  • Assist with on call schedule as needed

Qualifications

Education/Experience:
Required: Graduation from an accredited school of nursing Minimum two years general nursing experience in an acute care setting or previous PACU / critical care experience. Ability to interpret EKG monitors and data. New graduates considered on case-by-case basis and must complete acute care internship program.
Preferred: Completion of or actively pursuing a BSN degree

License/Certification:
Required: Licensed by the Texas State Board of Nurse Examiners. BCLS, ACLS (within six months)
Preferred: CPAN, CAPA certification; PALS

Notice

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