RN - Ambulatory Surgery

J  o  b    D  e  s  c  r  i  p  t  i  o  n

JOB INFORMATION

Effective Date:

4/1/2023

Entity:

Wisconsin

Job Code:

800047B

Job Title:

RN - Ambulatory Surgery

FLSA Exemption Status:

Non-Exempt

Management Level:

Individual Contributor

JOB SUMMARY

The RN – Ambulatory Surgery is a full performance level professional nurse position which provides direct and indirect perioperative patient and family centered care. The RN – Ambulatory Surgery independently makes assessments and provides care to meet the needs of assigned patients and families or an assigned patient population. In addition, nurses at this level will provide leadership and act as a clinical resource for other unit staff.

The RN – Ambulatory Surgery develops resources to meet the identified educational needs of staff, the patient/family, students, and oneself. The RN will identify unit quality assurance standards of care needs and conduct assigned portions of projects to ensure the maintenance of quality standards. The RN – Ambulatory Surgery possesses the knowledge and skills required to provide care to patients and families of all age groups (neonate, pediatric, adolescent, adult, and geriatric), dependent upon care setting.

ESSENTIAL DUTIES

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Establishes an in-depth database by assessing the behavioral and physiologic status of the perioperative patient population by utilizing interviews, observations, and physical examinations.

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Utilizes resources to complete assessments of patients with unfamiliar or complex problems.

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Interprets overt and subtle data to determine patient’s current physiological or psychosocial risk.

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Develops, modifies, and integrates an individual care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice.

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Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team.

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Plans for individual operative needs (i.e. specialty implants, cell saver, irrigation solution, room temperature).

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Incorporates continuity of care planning. Coordinates and communicates continuity of care issues with other nursing units pre-and-post-operatively. Communicates operating room activities to facilitate efficiency in the surgical case progression and turnover between cases.

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Implements safe, competent, and efficient patient and family care within policies, procedures, and standards of care plan to the perioperative patient’s level of complexity.

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Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient.

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Assumes responsibility and accountability for effectively managing the care of a specialty patient population.

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Documents components of the nursing process that lead to insights, responses, and/or solutions to patient problems.

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Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established goals.

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Initiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes.

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Identifies learning needs of patients/families and teaches by adapting standard information based on needs.

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Ensures that the patient/family demonstrates knowledge, within the abilities of the patient, of the related surgical experience.

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Communicates with patient and family to identify their needs and includes them in the plan of care. Acknowledges and supports determinations by the patient and/or family concerning treatment.

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Assumes responsibility for meeting own learning needs and assesses the learning needs of the unit.

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Serves as a preceptor/mentor and works directly with new employees to fulfill planned orientation to the unit. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit.

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Identifies learning experience to gain or maintain competency.

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Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands.

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Supervises delegated care based on abilities of nursing staff and patient acuity.

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Plans, directs, and evaluates unit activities as a trauma/triage charge nurse as warranted.

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Participates in and facilitates the change process to enable continued growth and improvement in patient care.

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Assumes responsibility for the professional development of self, Registered Nurses, and other nursing staff. Supports a culture of continuous improvement.

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Participates in the development of the Surgical Services Department goals.

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Participates in committees/meetings as delegated.

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Participates in data collection for quality assurance activities.

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Identifies recurring practice problems in specialty areas and their impact on nursing care activities.

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Demonstrates knowledge of research findings related to clinical specialty. Communicates research and quality assurance findings to peers.

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Participates in interpreting data from quality assurance studies that are relevant to the clinical specialty.

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Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality assurance studies.

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Documents information which leads to insights or solutions of patient problems, including information about the response to and the outcome of care provided.

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Completes occurrence screens.

As needed, additional responsibilities reasonably within the scope of duties and physical requirements may be assigned.  ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE UW HEALTH PERFORMANCE STANDARDS AND RESPECT FOR PEOPLE COMMITTMENTS.

X

Clinical

Will provide all patients age and culturally appropriate assessment/screening and interpretation of clinical and laboratory data. Develops and implements age appropriate interventional plans of care including education within the parameters of their position responsibilities and licensure

JOB REQUIREMENTS

Bachelor's Degree

in Nursing

Preferred

6 months

of relevant clinical experience

Required

Recent relevant Operating Room experience

Preferred

Licensed as a Registered Nurse (RN) in the state(s) where patients are receiving care or may work as eligible per state licensing regulations

Upon Hire

Required

Basic Life Support/CPR

Upon Hire

Required

Advanced Cardiac Life Support (ACLS)

within 6 months

Required

LICENSE, CERTIFICATIONS, AND REGISTRATIONS MUST BE MAINTAINED PER UW HEALTH POLICY. 

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Knowledge regarding quality improvement and standards of care within practice area

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Experience in teaching patients and families

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Excellent communication skills

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Ability to effectively delegate and supervise the work of other nursing team members

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Knowledge of nursing theory, practice, and legal aspects of nursing as well as techniques, care, and use of equipment used in an ambulatory surgery setting

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Ability to prioritize tasks

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

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Sedentary: Sedentary work involves lifting no more than 10 pounds at a time and occasionally lifting or carrying articles like docket files, ledgers, and small tools. Although a sedentary job is defined as one which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required occasionally and other sedentary criteria are met.

Up to 10#

Negligible

Negligible

☐

Light: Light work involves lifting no more than 20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 pounds. Even though the weight lifted may be very little, a job is in this category when it requires a good deal of walking or standing, or when it involves sitting most of the time with some pushing and pulling of arm or leg controls. To be considered capable of performing a full or wide range of light work, you must have the ability to do substantially all of these activities. If someone can do light work, we determine that they can also do sedentary work, unless there are additional limiting factors such as loss of fine dexterity or inability to sit for long periods of time.

up to 20#

Up to 10# or requires significant walking or standing or requires pushing/pulling of arm/leg controls.

Negligible or constant push/pull of items of negligible weight

☒

Medium: Medium work involves lifting no more than 50 pounds at a time with frequent lifting or carrying of objects weighing up to 25 pounds. If someone can do medium work, we determine that they can also do sedentary and light work.

20-50#

10-25#

Negligible-10#

☐

Heavy: Heavy work involves lifting no more than 100 pounds at a time with frequent lifting or carrying of objects weighing up to 50 pounds. If someone can do heavy work, we determine that they can also do medium, light, and sedentary work.

50-100#

25-50#

10-20#

☐

Very Heavy: Very heavy work involves lifting objects weighing more than 100 pounds at a time with frequent lifting or carrying of objects weighing 50 pounds or more. If someone can do very heavy work, we determine that they can also do heavy, medium, light, and sedentary work.

Over 100#

Over 50#

Over 20#

Other - list any other physical requirements or bona fide occupational qualifications not indicated above:

Over 50 lbs.

UW Health does not require, nor does it expect that its employees lift more than 50 lbs unassisted. Objects in excess of 50 lbs should be lifted or moved with mechanical means or through a team lift. Employees in patient care areas are expected to utilize mechanical lifts and adhere to the "Use of Mechanical Lifts (Liko)" policy in the Patient Services Policy and Procedure Manual.

Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.

THE EMPLOYEE MUST BE ABLE TO COMPLETE ALL PHYSICAL REQUIREMENTS OF THE JOB WITH OR WITHOUT AN APPROVED ACCOMODATION. Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.