Location: Bowling Green
Posted on: April 12, 2019
HCA has been recognized as a World's Most Admired Company in the
Health Care Medical Facilities Industry by Fortune Magazine. The
Ambulatory Surgery Division of HCA operates and jointly owns with
physicians 130+ surgery centers across the United States. Our cases
are performed Monday-Friday which means NO nights, NO weekends, or
On-call will be required. The size of our surgery centers naturally
creates a culture where everyone knows one another with a shared
focus on providing the best possible experience for those that we
serve. We are currently in search of additional members to join our
We value you and your future. We provide multiple health insurance
plan options, tuition reimbursement, and many more programs to
cover a wide variety of today's life and family needs. In addition
to your salary and health insurance benefits, HCA provides a
matching 401k as well as an Employee Stock Purchase Plan (ESPP).
Members of HCA receive consumer discounts on cell phones, hotels,
rental cars, and many others. Interviews are being set immediately,
you are encouraged to apply today!
- Prepares patient care area adequately before case and ensures
availability of necessary equipment and supplies.
- Greets patient and family in a timely manner and keeps them
informed of any delays/changes.
- Verifies two patient identifiers utilizing the armband prior to
- Conducts complete patient assessment and evaluation of each
patient prior to surgery or treatment, which includes review of
patient history and diagnostic tests, physical, and psychological
- Assess patient's understanding of procedure and checks surgical
consent for accuracy and completeness. Obtains and witnesses
patient's signature if needed.
- Consistently reviews charts for completeness, in accordance
with clinical protocols, prior to surgery (i.e. consents, H/P,
diagnostic studies, assessments, home medications list, etc.)
- Ensures that H/P is a complete full examination of all body
systems and dated within 30-days prior to procedure.
- Ensures that H/P, orders for the procedure, and consent form
are consistent prior to placing in medical chart.
- Verifies surgical site verbally with patient per policy.
- Participates in the anesthesia time-out process if performed in
the pre-op area prior to administration of pre-operative blocks or
prior to the induction of anesthesia.
- Initiates intravenous therapy as prescribed, utilizing aseptic
technique utilizing appropriate IV start kit, catheter and fluid.
Ensures that medication is labeled appropriately.
- Receives and acknowledges preoperative physician's orders and
implements accordingly. Utilizing appropriate documentation for
- Administers pre-operative medications as prescribed and
utilizes safety medication practices (i.e. aseptic preparation,
labeling medications, identifying high alert and independent check
medications, 7 medication rights, narcotic waste, etc.). Monitors
patient until transferred to OR.
- Monitors patient if IV sedation given in pre-op setting to
assure patient maintains airway and vital signs are stable.
Administers oxygen and provides continuous monitoring and support
- Demonstrates knowledge/understanding of pain blocks and is
readily available to assist anesthesia as needed.
- Prepares patient care area adequately and ensures availability
of necessary equipment and supplies.
- Demonstrates proper airway management techniques (oral airway,
extubation, pulse oximetry monitoring, O2 administration,
- Understand principals of hemodynamic monitoring and monitors
patient according to policy (vital signs, temperature, cardiac,
- Recognizes signs and symptoms of patient's condition that
indicate potential post procedure or anesthesia related
complications and report to anesthesiologist immediately.
- Monitors and maintains proper intravenous intake and
- Exhibits proper technique for insertion, maintenance, and
removal of IV catheters and saline locks.
- Performs head to toe assessment of patient and evaluates
patient utilizing approved scoring system upon admission and as
indicated by policy.
- Documents patient assessment upon admission.
- Checks dressings and/or operative site and reports
abnormalities to the surgeon.
- Provides a safe and comforting environment for patient and
family while restraining patient for safety reasons, as needed and
in accordance with facility policy.
- Prepares and administers medications in accordance with current
practice (i.e. antibiotics, narcotics, preparing/labeling
medications, identifying high alert medications, utilizing 7
patient rights for medication administration and appropriate
handling of narcotic waste).
- Demonstrates thorough understanding of medications utilized
intra and poster operatively and recognizes the need for use of
reversal drugs, when necessary.
- Recognizes emergency situations and responds effectively in a
calm and controlled manner.
- Assures that patient meets all discharge criteria.
- Patient is evaluated by a physician/anesthesia provider prior
- Written discharge order is received from the attending
physician prior to patient discharge.
- Patient is discharged home with a responsible adult, unless
otherwise approved by physician.
- Confirms that patient and family receives and verbalizes
understanding of written discharge instructions.
- Documents all appropriate patient information in accordance
with charting guidelines.
- Conducts patient post procedure calls. Documents and reports to
patient's physician any abnormalities communicated by
patient/family member during the follow up call.
- Takes responsibility for careful and accurate handling and/or
logging of narcotics.
- Utilizes appropriate body mechanics in moving patients and
stretchers to prevent injury to patient and self.
- Complies with principles of hand hygiene, aseptic and sterile
- Demonstrates knowledge related to maintenance and cleanliness
of instruments and equipment. Maintains a sanitary environment for
the provision of patient care.
- Appropriately handles the disposal of biohazardous
- Restocks area daily, using appropriate par levels and daily
- Spends appropriate time and energy on tasks and assignments
based on the policies that are supportive of the Center's goals and
- Functions independently according to job responsibilities and
within scope of practice utilizing current standards of care.
- Takes personal initiative to maintain current RN licensure,
BCLS, ACLS, and PALS (if indicated) and other professional
certifications current as defined by job role.
- Uses facility resources appropriately and avoids wasteful
- Attends all mandatory in-services, staff meetings and
participates in emergency drills.
- Participates in the orientation of new employees.
- Completes annual competency and other required education as
- Maintains confidentiality and security of records and patient
information at all times.
- Practices and adheres to the "Code of Conduct" philosophy and
"Mission and Value Statement".
- While this is intended to be an accurate reflection of the
current Position, it is not necessarily an exhaustive list of all
responsibilities, skills, duties, requirements, or working
conditions associated with the job. Management reserves the right
to revise the Position or require that other or different tasks be
performed when circumstances warrant (i.e. emergencies, changes in
personnel or staffing, workload, rush jobs, or technical
Keywords: HCA., Bowling Green , PreOp Nurse, Healthcare , Bowling Green, Kentucky
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