Surgery RN - Per Diem* *IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.* SUMMARY: Manages individualized, goal directed nursing care through use of the nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. POSITION REQUIREMENTS: Minimum Education • Graduation from an accredited school of nursing. License Required • Current NV Nursing license. Certificate Required • BLS • ACLS • PALS required for Pre/Post Anesthesia Unit (must obtain within 90 days). Minimum Work Experience • Demonstrated proficiency in acute care nursing, knowledge, and skills. • Ability to communicate effectively. • Must show initiative, maturity, and effectiveness in dealing with people. • Appreciation of and desire to be part of a healthcare team. POSITION ESSENTIAL FUNCTIONS: Patient Care • Assesses and diagnoses patient and family needs in order to provide quality care to assigned patients. • Verification of patient identity, operative procedure, operative site, surgeon, consents, patient's allergies, NPO Status and when the patient last voided. • Assesses psychological status, Including level of understanding, perception of surgery and anxiety level. • Obtains pre-operative medical history and documents clearly in the patient record in accordance with department's policy and procedures. • Checks the current history and physical, laboratory result, the execution of preoperative orders, and results of ordered diagnostic tests. • Reviews completed chart with the Anesthesiologist on duty as necessary. Communication • Develops, discusses, and communicates a realistic problem list (plan of care) for each patient in collaboration with each patient/family/significant other to address all identified needs. • Develops patient/family teaching and discharge plan, ensuring patient/family is adequately informed of perioperative instructions. • Follows procedures/preferences for pre-operative anesthesia interventions. • Follows procedures for surgical interventions along with preferences of surgeon. • Checks for availability and proper condition of necessary Instruments, supplies, and equipment prior to start of case. Judgment • Demonstrates the skills and judgment necessary to implement medical plan of care, nursing interventions and procedures as necessary for the care of the patient. • Demonstrates knowledge of hospital policies and procedures for administering, transcribing, and recording medications. • Demonstrates knowledge of commonly used meds: action, dose, and side effects. • Observes 10 rights of medication administration: right med, right dose 1 right time, right route, right patient, right education, right documentation, right to refuse, right assessment, right evaluation (policy 105.724). • Demonstrates proper procedures in all methods of medication administration. • Initiates and maintains IV access according to hospital policy and procedures. • Identifies priorities and executes nursing care accordingly. • Provides emotional support and comfort measures. • Gives Information or explanation to patients and their families. • Applies and monitors principles of aseptic technique throughout the intraoperative period. • Acts as a scrub/circulating nurse during the intraoperative phase. • Assures safe transfer/transport of patient to and from operating room. • Performs sponge, needle, and instrument counts according to policy and procedure. • Ensures safety of patients during the use of electrical equipment. • Preps the surgical site using aseptic technique. • Correctly collects and accurately labels specimens. • Confines and contains sources of contaminations. • Revises physician's preference cards and communicates changes to appropriate personnel. Documentation • Maintains up to date accurate documentation of nursing care provided to assure the integration of information for use by the health care team, to ensure quality care. • Nursing assessment is complete and accurate during pre-operative and post-operative phase of admission per policy. • Medication administration record must reflect full documentation by nurse administering med, tin1e given, reason for omission, and site for injection (if applicable). • Demonstrates proper access, documentation of narcotics in the Pyxis and EMR. • Accurately and promptly documents unusual occurrences noted during the perioperative phase. CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE "BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024, 2025 & 2026! WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!! -- Per Diem positions have no guaranteed hours or set schedule. The position will fill in for individuals who take unplanned and/or planned time off.