Maintain proficiency in Cardiovascular/ Cardiothoracic surgery and serve as a resource for new information or changes to Cardiovascular/ Cardiothoracic care. Consults and coordinates with healthcare team members to assess, plan, implement and evaluate intraoperative patient care plan Consider assessment data gathered during handoff and from the patient and family to ensure completion of plan of care Prepares the CV operating room for the patient and surgical procedure. Assembles equipment, suppl... more detailsies and implants, and ensures equipment is function, supplies and implants are available. Demonstrates proficiency in both open and closed heart procedures. Understands the purpose of positioning devices and uses them correctly, following policy, to protect the patient from injury and to promote optimal exposure of the surgical site. Actively participates in Universal Protocol and timeout, including the fire risk assessment with the surgical team prior to the start of the surgical procedure according to hospital guidelines. Completes the post procedure pause at the conclusion of the case. Delivers perioperative patient and family centered care incorporating the nursing process while providing developmentally appropriate, culturally sensitive, evidenced based care. Working knowledge of cardiopulmonary bypass and ECMO to assist team in rapid deployment Follows established policy and procedures for instrument counts; initiates corrective action when instrument counts are incorrect. Verifies medications, concentrations, expiration dates of all medication received on the sterile field in concert with surgical tech, surgeon, and anesthesia provider Utilizes outcome data at the patient level to make care decision in preparation for and during the surgical procedure Serves as the communication liaison to patients, families, and members of the operating room Participates in the quality improvement activities and uses quality measures to understand individual and unit performance Provides direct guidance and oversight of the orientee in all patient care and clinical activities and ensures those behaviors adhere to documentation standards, standards of care, and policies and procefures Participates in unit shared governance initiatives to improve patient care, throughput as determined by leadership Works within the scope of practice and delegates according to Nurse Practice Act Communicates observations or concerns related to unsafe situations that pose risk to patients, families or the healthcare team Stop in the face of uncertainty and take time to resolve the situation Continuously validate and verify information needed for decision making Demonstrate accurate, clear, and timely verbal and written communication Actively promote safety for patients, families, visitors and co-workers Pay attention to detail, practice STAR - Stop, Think, Act, Review Assist the surgical team in emergency situations Arrives to the unit on time Handles difficult situations appropriately Utilizes downtime constructively Complies with departmental policies and procedures Consistently participates in staff meeting and in-services to improve skills Completes, documents, and reports all mandatory education and training Initiate ways to improve operations through quality improvement and implement related solutions Care incorporates best practices based on benchmarks and evidence within the literature Contribute to Magnet re-designation as evidenced by independent involvement or leadership in: committees, task forces, and/or community outreach Role model critical thinking skills by problem-solving patient care and unit/system issues. Communication reflects development of plan of care and ability to advocate to meet patients' needs; makes suggestions for resolution of system issues Role model procedures for escalation of issues; Utilizes chain of command Demonstrate a collegial and respectful relationship with peers, physicians and other departments Demonstrate proper use of identified hand off process; Follow up on inconsistent practice related to handoff Take the lead in implementing change and support management decisions Role model behavior that reflects empathy, concern, and a desire to help others Independently maintain regulatory requirements e.g. license, BLS Initiate professional activites to enhance nursing practice Engage in active review of peers giving constructive feedback through timely participation in evaluation Role model adherence to national safety standards and service excellences standards; Champion advancement of education and certification Orchestrate involvement of the healthcare team and role model professional behavior and teamwork with co-workers Serve as a resource as needed and know when to escalate to next level Analyze assessment data gathered from patient and family to ensure completion of plan of care Role model excellent clinical skills with complex patients; Care reflects analysis of patient status and appropriate interventions Direct prioritization and organization for complex patient with rapidly changing needs Documentation exemplified adherence to the highest standards of practice Anticipate and proactively plan for educational needs; Verify with patient and family through the hospital /outpatient stay and prior to discharge Excel in organizational skills, adjust for changes and be able to complete assignment on time Role model caring in all encounters with patient and family as evidenced by feedback from parents and an increase in patient satisfaction scores Anticipate and responds to customer needs; follows up until needs are met Demonstrate collaborative and respectful behavior Partner with all team members to achieve goals Receptive to others’ ideas and opinions Contribute to a positive work environment Demonstrate flexibility and willingness to change Identify opportunities to improve clinical and administrative processes Make appropriate decisions, using sound judgment Use resources efficiently Search for less costly ways of doing things Speak up when team members appear to exhibit unsafe behavior or performance Continuously validate and verify information needed for decision making or documentation Stop in the face of uncertainty and takes time to resolve the situation Demonstrate accurate, clear and timely verbal and written communication Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance CN Hospital (Main Campus) (L 002) 111 Michigan Avenue NW Washington 20010
