Gila Regional Medical Center
REGISTERED NURSE - PACU/PRE-OP (PRN)
Gila Regional Medical Center, Silver City, New Mexico, United States, 88061
Pre-Op/PACU Registered Nurse
The Pre-Op/PACU Registered Nurse is responsible for assessing, planning, directing, evaluating and delivering safe, appropriate care within the scope of their practice to patients in the perioperative setting. Demonstrates ability to work in Pre‑Op and PACU patient care settings and must be available to take on‑call as scheduled.
Essential Functions Standard I. Assessment: The Registered Nurse Collects Health Data GRMC nursing practice is characterized by a high degree of autonomy and requires a broad base of subjective and objective data.
The priority of data collection is determined by the patient’s immediate condition or needs.
Pertinent data is collected by using appropriate assessment techniques.
Data collection involves the patient, significant others, healthcare providers, and other GRMC personnel when appropriate.
The data collection process is systematic and ongoing.
Relevant data is documented in a retrievable form.
Standard II. Diagnosis: The Registered Nurse analyzes the assessment data in determining diagnoses The Registered Nurse at GRMC uses independent judgment and available data to formulate a nursing plan of care.
Plans of care are derived from assessment data.
Plans of care are validated with the patient, significant others, healthcare providers, and records maintained by other departments when needed.
Plans of care are documented in a manner that facilitates the determination of expected outcomes and care plan.
Standard III. Outcome Identification: The Registered Nurse identifies expected outcomes individualized to the patient The Registered Nurse at GRMC identifies outcomes based on unique factors that affect the Registered Nurse’s ability to provide services.
Outcomes are derived from the diagnoses.
Outcomes are documented as measurable goals.
Outcomes are mutually formulated with the patient and healthcare providers when possible.
Outcomes are realistic in relation to the patient’s present and potential capabilities.
Outcomes are attainable in relation to resources available to the patient.
Outcomes include a time estimate for attainment.
Outcomes provide direction for continuity of care.
Standard IV. Planning: The Registered Nurse develops a care plan that prescribes interventions to attain expected outcomes Effective planning is essential for appropriate interventions.
The plan is individualized to the patient’s condition or needs.
The plan is developed with the patient, significant others, healthcare providers, and other GRMC personnel when appropriate.
The plan reflects current nursing practice.
The plan is documented.
The plan provides for continuity of care from the time of entry into the healthcare system through transfers to other departments to final discharge from GRMC when appropriate.
The plan provides for discharge follow‑up based on the patient’s need for health care when appropriate.
Standard V. Implementation: The Registered Nurse implements the interventions identified in the care plan The Registered Nurse is the most appropriate healthcare provider at GRMC for ensuring that actions are taken to meet the physical, mental, and health education needs of the patient.
Interventions are consistent with the established care plan.
Interventions are implemented in a safe, appropriate, and timely manner.
Interventions are documented.
Standard VI. Evaluation: The Registered Nurse evaluates the patient’s progress toward attainment of outcomes The Registered Nurse at GRMC uses the nursing process to evaluate the outcome of nursing actions, interventions, and patient education. The Registered Nurse may alter the care plan, expand the database, introduce new interventions, and develop patient education activities.
Evaluation is systematic and ongoing.
The patient’s responses to interventions are documented.
The effectiveness of interventions is evaluated in relation to outcomes.
Ongoing assessment data are used to revise diagnoses, outcomes, and the care plan as needed.
Revisions in diagnoses, outcomes, and the care plan are documented.
The patient, significant others, healthcare providers, and other GRMC personnel are involved in the evaluation process when appropriate.
Standard VII. Quality of Care: The Registered Nurse systematically evaluates the quality and effectiveness of nursing practice The Registered Nurse at GRMC ensures that quality nursing care meets measurable community standards.
The Registered Nurse participates in quality‑of‑care activities as appropriate to the individual’s position, education, and practice environment.
Identifying aspects of care important for quality monitoring.
Identifying indicators used to monitor the quality and effectiveness of nursing care.
Collecting data to monitor the quality and effectiveness of nursing care as appropriate.
Analyzing quality data to identify opportunities for improving care.
Formulating recommendations to improve nursing practice or patient outcomes.
Implementing activities to enhance the quality of nursing practice.
Participating in the work of interdisciplinary teams that evaluate clinical practice or health services.
Developing policies and procedures to improve the quality of care.
Using the results of quality‑of‑care activities to initiate changes in practice and throughout the health care delivery system when appropriate.
Standard VIII. Performance Appraisal: The Registered Nurse evaluates his/her own nursing practice in relation to professional practice standards and relevant statutes and regulations
Regularly engages in performance appraisal, identifying areas of strength and areas for professional and practice development.
Seeks constructive feedback regarding own practice.
Takes action to achieve goals identified during performance appraisal.
Participates in peer review as appropriate.
Standard IX. Education: The Registered Nurse acquires and maintains current knowledge in nursing practice
Participates in ongoing educational activities related to clinical knowledge and professional issues.
Seeks experiences to maintain clinical skills.
Seeks knowledge and skills appropriate to the practice setting.
Standard X. Collegiality: The Registered Nurse contributes to the professional development of peers, colleagues, and others
Shares knowledge, skills, and information with peers, colleagues, and others.
Provides peers with constructive feedback regarding their practice.
Contributes to an environment conducive to the clinical education of nursing students as appropriate.
Standard XI. Ethics: The Registered Nurse’s decisions and actions on behalf of patients are determined in an ethical manner
Guided by the Code for Registered Nurses and related ANA position statements, such as the Patient Bill of Rights and JCAHO standards, Standards for nursing care for the patient care unit and Nurse Practice Act.
Maintains patient confidentiality.
Acts as a patient advocate.
Delivers care in a non‑judgmental and nondiscriminatory manner sensitive to patient diversity.
Preserves and protects patient autonomy, dignity, and rights.
Seeks available resources to help formulate ethical decisions.
Standard XII. Collaboration: The Registered Nurse collaborates with the patient, significant others, criminal justice system personnel, and healthcare providers in providing patient care
Communicates with the patient, significant others, GRMC personnel, and healthcare providers regarding patient care and nursing’s role in the provision of such care.
Consults with healthcare providers for patient care as needed.
Makes referrals, including provisions for continuity of care as needed.
Standard XIII. Resource Utilization: The Registered Nurse considers factors related to safety, effectiveness, and cost in planning and delivering patient care
Evaluates factors related to safety, effectiveness, efficiency, and cost when two or more practice options would result in the same expected patient outcome.
Assigns tasks or delegates care based on the needs of the patient and on the knowledge and skill of the provider selected.
Assists the patient and significant others in identifying and securing appropriate, available services to address the patient’s needs.
Standard XIV. Training: The Registered Nurse will be required to train, educate, supervise, and evaluate students from outside entities or organizations with whom GRMC has an established Affiliation Agreement Requirements
Current New Mexico or multi‑state RN License
Current BLS (AHA) certification upon hire
AHA ACLS required or within 6 months of hire
AHA PALS required or within 6 months of hire
One year previous related nursing experience preferred
All required documents must be presented at time of hire. Employment is contingent upon successful completion of pre‑employment drug and alcohol testing. GRMC is an Equal Opportunity Employer.
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Essential Functions Standard I. Assessment: The Registered Nurse Collects Health Data GRMC nursing practice is characterized by a high degree of autonomy and requires a broad base of subjective and objective data.
The priority of data collection is determined by the patient’s immediate condition or needs.
Pertinent data is collected by using appropriate assessment techniques.
Data collection involves the patient, significant others, healthcare providers, and other GRMC personnel when appropriate.
The data collection process is systematic and ongoing.
Relevant data is documented in a retrievable form.
Standard II. Diagnosis: The Registered Nurse analyzes the assessment data in determining diagnoses The Registered Nurse at GRMC uses independent judgment and available data to formulate a nursing plan of care.
Plans of care are derived from assessment data.
Plans of care are validated with the patient, significant others, healthcare providers, and records maintained by other departments when needed.
Plans of care are documented in a manner that facilitates the determination of expected outcomes and care plan.
Standard III. Outcome Identification: The Registered Nurse identifies expected outcomes individualized to the patient The Registered Nurse at GRMC identifies outcomes based on unique factors that affect the Registered Nurse’s ability to provide services.
Outcomes are derived from the diagnoses.
Outcomes are documented as measurable goals.
Outcomes are mutually formulated with the patient and healthcare providers when possible.
Outcomes are realistic in relation to the patient’s present and potential capabilities.
Outcomes are attainable in relation to resources available to the patient.
Outcomes include a time estimate for attainment.
Outcomes provide direction for continuity of care.
Standard IV. Planning: The Registered Nurse develops a care plan that prescribes interventions to attain expected outcomes Effective planning is essential for appropriate interventions.
The plan is individualized to the patient’s condition or needs.
The plan is developed with the patient, significant others, healthcare providers, and other GRMC personnel when appropriate.
The plan reflects current nursing practice.
The plan is documented.
The plan provides for continuity of care from the time of entry into the healthcare system through transfers to other departments to final discharge from GRMC when appropriate.
The plan provides for discharge follow‑up based on the patient’s need for health care when appropriate.
Standard V. Implementation: The Registered Nurse implements the interventions identified in the care plan The Registered Nurse is the most appropriate healthcare provider at GRMC for ensuring that actions are taken to meet the physical, mental, and health education needs of the patient.
Interventions are consistent with the established care plan.
Interventions are implemented in a safe, appropriate, and timely manner.
Interventions are documented.
Standard VI. Evaluation: The Registered Nurse evaluates the patient’s progress toward attainment of outcomes The Registered Nurse at GRMC uses the nursing process to evaluate the outcome of nursing actions, interventions, and patient education. The Registered Nurse may alter the care plan, expand the database, introduce new interventions, and develop patient education activities.
Evaluation is systematic and ongoing.
The patient’s responses to interventions are documented.
The effectiveness of interventions is evaluated in relation to outcomes.
Ongoing assessment data are used to revise diagnoses, outcomes, and the care plan as needed.
Revisions in diagnoses, outcomes, and the care plan are documented.
The patient, significant others, healthcare providers, and other GRMC personnel are involved in the evaluation process when appropriate.
Standard VII. Quality of Care: The Registered Nurse systematically evaluates the quality and effectiveness of nursing practice The Registered Nurse at GRMC ensures that quality nursing care meets measurable community standards.
The Registered Nurse participates in quality‑of‑care activities as appropriate to the individual’s position, education, and practice environment.
Identifying aspects of care important for quality monitoring.
Identifying indicators used to monitor the quality and effectiveness of nursing care.
Collecting data to monitor the quality and effectiveness of nursing care as appropriate.
Analyzing quality data to identify opportunities for improving care.
Formulating recommendations to improve nursing practice or patient outcomes.
Implementing activities to enhance the quality of nursing practice.
Participating in the work of interdisciplinary teams that evaluate clinical practice or health services.
Developing policies and procedures to improve the quality of care.
Using the results of quality‑of‑care activities to initiate changes in practice and throughout the health care delivery system when appropriate.
Standard VIII. Performance Appraisal: The Registered Nurse evaluates his/her own nursing practice in relation to professional practice standards and relevant statutes and regulations
Regularly engages in performance appraisal, identifying areas of strength and areas for professional and practice development.
Seeks constructive feedback regarding own practice.
Takes action to achieve goals identified during performance appraisal.
Participates in peer review as appropriate.
Standard IX. Education: The Registered Nurse acquires and maintains current knowledge in nursing practice
Participates in ongoing educational activities related to clinical knowledge and professional issues.
Seeks experiences to maintain clinical skills.
Seeks knowledge and skills appropriate to the practice setting.
Standard X. Collegiality: The Registered Nurse contributes to the professional development of peers, colleagues, and others
Shares knowledge, skills, and information with peers, colleagues, and others.
Provides peers with constructive feedback regarding their practice.
Contributes to an environment conducive to the clinical education of nursing students as appropriate.
Standard XI. Ethics: The Registered Nurse’s decisions and actions on behalf of patients are determined in an ethical manner
Guided by the Code for Registered Nurses and related ANA position statements, such as the Patient Bill of Rights and JCAHO standards, Standards for nursing care for the patient care unit and Nurse Practice Act.
Maintains patient confidentiality.
Acts as a patient advocate.
Delivers care in a non‑judgmental and nondiscriminatory manner sensitive to patient diversity.
Preserves and protects patient autonomy, dignity, and rights.
Seeks available resources to help formulate ethical decisions.
Standard XII. Collaboration: The Registered Nurse collaborates with the patient, significant others, criminal justice system personnel, and healthcare providers in providing patient care
Communicates with the patient, significant others, GRMC personnel, and healthcare providers regarding patient care and nursing’s role in the provision of such care.
Consults with healthcare providers for patient care as needed.
Makes referrals, including provisions for continuity of care as needed.
Standard XIII. Resource Utilization: The Registered Nurse considers factors related to safety, effectiveness, and cost in planning and delivering patient care
Evaluates factors related to safety, effectiveness, efficiency, and cost when two or more practice options would result in the same expected patient outcome.
Assigns tasks or delegates care based on the needs of the patient and on the knowledge and skill of the provider selected.
Assists the patient and significant others in identifying and securing appropriate, available services to address the patient’s needs.
Standard XIV. Training: The Registered Nurse will be required to train, educate, supervise, and evaluate students from outside entities or organizations with whom GRMC has an established Affiliation Agreement Requirements
Current New Mexico or multi‑state RN License
Current BLS (AHA) certification upon hire
AHA ACLS required or within 6 months of hire
AHA PALS required or within 6 months of hire
One year previous related nursing experience preferred
All required documents must be presented at time of hire. Employment is contingent upon successful completion of pre‑employment drug and alcohol testing. GRMC is an Equal Opportunity Employer.
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