The Registered Nurse in the Pre-Operative Medicine Clinic is responsible for completing the phone visits and occasionally in person visits with adult pre surgical patients (16 years of age and older). The goal of the phone visit is to review the patient\u2019s medications, allergies, medical history and identify current medical history and identify current medical issues/concerns that may need further evaluation by a LIP. The RN is also responsible to review the patient records to ascertain if all pre surgical anesthesia guidelines have been met based on the patient\u2019s co morbidities. The RN is responsible for patient education, providing pre op instructions which include day of surgery medication plan. This plan is determined based on PMC protocol and/or consultation with the PMC NP or MD on duty. The RN performs 15-18 phone appointments a day. The RN\u2019s role involves performing a comprehensive review of the patients medical history/procedures/cardiology testing/labs as documented in EPIC or from records from non OHSU providers, reviewing this data with the patient and then populating the Op Time Review of Systems with this data and any updates from the patient. The RN assess the presence of a complete H and P (documented no more than 30 days prior t the procedure from an internal provider or from an external PCP, contacts the patient by phone at a scheduled time (30 minute appointments), completes a telephone encounter in EPIC which includes medication reconciliation, allergy review and assessment and the use of critical thinking skills a need is identified for further medical evaluation/optimization prior to proceeding with surgery. The RN must have experience with assessing medically complex patients with chronic disease states with an emphasis on cardiology and diabetes. This position requires an RN with effective professional communication skills, ability to collaborate with licensed providers including but not limited to surgeons, anesthesiologists, CRNA\u2019s , PA\u2019s NP\u2019s and other MD\u2019s. The RN is also responsible for in person clinic visits providing the same service as the phone visits. These visits may include patient education and hands on demonstration of the Home Pain Pump. The RN collaborates with the PMC PAS staff to provide triage expertise in determining appropriate PMC appointment types, assists the MA;s with rooming patients including obtaining vital signs and lab draws when necessary and assists and collaborates with the NP\u2019s and MD\u2019s as requested. Occasionally the RN may be asked to provide in patient bedside pre surgical PMC visits. This position reports to the Nurse Manager of the PMC and supports the mission and standards of care of OHSU, PMC, and the Peri Op Division. The RN will be held accountable to the ANA standards of Nursing Practice and practice based on the tenants of the Professional Practice Model (leadership/practitioner/scientist/transferor of knowledge). One of the primary focuses of the PMC team is quality patient care, the ongoing aim to again provide optimal healthcare outcomes. OHSU is a university hospital and therefore participation in research is an integral part of its mission and embraced by the team. The Registered Nurse is expected to make sound decisions both independently and inter-dependently, the ability to integrate evidence-based practice into day to day care of the pre-operative patient is crucial to optimal outcomes. The RN utilizes education and training to develop, coordinated and supervise implementation of the nursing process. It is within the Registered Nurse\u2019s Scope of Practice to assess potential or actual patient health problems and consult with LIP as necessary to address responsibilities, and to seek consultation when indicated; to follow and execute physician orders/protocols, getting clarification as needed, and recognize and respond to emergent situations. The RN is responsible to complete initial and yearly education requirements as indicated on an organizational as well as unit-specific level. All employees are expected to communicate in a respectful, caring and non- judgmental manner and to honor the cultural differences of diverse patient and employee populations. Members of the OHSU healthcare team constantly share knowledge between disciplines. The RN must share knowledge and demonstrate willingness to precept others as part of the mission of the Healthcare System and University to include the School of Nursing. The knowledge transfer provides collaboration in care and best outcomes for our patients. The RN has expertise in the application of the nursing process within the Pre-Operative Medicine Clinic setting, has the ability to manage stressful/unusual situations in a positive manner, and embraces the OHSU Core Competencies (Accountability, Collaboration, Communication, Diversity, Integrity, Respect, Service Orientation, Teamwork) into his/her practice. The RN must practice within Oregon law and adhere to all proper standards and recommended practices.
The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role\u2122]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committ
As the state's only health and research university, OHSU brings together patient care, research, education of the next generation of health care providers and scientists and community service to improve the health and well-being of all Oregonians.The university is a conduit for learning for more than 2,800 students, providing training to interns, residents and fellows in postgraduate medical and research. It is the only place in Oregon that grants doctoral degrees in medicine, dentistry and nursing. OHSU cares for more than 251,000 patients each year from around the region and takes a leadership role in contributing to solutions involving the health of the state and the nation, such as health care access and transparency, ethics and workforce shortage. Beyond providing critical health care services, quality education and cutting-edge research, OHSU also is a key economic and social force in the Northwest. With an annual operating budget of $2.06 billion and more than 14,000 employees, OHSU is Portland?s largest employer. Its size contributes to its ability to provide... many services and community support activities not found anywhere else in Oregon. For more information visit http://www.ohsu.edu/xd/about/index.cfm