Full-Time Nurse Practitioner – Pre-Surgical Coordinator
Job Description
Nurse Practitioner – Pre-Surgical Coordinator
Company:Emanuel Medical Center
Location:Turlock, CA
Date Posted:July 17, 2015
Source:California Association for Nurse Practitioners
Under the supervision of an anesthesiologist physician, the NP performs patient examination and procedures within scope of practice following standardized procedures and protocols. Participates in pre-procedure patient care. Complies with all appropriate safety and infection control standards. Participates in quality assessment and continuous quality improvement activities. Performs other duties as assigned.
Meets and calls the designated pre-operative patients. Completes all pre-operative assessments, identifying before procedures, all medical, physical, psychological, and spiritual needs of the patient. In addition, to liaise where appropriate with discharge planning.
Preoperative assessment is essentially a clinical risk assessment where the health of a patient is appraised to ascertain that the person is fit to undergo the anesthetic for a planned procedure. The optimum time frame for this assessment to take place is three to four weeks before the surgery.
The assessment is divided into three parts. The first involves taking a full medical history, with particular attention to any complications following previous operations/anesthetics. When indicated, appropriate tests will be performed such as bloods, X-ray and electrocardiogram.
If any abnormalities are detected can be addressed before the procedure, discussed with the physician, anesthetist and, if necessary, surgery can be deferred until the patient has reached optimum health.
A patient’s use of medications and herbal preparations must also be assessed, with a list from the pharmacy; the medication bottles with a list will also be accepted.
The second part of the assessment concerns the social aspects of the patient’s well-being and factors that may affect his or her discharge from hospital, such as transport, the involvement of social services, a physiotherapist, an occupational therapist, or any community care that is being provided for the patient.
Written information about the operation/hospital stay is given to the patient and any care givers. If patients require a blood transfusion as part of their surgery, autologous blood donation can be discussed.
The length of the hospital stay and the proposed date of discharge gives preoperative assessment staff the chance to discuss transport arrangements with the patient. There will be exceptions, however. As this is a planned episode in hospital, the majority of patients will be expected to arrange their own transport to and from the hospital.
There will be a coordinated effort between Admissions departments, Registration, and the NP.
Nurse Practitioner – Pre-Surgical Coordinator
How to Apply
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