Participates as a member of the health care team in providing overall patient care and management of adult (non-cardiac) surgical patients under the direct supervision of the Clinical Manager of the PACE Clinic and the general supervision of the Medical Director.
Coordinates, analyzes and centralizes preoperative information and present this clinical data to the staff anesthesiologist and obtains information from a variety of sources such as patient interview, patient history and physical (performed by surgical team, IMPACT Center), verification and validation of HealthQuest data and review of patient's past surgical history and experiences with anesthesia.
Recognizes common medical problems and when to seek assistance for further evaluation.
Uses algorithms for preoperative management of patients with; Diabetes Mellitus, Hypertension, Cardiovascular Disease, Aortic Stenosis, Carotid Disease, Cardiac Stent Management, Pulmonary Hypertension, COPD, Acute Pain, Elevated Liver Function Test, Alcohol Abuse, Chronic Pain. Determines patient's current functional capacity.
Identifies specific anesthetic issues (difficult intubation, malignant hyperthermia, latex allergy, Jehovah Witness, pseudo-cholinesterase deficiency, etc.). Determines when laboratory data is abnormal and when to consult staff.
Uses knowledge to determine and instruct patient on which medications need to be taken or held prior to surgery, as well as which medications need to be taken on the day of surgery.
Identifies medications likely to adversely interact with anesthetic agents.
Discusses various anesthetic options and addresses patient questions and concerns.
Documents findings in a concise and logical manner in Epic progress notes.
Facilitates patient care during emergencies.
Provides perioperative health education to patients and their families then, evaluates learning needs and abilities of patient's and their families, adapting educational information to meet these needs.
Participates in the development of PowerPoint presentations and patient education handouts.
Acts as a patient advocate and liaison between patient and members of the health care team.
Communicates and directs patient concerns to the physician and/or the appropriate resource.
Participates in finalizing preoperative data and documentation for any patient evaluated in PACE clinic that has outstanding testing or medical optimization issues prior to proceeding to surgery.
Assists in the orientation process of residents and SRNA's.
Participates and/or collaborates in performing clinical research.
Participates in clinical process improvement assuring patient safety and improvement along the continuum.
Maintains core competency in nursing; demonstrates age appropriate care, department specific competencies as required for patient care.
Other duties as assigned.
Graduate from an accredited school of professional nursing.
Bachelor's degree preferred.
Certification in specialty strongly preferred.
Comprehensive assessment skills in order to coordinate, analyze and centralize preoperative information.
Demonstrated skill in the area of computer skills.
Must be able to function independently and with minimal direction from the medical director.
Documented completion of CEU accredited course on nursing physical exam.
Complexity of Work:
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
Must be able to work in a stressful environment and take appropriate action.
Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects.
Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.
Note: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.
Personal Protective Equipment:
The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic's Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.
Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities