RN-Pain Management Department- Baton Rouge Rehab Hospital

JOB PURPOSE OR MISSION: Provide Interventional Pain Management services to all patients at a level consistent with Baton Rouge Rehabilitation Hospital (BRRH) mission, vision, and values. To improve the quality of life of patients and families by coordinating patient care processes of assessment, planning, implementation, and evaluation in collaboration with the patient, family, physician, and appropriate support services for the age population served, as defined in the department’s scope of service.

PERFORMANCE ESSENTIAL JOB FUNCTIONS include, but are not limited to: 1. Coordinates patient assessment through collection of patient’s health data. PERFORMANCE STANDARDS: • Performs ongoing and systematic comprehensive physical and psychosocial assessments. • Involves the patient, significant others and health care providers as appropriate. • Performs functional, nutritional and other screenings as appropriate. • Identifies and coordinates the need for further assessment. • Documents patient care assessments in the medical record. • Participates in both pre-op and post operative phone calls to patient for positive patient  outcomes. 2. Analyzes patient assessments to determine nursing diagnoses and identifies expected  outcomes. PERFORMANCE STANDARDS: • Assessment on all patients and follows protocols according to established department  guidelines and policies. • Demonstrates ability to proficiently assess patients in every age group. • Demonstrates proficiency in the management of patients receiving Procedural Sedation. 3. Implements the interventions identified in the procedural plan. PERFORMANCE STANDARDS: • Collaborates with the interdisciplinary health care team to deliver direct patient care utilizing  nursing practice standards, and universal blood and body fluid precautions. • Maintains patient rights. • Ensures that patients receive the appropriate treatments and medications in a timely manner. • Delegates patient care to other members of the health care team; ensures the delegated  task(s) are within the scope of practice of the assigned individual and maintains oversight and  accountability. • Coordinates direct patient care from appropriate support services. • Provides individualized patient education to patient and families. • Documents all treatments, medications, patient/family education and ongoing assessments. 4. Evaluates the patient’s progress toward attainment of outcomes. PERFORMANCE STANDARDS: • Performs ongoing and systematic reassessment according to department standard or more  frequently based on patient condition. • Evaluates the effectiveness of treatments, medications and patient teaching. • Evaluates patient’s response to procedural sedation and MAC • Determines patient’s obtainment of desired discharge criteria from recovery room • Documents all evaluation and progression of patient outcomes • Completes incident report and notifies supervisor of any negative outcomes or unusual undesirable occurrence. 5. Provides ongoing patient assessment and emotional support to the patient prior to the  induction of surgical procedures and during the procedure. PERFORMANCE STANDARDS:

• Demonstrates proficiency in the assessment and documentation of patient status. • Demonstrates the ability to build rapport and communicate effectively with patients to help  alleviate fear and stress. • Confirms identity, verifies operative site, surgical procedure, NPO status, and any patient  allergies. • Identifies baseline skin condition, body mobility, sensory impairments, cardiovascular and  respiratory status. • Assesses and reports any deviations from normal in preoperative diagnostic studies. • Assesses readiness to learn based on patient’s perceptions and expectations of care. • Identifies any spiritual, cultural and/or philosophical beliefs that may impact care provided. 6. Provides intraoperative nursing care. PERFORMANCE STANDARDS: • Implements aseptic technique by creating and maintaining a sterile field. • Monitors physical status of patient, to administer drugs and solutions as prescribed. • Monitors and controls the environment and considers all assessment information for the plan  of care and demonstrates individual choice based on identified patient needs. • Applies safety devices. • Assesses the timing and need for a sponge, needle, and instrument count and performs  required counts accurately. • Manages culture/specimen collection, handling, and disposition according to hospital policy  and procedure. • Collaborates in fluid management. • Provides status report to family/support person. • Peer review ratings consistently excellent in maintaining communication. • Patient/family compliment/complaint ratings consistently positive. 7. Sets up equipment and supplies for surgical procedures based on patient needs. PERFORMANCE STANDARDS: • Obtains correct supplies and accurately sets up for procedure according to department  guidelines and policy. • Follows department policy and procedure to ensure the creation and maintenance of a safe  environment, as well as performing equipment checks. • Minimizes the length of invasive procedure by planning care: anticipates needs for equipment  and supplies and selects in an organized and timely manner. • Uses supplies and equipment within safe parameters by ensuring all equipment is functioning  before use and removing malfunctioning equipment for use. • Implements protective measures to prevent injury due to electrical, laser, radiation, chemical,  thermal, or mechanical sources. • Uses supplies and equipment in a judicious and cost-effective manner and documents  utilization. • Records devices implanted during the operative or invasive procedure. 8. Administers and monitors Procedural Sedation. PERFORMANCE STANDARDS: • Demonstrates proficiency in management of patients receiving Procedural Sedation. 9. Performs other duties as assigned

1 year Nursing experience preferred SPECIAL SKILL, LICENSE AND KNOWLEDGE REQUIREMENTS Current Louisiana Nursing License CPR Certification ACLS Certification 

Full-Time