RN 2 - Perioperative - UMHC/SCCC - Lennar Foundation Medical Center

Job description

Job location: Coral Gables, FL

Employment Type: Full-time
Posted data: 2019-08-21
Req: R100034303
Current Employees:
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Where Excellence Meets Purpose

The University of Miami is among the top research universities and academic medical centers in the nation, and one of the largest private employers in South Florida.

With more than 16,000 faculty and staff, the University strives for excellence, and is driven by a powerful purpose to transform and impact the lives of its students, patients, members of the community, and people across the globe.

The University is committed to fostering a culture of belonging, where everyone feels valued and has the opportunity to add value.  Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create an environment driven by purpose, excellence, community, and service.

The University has been named on Forbes's Best Employers list for two consecutive years, and is the only university in Florida to receive this honor.

The University of Miami UMHC/SCCC - Lennar Foundation Medical Center has an exciting oppotunity for a Registered Nurse 2 - Perioperative Services (OR). The Registered Nurse 2 delivers patient-family centered care in a culturally competent manner utilizing evidence-based standards of quality, safety, and service while ensuring population-specific patient care. The Registered Nurse 2 oversees nurses and allied health staff in their daily practice.


Assesses assigned patients and evaluates plans to include documentation of nursing care. Reports symptoms and changes in patients’ condition and vital signs. Modifies patient treatment plans as indicated by patients’ responses, conditions and physician orders. Reviews, evaluates and reports diagnostic tests to assess patient’s condition. Consults with physicians and other healthcare professionals related to assigned patients to assess, plan, implement and evaluate patient care plans. Prepares patients for, and assists with examinations, procedures and treatments. Considers patient age and culture during patient treatments and provides any needed information regarding treatment plan. Nurtures a compassionate environment by providing psychological support. Performs appropriate patient tests and safely administers medications within the scope of practice. Administers and maintains accurate records related to medications and treatments as per regulatory bodies, policies, procedures and physician orders. Communicates plan of care in a timely manner to patient and family, as well as the appropriate team members, ensuring compliance with all regulatory guidelines (i.e. HIPAA). Uses best practices for transition of patient care. Uses available resources to assist in discharge planning. Plans, prioritizes, and adjusts assignments to accomplish goals and render superior patient care; seeks assistance when needed. Adapts to changing work demands and environment. Safely operates medical equipment. Serves as a preceptor and assists new staff in the provision of care in order to help them acclimate to the healthcare environment, and a direct patient care role. Provides concise and constructive feedback when needed. Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.



Bachelor of Science in nursing required

Certification and Licensing:

Registered Nurse License; Basic Life Support Certification (BLS)


Minimum 3 years of nursing experience

Knowledge, Skills and Attitudes:

  • Knowledge of medical terminology
  • Knowledge of nursing care methods and procedures
  • In-depth knowledge of health and safety guidelines and procedures (i.e. sanitation, decontamination etc.)
  • Excellent patient experience skills
  • Ability to recognize, analyze, and solve a variety of problems.
  • Ability to maintain effective interpersonal relationships
  • Ability to communicate effectively in both oral and written form

Department Specific Functions

Accountabilities (For Non-exempt Employees Include Percent of Effort):

Competencies/Skills 40%

Performs all responsibilities/duties required by the Perioperative department/patient care service

as specific to the scope of service, to ensure that the unique nature of the patient is addressed.

1. Demonstrates knowledge of anesthetic agents, techniques and actions.

2. Demonstrates the ability to care for the population served intra op patient

3. Demonstrates the ability to perform rapid assessment differentiating between short-and long-term needs.

4. Verification of the operative procedure, operative site, surgeon and consents

5. Assesses psychological status, including level of understanding, perception of surgery, and anxiety level.

6. Verification of patient allergies, NPO status, and whether or not patient has voided

7. Checks the current history and physical, laboratory results, the execution of Perioperative orders, and results of ordered diagnostic tests.

8. Follows procedures for surgical interventions along with preferences of surgeon

9. Assembles necessary instruments, supplies, and equipment prior to start of case.

10. Checks for availability and proper condition of necessary instruments, supplies, and equipment

11. Performs sponge, needle and instrument counts according to policy and procedure

12. Ensure safety of patients during the use of electrical equipment

13. Preps the surgical site using aseptic technique

14. Correctly collects and accurately labels specimens

15. Revises physician’s preference cards and communicates changes to appropriate personnel.

16. All areas in the intra-op documentation records are complete.

17. Communicates relevant findings to Physician/Anesthesiology Resident

18. Assists and expedites the transfer of patients to and from the OR.

19. Ensures compliance with Service Pillar goal of 86%: First Case On time Start

20. Ensures compliance with Service Pillar: Turnover < or = to 30 minutes.

21. Abides by UHEALTH Standards of Behavior.

22. Assists unit in attaining and sustaining Service Pillar Goal of 75%: Likelihood to Recommend.

23. Enforces Universal Protocol for Wrong Site/Side, Wrong Patient surgery.

Nursing Process 40%


1. Performs assessments and reassessments focusing on the physical and psychosocial health status of the patient in an ongoing timely and systematic manner.

2. Obtains baseline information utilized for the development of individualized patient plan of care.

3. Provides direct and indirect patient and family care to assess needs.

4. Facilitates/patient/family education with interdisciplinary team involvement.


1. Plans discharge and teaching needs as applicable.

2. Promotes development of clinical practice based on research and evidence.

3. Assists leadership team with maintenance of initial and ongoing unit-based clinical competencies


1. Acts as a liaison between patients and healthcare provider.

2. Educates interdisciplinary team, patient/family on plan of care.

3. Serves as a direct care provider, as appropriate, to ensure outcome obtainment.

4. Documents concise, accurate and legible according to nursing policies and procedures and nursing standards.

5. Provides patient/family teaching using available resources and tools.

6. Acts as consultant to clinical staff in assisting with unfamiliar procedures/treatments.

7. Utilizes process of performance improvement.

8. Promotes patient safety.

9. Communicates changes in plan of care to the patient/family and the health care team members in a timely manner.

10. Demonstrates creativity and innovation in approach to complex problem solving.

11. Leads crisis management.

12. Delegates’ aspects of care to qualified personnel.

13. Administers and/or monitors blood and blood products following hospital policy and procedures

14. Demonstrates the skills and judgment necessary to implement medical plan of care, nursing intervention and procedures as necessary for the care of the patient

15. Delivers sedation and analgesia according to hospital policy and procedure.

16. Demonstrates knowledge of commonly used meds: action, dose, and side effects.

17. Observes five Rights for administering meds: right patient, right drug, right dose, right method, and right time

18. Medication Administration as per hospital policy and procedure


1. Evaluates patient for improvement after implementation of plan of care to assess for the attainment of goals.

2. Readjusts plan of care based on evaluation of the patients’/families’ needs.

3. Monitors outcomes of patients undergoing new procedures or interventions.

4. Evaluates staff competencies and reports to leadership team.

5. Participates in staff evaluations

Professional Accountability: 20%

1. Consistently maintain complete confidentiality of all medical, financial, employees, computer and other sensitive materials, which may violate HIPAA regulations and/or jeopardize the privacy of others.

2. Attends meetings as needed.

3. Acts as role model and maintain professional demeanor at all times.

4. Develops and maintains clinical competency.

5. Demonstrates professional independence in the practice of nursing.

6. Consults internal experts when appropriate.

7. Maintains documentation of the continuing education requirements.

8. Maintains CPR and ACLS provider card.

9. Attends all mandatory in-services as directed

10. Participates in professional organization.

11. Actively supports and participates in performance improvement activities.

12. Seeks/accepts training to learn new skills and maintain current competencies.

13. Maintains and completes Personnel Development Record as per policy.

14. Maintains professional certifications/licensure in active status, including CNOR.

15. Practices within the guidelines as set forth by the Florida Board of Nursing.

16. Displays courtesy toward customers by introducing self and addressing customer by name.

17. Meets customers’ expectation by listening to them, demonstrating sensitivity and awareness of others.

18. Follows through to ensure that established expectations are satisfied; keep customers informed of progress.

19. Works effectively and cooperatively in groups/teams to ensure quality patient care.

20. Communicates effective with manager and other members of the interdisciplinary team.

21. Attempts to resolves patient/physicians and visitors complaints and refers unresolved issues to managers.

22. Demonstrate dependability/reliability by promptly reporting to work when scheduled.

23. Floats as necessary to other nursing units.

24. Follow hospital and nursing policies and procedures.

25. Serves as mentor and role model

26. Other duties as assigned. a. Performs charge nurse duties as appropriate/PRN.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Supervision Received:

Reports directly to the Perioperative Director.

Supervision Exercised:


Minimum Qualifications (Essential Requirements):

• BSN required

• Current/valid Florida nursing license.

• 2 years recent OR nursing experience required

• Strong interpersonal communication skills

• Proven track record of building relationships with physicians, direct reports and key staff

• Moderate to advanced computer literacy and skills

• Sedation Competencies


• CNOR highly preferred

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the groundbreaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami offers competitive salaries and a comprehensive benefits package including medical and dental benefits, tuition remission, vacation, paid holidays and much more.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University of Miami School of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

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Full time

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Job No:
Posted: 8/22/2019
Application Due: 9/5/2019
Work Type: