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REGISTERED NURSE- OR Circulating Nurse

Virginia Ear Nose and Throat

SUMMARY DESCRIPTION

The OR Circulating Nurse is a Registered Nurse who provides quality patient care using the nursing process, the medical plan of care, and organizational policies. The Circulating Nurse reports to the Clinical Coordinator.

RESPONSIBILITIES
  • Provides communication between team members in the operative areas and persons outside the operating areas.
  • Obtains needed supplies and equipment for each specific procedure.
  • Ensures that adequate amounts of surgical and anesthetic supplies are in the operating room.
  • Verifies suctions, lights, and other needed equipment are available properly functioning.
  • Arranges room for specific operative procedure.
  • Assists with opening sterile supplies as needed.
  • Assists in transporting patient from pre-operative area to operating room after greeting and identifying patient.
  • Assists anesthesiologist/CRNA in transferring patient onto operating table, if necessary, and applying appropriate safety restraints. The Circulating Nurse never leaves the patient unattended.
  • Performs and adequately documents "Time out" prior to procedure start time.
  • Assists CRNA/Anesthesiologist in applying EKG leads, pulse oximeter, and blood pressure cuff as needed.
  • Assists CRNA/Anesthesiologist during anesthesia induction and emersion, and other crucial periods during the operative procedure.
  • Performs sponge, needle, and instrument counts (as appropriate) with the Scrub Nurse before, during and after procedure as needed.
  • May start intravenous lines in accordance with Center standards.
  • Maintains knowledge of drugs used and can administer drugs safely and accurately whenever required to do so.
  • Is familiar with supplies, equipment, and medications kept on Emergency Cart and can assist effectively in the event of a medical emergency.
  • Positions or assists the physician in positioning patient appropriately and safely for specific procedure.
  • Places conductive pad on patient, if cautery is to be used, after patient is anesthetized.
  • Adjusts operative lights, shave preps if requested, and performs wash prep.
  • Connects cautery, suctions, and any other pertinent equipment and positions sponge buckets for the Scrub Nurse.
  • Completes operative record in a timely manner.
  • Remains in room, leaving only when necessary.
  • Anticipates needs of surgical team and provides needed items to sterile field.
  • Receives faulty instruments from the scrub nurse and marks appropriately before returning them to workroom.
  • Prepares as much as possible for following case by checking supplies, doctor's preference cards, instruments, and any additional equipment.
  • Receives specimen from scrub nurse, ensures appropriate container is used, labels properly, completes pathology slip, and ensures specimen is picked up by lab courier.
  • Opens dressings onto sterile field after final count is completed.
  • Provides for safe transfer of patient from operating table to stretcher if necessary.
  • Transports patient with CRNA/Anesthesiologist to the recovery room and completes operative record by recording all pertinent times and events in the medical record.
  • Returns promptly to operating room and assists scrub nurse in cleaning the room.
  • May assist with decontamination of surgical instruments and equipment using detergents and disinfectant solutions.
  • May assist with sterilizing instruments, equipment, and supplies using ultrasonic cleaner, steam sterilizer, and/or other sterilization equipment.
  • Tags and removes malfunctioning equipment from the OR Suite and reports to the Clinical Director/ Coordinator as soon as possible.
  • May assist with routine cleaning of ultrasonic unit, sterilizers, etc.
  • Distributes supplies and stocks sterile storage areas.
  • Rotates sterile supplies and removes outdated items.
  • Assists with receiving and storing supplies.
  • Disposes of contaminated needle containers in appropriate receptacle.
  • Assists with changing anesthesia circuits between cases.
  • Participates in the Adverse Incident reporting process, as necessary.
  • Ensures that all equipment and supplies are pulled and ready for the following days cases.
  • Performs other duties as needed and assigned.
  • Ability to function as scrub nurse and pre-op nurse as directed by the Clinical Director/ Coordinator.
  • Participates in committees as assigned.
QUALIFICATIONS
  • Current unrestricted licensure in Virginia or Compact State as a Registered Nurse.
  • Progressive work experience in the OR of no less than one year.
  • Current BCLS certification.
  • ACLS and PALS certification preferred within six (6) months of date of hire.
  • Competence in oral and written communication.
ENVIRONMENTAL/WORKING CONDITIONS
  • Surgery Center setting.
  • Well-lighted, well-ventilated, adequate space.
  • Some exposure to communicable diseases and other conditions common to a surgery center setting.
PHYSICAL/MENTAL DEMANDS
  • Requires sitting, standing, bending, and reaching 6-8 hours of the day.
  • Intermittent physical mobility/activity including walking, standing, sitting, light lifting, pulling, and pushing of carts, equipment, etc. Must be able to bend body downward at the waist; be able to kneel.
Vacancy posted 1 day ago
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