RN PRN (Surgical Services)

Perioperative Nurse

Qualifications

Education

Graduate of an accredited school of nursing

Graduate of a formal perioperative nursing course or documented on-the-job training

Experience/Skills

Preferably possesses at least one year experience in a clinical setting

Possesses circulating and/or scrubbing duty experience

Performs nursing intervention using the nursing process and incorporating current clinical knowledge with established nursing practice

Continuously acquires surgery skills through clinical experience, on-the-job training, inservice, and continuing education

Proficiently reads, writes, and understands English

Accurately reads fine print, supply labels, patient identification bracelets, the surgical schedule, and policies and procedures

Accurately hears and follows verbal instructions

Pushes and pulls heavy objects such as gurneys, patient beds and OR beds

Lifts patients, heavy boxes weighing up to 40 pounds, and instrument sets weighing up to 20 pounds

Required Licenses/Certifications

Registered Nurse licensed to practice in the state of Indiana

CPR

ACLS

Working Conditions

Works in an air-conditioned environment with a temperature of 65F-72F and humidity of 45%-55%

Works in temperatures up to 85F-90F when assigned to assist with pediatric cases

Wears hospital-provided scrub attire while on duty

Works in an environment with the potential for cuts, bruises, muscle strains, and exposure to contagious diseases via blood and body fluids

Works in an environment with the potential for exposure to anesthetic waste gases, harsh disinfectants, sterilizing agents, high steam pressure, and radiologic factors

Routine Responsibilities

Behavioral Expectations

Consistently complies with established Behavioral Expectations

RN Duties Assessment/Planning

Assesses the physiological health status of the patient on admission to the operating room and performs an ongoing assessment of the patients physiological health status during the intraoperative period

Assesses psychological, sociocultural, and spiritual status on admission to the operating room

Identifies nursing diagnoses appropriate to the intraoperative and postoperative period

Plans care based on the patients problems/needs in the assessment

Plans and coordinates patient care perioperatively to allow for patient comfort by efficient use of down time; using surgeons preference cards; and by coordinating activities of other disciplines to implement individual plan of care

Initiates discharge planning for local and endoscopy patients which includes patient and family instruction/teaching, resource referral

RN Duties Implementation/Evaluation

Implements perioperative nursing care according to an established plan of care and operating room policies and procedures

Supervises perioperative nursing associates and assistants assigned to perform the actions necessary to accomplish the identified goals

Scrubs and/or circulates simple as well as complex surgical and endoscopy procedures

Evaluates the effectiveness of the care provided

Communicates and perioperative nursing care

Designs, implements, and evaluates systems to improve the quality of perioperative nursing patient care

Assumes on-call for department

RN Duties Post Anesthesia Recovery

Demonstrates effective airway management; frequently monitors respiratory adequacy and intervenes appropriately

Monitors cardiac system of post-op patient

Identifies arrhythmias and evidence of shock, intervening appropriately when necessary

Utilizes PAR scoring system to determine patient status toward post-anesthesia recovery

Demonstrates a knowledge of proper documentation and charging procedures (e.g. vital signs, I&O, patient care record)

Varies as needed