RN OR - Outpatient Surgery Center (Mashpee) (Per Diem)

Purpose of Position Utilizes the nursing process in planning, executing, and evaluating the nursing care given to the surgical patient during the intra-operative period. Plans and delivers safe, effective nursing care until the patient is transferred from his/her care to the recovery R.N. Performs duties of the circulating or scrub role in caring for all age patients. Description Demonstrates necessary practical, technical, or specialized skills required for the role of the peri-operative nurse in accordance with AORN and other regulatory standards of practice. Demonstrates deep knowledge of surgical procedures and has the ability to oversee the instrument and equipment set-up, prepare for the case utilizing preference cards, and anticipates needs of surgeon. Coordinates and oversees the room during a case as the circulator. Facilitates effective and efficient transition between surgical procedures. Utilizes preference cards and updates as necessary. Utilizes appropriate body mechanics in moving patients, stretchers, and OR tables to prevent injury to patient and self. Demonstrates knowledge of management of patient, including: being available to anesthesia during intubation and extubation, assisting as needed in sudden changes in patient condition and being readily available to assist as directed. Performs thorough patient interview and assessment in accordance with procedure and assures an appropriate, detailed time out process is done according to policy. Consistently reviews charts for completeness, in accordance with documentation protocols prior to and after the surgical procedure. Assures appropriate consent, H/P, diagnostic reports, and relevant information are on chart prior to the start of procedure. Prepares and administers medications in accordance with current practice (i.e. review physician orders, pre-op antibiotics, preparing/labeling medications on/off field, utilizing the medication rights, identifying high alert medications, conducting independent double checks when indicated, and narcotic waste, etc.). Relays appropriate hand off communication to PACU staff to ensure continuity of care. Participates in the anesthesia time‑out process if performed in the pre‑op area prior to administration of pre‑operative blocks or prior to the induction of anesthesia. Takes responsibility for careful and accurate handling and/or logging of narcotics, biohazardous materials, and surgical specimens. Assures all members of the surgical team comply with principles of surgical hand asepsis, aseptic, and sterile technique. Demonstrates knowledge related to maintenance, cleanliness, and sterilization of instruments and equipment. Appropriately handles the disposal of biohazardous materials. Responds to emergency situations appropriately. Understands and utilizes emergency protocols. Functions independently according to job responsibilities and within scope of practice utilizing current standards of care. Takes personal initiative to maintain current RN licensure, BCLS, ACLS/PALS (if indicated) and other professional certifications current as defined by job role. Attends all mandatory in‑services, staff meetings and participates in emergency drills. Participates in the orientation of new employees. Completes annual competency and other required education as assigned. Maintains confidentiality and security of records and patient information at all times. Effective problem solving skills to include data analysis and judgment to make effective decisions. Consistently provides service excellence to all patients, family members, visitors, volunteers and co‑workers in a manner that reflects MACC’s commitment to CARES: compassion, accountability, respect, excellence and service. Qualifications Graduate of an accredited School of Nursing. Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts. Must read, write and communicate in English. Basic Life Support Certification required. ACLS Certification within 6 months of position and must maintain certification. Knowledge of current practice of decontamination, high level disinfectant, and sterilization. Ability to identify and select instruments and equipment necessary for surgical procedures and appropriately interpret information on preference cards. Knowledge of applicable regulatory, compliance, and accreditation standards and requirements. Use of lead apron may be required. Schedule Details Per Diem Hours, Rot. Days, No Weekends & No Holidays Organization Medical Affiliates of Cape Cod Primary Location Massachusetts‑Mashpee Department MAC‑Cape Cod Surgery Center Annual/Hourly Hourly Hiring Pay Range 35.41 - 46 #J-18808-Ljbffr