Registered Nurse - Operating Room

Registered Nurse - Surgical Services

The Registered Nurse is responsible and accountable for implementing, directing and coordinating the care of patients through the use of the nursing process: assessment, planning implementation and evaluation. Included is recognition and treatment of the physical and psychosocial changes unique to the age/population group served on the specific unit.

Responsibilities

Essential Functions and ResponsibilitiesJob Class Specifics

• Demonstrates safe medication practice.
• Maintains a professional image that reflects the employee's role in health care, with confidence and a positive impression.
• Completes chart check to ensure no missed orders.
• Accurately transcribes physician's orders.
• Demonstrates therapeutic communication skills.
• Demonstrates ability to assess patient education needs and use of patient education resources.
• Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.
• Demonstrates leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.
• Acts as a resource person regarding patient care, specialty area, orientation and teaching of staff.
• Responds to delays in a calm manner. Apologizes for inconveniences and gives alternatives.
• Analyzes assessment data, identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.
• Uses effective problem-solving skills to plan patient care.
• Identifies critical factors evidencing changes in patient condition and responds appropriately.
• Completes and documents discharge assessment against plan of care goals.
• Initiates and maintains Intravenous Therapy according to IV standards.
• Responds appropriately to emergency situations.
• Utilizes proper body mechanics to prevent injury to self and others. Safely positions, transfers and transports patients.
• Functions as a virtual nurse as assigned which includes, but is not limited to, admissions, discharges, education, documentation through a virtual platform and working collaboratively with the bedside nursing staff.

Surgical Services - OR:

• Identifies the patient prior to admission to the OR, assesses and identifies operative site.
• Assesses the H&P and Anesthesia Assessment forms for information which will require adjustment to the standard protocol such as obesity, deafness, diabetes, etc.
• Completes continuous patient assessment during surgery, reporting abnormalities to the surgeon or Anesthesiology personnel immediately.
• Reports all pertinent intraoperative information to PACU personnel.
• Plans for appropriate and proper functioning of equipment and supplies based on the individual surgery and physician's preference, assisting with radiological procedures and equipment needs of the surgeon which includes but is not limited to stepping on the pedal.
• Obtains and maintains equipment needed to implement standards of care.
• Maintains proper position and draping of the patient in accord with physician protocols to prevent patient exposure, and damage to muscles, nerves, and blood vessels.
• Prepares skin according to physician protocols in order to prevent infection and skin damage.
• Creates and maintains a sterile field according to policy and procedure in order to prevent infection.
• Obtains and accounts for needles, sponges, sutures, instruments, and other supplies following established policies as evidenced by proper documentation on OR Count Sheet, Implant Records, and count board.
• Correctly handles surgical specimens per policy and procedure.
• Prepares the patient for transfer to PACU under the direction of the surgeon and Anesthesia personnel.
• Completes the Unit-based Electrosurgical Unit Competency.
• Completes the Unit-based Procedural Counts Competency.
• Completes the Unit-based Orthopat-Zimmer Competency.
• Documents appropriately and accurately in the ORM portion of Meditech.
• Maintains appropriate safety measures in surgical areas, i.e., strict compliance with all surgical initiatives including but not limited to all steps of Universal Protocol process, parallel processing, sharps safety, no pass zone, PPE protection in the surgical areas, medication labeling and specimen handling.
• Is cognizant and monitors SCIPS information as it pertains to their practice and hospital protocols.
• Achieves accurate SBAR hand off communication between levels of care.
• Prepares the operating room for cases by setting up table, instruments and supplies according to the type of cases.
• Prepares rooms between procedures and after terminal cleaning. Monitors and restocks supplies.
• Drapes patients for surgical procedures.
• Assists the surgical team during operative procedures.
• Assist in the maintaining correct count of instruments, sutures, and sponges.
• Prepares patient skin for surgery in accordance with hospital standards.
• Maintains aseptic techniques; actively monitors situations which could lead to breaches in aseptic techniques.
• Assists surgeons during operations by retracting tissues under direction.
• Identifies and cares for specimen.

Qualifications

Qualifications and Standards

Education:

• Graduate of an accredited School of Nursing required; Bachelor of Science in Nursing is preferred.
• Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.

Experience:

• Experience applying customer service behaviors and communication skills required.
• Previous nursing experience in specialty area preferred.
• For Cath Lab, one year of acute care nursing experience (ED, Cath Lab, CCU, IMCU, Tele-Observation) preferred.
• For Cardiac Rehab, two years experience in Critical Care and/or Progressive Care required.
• For Cardiovascular Services, two years of experience reading cardiac monitors and be self directed in responding to abnormalities or cardiac arrests codes as a team member.
• For Device Clinic, at least one year of device management services required. Successful completion of EKG course required. At least two years of acute care nursing required (Tele-Observation, IMCU, CCU, Cath Lab, ED).
• For Emergency Department, at least one year of RN experience in ED or Critical Care required.
• For Family Birthing Services, a minimum of 1 year Labor and Delivery experience (within the last five years); For Family Birthing position posted as a trainee position, requirement of at least 1 year of experience as an RN with preferred areas of ICU, CCU, IMCU, EDor internal nurse intern upon successfully completing accredited nursing program. Experience requirement does not apply to an RN in the Family Birthing Services Fellowship Program (FBSFP).
• For Infusion Services, 6 months of infusion nursing experience required, and 6 months Midline and PICC experience required.
• For Wound Care Center, two years experience and expertise in the nursing process related to wound care required. Experience in advanced wound care initiatives preferred.
• For Outpatient Behavioral Health Services, two years experience in Behavioral/Psychiatric nursing is required. Previous experience in a Behavioral Health Outpatient setting preferred. Child Abuse Recognition and Reporting Training in accordance with Act31 of 2014 required. Federal Bureau of Investigation (FBI) Clearance and finger printing required.
• For Rapid Admission, requires one year acute care experience and successful completion of EKG course within six months of hire.
• For SDS / PACU, must have experience with, and be familiar with, reading cardiac monitors and be self directed in responding to abnormalities or cardiac arrest as a team member. Must have recent clinical experience with cardiopulmonary resuscitation and have the ability to lead a Code Blue in the absence of a higher level professional.
• For Medical Surgical (Renal, Oncology and Pediatrics), pediatric experience is preferred.
• For Level II NICU, a minimum of one year NICU experience (within the last five years); For Level II NICU position posted as a trainee position, requirement of at least 2 years of experience in: NICU Level 1, Labor and Delivery, Post-Partum, Nursery, PICU, ICU, ED, or CCU. Or, for Level II NICU position posted as a trainee position, requirement of a new graduate RN with (A) practicum/capstone in Labor and Delivery, Nursery, or NICU, or (B) experience as Tech/Aide in Labor and Delivery, Post-Partum Nursery, or NICU.
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