Registered Nurse Operating Room MUST have circulating and scrub experience

Requisition Number: R-24007 Facility: LOC0022 - 2 Pond Park Road2 Pond Park Road Hingham, MA 02043 Department Name: SSH Ambulatory Surgery 2PPK Status: Full time Budgeted Hours: 36 Shift: Day (United States of America) Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, in accordance with departmental and hospital policies and procedures. Compensation Pay Range: $39.50 - $84.02 ESSENTIAL FUNCTIONS 1 - ASSESSMENTS/REASSESSMENT Assesses and diagnoses patient and family needs in order to provide quality care to assigned patients a - Provides ongoing assessment of nursing care needs of a defined group of patients b - Completes nursing assessment record according to guidelines/policy c - Documents assessment/reassessment data on medical record according to guidelines and standards d - Conducts and initial and ongoing assessment to gather data relevant to the patient's individual needs e - Recognizes the significance of abnormal laboratory values for patient's and takes appropriate action f - Assesses patient's understanding of disease process. g - * Assesses/reassesses and documents patient's level of comfort utilizing the approved pain scale for patients in a specific age category. h - * Assesses/reassesses patient's response after each intervention both pharmacological and non pharmacological. 2 - UNIT SPECIFIC ASSESSMENTS a - Pre-Op checklist is complete and signed. Consistently reviews and assures completeness. b - *Consistently uses 2 patient identifiers. c - *Assures that patient is marked before entering Operating Room. d - Perioperative Nursing Assessment is complete, accurate, and signed. e - Perioperative guidelines for Labs, EKG, H&P, and Medical Clearance are followed as per policy. 3 - PLAN OF CARE a - Develops written plan of care for patient needs and documents care plan according to established guidelines including: Problem/need assessment Nursing interventions Other needed services of healthcare team Outcome criteria met/not met b - Based on reassessment, plan of care is modified to meet the patient/family/significant other's identified needs. c - Develops patient/family/significant other teaching and discharge plan and documents according to policy. d - Evaluates that the identified problems, care provided and patient's responses are reassessed in order to meet patient and family needs and documents outcomes according to policy/guidelines. 4 - UNIT SPECIFIC PLAN OF CARE a - Follows procedure for updating, revising, creating and deleting of Physicians Preference Cards. b - *Assembles necessary instruments, supplies and equipment prior to the start of care. c - * Checks for availability, proper conditions of equipment, instrumentation and implants. d - Identifies priorities and executes nursing care accordingly. e - Provides emotional support and comfort measures to patient and family f - *Applies and monitors principles of aseptic technique throughout the intraoperative period. g - Has the ability to scrub/circulate during the intraoperative phase. h - Preps the surgical site using AORN standards of practice and proper aseptic technique. i - *Confirms and contains sources of contamination. 5 - MEDICATION a - Demonstrates knowledge of SSH policies and procedures for administering, and recording medications b - Demonstrates knowledge of commonly used medications: action, dose and side effects and uses resources to review new or unfamiliar medications c - *Observes the 5 R's for administering medications: Right patient Right drug Right dose Right method Right time d - * Performs narcotic count each time a narcotic medication is withdrawn from the Pyxis. e - *Demonstrates proper procedure for documentation of narcotic administration and wasting, and follows the procedure for resolving narcotic discrepancy. f - * Demonstrates procedure for the use of the override function in Pyxis g - *Documents medication administration reflecting full signature and title, time given, reason for omission, and site for injection (if applicable) 6 - UNIT SPECIFIC MEDICATION a - *All medications drawn up are labeled for procedures. b - * All non-controlled medications removed by PYXIS are counted and amount properly recorded c - * Unused medications are returned to PYXIS following policy. d - * All narcotics are counted and signed off #J-18808-Ljbffr Southshorehealth