Surgery Registered Nurse

Operating Room hours are approximately 7:00 a.m. to 3:30 p.m., Monday-Friday. On-call hours are required on weeknights and weekends for OR staff.

POSITION PURPOSE:
Provides, prescribes, delegates and coordinates nursing care with other health care providers to meet holistic needs of patients.

QUALIFICATIONS:

• Graduate from an approved school/college of nursing
• Currently licensed as a Registered Nurse license in the State of Nebraska
• Minimum one year surgery experience
• Minimum one year experience in rural health nursing
• Basic Life Support (BLS)
• Bachelors degree in nursing preferred
• Advanced Cardiac Life Support (ACLS) preferred

GENERAL REQUIREMENTS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and / or ability required:

• Ability to add, subtract, multiply, and divide
• Ability to generate, read, interpret, and take action as it relates to basic financial statements, national and state regulations, safety rulings, operational and maintenance and organizational policies / procedures
• Ability to write reports and correspondence
• Ability to effectively present information to patients, families, employees, health care providers, etc...
• Ability to work cooperatively and communicate effectively to maintain good working relationships with staff and health care providers
• Ability to work with skill in identifying problems; making frequent decisions regarding method of performance

EQUIPMENT, TOOLS, MATERIALS:

• Calculator
• Computer and printer
• Fax and copy machine
• General office materials/supplies
• Information Systems
• Telephone system
• All Patient Care Equipment
  • IV pumps, lifts, beds, monitors, computers, glucometers, oximeters, pneumatics, CPM, etc.

SECURITY/ACCESS:

• Will have access to the facility 24 hours a day.
• Will have access to confidential information abiding by the organizations privacy policies and regulations concerning this information.

Essential Job Duties and Responsibilities

1. Utilizes the nursing process, for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes.

• Performs complete admission assessment, including full body system analysis and home med reconciliation process for med-surgical, obstetrical, newborn, pediatric, ER and outpatients.
• Performs patient/family teaching for assessed knowledge deficits.
• Evaluates patient progress toward desired outcomes prior to discharge.
• Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner.

2. Implements and provides safe and therapeutic care for patients during surgical intervention.

• Utilizes and assures principles of sterile technique based on knowledge and observation of practice.
• Demonstrates knowledge of surgical techniques, terminology, and use of equipment.
• Acts as a patient advocate even in the face of criticism or non-compliance.
• Maintains a quiet therapeutic environment in the OR.
• Anticipates needs of the surgical team.
• Maintains an orderly neat, organized and stocked work area.
• Sets priorities based on changes in patient status, potential problems and unusual occurrences.
• Assists in change process for improvement in regulatory compliance, infection control, patient safety, customer service or employee satisfaction.
• Demonstrates the safe practice of medication administration.

3. Performs and maintains documentation.

• Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge.
• Completes shift end check with another nurse prior to leaving duty.

4. Communicates effectively.

• Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfactions needs and recommendations for meeting identified outcomes.
• Follows approved shift report format when communicating patient information.
• Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider.

5. Promotes and ensures patient safety in performance of all responsibilities.

• Administers medications, treatments and procedures in a timely and safe manner according to physician orders and nursing policy, (including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments).
• Demonstrates proficient technical/clinical skills and operational knowledge of equipment on unit.
• Informs and involves manager regarding patient care issues in a timely and appropriate manner.
• Utilizes proper body mechanics, transfer/lifting techniques and appropriate equipment to minimize fall risk to patient and injury to self.

6. Follows HIPAA regulations and ensures that the confidentiality of patients medical, personal, financial records, employee records, and organizational records is maintained.

7. Participates in FCH committees, quality assurance, performance and quality improvement initiatives, and activities which support the facility and department operations.

8. Complies with the state and federal regulatory requirements related to the performance of FCH operations and requirements of the FCH Compliance Program. Including but not limited to:

• The Compliance Policy.
• Completes all mandatory on-line training annually and as assigned.
• All department and organization-wide policies.
• Considers the impact of regulations such as Critical Access Hospital requirements, along with Federal and State of Nebraska regulations and discusses concerns appropriately to ensure compliance.

9. Presents self in a professional manner and enhances professional growth and development through participation in education programs, current literature, in-service meetings and workshops.

• Seeks opportunities for continued growth and performance improvement.
• Always maintains a professional appearance and manner.
• Dependable and completes work in a timely manner.
• Demonstrates an understanding and emphasis on quantity, quality and knowledge of duties and tasks.

10. Performs other duties as assigned.

Essential Standards of Service Excellence

1. Abides by Fillmore County Hospitals Standards of Professional Courtesy and Respect which include:

• Communication & Interaction
• Customer Service & Respect
• Teamwork
• Telephone Communication
• Safety, Pride &Ownership
• Professional Appearance

2. Abides by Fillmore County Hospitals Core Values 1-12 which include:

• Authenticity
• Integrity
• Awareness
• Courage
• Perseverance
• Faith
• Purpose
• Vision
• Focus
• Enthusiasm
• Service
• Leadership

ESSENTIAL WORK ENVIRONMENT & PHYSICAL REQUIREMENTS:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Physical Activity Not Applicable Occasionally Frequent Continuous Sitting X Standing X Walking X Climbing X Driving X Lifting (floor to waist level) 30 lbs. 50 lbs. 10 lbs. Lifting (waist level and above) 30 lbs. 50 lbs. 10 lbs. Lifting (shoulder level and above) 30 lbs. 50 lbs. 10 lbs. Carrying objects X Push/Pull 300 lbs. 200 lbs. 0 lbs Twisting X Bending X Reaching forward X Reaching overhead X Squat/kneel/crawl X Wrist position deviation X Pinching/fine motor activities X Keyboard use/repetitive motion X Taste X Talk X Smell X


Sensory Requirements Not Applicable Accurate 20/40 Very Accurate 20/20 Near Vision X Far Vision X Not Applicable Yes No Color Discrimination X Not Applicable Accurate Minimal Moderate Depth Perception X Hearing X


Environment Requirements Not Anticipated Reasonably Anticipated Occupational Exposure Risk Potential X Bloodborne Pathogens X Chemical X Airborne Communicable Disease X Extreme Temperatures X Radiation X Uneven Surfaces or Elevations X Extreme Noise Levels X Dust/Particulate Matter X Other (List) X


Shift Requirements 8 hrs/day 10 hrs/day 12 hrs/day Other (varied) Usual workday hours X Not Applicable Yes No Regular, punctual attendance for assigned shifts X Available to work overtime X