Staff Nurse (Surgery) (Sign-on Bonus!)

Coordinates and delivers care to patients across the surgical continuum by functioning in any or all of the following roles: Circulating, Scrub and Endoscopy RN. SURGICAL SERVICES CURCULATING RN: Provides direct patient care to pediatric through geriatric patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. Communicates with surgeon and anesthesiologist continuously and as needed about patient condition. Assists with the maintenance of surgical equipment and inventory. Participates in performance improvement activities. Assesses operating room for equipment functioning and readiness, obtains supplies for individual cases and ensures all appropriate needs of surgical operating team are met. Monitors, positions and assists patient during procedure. Provides direct patient care to adult through geriatric patient populations. Assesses, plans, implements and evaluates the care of patients undergoing endoscopic procedures. Communicates with gastroenterologist and/or anesthesiologist continuously and as needed about patient condition. Assists with procedures. Assists with maintaining equipment and inventory. Participates in performance improvement activities. Maintains regulatory agency requirements, nursing and hospital policies, procedures and standards. Responsibilities Approaches patient in a kind, gentle and friendly manner Responds to patient’s inappropriate behavior in a therapeutic manner Takes appropriate actions and documents in response to manifested anxiety or distress. Requests Social Service/Pastoral Care, as appropriate Gives patient explanations and verbal reassurances consistently Adapts nursing procedures to meet the needs for treatment of individual pediatric, adolescent, adult and geriatric patients Identifies physical symptoms and changes and takes appropriate actions in a timely manner Demonstrates ability to asses cardiorespiratory systems for changes in pediatric to geriatric patients and is able to treat appropriately Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management Performs all aspects of patient care in an environment that optimizes a patient safety and reduces the likelihood of medical/health care errors Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group Directs and assists in maintenance and handling of special equipment and instruments Observes behavioral and physiologic changes due to medications, takes appropriate actions and documents Adjusts expectations of patient behavior and acts according to the effect medication has on the patient Positions patients safely; pads and protects bony prominences Preps and drapes patients correctly for all procedures Carries out medical and surgical asepsis during all procedures Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families Demonstrates competence in preparing and cleaning of OR suites based on patient’s infection class before, between and after terminal cases Carries out established techniques for safe administration of medications and parenteral fluids, as per hospital policies and procedures Coordinates and supervises patient ca re; provides patient and family with teaching/education, as necessary Demonstrates knowledge of anesthetic drugs, actions and side effects Follows the five medication rights and reduces the potential for medication errors Protects patient’s sensitivities and right to privacy Demonstrates knowledge of arterial lines, Swan-Ganz, spinal and epidural catheters and how to document appropriately Is able to open sterile supplies and set up for procedure Demonstrates through knowledge of location, care and operation of all surgical equipment Accurately records, handles and labels specimens; demonstrates care of specimens Ensures Pre-op Checklist is complete (H & P present, informed consent signed, test results present, etc.) before patient is taken into surgical suite Is consistently ready and prepared for assigned cases and has patient in the surgical suite 15 minutes before the scheduled time Appropriately responds to the patient in an emergency or physically distressful situation Assessment and reassessment of the patient is clearly and concisely communicated in computerized charting. Documentation meets current standards, policies and procedures and is completed within shift Effectively communicates with the physician in accounting for all sponges, needles and instruments during and after the procedure and documents in the appropriate area Communicates Lab/Imaging Services reports to the surgeon during the procedure Gives thorough report of patient’s intraoperative condition to PACU Nurse Establishes and maintains effective communication and good working relationships with co-workers for the patient’s benefit Counts narcotics at beginning and end of all shifts with another RN, per hospital policy Demonstrates thorough knowledge of instrument processing, sterilization and biological monitoring. Actively participates in instrument processing as schedule allows Makes decisions reflecting knowledge of dysrhythmias, followed by appropriate treatment Completes other duties as assigned by Nurse/Director/Charge Nurse Utilizes initiative; strives to maintain steady level of productivity; self-motivated; manages activity and time; does not waste time Manages and operates equipment safely and correctly Meets current documentation standards and policies and completes within the shift Carries out medical and surgical asepsis during treatments and special procedures Maintains and environment and provides the patient and family with feelings of safety and security Assists with orienting new staff members to the department Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient Completes other duties as assigned by Nurse Manager/Charge Nurse, within the Board of Registered Nurses Scope of Practice Required Skills/Abilities Ability to read and communicate effectively in English Additional languages preferred Basic computer knowledge Education & Experience Current Registered Nurse licensure in the State of California Current BCLS Certification Current ACLS with Basic EKG or Arrhythmia-identification Certification Minimum of one (1) year work experience in the Operating Room or Nursing Experience in an acute setting required. Job Type: Full-time, All Shifts Pay: $65.00 - $85.00 per hour The posted pay range is based on experience and established in accordance with the collective bargaining agreement. Employee assistance program Health insurance Life insurance Paid time off Vision insurance Ability to Commute: Ability to Relocate: Hollister, CA 95023: Relocate before starting work (Required) All job offers are contingent upon the successful completion of a background check, physical exam, drug test, and verification of education qualifications and credentials. San Benito Health Care District is an equal opportunity employer. In accordance with applicable law, we prohibit discrimination and harassment against employees, applicants for employment, individuals providing services in the workplace pursuant to a contract, and volunteers based on their actual or perceived: race, religious creed, color, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status (including registered domestic partnership status), sex (including pregnancy, childbirth, lactation and related medical conditions), gender (including gender identity and expression), age (40 and over), sexual orientation, status, military and veteran status and any other consideration protected by federal, state or local law (sometimes referred to, collectively, as "protected characteristics"). #J-18808-Ljbffr