$5,000 Sign-On Bonus!!
Location/Department: Hospital - OR Surgery
64/pp Benefits Eligible
Job Summary:
A clinically competent RN who demonstrates expertise in the perioperative field. Effectively delivers care to the surgical patient through the nursing process.
Supervisory Responsibilities: None
Duties/Responsibilities:
- Uses only approved abbreviations.
- Understands patient safety goals & actions taken.
- Uses 2 patient identifiers before giving treatments, demonstrates process.
- Understands read back of verbal orders/critical lab values & can state process.
- Understands procedure to clarify physician orders.
- Uses standing orders when indicated.
- Accurately calls report to MD as warranted by condition; reports to other providers as needed.
- Reports sentinel events or adverse drug reactions or incidents as warranted.
- Uses final verification before invasive procedures & can verbalize correct process & documents in EHR.
- Reassesses patient in response to changes in condition after intervention as needed & documents in EHR.
- Communicates with & provides education to patients, caregivers, & family members in a timely manner (using respect & dignity when dealing with death & dying) & documents in EHR.
Circulator
- Transports or calls for patient at appropriate time.
- Review assessment & health status of the patient preoperatively, verifies presence of required documents on record.
- Assess & provides intervention for each specific patient population i.e. pediatric, adolescent, adult & geriatric.
- Makes accurate & ongoing assessments of patient’s status & responds appropriately.
- Plans nursing care setting priorities for nursing action in a logical sequence according to patient needs following established physician preference sheet & direct communication with surgeon & anesthesia.
- Assists anesthesia during induction.
- Demonstrates necessary skills & knowledge to provide care for patients in all surgical services.
- Compassionately gives personal care to provide comfort & well-being to the patient, acknowledging physiological & psychological needs.
- Provides for appropriate handling & labeling of all specimens, cultures & blood draws according to department policy & procedure.
- Performs circulating duties according to department policy & role of the circulating nurse.
- Confirms availability of surgeon before induction of anesthesia.
- Completes preoperative checklist & actively participates in final time out verification on all procedures.
- Selects equipment necessary for procedure & assures functionally before start of care.
- Gives a thorough, concise report when handing off patient care to a relief nurse or at the time of transfer.
- Communicates immediately with charge person any changes in procedure or patient condition & possible delays.
Provides care, treatment & services
Scrub Nurse
- As scrub nurse prepares instrumentation & supplies according to physician preference care & scheduled procedure.
- Demonstrates proper use of instruments, equipment, suturing & stapling devices & other disposable items.
- Accurately performs all sponge, needle & sharp counts at appropriate times according to policy.
- Saves & correctly identifies all specimens according to policy.
- Initiates final verification process prior to start of 100% of procedures.
PACU Nurse
- In phase one recovery, completes initial assessment of patient’s physiological & psychological status according to policy.
- Performs ongoing assessment.
- Develops plan of care & prioritizes interventions based on the patient assessment.
- Provides for effective pain management & documents response.
- Gives thorough concise report of all pertinent information when transferring patients to SDS, MS or SCA.
Provides care, treatment & services
- Demonstrates knowledge of nursing medication administration policy.
- Verifies correct patient using two patient identifiers prior to medication administration.
- Checks patient’s allergies before administration of medication.
- RN obtains, prepares & administers IV’s, RN obtains & administers blood products according to policy & procedure.
- Observes & documents patient response to pertinent medication.
- Handles adverse medication & blood reactions in a competent manner.
- Educates patient on safe use of patient controlled medication administration according to nursing policy.
- Consistently follows process for securing all medication.
- RN follows policy for narcotics in the OR.
- Follows policy for RN administering moderate sedation.
- Complies with read back policy for telephone orders & reporting of lab results.
- Demonstrates understanding of & follows policy for use of PPE, hand hygiene, surgical hand scrub & attire in the OR.
- Demonstrates knowledge of care, disposal & decontamination of all instruments & supplies.
- Follows appropriate procedure for obtaining, returning & cleaning/disposing of equipment & supplies.
- Participates in room turnover following policy for cleaning the surgery room after a case.
- Completes flash sterilization following policy.
- Performs high level disinfection of all endoscopes.
- Ensures that supplies & equipment necessary for safe patient care are stored in an organized & efficient manner & available for patient care.
- Demonstrates correct & safe technique in the use of equipment according to specific product information & policy & procedure manual in the OR/PACU.
- Demonstrates proper use of the emergency communication system in the OR/SDS dept.
- Maintains clear, legible variance of hours worked & completes timely.
- Reviews & updates policies (on request).
- Participates on teams (on request).
- Attends 75% of scheduled department meetings & reviews written minutes of those meetings not attended.
- Attends continuing education to maintain competency.
- Documentation reflects patient status throughout the perioperative process. Included are patient needs, interventions, patient response & outcomes.
- Knowledge of OR/PCS modules.
- Aware of & avoids use of abbreviations on the “do not use list”.
- Accurately documents use of supplies, implants & equipment for appropriate charging.
Required Skills/Abilities:
- Strong customer service skills
- Effectively communicates both verbal & written
- Able to multi-task, prioritize, interpret & be assertive when necessary.
- Able to perform basic nursing skills
- Mechanical ability to deal with a large number of machines & equipment for procedures, i.e. autoclaves, cleaning equipment in central physiologic monitors, patient beds & cart alarm systems.
- Able to operate basic office equipment.
Education and Experience:
- Minimum Associates degree in nursing, Bachelor’s degree preferred.
- Must be licensed as a Registered Nurse in the state of Indiana;
- Minimum of 1 year relevant work experience required.
Physical Requirements:
- Constant manual dexterity, use of hands & talking; frequent walking, pushing, pulling, reaching & standing; occasional sitting, climbing & stooping.
- Frequently lifts up to 25 lbs.
