Operating Room Registered Nurse - OR / SSU
Operating Room Registered Nurse
OR / SSU
OR / SSU
72 Hours per Pay
72 Hours per Pay
- CPR Required
- 1-2 yrs experience preferred
- CPR Required
- 1-2 yrs experience preferred
- Position Summary
- The Perioperative nurse is defined as the Registered Nurse (RN) who, using the nursing process, develops a plan of nursing care and then coordinates and delivers care to patients undergoing operative or other invasive procedures. Perioperative nurses have the requisite skills and knowledge to assess, plan, intervene, and evaluate the outcomes of interventions. The Perioperative nurse addresses the physiological, psychological, socio-cultural, and spiritual responses of surgical patients. The Perioperative nurse provides care in compliance with hospital policies and the standards of practice of AORN Standards, Recommended Practices, and Guidelines. In addition, The Perioperative nurse possesses knowledge of CMS (HICFA) standards specific to Critical Access Hospitals, New Hampshire Department Health guidelines, New Hampshire Board of Nursing rules, and the rules, regulations, policies, procedures and Standards of Nursing Practice of Weeks Medical Center.
- Current RN license in the State of New Hampshire
- Two years Med-Surg experience required
- Must possess a valid driver's license and the ability to take on call responsibility
- Current BLS and ACLS certification required
- Basic Dysrhythmia course completion required within one year of hire
- PALS course completion required within one year of hire
EKG Interpretation Course required
- AORN certification strongly preferred
- Excellent interpersonal communication skills and organizational skills required
- Computer skills strongly preferred
- Essential Functions of the Job
- Required skills and competencies. Has competency checklist been completed with all competencies met, i.e. job skills, knowledge, equipment knowledge?Demonstrates current technical and clinical competence and excellence in practice.
- Accepts professional responsibility and accountability for the quality of care provided to surgical patients in all phases of care -- pre-op, intra-op, and post-op.
- Between case cleaning will be facilitated with the help of housekeeping department. Rapid room turnover is important but needs to be efficient and cleanliness of the operating is maintained through consistent cleansing according to established protocols. Manages time effectively. When cases finished, meets departmental requirements and leaves at appropriate time. The perioperative nurse assumes responsibility for maintaining clinical competence. Assumes responsibility for continuous education through personal study, attendance at institutional inservice programs, seminars, and AORN Congress. Actively participates in the orientation of new personnel to the OR/SDS. Orients new personnel by demonstrating processes and observing a return demonstration, to ensure that the new employee performs according to Weeks policy and standards.
- Manages time effectively to ensure that deadlines are met and that personal priorities support organizational objectives. Demonstrates an understanding of the relationship between departmental/personal responsibilities and overall organizational goals/strategies and acts accordingly.
- Quality of work is accurate and consistent with expected levels of professional performance based upon Standards of Practice and policies.
- Utilizes the nursing process and makes sound decisions after evaluation of a situation. Able to set priorities and manage time appropriately. Responds quickly, but does not over-react to situations.
- Understands and adheres to the ON Call Policy. Must be in house within 30 minutes of call, cover call as assigned per call rotation schedule, must cover co-worker‘s vacation time and requested time off at minimum of twice a year; any additional call exceeds expectations.
- Demonstrates the skill and judgment necessary to implement physician orders, nursing interventions, and procedures as necessary for safe, efficient effective and appropriate total care of the patient.
- Reports significant changes in patient's status to the physician and anesthesia care provider as indicated by documentation in the record.
- Demonstrates competency in PACU. Immediately recognizes abnormal airway, breathing and circulation and intervenes quickly and appropriately. Understands the Aldrete scoring system for discharge from PACU and discharges appropriately.
- Accurately administers medications, all routes, and IV fluids. Follows all medication and IV policies and procedures.
- Responsible for monitoring the patient during sedation or analgesia and understands the pharmacology of the agents administered and the role of pharmacologic antagonists. Is able to recognize complications associated with sedation/analgesia. The RN possesses the requisite knowledge and skills to assess, diagnose and intervene in the event of complications or undesired outcomes and to institute nursing interventions in compliance with physician orders.
- Is proficient in assisting in the endoscopy room with all endoscopy procedures such as, colonoscopy, gastroscopy, sigmoidoscopy and bronchoscopy. Proficiency is also required in assisting the surgeon with polypectomy, Bx. Ablation of tumors and balloon dilatation.
- Performs nursing actions that demonstrate accountability by exercising safe judgment in decision making, demonstrates flexibility and adaptability to changes in nursing practice, responds in a positive manner to constructive criticism and demonstrates tact and understanding when dealing with patients, team members, members of other disciplines, and the public.
- Ensures proper and economical use of equipment and supplies for patient care. Makes recommendations to improve the cost effective use of supplies. Makes recommendations on new products to the Value Analysis committee.
- Ensures that proper charges are generated from each OR, SDS and Out-Pt. For medications and supplies utilized.
- Provides equipment and supplies based on patient needs by anticipating needs and assuring all equipment functioning before use.
- Operates mechanical, electrical and air-powered equipment according to manufacturer instructions.
- Monitors and controls the environment by regulating temperature and humidity as indicated.
- Knowledgeable in the care and handling of all endoscopes using Steris according to policy and utilizing proper documentation.
- Develops a realistic intra-op plan of care for each patient to ensure all assessment requirements have been met.
- Evaluates patient outcomes by reassessing status and immediately recognizing abnormalities and reports them to physician and intervenes as necessary.
- Assesses the physiological, psychosocial health through primary survey and documents findings.
- Assures pre-op checklist completed prior to taking patient to OR. This includes verification of surgical permit completed and site verified.
- Utilizes interdisciplinary approach to the assessment and management of pain in order to eliminate or minimize pain. This is achieved using the Numeric Pain Distress Scale. The Wong-Baker FACES Pain Rating Scale is used for patients who are unable to comprehend the NPDS.
- Able to maintain a sterile field. Initiates corrective action when breaks in technique occur.
- Is proficient in the role of scrubbing and circulating according to AORN Guidelines. Provides patient safety in all aspects of the OR environment.
- Performs sponge, sharps and instrument count following established policies and procedures. Also initiates corrective actions when counts are incorrect.
- Accepts responsibility and accountability to identify and report Risk Management situations. Completes occurrence and analysis reports and submits them to the Risk Manager within 24 hours of the event. Notifies the Department Manager or Supervisor when risk related situations arise.
- Respects patient's rights by demonstrating awareness of the individual rights of the patient provide for privacy through maintaining confidentiality, and provides for privacy through physical protection.
- The perioperative nurse acts as a patient advocate by protecting the patient from incompetent, unethical, or illegal practice. She respects Patient's Bill Of Rights; Complies with Occupational Safety and Health Administration; Adheres to professional standards such as AORN'S Standard of Perioperative Clinical Practice, and practices with a Surgical Conscience.
- Identifies Quality Improvement projects for your department, in collaboration with the Department Manager. Identifies indicators to monitor.
- Adhere to Medication Safety policies in regards to appropriately bar-coding medications and patient ID bands. Obtaining a witness whenever a barcode override for a medication to be administered is necessary. Meeting this standard would be using barcode override 3% (or less) of the time.
Exceeds = 1.9% or less
Meet = 2.0% - 3.9% of barcode administration override
Needs Improvement = 4% or more