RN (Surgical Services)

Job Details

QUALIFICATIONS

Education

Graduate of an accredited school of nursing
Graduate of a formal perioperative nursing course or documented on-the-job training

Experience/Skills

Preferably possesses at least one year experience in a clinical setting
Possesses circulating and/or scrubbing duty experience
Performs nursing intervention using the nursing process and incorporating current clinical knowledge with established nursing practice
Continuously acquires surgery skills through clinical experience, on-the-job training, inservice, and continuing education
Proficiently reads, writes, and understands English
Accurately reads fine print, supply labels, patient identification bracelets, the surgical schedule, and policies and procedures
Accurately hears and follows verbal instructions
Pushes and pulls heavy objects such as gurneys, patient beds and OR beds
Lifts patients, heavy boxes weighing up to 40 pounds, and instrument sets weighing up to 20 pounds

Required Licenses/Certifications

Working Conditions

Works in an air-conditioned environment with a temperature of 65ºF-72ºF and humidity of 45%-55%
Works in temperatures up to 85ºF-90ºF when assigned to assist with pediatric cases
Wears hospital-provided scrub attire while on duty
Works in an environment with the potential for cuts, bruises, muscle strains, and exposure to contagious diseases via blood and body fluids
Works in an environment with the potential for exposure to anesthetic waste gases, harsh disinfectants, sterilizing agents, high steam pressure, and radiologic factors

ROUTINE RESPONSIBILITIES

Behavioral Expectations

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RN Duties – Assessment/Planning

Assesses the physiological health status of the patient on admission to the operating room and performs an ongoing assessment of the patient’s physiological health status during the intraoperative period
Assesses psychological, sociocultural, and spiritual status on admission to the operating room
Identifies nursing diagnoses appropriate to the intraoperative and postoperative period
Plans care based on the patient’s problems/needs in the assessment
Plans and coordinates patient care perioperatively to allow for patient comfort by efficient use of down time; using surgeon’s preference cards; and by coordinating activities of other disciplines to implement individual plan of care
Initiates discharge planning for local and endoscopy patients which includes patient and family instruction/teaching, resource referral

RN Duties – Implementation/Evaluation

Implements perioperative nursing care according to an established plan of care and operating room policies and procedures
Supervises perioperative nursing associates and assistants assigned to perform the actions necessary to accomplish the identified goals
Scrubs and/or circulates simple as well as complex surgical and endoscopy procedures
Evaluates the effectiveness of the care provided
Communicates and perioperative nursing care
Designs, implements, and evaluates systems to improve the quality of perioperative nursing patient care
Assumes on-call for department

RN Duties – Post Anesthesia Recovery

Demonstrates effective airway management; frequently monitors respiratory adequacy and intervenes appropriately
Monitors cardiac system of post-op patient
Identifies arrhythmias and evidence of shock, intervening appropriately when necessary
Utilizes PAR scoring system to determine patient status toward post-anesthesia recovery
Demonstrates a knowledge of proper documentation and charging procedures (e.g. vital signs, I&O, patient care record)

Full time/Day shift
80 hours/Biweekly