Beverly Hills Endosurgical Center is an outpatient facility specializing in endoscopy procedures, proudly serving Beverly Hills and the surrounding areas. We are seeking an experienced and collaborative OR Circulator RN to assist in clinical operations at our high-performing endoscopy center. This is an exceptional opportunity for a nurse who is driven and passionate about surgical excellence, as well as delivering outstanding patient care in an outpatient environment. While applications need to be submitted through this ad, you can learn more about the facility here: https://www.bhendosurg.com/.
OR Circulator RN
Per Diem
Position Summary:
The Circulator RN is the surgical team member who is responsible for coordinating and controlling the multi-disciplinary activities required to provide a safe environment for patients undergoing surgical intervention.
Accountable To: Director of Nursing/Supervisor/ and/or Manager
Responsibilities:
Performance of the duties of the Circulator, according to the set standards, is crucial to the smooth flow of events before, during, and after a surgical procedure. The Circulator duties will consist of, but are not limited to:
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Must comply with all HIPAA privacy regulations regarding the confidentiality of Protected Health Information (PHI).
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Be thoroughly familiar with and totally comfortable in the role of patient advocate, as applied to Operating Room nursing.
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Assume the responsibility for Improvement of patient safety during the state of enforced dependency created intra-operatively.
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Responsible for creating a safe, therapeutic environment in which the patient's psychological, physiological, and physical needs are identified, anticipated, and met.
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Provide a channel of communication between events and team members in the operating room and persons who may not be in the immediate area, but who are concerned with the patient's operative status.
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Make provisions for instrument, supply, and equipment requirements of surgical procedures, as assigned.
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Responsible for documenting accurate, timely data appropriately. (This includes documentation of Charge sheets, Incident Reports, Nursing Notes and Surgical Logs.)
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Meets the needs of the center as demanded by the surgical schedule, particularly when overtime hours and time changes become necessary.
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Must file an incident report for any unusual event that occurs to a patient or member of staff; this would include, but not be limited to, falls, needlestick injuries, aspiration of gastric contents, allergic reactions, and disruptive behavior by staff or patients. Also required to report any incidences or alleged incidences of abuse, harassment, or injury to self, other employees, or patients occurring at the Center or relating to the Center. Further specifications can be found in the Abuse Reporting documents and Code of Safe Practices, provided by the Director of Nursing.
Pre-Operative
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Verify patient identity, procedure consent, site, laterality (if applicable), and physician.
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Confirm NPO status, bowel prep adequacy, allergies, medication history and preoperative clearances.
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Ensure informed consent and anesthesia evaluation are complete.
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To ensure patient's safety and comfort and smooth flow of procedure, inspect the O.R. to be certain it is clean, complete, and safe. All equipment should be checked for safety, functioning capability, and complete assembly.
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Direct and assist surgical technician in preparing for the surgical procedure according to established procedure and the Surgeon's preference card.
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Conduct surgical counts with the surgical technician and document, if applicable.
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To decrease patient's anxiety and help plan nursing actions intra-operatively, greet the patient in Pre-Op Holding Area for the purposes of identification, physical/psychological assessments.
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To ensure patient safety, accompany patient to the O.R. and assist in the transfer to the operating room table.
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From this point on, the Circulator remains at the patient's side during the induction of anesthesia, until the patient is anesthetized, positioned safely, and fastened securely to the operating room table. Activities include, but are not limited to:
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placing and securing the safety belt.
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placing monitor electrodes per established procedures.
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assures that oxygen flow alarm is turned on at time oxygen is turned on.
Intra-Operative
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Confirm patient identity, procedure, consent, site, laterality (if applicable), and physician using standardized time-out processes.
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Anticipate the needs of the surgical team and provide supplies and equipment as requested.
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Coordinates all activities within the O.R. to provide for a non-eventful, safe, effective, and timely surgical intervention.
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Provides for patient's needs, both physiologically as well as psychologically. Maintains an environment free of disturbing sounds and statements. Is ever alert for any break in technique which may contaminate the operative field.
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To provide safe patient care, maintains a running tally of sponge count materials and needles, and documents, informing surgeon of discrepancies.
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Ensure accurate specimen handling:
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Proper labeling – accurate an complete identification
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Placement in appropriate containers/solutions
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Complete documentation and dispatch to laboratory per established ASC procedures
- For medico-legal indices, maintains accurate records of patient-oriented data during the surgical procedure, i.e., vital signs.
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Assist with dressings.
Post-Operative
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Provide assistance as needed for delivery of patient care, remain at patient's side and assist Anesthesiologist as required with suctioning, extubating, etc., transfer to post-op gurney or wheelchair if patient receives only local anesthesia.
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Deliver a patient handoff report to the nurse in the Recovery Room area to identify procedure performed, findings/interventions, dressings (if applicable) and any complications or concerns.
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Ensure completion of all documentation.
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Ensure that specimens are accurately identified and delivered to appropriate area, make certain that all specimens have been placed for dispatch and entered in Specimen Log.
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Direct and assist with room turnover in accordance with infection prevention protocols.
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Ensure readiness of room and equipment for subsequent procedures.
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Participate in terminal cleaning and end of day activities (restocking room supplies and medications) in preparation for the following day.
Quality, Safety, Compliance
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Adhere to Infection Control, Patient Rights and Quality standards.
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Participate in quality improvement activities, audits and performance initiatives.
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Maintain competence in emergency response, including airway management support and code response.
#LP
Qualifications:
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Minimum of one year of experience in peri-operative nursing (preferred but not mandatory) including a thorough working knowledge of surgical and aseptic technique.
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Have a working knowledge of the physiological and anatomical aspects of the surgical intervention scheduled.
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Must be licensed in the State as an R.N. and have current BLS, ACLS certifications and, if applicable, PALS.
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Must be able to communicate and understand the English language, both verbal and written.
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Must possess the physical ability and perceptive acuity (e.g., visual, hearing) to satisfactorily perform all direct and indirect care functions.
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May be expected to lift twenty-five pounds without assistance. Is required to obtain assistance when moving patients unable to assist in moving unless patient is in wheelchair or on gurney. May be required to push patients in wheelchairs or on gurneys. Will be expected to obtain assistance when needed.
