Job Summary:
The Operating Room Registered Nurse is that professional who is directly responsible for coordinating intra-operative care of the patient and indirectly responsible through coordination and information sharing of both pre- and post-operative care.
Supervisory Responsibilities:
Does not oversee other staff.
Duties/Responsibilities:
- Proactively participates as a team member in support of the total surgical process
- Organizes time, equipment, supplies, and personnel to provide effective and efficient case management
- Supervises and directs patient care in the operating/procedure room
- Organizes nursing activities efficiently and effectively
- Delegates activities as appropriate to the abilities and licensed scope of practice of available staff members
- Considers cost containment by using supplies economically and by managing efficient turnover time
- Assists with supplies, drugs, and equipment inventories to maintain stock level and availability
- Addresses patient needs specific to the surgical procedure
- Transports patients to or from the operating/procedure room, as needed, observing policies, procedures, and safety requirements
- Using two patient identifiers, identifies the patient and correct procedure, according to policy and procedures, and communicates with the healthcare team
- Reviews patient’s medical record and needs, to provide continuity of care collaboratively, with other members of the healthcare team
- Provides comfort and reassurance to patient
- Maintains patient’s privacy and dignity
- Verifies planned procedure(s)with patient and discusses plan of care
- Works collaboratively with the healthcare team to prepare the operating/procedure room according to requirements of patient, physician, and procedure, to include but not be limited to, assembling and providing properly functioning equipment, supplies, and instruments
- Works collaboratively with the surgical/procedure team to verify sterility and/or high level of disinfection of instruments and supplies according to policy and procedure
- Handles and logs tissue specimens correctly and accurately according to policy and procedures
- Works collaboratively with healthcare team to ensure physician preference cards are maintained and updated as needed
- Ensures the appropriate and safe positioning of the patient according to patient needs and planned procedure and monitors throughout procedure
- Administers medication(s) per order of physician, documents appropriately
- Monitors patient condition and maintains accurate documentation during procedure
- Accurately comprehends and interprets physician orders and direction, following policy and procedures
- Documents medical records and other forms accurately, legibly and in a timely manner, following policies and procedures
- Works collaboratively with the healthcare team to ensure safe continuity of patient care according to policy and procedures
- Confirms proper aseptic and sterile techniques are used according to accepted standards of practice
- Monitors and identifies breaks in sterile technique
- Verifies correct site, ensure all radiologic images are present, as applicable
- Performs time out prior to start of procedure, inflation of tourniquet, or incision
- Ensures a correct sponge, needle, sharps, and instrument count (as applicable to the procedure)
- Performs the surgical preparation
- Utilizes ALARA principles for patients undergoing surgical procedures utilizing radiology
- Adheres to the Nursing Scope of Practice
- Promotes patient and physician satisfaction
- Adheres to safety policies and practices good body mechanics and ergonomics
- Follows all rules and regulations for PHI and HIPAA protections of patient information
- Follows all policies and procedures, including, but not limited to, attendance, timeliness, and safeguarding confidential information
- Reports incidents in a timely manner
- Promotes patient and employee safety and communicates concerns appropriately, following Chain of Command
- Attends in-service programs as requested
- Performs other related duties as directed
Required Skills/Abilities:
- Comprehensive knowledge of general nursing theory and practice, including basic disciplines, relating to nursing such as biological, physical, social and medical sciences and their application to patient care
- Current knowledge of nursing theory and perioperative nursing care in the freestanding ambulatory surgery unit
- Adequate understanding of a wide variety of medical/surgical pathophysiology, operative procedure and required patient preparations
- Thorough knowledge of and ability to implement principles of aseptic technique
- Understanding of proper positioning techniques
- Knowledge of surgical instruments and equipment to include the use, handling and care
- Knowledge of surgical procedures, techniques, symptoms and complications of surgery, anesthesia and consequent nursing interventions
- Knowledge of actions of pharmaceuticals and anesthetic agents
- Able to recognize emergency situations and assist in corrective actions
- Have a working knowledge of fluid and electrolyte balances
- Knowledge of the policies, procedures, philosophies, standards, goals and objectives of ambulatory surgery and especially those pertaining to the operating room
- Skilled in age-based competencies
- Knowledge of the underlying principles of treatment and nursing procedures
- Able to approach his/her responsibilities with a bio, psycho, social, and technical approach incorporating those theories with the learned principles underlying treatment and nursing care
- Able to organize and prioritize assignments, duties and responsibilities
- Must be organized, flexible and versatile with the ability to function effectively in stressful situations
- Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, decimals, and percentages.
- Ability to understand, read, write, and speak English. Ability to effectively present information, respond to questions, and professionally interact with managers, employees, clients, vendors, and the general public.
- Ability to recognize and define problems, collect data, establish facts, draw valid conclusions, and correct errors. Ability to think critically using inductive and deductive reasoning.
Education and Experience:
- Graduate of an accredited school of nursing and currently licensed to practice in the State as a Registered Nurse
- Must maintain BLS/ACLS/PALS
- Two (2) years’ experience surgical nursing preferred
- Scrub and circulating experience preferred
Physical requirements:
Never Seldom 1-5% Occasional 6-33% Frequent 34-66% Continuous 67-100%
Sit
X
Stand
X
Walk
X
Kneel
X
Twist
X
Bend
X
Reach
X
Keyboarding
X
Fine Manipulation Manipulation
X
Lift/Carry Never Seldom 1-5% Occasional 6-33% Frequent 34-66% Continuous 67-100%
1-10 lbs..
X
11-20 lbs.
X
21-50 lbs.
X X xX
Push/Pull Never Seldom 1-5% Occasional 6-33% Frequent 34-66% Continuous 67-100%
1-10 lbs.
X
X x
11-20 lbs.
X
21-50 lbs.
X
**Lifting more that 50lbs requires an assistive device and or additional physical assistance.
Determination of employee exposure risk
Category I (Ex: Environmental Service, Staff Nurses, Surgical/OR Support Techs, Endoscopy Techs)
- Tasks that involve the exposure to blood, bodily fluids, or tissues:
- All procedures or other job-related tasks that involve an inherent potential for mucous membrane or skin contact with blood, bodily fluids, or splashes on these surfaces are
- Category I tasks.
- Use of appropriate protective measures should be required for every employee engaged in Category I tasks.
*Position is a full-time, 40 hours (10-hour shifts) * Stated salary in posting is the full salary range. Hiring salary cap is limited to range of $56.19-$59.00 per hour (specific wage dependent on addition education and/ or CNOR certification)