Operating Room RN

Full-Time or Per Diem available

**STATED SALARY IS STARTING PAY RANGE, THIS POSITION QUALIFIES FOR AN ADDITIONAL 15% FOR ON CALL STATUS**

POSITION 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.

QUALIFICATIONS:

Education, Licensure and Certification: 

• Graduate of an accredited school of nursing and currently licensed to practice in the State as a Registered Nurse   
• Must maintain BLS/ACLS/PALS

Experience:

• Two (2) years’ experience surgical nursing     
• Scrub and circulating experience preferred

Physical: 

• Must be able to Sit, stand, and walk continually
• Frequently bend, climb, reach overhead, carry/push or pull up to 25 pounds, grasping/squeezing
• Occasionally stoop, kneel, crouch, lift, carry, push or pull up to 50 pounds 
• Must be able to speak and hear normal auditory levels

Mental: Stamina to withstand stress and strain.  Good memory, patient and tactful.  Emotional stability.  Able to both listen and direct. Skill in organization.

Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, decimals, and percentages. 

Language skills: 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. 

Reasoning ability: 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.

JOB SKILLS AND REQUIREMENTS:

• 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
• Must be able to accept and profit from instruction and constructive criticism and follow through to effect change
• Must be able to recognize limitations and seek help or advice as needed
• Able to identify, analyze and implement effective problem-solving techniques

JOB RELATIONSHIP: Is directly responsible to the Operating Room Manager.  Does not supervise any other employees. 

ESSENTIAL DUTIES AND 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 appropriate to the abilities 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
• Promotes adherence to safety policies and procedures in performing job duties and responsibilities 
• Utilizes ALARA principles for patients undergoing surgical procedures utilizing radiology
• Adheres to the Nursing Scope of Practice 
• Promotes patient safety and communicates concerns appropriately, following Chain of Command
• Promotes patient and physician satisfaction
• Reports incidents in a timely manner
• Attends all required education and in-services
• 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
• Performs other miscellaneous duties as assigned 

ESSENTIAL VALUES, CODES OF CONDUCT 

• Demonstrates knowledge of and adheres to the Code of Conduct
• Strong ethical and moral character references
• Attitude that is caring, respectful, sensitive, tactful, compassionate, empathetic, and tolerant exhibiting a positive, professional demeanor to peers, patients, physicians and visitors
• Works well with others – a team player
• Exhibits high level of integrity
• Willing to accept assignments within the limits of the position and to accept extra duties willingly
• Display initiative, flexibility and adaptability in his/her career approach
• Able to maintain a poised and professional manner even in the face of diversity
• Enjoys working with and around people of all ages, nationalities, backgrounds and creeds
• Must show initiative and take responsibility for professional development and continuing education
• Must be able to accept and give direction, and to identify and use the proper chain of command
• Must be able to act and present as a professional role model 

WORK ENVIRONMENT: 

• Days and hours of work vary to meet patient or center needs
• The Center is a well-lit, ventilated and climate controlled environment. The Center may require decreased lighting to meet patient care needs or procedure requirements, such as laser rooms and some OR/Procedure rooms
• Ability to work with medical and office equipment, some of which will have moving parts
• Noise level is usually quiet to moderate
• May have exposure to blood and other potentially infectious body fluids and materials or toxic chemicals and cleaning solutions
• Procedure rooms are often small, and due to equipment may have little room to work around and may necessitate reaching, pulling, pushing
• Work in close proximity to patients and co-workers