RN - Operating Room

ROLE SUMMARY

Note: Statements included in this description are intended to reflect in general the duties and responsibilities of this classification and are not to be interpreted as being all-inclusive.

TITLE: Registered Nurse - Operating Room

DEPARTMENT: Operating Room

REPORTS TO: Manager Operating Room

OTHER INTERNAL CONTACTS: Surgeons, Center personnel, anesthesiologists

EXTERNAL CONTACTS: Sales representatives, physicians, patients, and patient families

JOB SUMMARY:

Responsible for the delivery of patient care that promotes safety and well-being of patients and staff. Provides physical, educational and technical care and support. Demonstrates strong assessment skills both pre and postoperatively. Appropriate assessment includes physical, psychosocial/family, cultural, personal beliefs or restrictions, cognitive abilities, pain and comfort needs. Participates in the development and implementation of policies and procedures. Communicates any delays or changes in the operating room to manager/coordinator in a timely and accurate manner. Ensures the availability of all supplies, equipment and instrumentation needed for scheduled cases. Maintains accountability for charges of supplies and equipment in the operating room. Must be able to prioritize, organize, and multi-task. Supports and practices the mission, vision, objectives and goals of the organization. Maintains HIPPA laws and regulations.

Job Domains

Circulating Nurse:

• Review preoperative assessment, provide education to patient and family, transport patient to operating room.
• Ensure proper supplies, equipment, and medications are ready for use.
• Verify name, strength and dosage of medication with scrub personnel.
• Verify patient, procedure, operative site, positioning and equipment correspond.
• Responsible for “timeout” per site verification policy.
• Constant observation for any break of sterile technique.
• Assist anesthesiologist/CRNA and surgeon with assessment, induction and start of procedure.
• Position patient according to procedure.
• Complete appropriate paperwork including OR Record, pathology, count sheets, etc.
• Record charges and times accurately.
• Assist OR team as needed during procedure.
• Complete competencies to operate any designated equipment.
• Assist anesthesiologist/CRNA and surgeon at close of case.
• Transport patient to room, give report and assist if necessary.
• Clean and disinfect all tables, counter surfaces, stands, and floor.
• Clean operating room between cases.
• Restock operating room as necessary to meet PAR levels.
• Cover other operating rooms for breaks, lunches and turnovers.
• Obtain supplies and equipment to prepare for next day cases.
• Revise preference cards and charge sheets as necessary.

Scrub Nurse (with prior training)

• Know principles and methods of sterilization.
• Perform hand scrub according to policy and procedure.
• Arrange instruments and supplies for surgical procedure. (Counting before and after the procedure for inventory purposes).
• Maintain integrity of instruments.
• Ensure proper counting of sponges, instruments, and sharps.
• Room number and patient label must document initials on count sheets, and be accountable for accuracy of information.
• Ensure all waste/linen receptacles are marked with identification of the room.
• Assist in gowning of other personnel and draping of patient.
• Anticipate surgeon’s needs.
• Pass instruments to surgeon and/or SFA as appropriate.
• Communicate needs to circulators to ensure efficient and uninterrupted progress of procedure.
• Prepare and preserve specimens.
• Verify name, strength, dose and expiration date of medication with circulator; confirm and label and place on surgical field.
• Clean and disinfect all tables, counter surfaces, stands and floor.
• May help transport patient and restock the operating room.

Knowledge and Skills

• Knowledge of nursing policies and procedures in compliance with licensure and accreditation.
• Knowledge of surgeon preferences, procedures, instrumentation and equipment.
• Verbal skills to effectively listen and communicate.
• Writing skills to document and chart completely and accurately.
• Math skills to calculate drug dosages, count sponges, sutures, sharps,
• and instrumentation accurately.
• Reading skills to read preference cards, charts, and instructions.
• Demonstrate competency of age specific criteria.

Physical Characteristics

• See well enough to read written/typed material, monitors, gauges, printouts, computers, etc.
• Speak well enough to communicate with vendors, physicians, coworkers, patients and families.
• Hear well enough to interact with all contacts and to hear alarms and monitor signals.
• Mobility to stand, walk, run, and respond quickly and carefully within the confines of the operating room and also in emergency situations.
• Mobility to bend, stoop, pull, and lift.
• Good eye/hand coordination.
• Ability to push/pull carts, beds, and other equipment.
• Ability to physically assist patients.

Educations/Experience

• Graduate of accredited registered nurse program.
• Valid registered nurse license.
• BLS certification within one year of employment.
• 1-3 years experience in an OR setting required.
• Annual completion of specified mandatory in-services.

Additional Characteristics

• Ability to work flexible hours to meet the Center’s needs.
• Functions as a member of a multidisciplinary healthcare team, consults and collaborates with colleagues, peers, supervisors and other healthcare providers and promotes respectful relationships among colleagues.
• Delivers care in a non-judgmental, compassionate and nondiscriminatory manner that is sensitive to diversity.
• Delivers care in a manner that preserves and protects patient autonomy, dignity, respect and rights.
• Communicates with patient, family and significant others all aspects of patient’s care.
• Evaluates factors related to safety, effectiveness, and costs to the outcome of optimal patient care.
• Have ability to problem solve and stay calm under stress.
• Maintain cleanliness of work environment.
• Kitchen duty as assigned.
• Respectful of co-workers, physicians, patients, and leadership.
• Cooperation with a spirit of teamwork.
• Works as a team member to resolve conflicts, identify lost equipment/instruments/supplies in whatever capacity is required (looking through linen, bagged waste, etc…)

Job Types: Full-time, Part-time

Pay: From $34.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Tuition reimbursement
• Vision insurance

Medical Specialty:

• Ophthalmology
• Orthopedics
• Plastic Surgery
• Podiatry
• Sports Medicine
• Surgery

Physical Setting:

• Ambulatory surgery center
• Outpatient

Supplemental Pay:

• Quarterly bonus

Experience:

• Operating Room: 1 year (Required)

Work Location: In person

Salary : $34