Full job description JOB SPECIFICS Career Department Surgery
Status Full Time
Average Weekly Hours 40
Contact Employment Specialists
Phone Email Posting Date Fri, 03/15/2024 - 12:00pm
JOB SUMMARY Delivers direct/indirect patient care utilizing the nursing process through data collection and assessment; implementation and prioritization of patient's problems and needs; and development/ implementation / evaluation of a nursing plan of care. Demonstrates critical thinking to assure the delivery of safe, quality age specific care. Delegates effectively to appropriate team members. Documents accurately and in a timely manner. Communicates and collaborates with other healthcare team members. Facilitates the surgeon in the performance of invasive therapeutic, and diagnostic procedures. Adheres to organizational policies and procedures; regulatory/ accrediting body requirements; and professional practice standards. Care will be provided to patients of all ages from neonate, infant, pediatric, adolescent, adult to geriatric.
KNOWLEDGE AND SKILLS Knowledge of surgical anatomy, physiology, pathophysiology, and operative technique. Knowledge of current trends and demonstration of standards of care in perioperative nursing. Current knowledge of the nursing role and scope of practice as defined by the State of Ohio Nurse Practice Act and the Ohio Board of Nursing. Current knowledge of American Nurses Association (ANA) Code of Ethics. Successful completion of mandatory requirements including unit proficiencies/competencies. Demonstration of effective problem solving, decision-making, interpersonal, and team work skills. Demonstration of effective verbal and written communication. Demonstration of positive customer service. EQUIPMENT/TOOLS/SOFTWARE Basic computer literacy (Microsoft Word; order entry; e-mail) Knowledge of and skill in using all instrumentation/ equipment in the O.R. Capability of operating sterilizers and other equipment used in the reprocessing of surgical instruments and equipment PRIMARY JOB RESPONSIBILITIES Demonstrates ability to perform effectively in emergency and stressful situations. Demonstrates proficiency in perioperative nursing practice as both a scrub nurse as well as a circulating nurse in the operating room. Assesses/ reassesses patient's condition based upon observation of patient and interview of patient and/or family, physician's diagnosis and data, diagnostic results, and relevant data from other healthcare providers. Uses professional knowledge to develop/revise nursing plans of care for the perioperative patient according to unit guidelines and serves as the patient advocate throughout the surgical procedure. Delivers safe nursing interventions in an organized, efficient, and prioritized manner to address identified needs. Coordinates the activities of the operating room and monitors the traffic flow throughout the procedure. Provides emotional support for the patient prior to induction. Assists the anesthesiologist with induction and throughout the operative phase of the perioperative experience. Addresses unnecessary personnel in room to vacate. Evaluates/re-evaluates patient's response to nursing interventions and patient's progress to expected outcome(s). Collaborates and communicates effectively with team members in performing a safe operation with optimal outcomes for the patient. Maintains an accurate account of urine and blood loss during the operative procedure. Maintains complete and accurate documentation of all aspects of patient care and assures that sponge, sharps and instrumentation counts are accurate and completed. Accepts delegated responsibilities for functions such as, but not limited to, charge nurse for unit activities on assigned shift. Delegates responsibilities to appropriate personnel. Provides patients and family members with relevant health care education and instructions regarding treatments and procedures including pre/post hospital care as appropriate. Assist in the orientation and training of new and tenured personnel, reassigned nurses, student nurses, Patient Care Assistants, and faculty; serves as a preceptor when requested. Demonstrates knowledge of disaster/ emergency procedures and responds appropriately. Assumes responsibility and accountability for individual knowledge, skills, performance and behavior in accordance with hospital, division, and unit standards of care and policies and procedures. Utilizes measures to promote and maintain patient, visitor and personnel safety. Maintains patient, employee, physician, and organization confidentiality; respects the rights, privacy, and property of others. Demonstrates the appropriate use of infection control principles and personal protection equipment. Assists other team members in set-up, clean up, and turn over of operating rooms. Collaborates with other members of the perioperative team in assembling instruments and equipment for surgical cases and ensures it is working properly. Collaborates with team members to create and maintain an aseptic surgical environment. Accurately and properly mark all supply items used for each procedure. Perform interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate post operative period. Actively participates in Time Outs. Performs Fire Risk Assessment for each case. Documents case delays. Demonstrates proper technique when transporting, moving or positioning the patient on the operating table, while ensuring patient safety. Anticipates the needs of the surgeon, passes instruments, handles all sharps appropriately and provides sterile items in an efficient manner during all surgical procedures. Provides aid in exposure, suctioning the operative site, cutting suture, or other technical functions within the scope of practice. Accurately prepares and labels specimens for laboratory analysis while following hospital policy. Ensures that sponge, sharps and instrumentation counts are accurate and reports to the surgeon. Assists with stapling of skin Applies surgical dressings Demonstrates advocacy for the anesthetized surgical/endoscopy patient. The circulator coordinates the multidisciplinary team within the surgical setting and manages the resources of the surgery room. Prepares the incision site as per physician preference while following AORN standards and Recommended Practices as well as hospital policy. Labels all medications utilized during procedures according to hospital policy. Ensures safe use of equipment during procedures. Ensures the volume of noise level is appropriate to provide a calm environment for the patient during their procedure while ensuring that alarms are audible if needed. Provides information to team leaders for updating and revising surgeon preference cards in a timely manner. Ensures supplies used in each case are accurately recorded prior to closing the chart. Must maintain self control under stressful situations and workload pressures without exhibiting negative behaviors. Supports the mission, values, and vision of the organization. ADDITIONAL RESPONSIBILITIES Floats to assigned role within the perioperative setting as needed. Perform tasks which are supportive in nature to the essential functions of the job, but which may be altered or redesigned depending upon individual circumstances. Participates in staff meetings, educational programs, committees, PI activities, and mandatory in-services. Completes Unit and Hospital-wide education as assigned. Participates in maintaining unit functions. Demonstrates initiative in personal/ professional development. Presents a professional image. Assists with control of costs through the judicious use of human and material resources. Other duties as assigned. Requirements Include EDUCATION AND WORK EXPERIENCE Graduate of an accredited program for nursing education, BSN preferred. Current licensure to practice professional nursing in the State of Ohio. Current American Heart Association (AHA) Healthcare Provider CPR (BLS) certification required. Current ACLS required or obtained within 1 year of hire. CNOR/PALS preferred. Surgery experience strongly preferred for surgery. Minimum of 1 year of medical surgical experience preferred.
