RN - OR Circulator - Surgical Services, PRN

Description

Job Title: RN - OR Circulator-Surgical Services, PRN

Reports To: Charge Nurse/Director

Job Summary:

Provides direct and indirect care services that meet the psychosocial, physical and general aspects of care; meets the communication needs of the patient and family; provides care that reflects initiative and responsibility indicative of professional expectations, under supervision of a registered nurse. Maintains regulatory requirements, nursing and hospital policies, procedures, and standards. Communicates with physicians and team members about changes in patient’s clinical condition, including results of diagnostic studies and symptomatology.

Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties in all departments with adequate supervision. Provides direct and indirect patient care. Communicates with physicians/Nurse Manager/co-workers, as appropriate about changes in patient’s clinical condition including results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment.

Additionally, is able to perform general nursing duties in all departments with adequate supervision.

Demonstrates Competency in the Following Areas:

• Same Day Surgery / Endoscopy
• Admits and discharges patients including assessment
• Administers medications
• Documents completely to reflect care given
• Provides emotional support to patient and family
• Provides comfort/therapeutic items such as warm blankets, ice packs, pillows for elevation, etc.
• Educates patient and family regarding discharge instructions and any changes in post-procedure condition
• Communicates with anesthesia and surgeon changes and needs of patient prior to discharge
• Circulating Nurse, Operating Room
• Responsible for the activities of the OR
• Responsible for the supervision of the scrub
• Acts as the primary patient advocate
• Positions, preps, pads, and provides all items needed for the patient’s surgical experience
• Anticipates the needs of the patient, surgeon, scrub, and anesthesia and acts accordingly
• Documents completely to reflect care given
• Responsible for labeling and safe disposition of all surgical specimens
• PACU RN
• Documents completely to reflect care given
• Administers medications per order to provide as much pain relief as possible
• Documents vitals every 5 minutes
• Performs on-going assessment of the patient and communicates changes in status to anesthesia and surgeon
• Maintains thermoregulatory status for normothermia, and documents all measures
• Conscious Sedation Endoscopy RN
• Documents completely to reflect care given
• Responsible for labeling and safe disposition of all endoscopy specimens
• Administers medications to provide patient safety while sedating the patient
• Acts as the primary patient advocate
• Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes: pediatric, geriatric and the general patient population.
• Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.
• Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness.
• Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the resident care unit’s policies and procedures.
• Ability to interpret results of waived tests; take appropriate action on waived tests results.
• Performs patient care responsibilities considering needs specific to the standard of care for patient’s age.
• Knowledge of medications and their correct administration based on age of the patient and their clinical condition.
• Follows the seven (7) medication rights and reduces the potential for medication errors.
• Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family is included in teaching as appropriate.
• Demonstrates an ability to assist physicians with procedures and performs services requiring technical and manual skills.
• Demonstrates ability to perform treatments and provide services…