Registered Nurse Operating Room circulating and scrub

Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, in accordance with departmental and hospital policies and procedures.

• a
  - Provides ongoing assessment of nursing care needs of a defined group of patients
• b
  - Completes nursing assessment record according to guidelines/policy
• c
  - Documents assessment/reassessment data on medical record according to guidelines and standards
• d
  - Conducts and initial and ongoing assessment to gather data relevant to the patient’s individual needs
• e
  - Recognizes the significance of abnormal laboratory values for patient’s and takes appropriate action
• f
  - Assesses patient’s understanding of disease process.
• g
  - * Assesses/reassesses and documents patient’s level of comfort utilizing the approved pain scale for patients in a specific age category.
• h
  - * Assesses/reassesses patient’s response after each intervention both pharmacological and non pharmacological.

• a - Pre-Op checklist is complete and signed.
• b
  - * Consistently uses 2 patient identifiers.
• c
  - * Assures that patient is marked before entering Operating Room.
• d
  - Perioperative Nursing Assessment is complete, accurate, and signed.
• e
  - Perioperative guidelines for Labs, EKG, H&P, and Medical Clearance are followed as per policy.

• a
  - Develops written plan of care for patient needs and documents care plan according to established guidelines including:
  Problem/need assessment, Nursing interventions, Other needed services of healthcare team, Outcome criteria met/not met
• b
  - Based on reassessment, plan of care is modified to meet the patient/family/significant other’s identified needs.
• c
  - Develops patient/family/significant other teaching and discharge plan and documents according to policy.
• d
  - Evaluates that the identified problems, care provided and patient’s responses are reassessed in order to meet patient and family needs and documents outcomes according to policy/guidelines.

• a
  - Follows procedure for updating, revising, creating and deleting of Physicians Preference Cards.
• b
  - * Assembles necessary instruments, supplies and equipment prior to the start of care.
• c
  - * Checks for availability, proper conditions of equipment, instrumentation and implants.
• d
  - Identifies priorities and executes nursing care accordingly.
• e
  - Provides emotional support and comfort measures to patient and family
• f
  - * Applies and monitors principles of aseptic technique throughout the intraoperative period.
• g
  - Has the ability to scrub/circulate during the intraoperative phase.
• h
  - Preps the surgical site using AORN standards of practice and proper aseptic technique.
• i
  - * Confirms and contains sources of contamination.

• a
  - Demonstrates knowledge of SSH policies and procedures for administering, and recording medications
• b
  - Demonstrates knowledge of commonly used medications: action, dose and side effects and uses resources to review new or unfamiliar medications
• c
  - * Observes the 5 R’s for administering medications:
  
  Right patient
  
  Right drug Right dose Right method
  
  Right time
• d
  - * Performs narcotic count each time a narcotic medication is withdrawn from the Pyxis.
• e
  - * Demonstrates proper procedure for documentation of narcotic administration and wasting, and follows the procedure for resolving narcotic discrepancy.
• f
  - * Demonstrates procedure for the use of the override function in Pyxis
• g
  - * Documents medication administration reflecting full signature and title, time given, reason for omission and site for…