Registered Nurse, Operating Room; PRN

Townsen Memorial Surgery Center
- Med Center is currently seeking a PRN Registered Nurse
- Operating room.

Responsible for direct patient care effectively and efficiently, which may include patients with varied and complex needs. Assumes leadership roles with progressive responsibility to maintain patient care and safety.

• Develop and update plan of care in partnership with patient and family using the nursing process, incorporating the patient priorities and abilities.
• Follow the nursing processes, modifying care based on continuous evaluation of the patient’s condition.
• Demonstrate clinical problem‑solving and critical thinking.
• Make decisions using evidence‑based analytical approach.
• Plan for routine events and anticipate, prevent, manage, and elevate emergent situations.
• Contribute to meeting quality and safety standards.
• Report near misses as errors promptly and consistently to improve systems and processes and identify trends.
• Communicate in an active, positive, and effective manner to health‑care team members.
• Manage usual patient assignments and other area demands.
• Address patient needs during admission to the operating room.
• Prepare the operating room according to the requirements of the patient/procedure being performed.
• Supervise and direct patient care in a single operating room.
• Review patient medical records/needs to plan care with other health‑care team members.
• Maintain the patient’s privacy and dignity.
• Assist with identification and confirmation of operative site.
• Accurately comprehend and interpret verbal orders/directions.
• Complete patient care responsibilities in a timely manner with accurate documentation.
• Organize multiple priorities and anticipate/plan for potential problems.
• Use downtime efficiently, aware of other team member workloads and offer assistance.
• Respond positively to requests for assistance from other team members.
• Implement initiative to achieve national patient safety goals; work within the policy and procedures set forth by the facility.
• Assess, plan, implement, and evaluate patient care in the operating room.
• Assist in ensuring supplies and equipment are available for use.
• Perform assessments on patients within appropriate time frames.
• Model and reinforce behaviors consistent with goals for teaching the medical patient, communicate patient status to the appropriate member of the healthcare team, and provide support to the family as needed.
• Act as a clinical resource for staff.
• Communicate with the supervisor regarding patient‑care staff conflicts and unusual occurrences.
• Maintain a general overview of surgeons and their needs.
• Demonstrate mentoring ability when interacting with staff members.
• Maintain a safe environment for staff, patients, physicians, and visitors.
• Monitor staff adherence to protocols and procedures.
• Monitor efficient room turnover.
• Verify physician and ancillary personnel credentialing when in question.
• Maintain a working relationship with all staff.
• Maintain continuous communication with schedulers to help solve scheduling problems and/or operating room utilization issues.
• Complete or delegate the unit daily checks/logs per policy and protocol.
• Direct, delegate, and oversee work efforts as appropriate to insure the best possible delivery of service.
• Provide leadership to staff, giving direction and guidance to staff as appropriate.
• Maintain accountability regarding patient care and unit operations.
• Work in cooperation with the Medical Staff to ensure regulations and accreditation standards are maintained.
• Follow all safety rules on the job, report accidents promptly, and correct minor safety hazards.
• Adequately diagnose, plan, and implement nursing interventions and evaluate patient conditions.
• Comply with facility policies and procedures.
• Comply with continuing and mandatory education programs.
• Practice nursing within the scope of the Nurse Practice Act of Texas and accept responsibility and accountability for own actions.
• Possess appropriate communication skills to practice collaborative nursing.
• Respond quickly, physically and mentally when priorities and/or patient’s condition changes.
• Perform other related duties as assigned.

• Nursing care for intra‑operative patients.
• Operation of vital sign monitors.
• Assessment skills.
• A basic understanding of nursing diagnosis.
• Principles of standard precautions.
• IV therapy.
• Basic computer skills.
• Ability to perform required skills and competencies.

• Graduate of an accredited School of Nursing.
• Registered Nurse in the State of Texas; license must remain active and unencumbered while employed.
• Basic Life Support (BLS) certified.
• Advanced Cardiac Life Support (ACLS) certified.
• Pediatric Advanced Life Support (PALS) certified or must be obtained within ninety (90) days of hire.
• One (1) year of previous intra‑operative care experience.