PRN OR RN

Location: Salem

POSITION SUMMARY:

Perioperative nursing practice is flexible and diverse and includes a variety of nursing roles that incorporate both behavioral and technical components of professional nursing. The scope of perioperative nursing begins in the preoperative phase. During this phase, the nurse provides care from the time a decision is made for a surgical procedure until the patient is transferred to the OR bed.

At this time nursing practice continues into the intraoperative phase and when the patient is admitted to the PACU. Perioperative nursing ends with the post-operative phase.

PRIMARY RESPONSIBILITIES & AUTHORITIES:

The Registered Nurse in the operating room is responsible for providing nursing care to the surgical patient. Perioperative nursing begins in the preoperative phase. Responsible to assure admission assessments are completed. Provides care for the surgical patient in the Operating Room and the Recovery Room. Continually assessing patients and the care they receive and reports or corrects any negative or unsafe conditions that may effect the health or well-being of the patients or personnel.

OTHER

DUTIES AND RESPONSIBILITIES:

PREOPERATIVE PHASEPreoperative assessment

Surgical unit Completes preoperative assessment

Coordinates patient teaching with other nursing staff

Explains phases in perioperative period and expectations

Develops a plan of care Surgical Suite Assesses patients level of consciousness

Reviews chart

Identifies patient

Verifies surgical site with patient and physician and the site is marked with YES.Verifies an informed consent has been obtained .Planning Determines a plan of care Individualizes patient care, assists in explaining procedure & teaching appropriate to age and educational level.

Psychological support

Tells patient what is happening

Determines psychological status

Gives prior warning of noxious stimuli

Communicates patients emotional status to other appropriate members of the health care team Respects patient rights/ privacyINTRAOPERATIVE PHASEMaintenance of safety

Performs TIME OUT. Assures that the sponge, needle, and instrument counts are correct.

Positions the patient.functional alignmentexposure of surgical sitemaintenance of position throughout procedure

Applies grounding device to patient.

Provides physical support.

Knowledgeable of sterile technique and applies techniques to each procedure.

Prepares items for sterilization, sterilizes items and monitors sterilization.

Knowledgeable of instrument type, function, and name.

Takes care of and handles surgical instrumentation according to policy.

Prepares surgical packs and trays.

Selects appropriate specialty equipment for special procedures and assists in their use.

Assures the physical preparation of the Operating Room Verifies exposure to sterilization process and integrity of sterile packaging. And opens appropriate supplies.

Follows the appropriate dress code as directed by hospital policy.

Selects and prepares supplies and instruments for the sterile field.

Assists anesthesia personnel as needed.

Anticipates the need for additional supplies during the operative procedure.

Operates all equipment as needed following all recommended practices and procedures.

Communicates and documents all information regarding the surgical procedure.

Monitors and controls the surgical environment as indicated in policy and procedure.

Prepares all specimens for laboratory analysis.

II Physiological monitoring and care.

Calculates effects on patient of excessive fluid loss.

Distinguishes normal from abnormal cardiopulmonary data.

Reports changes in patients pulse, respirations, temperature, and blood pressure.

Aides in selecting catheters, drains and other appliances and assists in their use.

Aides in selecting sponges, dressings, sutures and stapling devices.

Applies thermoregulatory devices to the patient.

Demonstrates the preparation and use of appropriate hemostatic and blood replacement agents and devices.

Performs urinary catheterization and monitoring of urinary output.

Identifies developing emergency situation, initiates appropriate action, assists in the treatment of the patient.

Documents the intraoperative care of the patient.

III Psychological monitoring

Provides emotional support to patient.

Stands near/touches patient during procedures/induction.

Continues to assess patients emotional status.

Communicates patients emotional status to other appropriate members of the health care team.

Functions in the role of the scrub person.

Follows principles of correct hand scrub.

Gowns and gloves self and others.

Passes correct instrumentation, supplies and suture as needed by the surgeon.

Prepares medication and irrigating solutions as needed by the surgeon.

Maintains the highest standards of sterile technique during the operative procedure.

Follows established policy and procedure for all counts.

Initiates corrective action when counts are incorrect.

Anticipates emergency or unusual circumstances and initiates corrective action.

Follows appropriate postoperative routines.

Demonstrates…