Registered Nurse​/First Assist Carolina Forest

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• Provides appropriate nursing interventions, consistent with the Plan of Care and standards of practice, incorporating the Physician's prescribed medical plans of care.
• Plans individualized nursing care to meet the holistic age specific needs of the Operating Room (OR) patients.
• Assesses needs of Operating Room (OR) patients as assigned based on data collected through history, observation, physical examination, and analysis of diagnostic data.
• Delegates, supervises, and evaluates the activities of other team members while simultaneously executing immediate directives and interventions in urgent or emergent situations.
• Prepares Operating Room for patient and procedure;
  Positions and prepares the patient for the surgical procedure on the Operating Room table.
• Initiates and maintains the surgical count for the procedure;
  Performs Time Out;
  Completes verification of Safe Surgery checklist.
• Demonstrates competency in, but not limited to, the following in the OR (refer to McLeod Health Nursing Competencies A, B, and
  
  C):
• Following all new hire expectations for, but not limited to, the Operating Room.
• Following unit expectations around scheduling.
• Completing Procedural Paperwork Reviews - Consent, H&P, Preprocedural checklist, and Rite Site sheet
• Emergency Management - Fire Safety, Code Red in the OR, Evacuation Process, Environment of Care, Hazardous Materials/Safety Data Sheets, Emergency Codes, Security Alerts, and Survey Readiness.
• Utilizing and performing Code Management – Crash Cart/Code in the OR;
  Malignant Hyperthermia in the OR.
• Administering Blood and Blood products in accordance to policies and procedures.
• Carrying out Physician’s Orders.
• Utilizing the Electronic Medical Record (EMR);
  Completes Intraoperative Documentation.
• Maintaining Patient Privacy with the Patient Record/Patient Information.
• Patient Satisfaction Initiatives – Communication with patient’s family during surgery.
• Providing Patient Education regarding Anesthesia, local sedation, or conscious sedation.
• Utilizes Downtime Toolkit when applicable.
• Performs Waived Testing in accordance to policies and procedures.
• Applying and Documenting Patient Restraints.
• Utilizes standard work in caring for central lines, foley catheters, pressure ulcers, ventilators, restraints, and patients at risk for falls.
• Participates in the quality improvement standards/initiatives in the OR:
• Performing Preventative care for Hospital Acquired Conditions, including but not limited to:
  Surgical Site Infections (SSIs), Falls, CAUTI, and CLABSI.
• Performing Patient Safety Initiatives
• Utilizing Process Improvement for Department Initiatives
• Utilizing Infection Control Precautions and Surgical Site Infection Reduction tactics.
• Utilizes appropriate health and safety equipment to protect both patient and staff.
• Uses standard precautions and appropriate personal protective equipment when working around or handling hazardous substances, including blood or bodily fluids.
• Contributes to the daily efficient performance of the Operating Room, assists as charge nurse when assigned. (Advanced Resuscitative Certification appropriate to their patient population if serving as a Charge Nurse).
• Contributes to the overall performance of the Operating Room through the precepting of novice employees.
• Facilitates the learning experience of student nurses/surgical techs, externs, staff and volunteers.
• Participates in orientation of new staff and externs.
• Contributes to the growth and performance of the Operating Room through hospital-system initiatives cultivating nursing involved Evidenced Based Practices.
• Accepts accountability for education provided pertaining to policies, procedures, practice, and general patient care information, etc.
• Demonstrates continued professional growth through setting goals and…