Registered Nurse​/First Assist Carolina Forest

Position: Registered Nurse/First Assist (FT) - Carolina Forest
* 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.

* Nursing Handoff in Care/Bedside Report.

* 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 participating in educational offerings and in-service training.

* Advances personal professional growth through participation in educational programs, current literature, conferences, seminars, and workshops.

* Integrates cost effective measures and waste reduction into practice.

* Serves as a communication liaison to family and members of the operating team.

* Delegates tasks to appropriate caregiver as defined in scope of practice.

* Demonstrates ability to act as a clinical role model to other staff members regarding appropriate patient care and use of specialized equipment.

* Functions in a leadership role by creating a positive work flow, problem solving, promoting positive customer satisfaction, and mentoring staff. Demonstrates ability to manage unit as a charge nurse in the absence of the Surgical Services Clinical Coordinator or Patient Care Supervisor.

* Collaborates with the surgeon and the surgical team in performing a safe operation with optimal outcomes for the patient.

* Practices in collaboration with and at the direction of the surgeon during the intraoperative phase of the surgical experience to…