Registered Nurse - Operating Room- PRN

This position is primarily responsible for effectively coordinating and participating in pre-operative and intra-operative procedures in the role of the circulator and functioning as a Service Leader for a specialty. This position is also responsible for assisting in the maintenance of equipment and supplies. Applies knowledge of age related factors to patients ranging from adults and geriatrics.

• Collects and analyzes data about the patient leading to an accurate identification of problems necessary to make a nursing diagnoses
• Systematically and continuously collects, records, and appropriately communicates data regarding the infant'/family's health status
• Performs initial physiological needs assessment within established time frames
• Accurately and timely completes the admission assessment forms to include biophysical, psychosocial, educational, and environmental factors
• Derives appropriate nursing diagnosis from identified problems based on data collected
• Reassess and documents the patient's infant's total needs per established unit policy
• Routinely reviews assessment data, identifies educational needs, and initiates discharge planning

• Possess the knowledge edge and clinical skills required to deliver quality care
• Performs clinical skills per unit procedures and/or specific check lists
• Willingly assists physicians as needed in an efficient manner
• Interprets lab values and responds appropriately; reporting areas of concern to the physician in a timely manner
• Effectively responds to crisis situations and/or prevents patient deterioration by early intervention
• Demonstrates ability to care for patients as outlined in standards of care
• Demonstrates critical thinking by considering the implications of medical orders with relationship to the current therapy and the individual needs of the patient
• Appropriately manages patients receiving medications commonly used in procedural sedation

• Strives to improve the overall effectiveness of the nursing unit
• Uses work time productively; limits personal phone calls, personal written communication, visitors, etc. to break and meal times
• Routinely maintains a safe and clean patient care work area to promote patient and visitor satisfaction
• Demonstrates flexibility in working hours, shift schedules, and patient assignments in order to meet staffing requirements
• Accepts responsibility for attending staff meetings, reviewing staff meeting minutes, and all other unit communications
• Provides proper cleaning, care, and timely reporting of equipment repairs

• Evaluates and documents the appropriateness and effectiveness of the nursing care administered
• Evaluates and documents patients responses to all interventions and procedures carried out both on a physical, psychological, and developmental basis
• Consults, re-evaluates, and revises multidisciplinary plan of care based on patient's progress and behaviors
• Documents medication/narcotic administration per policy
• Assess and documents the effectiveness of all PRN medications within l hour of administration or per unit policy
• Documents changes from baseline assessment
• Documents verbal orders on the physician order sheet and ensures co-signature per policy
• Accurately and legibly documents using hospital approved abbreviations, appropriate signatures, titles, error corrections and black ink
• Appropriately communicates and documents occurrences in a timely manner
• Assures completeness of nursing documentation on the legal record

• Ensures delivery of efficient nursing care
• Establishes priorities and implements or delegates nursing actions consistent with the patient plan of care
• Safely performs and correctly documents nursing interventions consistent with scientific principle and unit policy
• Provides care for individuals based upon age-specific needs utilizing a developmental perspective
• Communicates accurate information about the nursing care plan to patient/parent/guardian
• Assists in referring patient/family to Social Services or to appropriate community agencies as needed
• Gives accurate report on patients to other health care members including care given and changes in patient condition to ensure continuity of patient care

• Demonstrates and utilizes effective leadership and decision making skills
• Identifies and appropriately communicates problems on the unit and actively participates in resolution methods
• Appropriately delegates duties and tasks based on…