RN OR, Outpatient Surgery Center; Mashpee; Per Diem

Position: RN OR, Outpatient Surgery Center (Mashpee) (Per Diem)
* Demonstrates necessary practical, technical, or specialized skills required for the role of the peri-operative nurse in accordance with AORN and other regulatory standards of practice.

* Demonstrates deep knowledge of surgical procedures and has the ability to oversee the instrument and equipment set-up, prepare for the case utilizing preference cards, and anticipates needs of surgeon.

* Coordinates and oversees the room during a case as the circulator.

* Facilitates effective and efficient transition between surgical procedures.

* Utilizes preference cards and updates as necessary.

* Utilizes appropriate body mechanics in moving patients, stretchers, and OR tables to prevent injury to patient and self.

* Demonstrates knowledge of management of patient, including: being available to anesthesia during intubation and extubation, assisting as needed in sudden changes in patient condition and being readily available to assist as directed.

* Performs thorough patient interview and assessment in accordance with procedure and assures an appropriate, detailed time out process is done according to policy.

* Consistently reviews charts for completeness, in accordance with documentation protocols prior to and after the surgical procedure. Assures appropriate consent, H/P, diagnostic reports, and relevant information are on chart prior to the start of procedure.

* Prepares and administers medications in accordance with current practice (i.e. review physician orders, pre-op antibiotics, preparing/labeling medications on/off field, utilizing the medication rights, identifying high alert medications, conducting independent double checks when indicated, and narcotic waste, etc.).

* Relays appropriate hand off communication to PACU staff to ensure continuity of care.

* Participates in the anesthesia time-out process if performed in the pre-op area prior to administration of pre-operative blocks or prior to the induction of anesthesia.

* Takes responsibility for careful and accurate handling and/or logging of narcotics, biohazardous materials, and surgical specimens.

* Assures all members of the surgical team comply with principles of surgical hand asepsis, aseptic, and sterile technique.

* Demonstrates knowledge related to maintenance, cleanliness, and sterilization of instruments and equipment.

* Appropriately handles the disposal of biohazardous materials.

* Responds to emergency situations appropriately. Understands and utilizes emergency protocols

* Functions independently according to job responsibilities and within scope of practice utilizing current standards of care.

* Takes personal initiative to maintain current RN licensure, BCLS, ACLS/PALS (if indicated) and other professional certifications current as defined by job role.

* Attends all mandatory in-services, staff meetings and participates in emergency drills.

* Participates in the orientation of new employees.

* Completes annual competency and other required education as assigned

* Maintains confidentiality and security of records and patient information at all times.

* Effective problem solving skills to include data analysis and judgment to make effective decisions.

Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects MACC's commitment to CARES: compassion, accountability, respect, excellence and service.

* Graduate of an accredited School of Nursing.

* Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts.

* Must read, write and communicate in English.

* Basic Life Support Certification required.

* ACLS Certification within 6 months of position and must maintain certification

* Knowledge of current practice of decontamination, high level disinfectant, and sterilization

* Ability to identify and select instruments and equipment necessary for surgical procedures and appropriately interpret information on preference cards.

* Knowledge of applicable regulatory, compliance, and accreditation standards and requirements.

* Use of lead apron may be required