Operating Room Registered Nurse w​/Call

Job Description

Operating Room Registered Nurse - 9:00a - 7:30p w/Call (2600008L)

The Operating Room Nurse provides patient care in a surgical setting in accordance with applicable scope and standards of practice with the policies, values, and mission of the organization. Monitors and manages the patient and operative environment during surgery to maintain a safe environment, optimize outcomes and maximize available resources. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children’s National Policies and Procedures, and in accordance with all applicable laws and regulations.

The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. Children’s National supports the development of RN relationships within the community; specifically those relationships associated with the health and well‑being of the community at large. A RN is an independent practitioner who functions as an identified resource to staff in a patient care area.

The RN will provide comprehensive patient care to a variety of patients, incorporate all members of the health care team in the planning and delivery of patient care, successfully handle complex clinical problems, conduct quick assessment of patients and handle emergency situations appropriately, and demonstrate evidence‑based practice through participation in unit projects and activities.

• Consults and coordinates with healthcare team members to assess, plan, implement, and evaluate intraoperative patient care plans.
• Serves as the communication liaison to patients, families, and members of the operating team.
• Prepares the operating room for the patient and the surgical procedure. Assembles equipment, supplies and implants, and ensures equipment is functional, and supplies and implants are available.
• Delivers perioperative patient and family centered care incorporating the nursing process while providing developmentally appropriate, culturally sensitive, evidence based care.
• Utilizes outcome data at the patient level to make care decisions.
• Participates in the quality improvement activities and uses quality measures to understand individual and unit performance.
• Provides direct guidance and oversight of the orientee in all patient care and clinical activities and ensures that those behaviors adhere to documentation standards, standards of care, and policies and procedures.
• Participates in unit shared governance initiatives to improve patient care, throughput as determined by leadership.
• Navigates and documents in the EMR to support patient care.
• Works within scope of practice and delegates according to Nurse Practice Act.
• Actively participates in Universal Protocol and timeout, including the fire risk assessment with the surgical team prior to the start of the surgical procedure according to hospital policy guidelines.
• Completes post procedure pause at conclusion of surgical case.
• Understands purpose of positioning devices and uses them correctly, following policy, to protect the patient from injury and to promote optimal exposure.
• Follows established policy and procedures for instrument counts; initiates corrective actions when instrument counts are incorrect.
• Verifies medications, concentrations, expiration dates of all medication received on the sterile field in concert with ST, surgeon, and Anesthesia provider.
• Communicates observations or concerns related to unsafe situations that pose a risk to patients, families or the healthcare team.
• Stops in the face of uncertainty and takes time to resolve the situation.
• Continuously validates and verifies information needed for decision making.
• Demonstrates accurate, clear and timely verbal and written communication.
• Actively promotes safety for patients, families, visitors and co‑workers.
• Pay attention to detail, practice STAR
  - Stop, Think, Act, Review.
• Assists the surgical team with emergency situations.
• Arrives to the unit on time.
• Handles difficult situations appropriately.
• Utilizes downtime constructively.
• Complies with departmental policies and procedures.
• Consistently participates in…