Operating Room Circulating Nurse Job at Lowcountry Ambulatory Center
Licenses or Certificates: Current nursing licensure in South Carolina. Successful completion of Basic Cardiac Life Support Course. Current ACLS certification.
Total education, vocational training and experience: Graduate of an accredited school of nursing. At least one year of operating room experience. Ambulatory Surgery experience preferred.
Skills and abilities:
1. Ability to correlate clinical data with patient’s medical and nursing care.
2. Ability to set priorities.
3. Ability to provide direction to others that is clear, concise and promotes efficiency on the unit.
4. Ability to communicate well with patients, families, co-workers, etc.
5. Utilizes specialized nursing knowledge, nursing process and discriminative judgment while giving direct or indirect care.
6. Recognizes legal and policy limits of individual practice.
7. Recognizes the importance of teamwork.
8. Respects patient’s right to privacy, dignity and confidentiality.
9. Provides a safe, efficient and supportive patient atmosphere.
10. Assesses physical and emotional needs of patients and implements appropriate nursing interventions.
11. Monitors the activities of non-professional nursing personnel.
12. Is cognizant of health care cost.
13. Maintains accurate records of controlled substances.
14. Attends staff meetings and inservice programs.
15. Participates in staff meetings.
16. Is knowledgeable of and in compliance with administrative, medical and nursing policies and procedures.
17. Reports to supervisor needed repairs or maintenance of equipment or building. In the absence of the supervisor notifies the appropriate repair services and follows up to be certain the problem is resolved.
18. Participates in inventory count.
19. Assists with housekeeping tasks.
20. Receives and documents physician orders.
21. Is knowledgeable about Medical staff privileges.
22. Is knowledgeable about response to emergency situations (i.e., cardiac arrest, malignant hyperthermia, drug reactions, fire, etc.)
23. Performs all duties assigned by supervisor.
24. Participates in the Facility Quality Improvement process and activities including the areas of safety, infection control, patient education, teaching, documentation, adherence to guidelines for cleaning/decontamination of the center, adherence to guidelines for sterilization of instruments and supplies, patient satisfaction, physician satisfaction, compliance with OSHA standards and risk management.
25. Demonstrates competency in performing job task and operating equipment on an annual basis.
26. Possesses clinical skills necessary to provide quality care to all patient age populations from pediatric to geriatric patients.
Specific Duties:
1. Checks updated schedule each morning and prepares room supplies and equipment.
2. Checks and documents defibrillator and laryngoscope functions each morning.
3. Admits patient to OR according to procedure.
4. Administers and charts medications as ordered by physician.
5. Reinforces and clarifies physician instructions and explanation of procedures to patient as applicable.
6. Provides nursing care and appropriate monitoring according to policies and procedures.
7. Communicates relevant information to physician, Nurse Manager, and appropriate staff.
8. Provides for patient safety by use of monitors, side rails, and assistance in ambulating and instruction on the use of call bell in bathroom.
9. Completes Operating Room charting.
10. Give report to receiving nurse in Recovery Room as indicated.
11. Completes inventory sheet.
12. Provides emergency care according to physician and administrative policy.
13. Assists with arrangement of transfer of patient to hospital, as needed, according to procedure as ordered by physicians.
14. Sets priorities to facilitate the flow of patient efficiently.
15. Cleans equipment according to procedure.
16. Assists with pre-operative and post-operative calls as assigned.
17. Reviews charts for completeness and signatures of physicians.
18. Prepares and restocks area for following day.
19. Checks inventory and notifies appropriate staff member to re-order.
20. Notifies appropriate staff member to order non-drug supplies.
21. Assists with turn over and terminal cleaning of operating room according to policies and procedures.
22. Initiates appropriate infection control measures.
Job Knowledge
1. Assesses, plans, evaluates and ensures the implementation of the patient’s care to achieve identified outcomes.
1.1 Assesses patient status on admission and on as ongoing basis.
1.2 Implements appropriate standards of care based on assessment data and
patient’s own goals.
1.3 Coordinates nursing interventions to enhance achievement on an ongoing
basis.
1.4 Ensures provision of patient care daily in an organized and timely manner.
1.4a Adheres to all facility policies and procedures when providing patient care.
1.4b Utilizes nursing care standards when planning and implementing patient care.
1.4c Demonstrates ability to direct and provide for patient care in emergency situations.
1.5 Assesses learning needs according to patient’s level of understanding
and readiness to learn.
1.6 Evaluates patient’s progress toward outcome achievement on an ongoing basis.
1.6a Revises plan of care based on change in patient statue and/or information gathered at the interdisciplinary staffing conference.
1.6b Documents patient’s progress toward achievement of outcomes.
1.7 Directs others in the implementation of the teaching plan.
2 Assumes a leadership role in the provision of quality nursing care for patients
receiving care.
2.1 Analyzes nursing care provided in the facility related to the established standards of care.
2.2 Participates in the monitoring and evaluation of nursing care provided.
2.3 Demonstrates ability to coordinate the nursing care provided in the facility.
2.3a Assigns patient care responsibilities based on patient needs and abilities of available staff.
2.3b Assumes charge nurse responsibility as assigned.
2.3c Demonstrates ability to make decisions concerning facility based problems.
2.3.1.1 Participates on quality council to facilitate improvement of nursing care and achievement of
2.3.1.2 the mission of the facility, as requested.
2.4 Participates in the orientation of nursing staff.
2.5 Participates in developing standardized patient education programs, as requested.
2.6 Participates in team conferences on assigned patients.
3 Demonstrates continued competence in assessing, treating and caring for individuals based upon age-specific needs utilizing a developmental perspective.
3.1 Displays an understanding of each patient’s cognitive, physical, emotional and chronological
3.2 maturity in the assessments, treatment and care undertaken.
3.3 Appropriately modifies approach to the patient based upon patient age utilizing a
3.4 developmental perspective.
3.5 Provides appropriate interventions related to safety issues.
4 Demonstrates appropriate knowledge and competence of specific designated skills identified for position to include but not be limited to.
4.1 Supervises and assists with gowning and gloving other members of the surgical team
4.2 Supervises and assists with the preparation of the Operating Room for surgical procedures
4.3 Supervises and assists with skin preparations and with draping of patients.
4.4 Supervises and assists with care, preparation, maintenance and after-care of sterile and
4.5 unsterile supplies and equipment.
4.6 Knows and practices the principles and techniques of sterile technique.
4.7 Handles specimens in accordance with procedures.
4.8 Removes drapes at end of procedure, cleanses the patients of prep solution and applies
4.9 dressing as needed.
4.10 Cleans instruments and equipment after use and returns it to the proper area for storage or
4.11 processing.
4.12 Differentiates sterilization methods required for specific instruments and equipment.
4.13 Supervises sponge, instrument and needle counts with operative team..
4.14 Demonstrates ability to understand and use autoclaves, sonic cleaner and washer.
4.15 Supervises and assists with stocking, replenishing and preparation of supplies.
4.16 Updates knowledge in surgical techniques and related nursing care.
4.17 Checks updated schedule every morning and prepares room supplies and equipment.
5 Maintains work area and equipment in an orderly manner.
6 Maintains dress and appearance according to standards as observed by management.
7 Strives to be professional, courteous, helpful and cooperative.
8 Performs all other duties as assigned by supervisor.
Compliance
Understands and adheres to (ENTER FACILITY NAME HERE) Standards of Conduct
1. Demonstrates the safe operation of equipment and machinery and follows
procedures for reporting and correcting an unsafe situation.
Service Satisfaction
1. Communicates patient information to assure confidentiality and continuity of
care.
1.1 Documents all patient information according to established standards of care, policies and procedures.
1.2 Discusses patient information with other health team members in an appropriate environment.
1.3 Documents patient’s/significant other’s response to teaching
interventions.
1.4 Provides a report to oncoming personnel which is accurate, concise and pertinent to the patient’s condition.
1.5 Provides pertinent patient information to the physician, family and other members of the multidisciplinary team.
2. Interacts with all patients, families, visitors and co-workers in a mature,
responsible manner to ensure a positive and professional environment.
2.1 Displays a caring and responsive attitude and conducts all activities
respecting patient, family, and employee rights and expectations.
2.2 Maintains confidentiality of all facility and patient information as required
by facility policy.
2.3 Fosters a positive and professional environment by interacting with all persons in a considerate, helpful and courteous manner and by participating as a team member.
2.4 Diffuses/resolves conflict by appropriately communicating with those involved.
2.5 Accepts constructive criticism and gives suggestions in a professional
manner.
2.6 Considers age specific needs in communication.
Skill Review
1. Maintains and evaluates own clinical expertise and surgery center clinical practice.
1.1 Attends 75% of staff meetings and demonstrates review of minutes for all others.
1.2 Attends all unit-based inservices.
2. Demonstrates the importance of continuing education to the performance of facility responsibilities and growth in profession.
2.1 Maintains and displays appropriate knowledge of professional developments through printed material or other sources.
2.2 Attends professional training seminars when appropriate for job and shares information with other staff members.
2.3 Attends and participates in all applicable facility training and development workshops scheduled by the facility.
3. Completes appropriate financial management responsibilities.
3.1 Provides input re: equipment and supply needs
3.2 Completes patient charges in accordance with facility procedure.
3.3 Demonstrates sound cost containment techniques.
Attendance
1. Follows established facility policies and procedures with regard to attendance.
1.1 Maintains attendance according to guidelines and policy established by
facility.
1.2 Adheres to tardiness policy.
1.3 Provides notification for unscheduled absences or tardiness in accordance with established departmental procedures as noted by supervisor.
1.4 Requests scheduled time off according to procedure as noted by supervisor.
Machines/equipment used: Clinical equipment used for patient care, i.e., suction machine, defibrillator, patient positioning devices, IV pumps, accuchek. Office equipment: Computer, Copy machine, Telephone, Facsimile.
Environmental conditions: Indoors in climate controlled environment. Patient care environment with potential exposure to unpleasant t odors, to blood and body fluids which may carry infection, to infectious disease and to chemical and electrical hazards. Occasional exposure to outdoor climate.
Physical requirements: Good visual acuity, accurate color vision. Ability to lift/transfer patients in excess of 100 pounds, which may require pushing, pulling and essentially utilizing a full range of body movement. Ability to stand, walk, stoop, kneel, crouch and/or crawl. Ability to reach, grasp, use fine finger movement and feel fine sensation to discern temperature, texture, size and shape. Ability to speak and hear.
Degree of supervision provided to position: Minimal, must be self directed and able to work independently
Job Type: Full-time
Pay: $1,320.00 - $1,480.00 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Vision insurance
Standard shift:
- Day shift
Education:
- Associate (Preferred)
Experience:
- Nursing: 1 year (Required)
License/Certification:
- BLS Certification (Required)
- RN (Required)
Work Location: One location
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