IP REGISTERED NURSE - Surgery

$5,000 Sign-On Bonus!! 

Location/Department:  Hospital - OR Surgery

64/pp Benefits Eligible

Job Summary:

A clinically competent RN who demonstrates expertise in the perioperative field. Effectively delivers care to the surgical patient through the nursing process.

Supervisory Responsibilities:  None

Duties/Responsibilities:

• Uses only approved abbreviations.


• Understands patient safety goals & actions taken.


• Uses 2 patient identifiers before giving treatments, demonstrates process.


• Understands read back of verbal orders/critical lab values & can state process.


• Understands procedure to clarify physician orders.


• Uses standing orders when indicated.


• Accurately calls report to MD as warranted by condition; reports to other providers as needed.


• Reports sentinel events or adverse drug reactions or incidents as warranted.


• Uses final verification before invasive procedures & can verbalize correct process & documents in EHR.


• Reassesses patient in response to changes in condition after intervention as needed & documents in EHR.


• Communicates with & provides education to patients, caregivers, & family members in a timely manner (using respect & dignity when dealing with death & dying) & documents in EHR.

Circulator

• Transports or calls for patient at appropriate time.


• Review assessment & health status of the patient preoperatively, verifies presence of required documents on record.


• Assess & provides intervention for each specific patient population i.e. pediatric, adolescent, adult & geriatric.


• Makes accurate & ongoing assessments of patient’s status & responds appropriately.


• Plans nursing care setting priorities for nursing action in a logical sequence according to patient needs following established physician preference sheet & direct communication with surgeon & anesthesia.


• Assists anesthesia during induction.


• Demonstrates necessary skills & knowledge to provide care for patients in all surgical services.


• Compassionately gives personal care to provide comfort & well-being to the patient, acknowledging physiological & psychological needs.


• Provides for appropriate handling & labeling of all specimens, cultures & blood draws according to department policy & procedure.


• Performs circulating duties according to department policy & role of the circulating nurse.


• Confirms availability of surgeon before induction of anesthesia.


• Completes preoperative checklist & actively participates in final time out verification on all procedures.


• Selects equipment necessary for procedure & assures functionally before start of care.


• Gives a thorough, concise report when handing off patient care to a relief nurse or at the time of transfer.


• Communicates immediately with charge person any changes in procedure or patient condition & possible delays.

Provides care, treatment & services

Scrub Nurse

• As scrub nurse prepares instrumentation & supplies according to physician preference care & scheduled procedure.


• Demonstrates proper use of instruments, equipment, suturing & stapling devices & other disposable items.


• Accurately performs all sponge, needle & sharp counts at appropriate times according to policy.


• Saves & correctly identifies all specimens according to policy.


• Initiates final verification process prior to start of 100% of procedures.

PACU Nurse

• In phase one recovery, completes initial assessment of patient’s physiological & psychological status according to policy.


• Performs ongoing assessment.


• Develops plan of care & prioritizes interventions based on the patient assessment.


• Provides for effective pain management & documents response.


• Gives thorough concise report of all pertinent information when transferring patients to SDS, MS or SCA.

Provides care, treatment & services

• Demonstrates knowledge of nursing medication administration policy.


• Verifies correct patient using two patient identifiers prior to medication administration.


• Checks patient’s allergies before administration of medication.


• RN obtains, prepares & administers IV’s, RN obtains & administers blood products according to policy & procedure.


• Observes & documents patient response to pertinent medication.


• Handles adverse medication & blood reactions in a competent manner.


• Educates patient on safe use of patient controlled medication administration according to nursing policy.


• Consistently follows process for securing all medication.


• RN follows policy for narcotics in the OR.


• Follows policy for RN administering moderate sedation.


• Complies with read back policy for telephone orders & reporting of lab results.


• Demonstrates understanding of & follows policy for use of PPE, hand hygiene, surgical hand scrub & attire in the OR.


• Demonstrates knowledge of care, disposal & decontamination of all instruments & supplies.


• Follows appropriate procedure for obtaining, returning & cleaning/disposing of equipment & supplies.


• Participates in room turnover following policy for cleaning the surgery room after a case.


• Completes flash sterilization following policy.


• Performs high level disinfection of all endoscopes.


• Ensures that supplies & equipment necessary for safe patient care are stored in an organized & efficient manner & available for patient care.


• Demonstrates correct & safe technique in the use of equipment according to specific product information & policy & procedure manual in the OR/PACU.


• Demonstrates proper use of the emergency communication system in the OR/SDS dept.


• Maintains clear, legible variance of hours worked & completes timely.


• Reviews & updates policies (on request).


• Participates on teams (on request).


• Attends 75% of scheduled department meetings & reviews written minutes of those meetings not attended.


• Attends continuing education to maintain competency.


• Documentation reflects patient status throughout the perioperative process. Included are patient needs, interventions, patient response & outcomes.


• Knowledge of OR/PCS modules.


• Aware of & avoids use of abbreviations on the “do not use list”.


• Accurately documents use of supplies, implants & equipment for appropriate charging.

Required Skills/Abilities:

• Strong customer service skills


• Effectively communicates both verbal & written


• Able to multi-task, prioritize, interpret & be assertive when necessary.


• Able to perform basic nursing skills


• Mechanical ability to deal with a large number of machines & equipment for procedures, i.e. autoclaves, cleaning equipment in central physiologic monitors, patient beds & cart alarm systems.


• Able to operate basic office equipment.

Education and Experience:

• Minimum Associates degree in nursing, Bachelor’s degree preferred.


• Must be licensed as a Registered Nurse in the state of Indiana; 


• Minimum of 1 year relevant work experience required.

Physical Requirements:

• Constant manual dexterity, use of hands & talking; frequent walking, pushing, pulling, reaching & standing; occasional sitting, climbing & stooping.


• Frequently lifts up to 25 lbs.