Job Summary: Provides direct patient care to pediatric through geriatric patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. Communicates with surgeon and anesthesiologist continuously and as needed about patient condition. Assists with the maintenance of surgical equipment and inventory. Participates in performance improvement activities. Assesses operating room for equipment functioning and readiness, obtains supplies for individual cases and ensures all appropriate needs of surgical operating team are met. Monitors, positions and assists patient during procedure.
Approaches patient in a kind, gentle and friendly manner.
Responds to patient’s inappropriate behavior in a therapeutic manner.
Takes appropriate actions and documents in response to manifested anxiety or distress. Requests Social Service/Pastoral Care, as appropriate.
Gives patient explanations and verbal reassurances consistently.
Adapts nursing procedures to meet the needs for treatment of individual pediatric, adolescent, adult and geriatric patients.
Identifies physical symptoms and changes and takes appropriate actions in a timely manner.
Demonstrates ability to assess cardiorespiratory systems for changes in pediatric to geriatric patients and is able to treat appropriately.
Directs and assists in maintenance and handling of special equipment and instruments.
Observes behavioral and physiologic changes due to medications, takes appropriate actions and documents.
Adjusts expectations of patient behavior and acts according to the effect medication has on patient.
Positions patients safely; pads and protects bony prominences.
Preps and drapes patients correctly for all procedures.
Carries out medical and surgical asepsis during all procedures.
Demonstrates competence in preparing and cleaning of OR suites before and between cases and after terminal case, based on patient’s infection class.
Carries out established techniques for safe administration of medications and parenteral fluids, as per Hospital policies and procedures.
Coordinates and supervises patient care; provides patient and family with teaching/education, as necessary.
Demonstrates knowledge of anesthetic drugs, actions and side effects.
Protects patient’s sensitivities and right to privacy.
Demonstrates knowledge of arterial lines, Swan-Ganz, spinal and epidural catheters and how to document appropriately.
Is able to open sterile supplies and set up for procedure.
Demonstrates thorough knowledge of location, care and operation of all surgical equipment.
Accurately records, handles and labels specimens; demonstrates care of specimens.
Ensures Pre-op Checklist is complete (H&P present, informed consent signed, test results present, etc.) before patient is taken into surgical suite.
Is consistently ready and prepared for assigned cases and has patient in the surgical suite 15 minutes before the scheduled time.
Appropriately responds to the patient in an emergency or physically distressful situation.
Assessment and reassessment of the patient is clearly and concisely communicated in charting. Documentation meets current standards, policies and procedures and is completed within shift.
Effectively communicates with the physician in accounting for all sponges, needles and instruments during and after the procedure and documents in the appropriate area.
Communicates lab/imaging services reports to the surgeon during the procedure.
Gives thorough report of patient’s intraoperative condition to PACU nurse.
Establishes and maintains effective communication and good working relationships with co-workers for the patient’s benefit.
Counts narcotics at beginning and end of all shifts with another RN, per hospital policy.
Demonstrates thorough knowledge of instrument processing, sterilization and biological monitoring. Actively participates in instrument processing, as schedule allows.
Makes decisions reflecting knowledge of dysrhythmias, followed by appropriate treatment.
Is able to perform all duties of circulating and scrub nurses.
Utilizes initiative; strives to maintain steady level of productivity; self motivated; manages activity and time; does not waste time.Required Skills
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