Registered Nurse-Operating Room
Company: Alice Peck Day Memorial Hospital
Location: Lebanon
Posted on: May 16, 2022
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Job Description:
POSITION STANDARDSEDUCATION:Graduate from an accredited school
of nursingCurrent New Hampshire licenceCurrent BCLS certification
required upon hire.Current ACLS certififcation required within 90
days of hire.EXPERIENCE:For the RN practicing in the OR prior
experience in Peri-Operative Nursing is required and said nurse
understands and practices the standards set forth by
AORN.PROFESSIONAL AFFILIATIONS:Active participant in inservices,
educational programs, and educational conferences. Exhibits
membership in organizations relevant to professional growth.AGE OF
PATIENTS TREATED:The Registered Professional Nurse cares for
pediatric through geriatric patients in the Operating Room,
Medical/Surgical, Post Anesthesia C are Unit, and Same Day Surgery
units, Birthing C enter patients are neonates and women of
childbearing age, Extended C are Facility cares for adults and
geriatric patients.POSITION PHYSICAL REQUIREMENTSAnything listed
here requires a pre-employment physical by Employee Health to
determine if the employee is capable of meeting the
requirements.Physical Activity:Sitting - 34% to 66%Standing - 67%
to 100%Walking - 67% to 100%Bending - 67% to 100%Squatting - 67% to
100%Crouching - 67% to 100%Kneeling - 34% to 66%Reaching - 67% to
100%Upper Extremity:Use of Upper Extremity - 67% to
100%Push/Pull/Lift/Carry:Initial push up to a maximum of 55 lbs -
34% to 66%Initial pull up to a maximum of 42 lbs - 34% to
66%Sustained push up to a maximum of 25 lbs - 34% to 66%Sustained
pull up to a maximum of 18 lbs - 34% to 66%Lift up to a maximum of
35 lbs - 1% to 33%Carry up to a maximum of 35 lbs - 1% to 33%PART
TWO: FUNCTIONAL RESPONSIBILITY Position ObjectiveThe Registered
Nurse is accountable to meet the complete nursing needs of a
defined group of patients utilizing the nursing process and the
medical plan of care in accordance with the New Hampshire Nurse
Practice Act and the Patient Bill of Rights. The role for the RN in
the Operating Room requires constant flexibility to meet the
unexpected and to act in an efficient, rational manner at all
times. The Peri-Operative nurse plans and directs nursing care for
patients undergoing operative and other invasive
procedures.Performance ExpectationCirculator: Is a member of the
unsterile team, who directs the activities of the OR suite during
the operative procedure. Monitors and coordinates all activities
with in the room and to manage the care required for each patient.
The RN should be continually knowledgeable about the status of the
patient. Prepares and assist in the set up of operating room for
the scheduled procedure. Verify accurate and complete preparation
of supplies, instruments, equipment and special order
implants/instruments, pre-operatively.Opens and dispenses sterile
items safely and accurately.Monitors and Maintains room
sterility.Monitors and communicates info to other members of the
team and family.Utilizes and updates Surgeon specific preference
cards. Provides input and information to keep pick cards complete
and accurate.Pre-Operative interview of surgical patient: The
circulating nurse serves as the patient advocate while the patient
is least able to care for him or herself. Identifies patients
utilizing 2 identifiers - name and DOB, confirms with patient and
compares to arm band and surgical consent form.Performs physical
and psychosocial assessment.Assess' special needs related to
patient history, surgical procedure, positioning needs and length
of planned surgical procedure.Verify any allergies or
sensitivitiesAssist with Induction of Anesthesia: Greets patient
upon admission to assigned operating room.Provides emotional
support to patient prior to induction of anesthesia.Remains at
patient side during induction.Maintains quiet
environment.Reposition patient after induction as necessary to
provide patient safety and positioning for procedure.Assist with
needs of the Sterile Team: Assist with gowning of the sterile
team.Creates and maintains a safe environment.Anticipates the needs
of the sterile team.Assist surgeon and anesthesia provider to
monitor blood loss.Implements and Enforces operating room policies
and procedures: Utilizes Comprehensive Surgical
ChecklistCounting:Counts sponges, sharps, instruments with scrub
person. Reports and documents counts as correct or incorrect to
surgeon. If incorrect, adheres to hospital policy and procedures to
support the safety of the patient in surgery.Documentation:
Documents on the Comprehensive Surgical Checklist, Intra-operative
Record, Implant logs, and Pathology requisitions.Completes specific
and accurate information related to the patient specific surgical
procedure.Prepare and label specimens for transfer to lab according
to hospital policy.Accurate charge capture for items utilized in
the Operating Room for patient specific charges. Documents on
service specific charge sheets as well as patient specific
requisitions for additional surgical items required during
procedure.Communication: Communicates to Charge Nurse/Clinical
Leader of any potential patient safety or staff safety issues in a
timely fashion.Utilizes data to identify patient care needs and
communicates to OR team and or PACU nurse based on
patient/procedure specifications.Communicates information to other
members of the team and to the patient family as needed, while
maintaining HIPAA.Demonstrates an ability to organize and
prioritize job functions.Demonstrates critical thinking skills,
using logic and reasoning to identify the strengths and weaknesses
of alternative solutions, conclusions or approaches to
problems.
Keywords: Alice Peck Day Memorial Hospital, New England , Registered Nurse-Operating Room, Healthcare , Lebanon, Northeast
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