POSITION: Surgical Services Circulating and/or Scrub RN
SHIFT: 36 hours per week
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 nurse anesthetist 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.
Essential Duties and Responsibilities:
Include the following.
- Approaches patient in a kind, gentle and friendly manner.
- Responds to patient’s inappropriate behavior in a therapeutic manner. 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: General needs of patient, review of all systems, and assess cardio-respiratory systems for changes in pediatric to geriatric patients and is able to treat appropriately.
- Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.
- 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
- Positions patients safely; pads and protects bony prominences.
- Preps and drapes patients correctly for all procedures.
- Carries out medical and surgical asepsis before, during and after 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
- Demonstrate knowledge and ability to use the facilities EHR.
- Required to take call and provide care with minimal staff during on-call hours.
- Participate in the development and review of policy 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
- Performs patient duties pre-operatively, in PACU and post-operatively
- 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, surgical site identified, 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.
- 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 Clinical Laboratory/Imaging Services reports to the surgeon during the procedure.
- Gives thorough report of patient’s intra-operative condition to PACU nurse
- Demonstrates thorough knowledge of instrument processing, sterilization and biological monitoring. Actively participates in instrument processing, as schedule allows.
- Is able to perform all duties of circulating and/or scrub and/or assist nurses.
- Attends at least 75% of staff meetings annually, reads and returns all monthly staff meeting minutes.
Education and/or Experience:
Minimum of Associate’s degree (A.D.N.) or Diploma Nurse (BSN preferred) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.
- Graduate of an accredited school of nursing.
- Current Registered Nurse licensure in the State of Idaho
- Current BLS certification.
- Current ACLS