Surgery-Registered Nurse FT/Days

Surgery-Registered Nurse FT/Days Location 300 Canal Street, King City, CA, 93930, United States Base Pay $58.84 - $78.89 / Hour Job Category Nursing Industry Nursing Employee Type Full-Time Regular Required Degree 2 Year Degree Manage Others No Minimum Experience 1 Year Description

JOB SUMMARY

The staff nurse of the operating room is a registered professional nurse who is responsible for direct and indirect total nursing care of the surgical patient assigned to him/her during a given period of time

PERFORMANCE DIMENSIONS AND TASKS

Essential Function 1. Coordinates the nursing care of the patient during perioperative a. Responsible for the safety of the patient while in the operating rooms. b. Assists with the supervision of non-professional personnel in the area c. Participates as team leader or member in planning and implementing the nursing care for each assigned patient. d. Utilizes a body of nursing knowledge and discriminative judgment while giving direct or indirect patient care. e. Visits patients pre-operatively to alleviate fear and evaluate possible nursing care problems. f. Directs and assists in carrying out safe aseptic technique and procedures as adopted by the department aided by his/her knowledge of the basic sciences. 2. Performs the duties of the circulating nurse a. Check room for needed supplies and prepares the room for specific patient and procedure b. Brings patient to room and assumes responsibility for his/her safety and well being. c. Responsible for OR records, charges and patient's chart. d. Knows and assists with proper safe positioning of the patient. e. Responsible for the sponge, needle count and instruments. f. Properly identifies labels and cares for specimens as per policy/procedure. g. Obtains and records all medications placed on the sterile table during surgery. h. Secures emergency equipment and supplies as needed i. Controls the general "tone" of the operating room. j. Assists with room cleanup following procedures. k. Monitors for breaks in sterile and aseptic technique. l. Responsible for all phases of "

TIME OUT

" 3. When appropriate, performs the duties of the scrub nurse a. Scrubs, gown and gloves. b. Sets up operating room with all necessary equipment and packs. c. Arranges instruments according to routine for given procedures. d. Works as a member of the surgical team effectively during procedures.

• Knows all basic set ups
• Handles instruments correctly and check that they are in perfect condition.
• Knows needles and suture materials.
• Reviews physician's individual preference cards and helps keep them updated.
• Knows how to change gown and glove during case and how to put on a sleeve.
• Careful handling of specimens e.

Uses instrument washer f. Knows and assists with table and room cleanup following procedure. 4. Assists in control and maintenance of drugs, supplies and equipment used during cases. a. Records used items in proper place and method b. Reports and records any discrepancy in items. c. Supervises care, handling, maintenance, storage and ordering of supplies and equipment. 5. Maintains a sufficient amount of supplies on the surgery unit. a. Checks unit supplies to maintain sufficient supplies on the surgery unit. b. Rotates supplies following department's established procedure. c. Rotates and checks sterility expiration dates and condition of non-disposal instruments and instrument trays. d. Following departmental schedule, checks inventory and replenishes items as needed. 6. Processes supplies by cleaning packaging, sterilizing and storing in accordance with: a. Cleans, sterilizes and assembles equipment, supplies and instruments following established departmental procedure. b. Autoclaves all equipment/supplies using established guidelines. c. Inspects equipment to ensure integrity and safety. Follows through on repairs as needed. d. Keeps accurate records regarding autoclave, sterility date, pressures, and temperatures. 7. Understands safe use of equipment used in Sterile Processing. a. Demonstrates safe use of all equipment used in department; autoclave, cold sterilization, etc. b. Understands all aspects of aseptic technique. c. Demonstrates ability to prepare, assemble and package equipment and supplies using aseptic technique. d. Rotates sterile supplies; removes and treats outdated supplies. e. Stores sterile equipment on assigned shelves as per department policy. 8. Understands Infection Control guideline for sterile processing. a. Follows established policies and procedures of Infection Control Committee when handling infectious waste. b. Surveillance reports generated by Infection Control Committee reflect acceptable sterility levels for all equipment/supplies. c. Follows recommended infection control policies and procedures during working hours; washes hands as required, uses aseptic technique when preparing sterile item 9. Records changes in tray content or inventory supplies. a. Notifies appropriate staff of changes in tray content or inventory supplies. b. Updates tray description files; changes file location sheets and control sheets as needed 10. Assists in administrative duties as directed. a. Helps with maintenance of records and filing of OR procedures and policies b. Assists in establishment and maintenance of procedures, policies and standards. c. Assists in scheduling and assignment of operative schedules and personnel. d. Acts as charge nurse in the absence of TCC 11. Assists in supervision of personnel and department to provide optimum assurance of a safe environment. a. Checks rooms, material, equipment for proper care and handling. b. Assures clean and safe environment through continued alertness to safety and explosive hazardous and aseptic techniques. c. Coordinates with supply department to assist in maintenance of high quality and standards of material and all supplies d. Assists in control of traffic and personnel to ensure proper control of infection and asepsis. 12. Assists in operating room staff development and education. a. Assists in orientation of new personnel. b. Assists others in establishment, direction, maintenance and quality of in-service programs to provide comprehensive educational advancement of all. c. Provides education of others in the specialty under supervision and direction. d. Assists in formulation and interpretation of procedures, standards, techniques and education of personnel. 13. Takes call for emergencies and available for additional duty as needed. 14. .Maintains interpersonal relations/communications. a. Listens to and respects the ideas, opinions and feelings of others. b. Uses communication (interpersonal) strategies with individual patients and staff that result in:

• Achievement of intended outcomes
• Others expressed perception of acceptance/satisfaction c. Gives feedback to other staff in regard to behavior that is detrimental to:
• Achievement of patient care objectives
• Achievement of nursing unit and organizational objectives. Suggests options for achieving change in behavior when needed. 15. Gathers, disseminates and communicates pertinent information. a. Completes clinical assignments in a timely fashion including maintenance of equipment and supplies necessary for provision of patient care through next shift.
• Medication stock
• Medical/Surgical supplies
• Maintains safe, therapeutic, physical environment.

b. Completes non-clinical assignments, tasks, and projects within a pre-established agreed upon time frame. c. Prioritizes own workload relative to patient care. d. Attends and participates in staff meetings. e. Obtains information presented in staff meetings. f. Participates in nursing unit goal setting. g. Attends mandatory in-service programs. h. Participates in committee work as requested. 16. Maintains professional responsibilities to enhance personal growth a. Understands and functions within the scope of the California nurse Practice Act. b. Completes Orientation Checklists as assigned by the end of the probationary period c. Keeps all licenses and certificates current. d. Plans for personal change and growth based on evaluation and feedback. e. Participates in setting measurable goals for performance f. Acquires knowledge or experience to meet goals. 17. Performs other duties as assigned. a. Performs other duties within capabilities as assigned by Manager.

Requirements Education:

Graduate from an Accredited School of Nursing preferred.

Work Experience:

Minimum of one year recent experience as operating room nurse is preferred.

Licensing Requirements:

Current California RN license Current AHA Certification in BLS and

ACLS PALS

within 3 months of hire or transfer to department

Skill Requirements:

Possess a thorough knowledge of general nursing theory and practice as well as a thorough knowledge of operating room techniques. Mental and physical health sufficient to meet the demands of the position Posses a sense of responsibility, initiative, tact, discretion, and diplomacy

Physical Demands:

Must be able to sit up to 2 hours and stand/walk for up to 4 hours or more per day. Must be able to lift and carry up to 50 pounds.

Special Demands:

While on call, OR circulator and scrub technician have a 20 minute response time for all cases. Ability to work effectively with patients, peers, physicians and ancillary departments.

Special Considerations:

Will be dealing with patient's age 0 to 120 years

DISCLAIMER

The preceding job description has been designed to indicate the general nature and level of work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Additional Information Shift Day Shift hours 8 FLSA Status Non-Exempt