In collaboration with the interdisciplinary care team, conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan of care, implements treatment and evaluates treatment effectiveness.
Administers medications in a safe manner consistent with the State of Practice and Bon Secours Mercy Health policies and procedures.
Serves as point of contact for patients' care coordination throughout hospital departments.
Acts as a patient safety advocate by participating in ongoing quality improvement in the department.
Delegates tasks and functions according to applicable laws, regulations, and standards, taking into consideration the competency of the assignee.
Responsible for managing the nursing care of the patient within the OR and coordinating the needs of the surgical team with other care providers necessary for completion of surgery.
Observes the surgery and surgical team from a broad perspective and assists the team to create and maintain a safe and comfortable environment for the patient.
Provides preop, intraop, and post-op care, including assessment and discharge instructions.
Assess the patient's condition before, during, and after the operation to ensure an optimal outcome for the patient.
Anticipates the scrub nurse's needs and opens sterile packs, operates equipment, and keeps accurate records.
Responsible for reprocessing if on Endoscopy team.
BSMH nurses are expected to practice and deliver care in accordance with the core concepts and intention of the BSMH Nursing Professional Practice Model.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Current RN License in the state in which they are working or covered by compact (required) BLS Basic Life Support (preferred upon hire, must obtain from approved source prior to direct patient care) ACLS Advanced Cardiac Life Support (preferred) PALS Pediatric Advanced Life Support - American Heart Association (preferred) CNOR Certified Perioperative Nurse (preferred) SGNA Society of Gastroenterology Nurses and Associates (preferred) Education Bachelor of Science Nursing (preferred) Work Experience 2 years of Critical Care experience (preferred) Completion of OR internship program (preferred) Training Successful completion of Periop 101 (preferred)

OR Surgical Assistant:

Job Summary:

The Surgical Assistant serves in the assistant role in the provision of care to patients undergoing a surgical procedure under the supervision of the provider in accordance with federal, state, and local regulations and within the policies, procedures, and guidelines of the organization. The Surgical Assistant is an entry-level practitioner and focused on learning and growing in this role.

Essential Functions:

Performs surgical hand scrub, gowning, and gloving according to policy. Routinely functions as first or second assist on assigned cases. Functions in the Surgical Tech capacity fulfilling the scrub role as assigned, demonstrating knowledge and implementation of sterile technique. Checks all instruments to ensure they are in proper working order prior to use. Assists with sponge, sharps, and instrument counts per policy and procedures. Handles specimens in accordance with hospital policy and procedure. Protects patient information based on hospital policy and government regulations to assure information is kept confidential. Participates in unit and hospital efforts to reduce adverse patient care events. Actively participates in the Universal Protocol procedures that assure correct site surgery. Communicates effectively with the circulating nurse upon observance of any missing or malfunctioning instruments and/or indication of any compromise to sterility. Reports any implants device, catheters, drains and packing circulator.

Assists with OR case preparation:

Utilizes surgeon's preference list to procure equipment and arrange proper placement in the OR; Utilizes aseptic technique when establishing the sterile field, opening supplies and instruments; Assists with monitoring and maintaining the sterile field. Assists with patient positioning, skin clipping and prepping, foley catheterization and draping. Under the direct observation of the surgeon, may: Insert secondary trocars; Place instruments through trocars; Utilize power equipment and stapling devices (other than skin stapling); Inject infiltration local anesthetic medications excluding Exparel.

During surgical procedures:

Use sponges and suction; Cauterization processes; Appropriately place and manipulate retractors (with or without padding); Irrigate the wound site(s); Cut suture material, handle hemostats, and tie suture; Provides assistance securing drains to tissue.

Closes the surgical wound:

May assist suture closing of fascia layer under the direct observation of the surgeon; Sutures the subcutaneous tissues and skin including with the use of a skin stapler if needed. Applies appropriate wound dressings, including medicated dressings. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Education:

High school diploma or equivalent (required) Completion of a Surgical Assistant Program (required)

Required Licensing & Certifications:

BLS Basic Life Support - American Heart Association (preferred upon hire, must obtain from approved source prior to direct patient care) Certified Surgical Assistant (CSA) - National Board of Surgical Technology and Surgical Assisting (NBSTSA) or National Surgical Assistant Association (NSAA), or National Commission for the Certification of Surgical Assistants (NCCSA) (required) (if hired in Virginia prior to July 1, 2020, preferred; if hired in Cincinnati, preferred). If employed in Virginia, must be registered with the Virginia Board of Medicine. (required)

Experience:

One year health care experience (preferred)

Skills & Abilities:

Hard/Tech/Clinical Skills :

Monitor patient conditions during treatment Completes specific, routine task Requires basic reading, writing, or simple arithmetic skill May operate basic equipment/machinery. Ability to

Follow Instructions Soft/Interpersonal Skills:

Attention to detail Critical thinking Teamwork Conflict resolution Active listening Relationship building Demonstrates a caring attitude and intentional caring behaviors in interpersonal interactions and patient/family care. Communicates clearly all pertinent patient information to other members of the health care team. Possess Surgical Conscience Anticipate Needs Flexible Assists with performing circulator skills and tasks Takes direction Able to work under pressure Professionalism Move with a sense of urgency

Training:

None As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . 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RN First Assistant - Outpatient Surgery - Fairfield Hospital