Registered Nurse - DS OR

POSITION SUMMARY:

Responsible for the planning, executing, directing and evaluating direct and indirect nursing care given to the surgical patient. This nursing care ranges from pre-operative intervention onto post-operative evaluation. In addition responsible for providing nursing care for patients during the intra-operative phase of the perioperative experience based on established clinical nursing practice standards. Performs nursing activities in the operating room where the circulating nurse is the patient's advocate. Answers patient needs by assisting the physician and person responsible for anesthesia care.

Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Supports DHR vision and mission. Utilizes knowledge of patient's age and cultural diversity into the provision of patient care. Contributes to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care.

POSITION EDUCATION/ QUALIFICATIONS:

* Graduate of accredited school of nursing required
* Current registered nurse license in good standing in the State of Texas
* Current BLS certification
* ACLS certification within 6 months of hire.
* PALS certification within 6 months of hire and preferred for Women's Hospital employees
* NRP certification within 6 months of hire for Women's Hospital employees
* One (1) - Two (2) years of progress experience as a Operating Room Nurse, preferred
* The successful candidate will be required to pass competencies for this position.
* Thorough knowledge of the OR nursing and standards is preferred.
* Good written and verbal communication skills required.
* Ability to read, write and speak English required.
* Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians.
* Must be able to be sensitive to cultural and bilingual issues.
* Prefer hospital experience.

JOB KNOWLEDGE/EXPERIENCE:

* Occasional Charge Nurse duties as assigned by the Supervisor
* Preparation of incident reports as needed
* Ensures that care is delivered to each patient in accordance with the Nurse Practice Act of the State of Texas, and ANA Standards of Clinical Nursing Practice.
* Supports the philosophy, goals and objectives of DHR and the department.
* Provides effective and efficient patient care management. Demonstrates strong and effective managerial techniques/skills in established lines of authority.
* Maintains professional competence by participating in continuing education and other learning experiences
* Addresses patient needs during admission to the operating room.
* Ensures that approved operating room procedures are followed to meet the requirements of scheduled procedures.
* Adheres to hospital/unit policies, procedures, protocols and guidelines.
* Responds in a timely manner to meet the needs of the patient and physician.
* Demonstrates ability to adapt to varied age-specific patient populations.
* Supports and promotes excellence in customer/guest relations.
* Supports and promotes the organization's Infection Control Program.
* Supports and promotes the organization's Safety Program.
* Supports and promotes the organization's Risk Management Program.
* Demonstrates maturity and accountability for job performance.

POSITION RESPONSIBILITES:

* Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
* Preparation of the surgical suite for the procedures which are performed.
* To include: opening sterile supplies, preparation of equipment and general paperwork which is to be performed for each case.
* Maintains count on sponges, needles and instruments to ensure no loss of items according to present policy
* Immediately reports any unusual occurrences to charge personnel, documents appropriately in the patient record, and completes Hospital Incident Reports form if indicated
* Performs all circulating duties with efficiency and speed.
* Supervises and assists scrub technicians as necessary
* Positions patient, prepares operative area, and adjusts table to proper position according to standards
* Has all supplies and equipment in room as necessary
* Opens all sterile packs and supplies according to aseptic technique
* Assists surgeons, anesthesiologist, and other personnel as needed to ensure good patient care.
* Observes patient for changes in condition
* Reviews Surgeon's preference cards for desired medications and verifies same with surgeon
* Ensures all medications are administered and charted according to established policies and procedures
* Identifies and records patient's response to medication when necessary
* Promptly reports medication errors.
* Provides orderly progression of schedule by sending for following patients at proper times and notifies charge personnel of any changes.
* Transferring patient to the OR table
* Safe care of the patients during their stay in the OR according to AORN standards
* Knowledge of all equipment used in the OR/PACU/Pre-Op
* Perform surgical preps or supervise another staff member in this duty
* Attend departmental meetings

LINES OF REPSONSIBILITES:

(Chain-of-command)

* (CNO)2. (Director of OR)3. (Supervisor) 4.(Charge Nurse) 5.(RN)

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Compassion, Accountability, Respect, Excellence through Knowledge and Safety & Social Conscience.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA):

A.Essential Duties:Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

Light/moderate lifting up to 50 lbs, from the floor to shoulder height.

Yes

Kneeling

Yes

Must be able to assist other employees with lifting more than 50 lbs.

Yes

Walking

Yes

Light/moderate carrying up to 30 lbs.

Yes

Standing/Squatting

Yes

Straight pulling

Yes

Sitting

Yes

Pulling hand over hand

Yes

Pushing

Yes

Repeated bending

Yes

Stooping/Bending

Yes

Reaching above shoulder

Yes

Climbing Stairs

Yes

Simple grasping

Yes

Climbing Ladders

No

Dual simultaneous grasping

Yes

Depth Perceptions needed

Yes

Ability to see

Yes

Identify Colors

Yes

Operating office equipment

Yes

Twisting

Yes

Operating mechanical equipment

Yes

Crawling

No

Ability to read and write

Yes

Ability to Count

Yes

Ability to hear verbal communication without aid

Yes

Operating Personal Vehicle

Yes

Ability to comprehend written/verbal communication

Yes

Other: Ability to deal with stress

Yes

OSHA Category

III

B.Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C.Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

D.Aptitudes:HIGH123456LOW

Intelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal:Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical:Ability to perform arithmetic operations quickly and accurately. 2

Spatial:Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to "visualize" objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception:Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception:Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity:Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity:Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination:Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination:Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

If applicable certification will be completed within time frame of hire/transfer date.

Employee Signature:Date:

Transfer/Hire Date Effective: .

DISCLAIMER

The above statements are intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. DHR leadership reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.