Registered Nurse OR

Job Summary: The Registered Nurse utilizes all aspects of the Nursing Process in the perioperative setting. Police/procedures as well as the Nurse Practice Act and AORN standards govern their practices, while keeping patient satisfaction in mind. The nurse can perform as a circulating nurse or scrub nurse. Other duties may be assigned as needed. Job Responsibilities: Utilizes the Nursing process in providing age specific care within the perioperative setting. Documents on the perioperative record in accordance with policy. Practices intra-operative standards of care relevant to operating room services in the circulator role and scrub role as trained. Assures that aseptic technique is used and maintained as set by AORN standards. Monitors the room for breaks in technique. Communicates procedure progress/problems to the coordinator, manager, or other appropriate individuals. Maintains patient and staff safety by recognizing potential for injury by chemical irritants, electrical injury, positioning aspects, and other areas that could pose potential injury. Intervenes as necessary to ensure patient safety. Assesses the physiological status of the patient using age specific criteria. Maintains a quiet environment especially during induction and during emergence from anesthesia. Calms the patient by keeping the environment as quiet as possible. Reviews the needs of the surgeon for the specific operation before patient enters the operating room to ensure the case goes smooth and efficiently.Anticipates needs of the team and surgeon. Reports patient status and surgical progress to family and friends throughout the procedure as needed. Stays at the patient's side prior to induction and during emergence from anesthesia to give re-assurance and to ensure safety. Ensures a quiet environment is achieved during induction and during emergence. Identifies nursing activities necessary for expected outcomes including: use of equipment, supplies and positioning aides. Positions the patient with assistance. Ensures that the patient is comfortable and free from the potential of injury. Coordinates all equipment and supplies needed to afford optimal procedure outcomes. Checks equipment prior to the case to ensure proper functioning. Utilizes supplies in a cost-conscious manner. Immediately removes from service any equipment that needs repaired. Notifies the appropriate staff to get equipment repaired. Biomed is notified of needed repairs, as necessary. Demonstrates awarness of individual patient rights. Always functions as a patient advocate. Respects patients religious beliefs. Ensures patient privacy is maintained while positioning. Maintains patient confidentiality. Follows all departmental safety, infection control, count policies, and other policies as written. Coordinates counting of items indicated by policy.(instruments, sponges, sharps, etc.) Documents on the operative record the results of the counts. Reports any discrepancy to appropriate people. Take action if the counts are not correct. Disposes of contaminated materials according to infection control policy. Follows surgical prep policy and ensures solutions are not pooling, and/or prep is dry prior to draping. Documents as such on the intraoperative record. Follow universal protocols and documents accurately. Follows count policy and takes x-ray if count is incorrect. Uses and understands principles of aseptic and sterile practice in a variety of situations. Maintains and monitors sterile field for breaks in technique. Practices aseptic technique as set forth by AORN standards. Directs non-licensed clinical staff performance and practice. Initiates action to correct any deficiencies. Discusses any corrective action with the individual in private and in a respectful, professional manner. Participates in delivery of care and in evaluating care delivered by non-professional staff. Is always prepared for emergency situations. Resolve case specific issues in a manner that provides continuance of safe patient care. Attends and participates in fire safety initiatives, in-services, and drills. Know where shutoff valves are located. Knows where fire extinguishers are located and knows how to use them. Know where to find the malignant hyperthermia cart and how to assist the anesthesia department if the need arises. Know where the emergency carts and defibrillators are located and how to use them. Know how to check privileges online if questions arise. Checks with manager or director on call for privilege questions when scheduling a stat or emergency case for off shifts, holidays, and weekends. Uses budgeted resources judiciously, keeping in mind to reduce waste and contain cost. Obtaines authorization for overtime. Fills out the appropriate form when working overtime. Opens supplies as needed for case, holds items identifed as holds until needed. Actively participates and advocates the reprocessing initative. Stock room and fills out appropriate paperwork. Correctly completes patient charges. Confirms correct implants with the surgeon prior to opening. Prepares the operating room to make sure the room temperature is appropriate.Knows the process for adding cases during hours when scheduling is not present. Education: Graduate of accredited School of Nursing required, BSN preferred Experience: 2 years of perioperative experience preferred Certification: CNOR preferred; BLS and ACLS by AHA or ARC within 90 days of hire Licensure: RN PA/Temporary RN Practice Permit required Clearances: As required by State and Federal Law Equal Opportunity Statement Tenor Health Foundation is an equal opportunity employer committed to maintaining a respectful, inclusive, and mission-driven workplace. Employment decisions are based on qualifications, merit, business needs, and applicable law.