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RN Medical Ambulatory Care
4 months ago
Registered Nurse - OR Circulator
SUMMARY: The Registered Nurse (OR Circulator) is responsible for delivering excellent patient care first and foremost, assisting in pre and post visits as needed, assisting in surgical procedures, and fostering a spirit of teamwork.
EDUCATION/EXPERIENCE (including but not limited to the following):
* D.N. or B.S.N. from accredited College of Nursing, accompanied by sitting for and passing the NCLEX-RN exam and maintaining licensure in the state(s) of employment. RN is responsible for maintaining the required elements for successful license renewal.
* Prior experience in circulating a General Anesthesia (GA) Operating Room (OR) preferred.
ESSENTIAL DUTIES AND RESPONSIBILITIES (including but not limited to the following):
General:
* Embodies the Sono Bello Mission Statement and Core Values by ensuring our patients' safety and experience are the top priority, working with integrity, continually evolving and learning, and collaborating as a team to create a challenging and rewarding culture.
* Acts with integrity to maintain patient confidentiality and ensure HIPAA compliance at all times while maintaining PHI Disclosure records.
* Responsible for the confidentiality, security, and physical safety of patient and clinical
* Responsible for the timely retrieval of individual records upon
* Responsible for the unique identification of each patient's
* Monitors the collection, processing, maintenance, storage, and appropriate access to and usage of patient and clinical records.
* Maintains and organizes the secured record format according to policies and
* Responsible for the security of the clinical record including a method of tracking who accesses the record in order to block unauthorized access.
* Demonstrates knowledge of the organization's emergency operations plan and the role of the RN in an emergency/disaster situation.
* Knowledge of policies and procedures related to OSHA standards to include but not limited to: infection control, risk management, hazardous communications and environmental safety.
* Demonstrates knowledge of standard precautions, hand hygiene, transmission-based precautions and personal protective equipment.
* Enforces policy adherence consistent with AAAHC guidelines to maintain superb Quality Assurance (QA) and Quality Improvement (QI).
* Practices Quality Improvement measures according to QI
* Planning, designing, measuring, assessing, improving new or revised processes of patient care and
* Facilitating a positive patient outcome, while maintaining a safe environment for personnel, patients and
* Reviews paperwork thoroughly prior to procedure to ensure current history & physical, current medication history and other required elements are present.
* Assists as required with pre-operative and post-operative visits as needed.
* Demonstrates strong, accurate decision-making.
* Maintains a professional relationship with each patient and understands the importance of setting proper limits and expectations for anticipated results.
* Exhibits sound clinical judgment regarding wound assessment including s/s of infection, bleeding, proper healing, etc. is essential. Protects the patient in the event of a medical/health care error and, as appropriate, assists in medical/health care error resolution.
* Demonstrates competency in the knowledge of the delivery of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
* Demonstrates the knowledge of proper identification and reporting of medical/health care errors.
* Recognizes the need to elevate care and/or any medical concerns to RN and/or
* Remains informed of new products, equipment and techniques for operating room safety and
* Educates patients about pre-op and post-op care, including providing information and quotation details for post- care healing bundles.
* Strives to assist clinic in meeting Key Performance Indicators for operational as well as sales targets and actively partners with team to help clinic achieve overall goals.
* Responsible for explaining benefits of and directions for utilizing patient care bundles for more comfortable patient
* Comprehends Sono Bello's electronic tracking tools and databases, including, but not limited to: Sono Bello intranet found at mysonobello.com (QM reporting, Cancellation Reporting), Zenoti and the Manuals Portal (policies, procedures, and associated forms). The RN must be well-informed on updated content and materials therein.
* Establishes and maintains a secure knowledge and understanding of ALL policies, procedures, and associated Policies, procedures, and forms are subject to change and RN must be current on all changes regarding forms located on the Sono Bello Manuals Portal. Such forms include but are not limited to: Informed Consent, Medical History, Physical Exam, and Medical Clearance.
* Educates patients about pre-op and post-op care, including providing information and quotation details for post- care healing bundles.
* Strives to assist clinic in meeting Key Performance Indicators for operational as well as sales targets and actively partners with team to help clinic achieve overall goals.
* Assumes responsibility for the successful completion of initial and annual training.
* Attends and participates in scheduled clinic and corporate meetings including staff education, in-services, and clinic staff meetings.
* Provides back-up support for other clinical staff as
* May perform Non-Invasive Body Contouring treatments on patients with appropriate training, authority, protocol, and procedure followed.
* Completes special projects as
* May rotate to Pre-Op or PACU Recovery areas as
Procedural Responsibilities:
Demonstrates proficiency in the following clinic-related duties, as well as assisting other staff in performance of these duties (including but not limited to the following):
* Pre-Procedure Responsibilities:
* Ensuring that all pre-operative preparations are This may include assisting physician where needed, answering last minute patient questions, and assisting patient in a timely manner.
* Correct preparation of instruments, equipment and operating room needed for surgical
* Patient's pertinent health information including a clear knowledge of patient's medical history, current medications, and other current health related RN to openly communicate treatment plan.
* Ensure correct size of implants are in stock or ordered after Pre-
* Intra-Procedure Responsibilities:
* Operating room
* Comfortable room temperature and
* Fluids and blanket
* Patient identification noted and
* Position of patient noted and
* Skin preparation and solution noted and
* Operative site clearly marked, noted, and
* RN to remain aware of body markings from
* Instrument, sponge and/or sharps
* Special equipment noted and
* Surgical and Laser times noted and
* Surgeon(s) and RN(s) noted and
* Verifies "Time Out" with the surgical team in the OR-the correct patient, correct surgery and site, documentation present, special equipment/implants present, before incision is made.
* Demonstrates a thorough knowledge of opening sterile supplies and setting up
* Understand differences between clean, aseptic, and sterile techniques and practice
* Demonstrates an understanding of the sterilization
* Under the direction of the Physician, physiologically monitors and documents patient responses, including physical symptoms, behavioral changes, and when appropriate, intake and output.
* Assure that all drugs off and on the sterile field are
* Assure that Tumescent labeling is accurate and
* The MD is responsible for the mixing of The RN must remain conscientious of the Lidocaine amounts administered to patient and chart accordingly. The MD will verify the amounts have been documented correctly.
* RN to provide support for physician during procedure as
* Able to demonstrate knowledge of surgical and medical instruments including but not limited to: OR table, lights, all suctioning devices and tubing, irrigation, laser, O2 tanks and Banyan Stat Kit/AED. Has a thorough knowledge of varied instruments and instrument trays used in the operating room.
* Precisely and accurately chart and document all appropriate medical forms including but not limited to: Surgery Note, Progress Note, medications dispensed or prescribed, patient/family responses and any pertinent information and charting related to patient care.
* Post-Procedure Responsibilities:
* Cleaning and sterilizing operating room and instruments after a procedure and disposing of contaminated materials in a timely manner.
* Assisting, if needed with application of proper post-procedure dressings and garments to patients with patient comfort in mind.
* Providing excellent nursing care to patient and attain strict criteria for
* Explaining treatment procedures, medications and physician's instructions to patients and caregiver(s).
* Assisting in discharging patients to caregiver(s).
* Miscellaneous Post-Procedure and Follow-Up Responsibilities:
* Assist in returning all patient phone messages in a timely
* Schedule follow-up appointments with patients, if
* Maintain appropriate medical Report when orders are needed.
* Clean Autoclave and replace water on a weekly basis (see Autoclave Policy).
* Clean bath warmer on a weekly
* Stock new supply orders and disposing of
* Download pre-operative and post-operative pictures in a timely
* Laser Safety (please refer to Laser Safety Policy for a detailed description of duties):
* RN will exhibit knowledge in the field of laser safety and standards of laser safety in the clinical
* Establishes appropriate criteria and authorized procedures for all health care personnel working in laser hazard zones.
* RN should understand where lasers are being used and access to these areas should be controlled.
* Department/Environment --RN to locate and/or demonstrate knowledge of:
* Phone system
* Computer system
* Fire equipment
* Exit
* Oxygen valves and shut
* Medication refrigerator, temperature log and climate control
* Emergency (red) outlets and lights
* Banyan Stat Kit/AED
* Department resources including: Policy and Procedure Manual, OSHA and other related safety manuals, fire/ emergency management manual, PDR/Drug resource manual and all patient education and teaching aids.
COMPENSATION
This is a Non-Exempt position with an hourly range of $42.00-$53.00, depending on experience.
BENEFITS
Benefits Package including Medical, Dental, Vision, Life Insurance, 401K, EAP, PTO, and paid holidays.
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