AMBULATORY SURGERY NURSE

1 month ago

Suffolk VA USA, United States Bayview Physicians Group Full time
Scope: Responsible for activities related to the care of the patient within the operating room. Create and maintain a safe and comfortable environment in which surgery can take place. Decrease the potential for complications; implement the principles of medical and surgical asepsis. Must be capable of working in all nursing positions in the operating room such as Admission Nurse, Recovery Nurse, Circulator and Scrub Nurse.

Essential Job Functions:

1. Receives patient charts from physicians' offices and reviews for missing/needed documentation along with reviewing patient medical history/medication lists. Ensures all documentation, lab results and diagnostic testing is current within specified time frames required.

2. Performs pre-operative phone calls to assess patient, re-iterate pre-operative instructions along with instructions specific to the day of surgery. Communicates any abnormal findings or concerns with the physician and/or anesthesia provider to avoid delays or cancellations on the day of surgery.

3. Performs admission assessment and documentation the day of surgery. Demonstrates understanding of medication administration and IV skills. Reviews and completes any physician/anesthesia pre-operative orders.

4. Communicates with physician/anesthesia provider in regards to any patient concerns or change in assessment the day of surgery.

5. Performs duties in a timely manner. Anticipates delays and adjusts patient flow to minimize OR downtime. Communicates any changes in patient flow to OR in order to allow for adjustments as indicated.

6. Review patient chart for all needed documentation and verify the information on the consent form with the patient prior to taking the patient to the OR.

7. Assist with proper patient positioning in the OR to promote patient safety and to avoid patient injury.

8. Assist anesthesia provider during induction of anesthesia. Exhibit an understanding of the sedated/anesthetized patient and interventions essential to patient safety.

9. Maintain sterile environment during the prep and observes/corrects breaks in sterile technique during procedure by alerting the scrubbed personnel and surgeon of the contamination.

10. Able to administer conscious sedation as directed by supervising physician.

11. Demonstrates proper understanding of equipment and supplies used during each case. Knows location of all equipment, supplies and instruments to minimize out of room time if additional supplies and equipment are needed during the procedure.

12. Performs effective hand-off to PACU nurse.

13. Demonstrates knowledge in how to handle emergent/critical situations effectively and calmly.

Scrub Nurse/Sterile Processing:

1. Inspect OR prior to the first case of the day to ensure it is clean and stocked for the scheduled case load.

2. Work with assigned circulating nurse to set up/turn over cases. Verify that all needed supplies are available for the procedure prior to patient arrival to OR. Verify all equipment is in proper working order prior to patient arrival to OR.

3. Communicate any supply or equipment problems to the operating physician prior to taking the patient to the room.

4. Checks all items for sterility and proper working order during set-up prior to case start.

5. Anticipates/provides for physician needs, preps/drapes patient as indicated for specific procedure.

6. Exhibits understanding and practices proper sterile technique during entire case.

7. Demonstrates high level of knowledge/skill to properly assist surgeon during case to include knowledge of procedure and needed supplies and instrumentation.

8. Protects patient and OR team from safety hazards at all time. To include proper handling of sharps/electrosurgical equipment and all items on the surgical field containing blood/body fluids.

9. Performs surgical counts with circulating nurse at indicated times throughout the procedure. Minimizing interruptions and ensuring direct visualization for all participants in count and proper amounts are accounted for.

10. After counts are complete and dressings are applied, assists nurse/anesthesia with transferring patient to transport vehicle.

11. Breaks down and cleans room preparing for next scheduled case.

12. Possesses understanding of instrument decontamination/cleaning procedures. Including proper disassembling of instrumentation based on manufacture's guidelines.

13. Maintains proper knowledge of instrumentation and is able to sort appropriate trays. Inspects instrumentation for proper working order. Able to detect malfunction/damage.

14. Maintains proper labeling of trays/instrument packs reviewing for shelf life and expirations dates taking proper action as indicated.

Recovery Nurse:

1. Inspect recovery room in the morning for presence of supplies needed for the day.

2. Perform narcotic counts each morning.

3. Obtain report from delivering clinician upon receiving patients. Ask questions to ensure adequate knowledge of the patient.

4. Performs assessment of the patient. Understands actions of medications received and anticipate patients' needs during the post-operative recovery period.

5. Documents proper PACU information clearly and completely as required.

6. Assesses patient pain level and complaints. Follows established/written orders and utilizes proper nursing judgment when medicating patients.

7. Assures patient safety at all times.

8. Demonstrates knowledge in how to handle emergent/critical situations effectively and calmly. Notifies anesthesia/physician of any unexpected changes in patient condition.

9. Ensures patient meets all necessary criteria prior to discharge.

10. Provides patient/responsible party with post-operative instructions in a manner that is easily understood. Ensures all questions are answered and verifies understanding of instructions provided.

11. Completes post-operative phone calls and properly documents in PACU records. Addresses/forwards all patient concerns to proper physicians' offices as indicated.

Other Duties:

Perform other duties as assigned.

Able to function in both Surgical and Endoscopy settings.

Must maintain annual compliance education.

Uphold the patients' right to dignity, privacy and confidentiality.

Recognize the patient's rights to be an active participant in their plan of care, and provide perioperative education involving family and significant others when appropriate.

Regular and reliable attendance.

Presents to work on time as scheduled.

Qualifications:

• Possession of a valid Virginia License as a Registered Nurse.

• Two (2) years of verifiable experience as a Registered Nurse in a hospital operating room/recovery room or equivalent experience.

• Capable of working in capacity of Admission, PACU, Scrub, Circulator Nurse, Sterile Processing, and Endoscopy.

• Knowledge of nursing principles and practices in the operating room.

• Ability to get along with the public and make patients feel welcome and comfortable.

Certificates, Licenses, Registration:

• R.N. State of Virginia nursing license

• Current BCLS certification

• ACLS within one year of hire

Job Type: Full-time

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