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Perioperative Nurse

2 months ago

Ottumwa, Iowa, United States Ottumwa Regional Health Center Full time
Job Title: Registered Nurse

About the Role:

Ottumwa Regional Health Center is seeking a skilled Registered Nurse to join our Perioperative Services team. As a Registered Nurse in our Operating Room, you will play a vital role in delivering high-quality patient care and ensuring the smooth operation of our surgical services.

Key Responsibilities:

  • Provide safe and effective patient care in the operating room and other areas of perioperative services.
  • Meet surgical standards of nursing practice and maintain skills in setting priorities, organizing workload effectively, and integrating multiple assignments with multilevel personnel.
  • Act as a patient advocate and support the mission, vision, and values of the organization.
  • Participate as a team member in support of the total perioperative process.
  • Organize time, equipment, supplies, and personnel to provide effective and efficient case management.
  • Delegate activities appropriate to the abilities of available staff members for patient care in a single operating room.
  • Consider cost containment by using supplies economically and in effective turnover time.
  • Explain intra-operative phase of routine procedures and care to the patient.
  • Perform the circulating/scrub nurse's role and functions following approved operating room procedures to meet the requirements of scheduled procedures.
  • Assemble and provide properly functioning equipment, supplies, and instruments before start of procedure and position and adjust equipment as required during the procedure.
  • Assist with the proper and safe positioning of the patient and prepare operative site as directed by established procedures.
  • Provide assistance and direct others in safely transferring the patient to and from the operating room.
  • Provide continuity of patient care by communicating with other perioperative care personnel and documenting records accordingly.
  • Respond in a timely manner to meet the needs of the patient and physician.
  • Greet, interview, and assess patient to confirm identity, verify operative site/marking, surgical procedure, NPO status, and any patient allergies with patient prior to going to the surgery suite.
  • Identify baseline skin condition, body mobility, sensory impairments, cardiovascular, and respiratory status.
  • Evaluate and complete patient's medical record for appropriate consents and data pertinent to their care (i.e., history and physical, lab, radiology reports, physician orders, etc.).
  • Support anesthesia personnel and assist during all methods of anesthesia.
  • Prepare the surgical site according to established skin preparation procedures.
  • Verify identity, operative site, surgical procedure, physician, allergies, antibiotics, and any other pertinent information prior to incision.
  • Maintain a safe environment in the operating room for patient and staff.
  • Monitor sterile technique of team members and implement aseptic technique by creating and maintaining a sterile field.
  • Anticipate needs of the surgical team, including anesthesia personnel, scrub nurse, and surgeon to facilitate progression of case.
  • Anticipate emergency and unusual circumstances and initiate corrective actions.
  • Verify and implement intra-operative physician orders (i.e., blood, lab, x-ray, medications, etc.).
  • Demonstrate thorough, concise, and timely documentation. Record devices implanted during the operative or invasive procedure appropriately.
  • Monitor physical status of patient, to administer drugs and solutions as prescribed.
  • Monitor and control the environment and consider all assessment information for the plan of care and demonstrate individual choice based on identified patient needs.
  • Maintain correct count of sponge, needle, and instrumentation with the scrub staff in accordance to hospital policy and procedure.
  • Assess proper time for closing and final counts to the scrub tech and confirms the count, informs physician and takes appropriate actions if incorrect.
  • Manage culture/specimen collection, handling, and disposition according to hospital policy and procedure.
  • Demonstrate flexibility and adaptability to changes in nursing practice and respond in a positive manner to constructive criticism.
  • Exercise safe judgment in decision making and demonstrate tact and understanding when dealing with patients, team members, members of other disciplines, and the public.
  • Perform interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period.
  • Accompany patient to ODS/PACU and give post-operative report to unit staff.
  • Using the physician preference sheet to verify, selects supplies and instruments for each surgery.
  • Opens and/or assists in opening the instruments, packs, and supplies using proper sterile technique.
  • Handles and disposes of contaminated supplies and linen using appropriate technique.
  • Assist with clean-up of the room and assures return of instruments to Sterile Processing.
  • Assist with QI projects/special projects and unit changes.
  • Follows ORHC infection control policies and procedures at all times.
  • Conveying QI, risk, and safety concerns to Director or designee in a timely manner.
  • Completes variance reports or statements of concern appropriately and in a timely manner.
  • Minimizes the length of invasive procedure by planning care: anticipates needs for equipment and supplies and selects in an organized and timely manner.
  • Uses supplies and equipment within safe parameters by ensuring all equipment is functioning before use and removing malfunctioning equipment from use.
  • Uses supplies and equipment in a judicious and cost-effective manner and documents utilization.
  • Completes required education requirements, (Health streams) and identifies own learning needs.
  • Completes required competencies and training within signed timeframe.
  • Attends 100% of mandatory education and 85% of staff meetings.
  • Other duties as assigned.

Requirements:

  • In-depth knowledge and skill related to surgical patients, population, supplies, documentation, equipment, and patient care requirements, etc.
  • Must have a caring, calm, and compassionate attitude.
  • The ability to deal with patient's fear and doubts.
  • Ability to work within the guidelines established by the organizational structure.
  • Working/reference knowledge of policies/procedures/standards.
  • Participate in and contribute to committees, teams, and projects in keeping with the organization's strategic goals.

Education:

  • Graduation from an accredited school of nursing.

Experience:

  • Prefer prior experience in perioperative nursing.
  • CNOR preferred.
  • Position requires the knowledge and skills necessary to provide nursing care appropriate to the patient population assigned, considering client age and diagnosis.
  • Willing to accept responsibility and accountability to prescribe, delegate, and coordinate nursing care provided on his/her unit as required.
  • Verbal ability to present information and ideas related to nursing theory and practice.
  • Ability to function in stressful situations.
  • Willingness to cross train and float between OR, PACU, ODS, and Endo units.

Certification/License:

  • Current Active Iowa Registered Nurse Licensure.
  • ACLS/BLS required, PALS preferred but not required.

EEOC Statement:

Ottumwa Regional Health Center is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law.