RN PRN- Surgery

QUALIFICATIONS Education Graduate of an accredited school of nursing Graduate of a formal perioperative nursing course or documented on-the-job training Experience/Skills Preferably possesses at least one year experience in a clinical setting Possesses circulating and/or scrubbing duty experience Performs nursing intervention using the nursing process and incorporating current clinical knowledge with established nursing practice Continuously acquires surgery skills through clinical experience, on-the-job training, inservice, and continuing education Proficiently reads, writes, and understands English Accurately reads fine print, supply labels, patient identification bracelets, the surgical schedule, and policies and procedures Accurately hears and follows verbal instructions Pushes and pulls heavy objects such as gurneys, patient beds and OR beds Lifts patients, heavy boxes weighing up to 40 pounds, and instrument sets weighing up to 20 pounds Required Licenses/Certifications Registered Nurse licensed to practice in the state of Indiana CPR ACLS Working Conditions Works in an air-conditioned environment with a temperature of 65ºF-72ºF and humidity of 45%-55% Works in temperatures up to 85ºF-90ºF when assigned to assist with pediatric cases Wears hospital-provided scrub attire while on duty Works in an environment with the potential for cuts, bruises, muscle strains, and exposure to contagious diseases via blood and body fluids Works in an environment with the potential for exposure to anesthetic waste gases, harsh disinfectants, sterilizing agents, high steam pressure, and radiologic factors ROUTINE RESPONSIBILITIES Behavioral Expectations Consistently complies with established Behavioral Expectations Page Break RN Duties – Assessment/Planning Assesses the physiological health status of the patient on admission to the operating room and performs an ongoing assessment of the patient’s physiological health status during the intraoperative period Assesses psychological, sociocultural, and spiritual status on admission to the operating room Identifies nursing diagnoses appropriate to the intraoperative and postoperative period Plans care based on the patient’s problems/needs in the assessment Plans and coordinates patient care perioperatively to allow for patient comfort by efficient use of down time; using surgeon’s preference cards; and by coordinating activities of other disciplines to implement individual plan of care Initiates discharge planning for local and endoscopy patients which includes patient and family instruction/teaching, resource referral RN Duties – Implementation/Evaluation Implements perioperative nursing care according to an established plan of care and operating room policies and procedures Supervises perioperative nursing associates and assistants assigned to perform the actions necessary to accomplish the identified goals Scrubs and/or circulates simple as well as complex surgical and endoscopy procedures Evaluates the effectiveness of the care provided Communicates and perioperative nursing care Designs, implements, and evaluates systems to improve the quality of perioperative nursing patient care Assumes on-call for department RN Duties – Post Anesthesia Recovery Demonstrates effective airway management; frequently monitors respiratory adequacy and intervenes appropriately Monitors cardiac system of post-op patient Identifies arrhythmias and evidence of shock, intervening appropriately when necessary Utilizes PAR scoring system to determine patient status toward post-anesthesia recovery Demonstrates a knowledge of proper documentation and charging procedures (e.g. vital signs, I&O, patient care record) Varies as needed Varies as needed