East Ohio LLC
Perioperative RN
East Ohio LLC, Martins Ferry, Ohio, United States, 43935
Job Summary:
The Registered Nurse provides direct care in the Perioperative settings. The Perioperative RN is directly responsible to the Team Lead Operating Room Manager and Director of Surgical Services and indirectly to the House Supervisor. Communicates with physicians/Nurse Manager/ Team Lead/coworkers, as appropriate, about changes in the patients' clinical condition including results of diagnostic studies and symptomatology and act as a patient advocate. The Registered Nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. The Registered Nurse is able to respond quickly and accurately to changes in condition or response to treatment. They will need to perform general nursing duties as appropriate for level of care. Additionally, they will participate in performance improvement, quality and service excellence activities.
Responsibilities:Assess the health status of assigned patients by data collection through interview, observation, inspection, auscultation, palpation, reports, and recordsConsistently completes an accurate initial assessment and reassessments on all patients requiring Perioperative careAdjusts frequency of assessment as appropriate for patient's condition and reassess nursing action for effectiveness in achieving desired outcome. Accurately documents patients' physical assessments and report abnormalities to the practitionerFollows guidelines for perioperative patients according to hospital policy (I.e., history and physical, consent, site mark, PACU discharge criteria, etc.)Monitor hemodynamic status of the patient and correctly interpret the results and communicate to the physician any abnormal resultsAssist physicians with special tests and procedures in the unit using time out for bedside procedures (Universal Protocol policy)Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization.Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in services.Ensure crash cart, defibrillation function have been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on crash cart check list.RN conducts timely and accurate assessments, initiates appropriate interventions, and communicates with surgeon and anesthesia.RN evaluates and anticipates changes in patient condition or surgical course. Is able to manage and/or prevent emergencies or adverse events.Completes all work in organized and timely manner ensuring that all orders written are carried out within the appropriate time frame and documentation is performed in "real time" in the current operating room module.RN adheres to the current Patient safety standards, OSHA bloodborne pathogens standards and CDC guidelines, such as proper hand washing and using two patient identifiers (MAR'S, SBAR, Hand off communication).RN demonstrates knowledge and environmental awareness by maintaining clean/unobstructed work area. Communication style (verbal and nonverbal) is professional, courteous, polite, and respectful to all customers.Makes clear and logical decisions while using resources appropriately (including self).Demonstrates flexibility to assignment, schedules, and staffing.Prepares surgical suite for the operation. Demonstrates appropriate counting of instruments, sponges, and sharps per departmental protocol/policy. Exhibits knowledge of appropriate protocol for an incorrect count.Ensures that all proper documents are on the chart and completed within the designated time frame prior to leaving the Holding Room. (Anesthesia consent, surgical consent, H&P, etc.). Ensures the patient is marked by the appropriate staff per policy if undergoing a procedure with a predetermined laterality.Monitors sterile field until released by anesthesia, reports and corrects any break in sterile technique.Monitors all instrumentation and equipment during use, (i.e. electrocautery instruments, electric & pneumatic drills, light sources, insufflation devices, etc.) for placement, settings and functioning, paying attention to any and all audible alarms.Verifies medication name, route, dosage, and expiration date with surgical tech before medication is placed on surgical field. Ensures medication on the field has been labeled appropriately by the surgical tech.Demonstrates appropriate handling/labeling of surgical specimens.Consistently and appropriately performs "time out" according to facility policy.Independently recognizes and performs duties which need to be done without being directly assigned. Establishes priorities: organizes work and time to meet them.Willing to scrub procedures as needed.Recognizes and understands that as a member of an interdependent group, collaboration and compromise is required in order to maintain the effectiveness of the group as a whole to effectively resolve problems.Timely notification to Director of Surgical Services of potential problems or concerns. When faced with a problem or concern, is proactive by presenting suggested solutions at the time that the Director of Surgical Services is made aware of the problem.Is knowledgeable and adheres to JACH/CMS standards specific to the position.Attends schedules in-service and mandatory in-services. Communicates ideas to Director for a safer layout of equipment, tools, and/or processes.Adheres to procedures for the disposal of waste - household waste and biohazard waste as well as the proper disposal of sharps.Administer medications using Rights of Medication Administration. Initiates, titrates and safely monitors all IV medications and blood components. Consistently uses two patient identifiers when drawing labs, medicating, or performing any procedure on a patient and administering blood componentsAdheres to procedures for the disposal of waste-household waste and biohazard waste as well as the proper disposal of sharpsFollow medication reconciliation policyAdequately assess and reassess pain, after giving pain medication and upon discharge. Accurately documents information on the patient recordDocument concise, timely and complete nursing care in EMR, using only appropriate abbreviations.Reviews and implements new orders and keeps physician informed of changes in patients' clinical status. Consistently follows policy regarding telephone/verbal orders and the using of "read back". Accurately records and/or processes orders in a timely mannerInitiates and updates patients plan of careInitiate discharge and patient/family education planning with proper documentation in the EMRGives thorough, detailed and efficient change of shift report using the SBAR format to ensure consistency in the plan of careDemonstrates empathy and respect for patients by explaining all procedures and care while providing privacy and allowing patients to express emotional needs. Understands, respects, and displays sensitivity to culture, age and persons with disabilitiesEnsures crash cart and defibrillation function have been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on crash cart checklistKnowledge of National Patient Safety Goals. Comply with federal, state, and local laws that govern business practices. Comply with all Department of Health Services requirements for CMS and The Joint Commission standards that apply to the positionIs in compliance with information contained in the Infection Control policies (OSHA Bloodborne pathogen standards, CDC Guidelines), and demonstrates appropriate use of personal protective equipment (I.e. gloves, gowns, masks, goggles) and hand washing techniquesUses proper body mechanics at all times. Seeks assistance when necessary to move heavy objects or to transport/transfer a heavy patientComplies with all hospital safety and injury prevention policies and regulations (hospital safety policies and procedures)Recognize signs of child and elder abuse and report appropriately to Social Services and/or Child/Adult Protective ServicesConsistently ensure that all clinical alarms are set with the appropriate parameters for the patient and are audible at all timesIndependently recognizes and performs duties which need to be done without being directly assigned. Establishes priorities; organizes work and time to meet themRecognize and respond to priorities, accept new ideas, have insight into problems, and the ability to develop workable alternativesUses time effectively and constructively. Does not abuse supplies, equipment and servicesAccepts constructive criticism in a positive mannerAdheres to attendance and punctuality requirements per hospital policy. Provides proper notification for absences and tardiness. Takes corrective action to prevent recurring absences or tardinessObserves dress code policy and wears hospital identification as required by our policies and proceduresObserves all hospital and departmental policies governing conduct while at work (e.g., telephone and computer use, electronic messaging, smoking regulations, parking, breaks and other related policies)Conducts business in an ethical and trustworthy manner at all times when dealing with patients, visitors, physicians and fellow employeesParticipates actively and positively affects the outcomes of customer service activitiesDemonstrates a positive professional image; performs responsibilities in a professional manner and works within the goals regarding hiring policies and proceduresUnderstands and abides by all departmental policies and procedures as well as the Codes of Ethics, HIPAA requirements and patient rightsComplies with federal, state, local laws that govern business practices. Complies with all Ohio Department of Health Services requirements and standards that apply to the positionIs knowledgeable of all emergency codes and emergency preparedness procedures and understands his/her role in response to each of the emergency codes (Code Blue, Code Pink, Code Green, Code Stroke, Code Orange, Code Yellow, Code Gray, Code Silver, Code Violet, etc.)Displays honesty and respect for others, and respect for the organization as evidenced by:Treating internal and external customers as the most important part of the jobBeing sensitive to customers' emotions, thoughts and feelingsRefraining from negative comments of any kind where the public or other customers can hearTaking appropriate actions to resolve concernsInteracts with coworkers, other hospital staff, physicians, and the public in a courteous, professional and efficient mannerIs a team player and communicates effectively at all timesFacilitates and enhances communication as evidenced by:Effective and timely processing of customers' requests according to hospital and departmental policiesUtilizing verbal communication methods, which enable others to clearly understand what is being saidUtilizing verbal and nonverbal behaviors without being defensive, manipulative, aggressive or controllingUsing written communication that is legible, timely and at a level based on the position specific requirementsListening attentively to ensure effective two-way communicationExpressing and accepting feedback in a professional mannerAnswering the telephone with stating department, name and greetingUses effective collaborative strategies as evidenced to include:Developing peer relationships that enable the work group to accomplish the daily workload within the allotted time frame and achieve departmental goalsRecognizing and understanding that as a member of an interdependent group, collaboration and compromise is required in order to maintain the effectiveness of the group as a whole to effectively resolve problemsTimely notification to Department Manager of potential problems or concerns. When faced with a problem or concern, is proactive by presenting suggested solutions at the time that the Department Manager is made aware of the problem or concernDisplaying teamwork ability to promote cooperation and collaboration; gaining support for programs and goalsContinually strives for self-improvement in areas of responsibility by attending continuing education classesSeeks out educational opportunities to promote management growth and current knowledge in areas relating to Patient Satisfaction surveysAttends scheduled in-services and mandatory in-servicesUnderstands the Continuous Quality Improvement process and apply it in performing everyday tasks/duties and actively participate as necessaryUnderstands performance improvement concepts and demonstrates understanding by defining performance improvement, and verbalizing at least one major goal of the performance improvement program within the hospital setting; ability to describe a quality improvement problem solving process using the Plan, Do, Check, Act (PDCA) model and how its use assists in reaching improving patient outcomes and/or organizational quality improvement goalsPerforms other duties as assigned, or required
Requirements
Education and Experience:Current and valid RN license in the State of OhioBLS and ACLS upon hire and maintain currentPALS within 6 months of hire and maintain currentPrevious Acute Care hospital experience preferredMinimum of 2 years of experience in an acute care operating room preferred.
Required Skills/Abilities:Must possess strong computer skills to include EMR and Microsoft OutlookMust be able to handle stress of working efficiently with frequent interruptions and distractionsMust be highly motivated and willing to work additional jobs and duties as neededMust be able to prioritize tasksStrong computer skills to include Microsoft Word, Excel, PowerPoint, EMR and database products.Hours must be flexible to accommodate for needs during call shifts, Accreditation surveys or other unscheduled events.Use of telephones, fax/copy machinesHours must be flexible to meet the needs of the departmentMust be willing to take call on nights, weekends and holidays.Must be willing to float to other departments to meet patient care needs
Physical Requirements:Frequent Sitting, standing and walkingOccasionally reaching, bending, pulling, pushing, twisting and squattingOccasional hand and wrist deviationOccasionally lift/carry up to 50 poundsOccasionally be exposed to hazardous chemicals or infections and Ionizing radiationOccasionally required to wear Personal Protective Equipment
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work assignments that may be inherent in the job. This document is not an exhaustive list of all responsibilities, skills, duties, requirements or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
The Registered Nurse provides direct care in the Perioperative settings. The Perioperative RN is directly responsible to the Team Lead Operating Room Manager and Director of Surgical Services and indirectly to the House Supervisor. Communicates with physicians/Nurse Manager/ Team Lead/coworkers, as appropriate, about changes in the patients' clinical condition including results of diagnostic studies and symptomatology and act as a patient advocate. The Registered Nurse is responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. The Registered Nurse is able to respond quickly and accurately to changes in condition or response to treatment. They will need to perform general nursing duties as appropriate for level of care. Additionally, they will participate in performance improvement, quality and service excellence activities.
Responsibilities:Assess the health status of assigned patients by data collection through interview, observation, inspection, auscultation, palpation, reports, and recordsConsistently completes an accurate initial assessment and reassessments on all patients requiring Perioperative careAdjusts frequency of assessment as appropriate for patient's condition and reassess nursing action for effectiveness in achieving desired outcome. Accurately documents patients' physical assessments and report abnormalities to the practitionerFollows guidelines for perioperative patients according to hospital policy (I.e., history and physical, consent, site mark, PACU discharge criteria, etc.)Monitor hemodynamic status of the patient and correctly interpret the results and communicate to the physician any abnormal resultsAssist physicians with special tests and procedures in the unit using time out for bedside procedures (Universal Protocol policy)Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization.Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in services.Ensure crash cart, defibrillation function have been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on crash cart check list.RN conducts timely and accurate assessments, initiates appropriate interventions, and communicates with surgeon and anesthesia.RN evaluates and anticipates changes in patient condition or surgical course. Is able to manage and/or prevent emergencies or adverse events.Completes all work in organized and timely manner ensuring that all orders written are carried out within the appropriate time frame and documentation is performed in "real time" in the current operating room module.RN adheres to the current Patient safety standards, OSHA bloodborne pathogens standards and CDC guidelines, such as proper hand washing and using two patient identifiers (MAR'S, SBAR, Hand off communication).RN demonstrates knowledge and environmental awareness by maintaining clean/unobstructed work area. Communication style (verbal and nonverbal) is professional, courteous, polite, and respectful to all customers.Makes clear and logical decisions while using resources appropriately (including self).Demonstrates flexibility to assignment, schedules, and staffing.Prepares surgical suite for the operation. Demonstrates appropriate counting of instruments, sponges, and sharps per departmental protocol/policy. Exhibits knowledge of appropriate protocol for an incorrect count.Ensures that all proper documents are on the chart and completed within the designated time frame prior to leaving the Holding Room. (Anesthesia consent, surgical consent, H&P, etc.). Ensures the patient is marked by the appropriate staff per policy if undergoing a procedure with a predetermined laterality.Monitors sterile field until released by anesthesia, reports and corrects any break in sterile technique.Monitors all instrumentation and equipment during use, (i.e. electrocautery instruments, electric & pneumatic drills, light sources, insufflation devices, etc.) for placement, settings and functioning, paying attention to any and all audible alarms.Verifies medication name, route, dosage, and expiration date with surgical tech before medication is placed on surgical field. Ensures medication on the field has been labeled appropriately by the surgical tech.Demonstrates appropriate handling/labeling of surgical specimens.Consistently and appropriately performs "time out" according to facility policy.Independently recognizes and performs duties which need to be done without being directly assigned. Establishes priorities: organizes work and time to meet them.Willing to scrub procedures as needed.Recognizes and understands that as a member of an interdependent group, collaboration and compromise is required in order to maintain the effectiveness of the group as a whole to effectively resolve problems.Timely notification to Director of Surgical Services of potential problems or concerns. When faced with a problem or concern, is proactive by presenting suggested solutions at the time that the Director of Surgical Services is made aware of the problem.Is knowledgeable and adheres to JACH/CMS standards specific to the position.Attends schedules in-service and mandatory in-services. Communicates ideas to Director for a safer layout of equipment, tools, and/or processes.Adheres to procedures for the disposal of waste - household waste and biohazard waste as well as the proper disposal of sharps.Administer medications using Rights of Medication Administration. Initiates, titrates and safely monitors all IV medications and blood components. Consistently uses two patient identifiers when drawing labs, medicating, or performing any procedure on a patient and administering blood componentsAdheres to procedures for the disposal of waste-household waste and biohazard waste as well as the proper disposal of sharpsFollow medication reconciliation policyAdequately assess and reassess pain, after giving pain medication and upon discharge. Accurately documents information on the patient recordDocument concise, timely and complete nursing care in EMR, using only appropriate abbreviations.Reviews and implements new orders and keeps physician informed of changes in patients' clinical status. Consistently follows policy regarding telephone/verbal orders and the using of "read back". Accurately records and/or processes orders in a timely mannerInitiates and updates patients plan of careInitiate discharge and patient/family education planning with proper documentation in the EMRGives thorough, detailed and efficient change of shift report using the SBAR format to ensure consistency in the plan of careDemonstrates empathy and respect for patients by explaining all procedures and care while providing privacy and allowing patients to express emotional needs. Understands, respects, and displays sensitivity to culture, age and persons with disabilitiesEnsures crash cart and defibrillation function have been checked per protocol and after each code, appropriate items are immediately replaced and indicated by signature on crash cart checklistKnowledge of National Patient Safety Goals. Comply with federal, state, and local laws that govern business practices. Comply with all Department of Health Services requirements for CMS and The Joint Commission standards that apply to the positionIs in compliance with information contained in the Infection Control policies (OSHA Bloodborne pathogen standards, CDC Guidelines), and demonstrates appropriate use of personal protective equipment (I.e. gloves, gowns, masks, goggles) and hand washing techniquesUses proper body mechanics at all times. Seeks assistance when necessary to move heavy objects or to transport/transfer a heavy patientComplies with all hospital safety and injury prevention policies and regulations (hospital safety policies and procedures)Recognize signs of child and elder abuse and report appropriately to Social Services and/or Child/Adult Protective ServicesConsistently ensure that all clinical alarms are set with the appropriate parameters for the patient and are audible at all timesIndependently recognizes and performs duties which need to be done without being directly assigned. Establishes priorities; organizes work and time to meet themRecognize and respond to priorities, accept new ideas, have insight into problems, and the ability to develop workable alternativesUses time effectively and constructively. Does not abuse supplies, equipment and servicesAccepts constructive criticism in a positive mannerAdheres to attendance and punctuality requirements per hospital policy. Provides proper notification for absences and tardiness. Takes corrective action to prevent recurring absences or tardinessObserves dress code policy and wears hospital identification as required by our policies and proceduresObserves all hospital and departmental policies governing conduct while at work (e.g., telephone and computer use, electronic messaging, smoking regulations, parking, breaks and other related policies)Conducts business in an ethical and trustworthy manner at all times when dealing with patients, visitors, physicians and fellow employeesParticipates actively and positively affects the outcomes of customer service activitiesDemonstrates a positive professional image; performs responsibilities in a professional manner and works within the goals regarding hiring policies and proceduresUnderstands and abides by all departmental policies and procedures as well as the Codes of Ethics, HIPAA requirements and patient rightsComplies with federal, state, local laws that govern business practices. Complies with all Ohio Department of Health Services requirements and standards that apply to the positionIs knowledgeable of all emergency codes and emergency preparedness procedures and understands his/her role in response to each of the emergency codes (Code Blue, Code Pink, Code Green, Code Stroke, Code Orange, Code Yellow, Code Gray, Code Silver, Code Violet, etc.)Displays honesty and respect for others, and respect for the organization as evidenced by:Treating internal and external customers as the most important part of the jobBeing sensitive to customers' emotions, thoughts and feelingsRefraining from negative comments of any kind where the public or other customers can hearTaking appropriate actions to resolve concernsInteracts with coworkers, other hospital staff, physicians, and the public in a courteous, professional and efficient mannerIs a team player and communicates effectively at all timesFacilitates and enhances communication as evidenced by:Effective and timely processing of customers' requests according to hospital and departmental policiesUtilizing verbal communication methods, which enable others to clearly understand what is being saidUtilizing verbal and nonverbal behaviors without being defensive, manipulative, aggressive or controllingUsing written communication that is legible, timely and at a level based on the position specific requirementsListening attentively to ensure effective two-way communicationExpressing and accepting feedback in a professional mannerAnswering the telephone with stating department, name and greetingUses effective collaborative strategies as evidenced to include:Developing peer relationships that enable the work group to accomplish the daily workload within the allotted time frame and achieve departmental goalsRecognizing and understanding that as a member of an interdependent group, collaboration and compromise is required in order to maintain the effectiveness of the group as a whole to effectively resolve problemsTimely notification to Department Manager of potential problems or concerns. When faced with a problem or concern, is proactive by presenting suggested solutions at the time that the Department Manager is made aware of the problem or concernDisplaying teamwork ability to promote cooperation and collaboration; gaining support for programs and goalsContinually strives for self-improvement in areas of responsibility by attending continuing education classesSeeks out educational opportunities to promote management growth and current knowledge in areas relating to Patient Satisfaction surveysAttends scheduled in-services and mandatory in-servicesUnderstands the Continuous Quality Improvement process and apply it in performing everyday tasks/duties and actively participate as necessaryUnderstands performance improvement concepts and demonstrates understanding by defining performance improvement, and verbalizing at least one major goal of the performance improvement program within the hospital setting; ability to describe a quality improvement problem solving process using the Plan, Do, Check, Act (PDCA) model and how its use assists in reaching improving patient outcomes and/or organizational quality improvement goalsPerforms other duties as assigned, or required
Requirements
Education and Experience:Current and valid RN license in the State of OhioBLS and ACLS upon hire and maintain currentPALS within 6 months of hire and maintain currentPrevious Acute Care hospital experience preferredMinimum of 2 years of experience in an acute care operating room preferred.
Required Skills/Abilities:Must possess strong computer skills to include EMR and Microsoft OutlookMust be able to handle stress of working efficiently with frequent interruptions and distractionsMust be highly motivated and willing to work additional jobs and duties as neededMust be able to prioritize tasksStrong computer skills to include Microsoft Word, Excel, PowerPoint, EMR and database products.Hours must be flexible to accommodate for needs during call shifts, Accreditation surveys or other unscheduled events.Use of telephones, fax/copy machinesHours must be flexible to meet the needs of the departmentMust be willing to take call on nights, weekends and holidays.Must be willing to float to other departments to meet patient care needs
Physical Requirements:Frequent Sitting, standing and walkingOccasionally reaching, bending, pulling, pushing, twisting and squattingOccasional hand and wrist deviationOccasionally lift/carry up to 50 poundsOccasionally be exposed to hazardous chemicals or infections and Ionizing radiationOccasionally required to wear Personal Protective Equipment
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work assignments that may be inherent in the job. This document is not an exhaustive list of all responsibilities, skills, duties, requirements or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.