Job Description

OVERVIEW:

Provides nursing care to the patient.   Performs nursing   activities   in   the   operating   room   where   the circulating nurse is the patient’s advocate.   Answers patient needs   by   assisting   the   physician   and person responsible   for anesthesia care.

ESSENTIAL   DUTIES   AND   RESPONSIBILITIES:

· Supports   the   philosophy,   goals   and   objectives   of   the   Organization.

o Supports,   and   performs   according   to,   approved   policies   and   procedures.

o Participates   as   a   team   member   in   support   of   the   total   perioperative   process.

o Considers   patient   rights   in   performance   of   job   duties   and   responsibilities.

· Contributes   to   the   progress   and   development   of   the   approved   Quality   Improvement  Program.

o Supports risk management and participates in programs directed to patient and staff  safety.

o Contributes to the quality management process; identifies role and contributes upon request; participates in data collection activities in support of the Quality   Improvement  Program.

o Objectively evaluates suggestions, grievances and processes   to   identify   opportunities   to improve performance and quality of care.

· Communicates effectively with   patients,   visitors, supervisors/management, physicians,   and  co-workers.

o Interactions   are   respectful   and   courteous.

o Communicates   effectively   and   professionally   using   a   translator   when   necessary.

o Documents that information received from the patient are disseminated to the appropriate people or departments.

· Maintains and promotes professional competence through continuing education and other learning experiences.

o Participates   in   committees,   conferences   and   quality   management   activities.

o Objectively evaluates suggestions or   criticisms and   attempts to   improve   performance   or seeks further guidance, as needed.

o Attends   and   actively   participates in meetings, committee and   inservices according to job responsibilities   and Facility requirements.

o Assists with orientation and   training of new personnel   and acts   as   a   resource   person   for patient care problems.

· Adheres   to   safety   policies   and   procedures   in   performing   job   duties   and   responsibilities.

o Reports   observed   or   suspected   violations,   hazards   and   noncompliance   according   to Facility policy.

o Observes   safety   measures   in   performance   of   job   duties and   responsibilities; enforces compliance   with safety and security policies and procedures.

o Responds   to   emergency   situations   with   competence   and   composure.

· Organizes   time,   equipment,   supplies,   and   staff   to   provide   effective   case   management.

o Supervises   and   directs   patient care   in   a   single   operating   room.

o Organizes nursing activities efficiently and effectively delegating activities appropriate to the abilities of available staff members.

o Considers   cost-containment   by   using   supplies economically and   in effective turnover  time.

o Assists   with   supplies,   drugs   and   equipment   inventories   to   maintain   stock   level   and  availability.

· Addresses   patient   needs   during   admission   to   the   operating   room   with   attention   to requirements   specific to the outpatient setting.

o Transports   patients   to   the   operating   room   according   to   Facility   policy,   safety requirements and patient needs.

o Identifies the patient and correct surgical intervention according to Facility policy and communicates with all surgical team members.

o Reviews the patient’s   medical   record and needs   to   plan   care   with   other   health   care   team  members.

o Provides   comfort   and   reassurance   to   the   patient;   maintains   patient’s   privacy   and  dignity.

o Explains   intraoperative   phase   routine   procedures   and   care   to   the   patient.

· Performs the circulating nurse’s functions adhering to   approved operating   room   procedures for the scheduled procedure.

o Prepares   operating   room   according   to   the   procedure   to   be   performed   and   patient   needs.

o Assembles and provides properly functioning equipment, supplies and instruments before start of procedure; positions and adjusts equipment as required during the  procedure.

o Anticipates needs of the surgical team;   assists   anesthesia   staff by   supporting   the   patient during administration and emergence of anesthesia.

o Assists with the proper and   safe positioning of the patient and prepares the operative site as directed by consented procedure.

o Monitors compliance with principles of aseptic technique according to accepted  standards.

o Assists with identification and confirmation of operative site, performs accurate   surgical time out.

o Provides   for   comfort   in   the   physical   environment   by   monitoring   designated   parameters.

o Provides continuity of patient care by communicating with other perioperative care personnel and documenting records appropriately.

· Responds   in a   timely   manner   to meet   the   needs   of   the   patient   and   physician.

o Accurately   comprehends   and   interprets   verbal   orders   and   direction.

o Documents   patient   care   records   and   other   forms   accurately   according   to   Facility   policy.

o Accurately   advises   others   responsible   for   patient   care   about   the   patient’s   status.

SUPERVISORY   RESPONSIBILITIES:

This   job   has   no   supervisory   responsibilities.

COMPETENCIES -  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Intellectual

· Uses   intuition   and   experience   to   complement  data.

· Designs   work flows   and   procedures.

· Generates   creative   solutions.

· Translates   concepts   and   information   into   images.

· Uses   feedback   to   modify   designs.

· Applies   design   principles.

· Demonstrates   attention   to   detail.

· Identifies   and   resolves   problems   in   a   timely   manner.

· Gathers   and   analyzes   information   skillfully.

· Develops   alternative   solutions.

· Works   well   in   group   problem   solving   situations.

· Uses   reason   even   when   dealing   with   emotional   topics.

· Coordinates   projects.

· Communicates   changes   and   progress.

· Completes   projects   on   time   and   budget.

· Strives   to   continuously   build   knowledge   and   skills.

· Shares   expertise   with   others.

Interpersonal

· Manages   difficult   or   emotional   customer   situations.

· Responds   promptly   to customer   needs.

· Responds   to requests   for   service   and   assistance.

· Meets   commitments.

· Maintains confidentiality.

· Keeps   emotions   under   control.

· Remains   open   to   others'   ideas   and   tries   new   things.

· Speaks   clearly   and   persuasively   in   positive   or   negative   situations.

· Gives   and   welcomes   feedback.

· Contributes   to building a   positive   team   spirit.

· Puts   success   of   team   above   own   interests.

· Able   to   build   morale   and   group   commitments   to   goals   and   objectives.

· Edits   work for   spelling and   grammar.

· Varies   writing   style   to   meet   needs.

· Presents   numerical   data   effectively.

· Able   to   read   and   interpret   written   information.

Leadership

· Delegates   work  assignments.

Self   Management

· Adapts to   changes   in   the   work   environment.

· Able   to   deal   with   frequent   change,   delays,   or   unexpected   events.

· Is   consistently   at   work   and   on  time.

· Ensures   work   responsibilities   are   covered   when   absent.

· Follows   instructions,   responds   to   management   direction.

· Takes   responsibility   for   own   actions.

· Keeps   commitments;   commits   to   long   hours   of   work   when   necessary   to   reach   goals.

· Completes   tasks   on   time   or   notifies   appropriate   person   with   an   alternate   plan.

· Volunteers   readily.

· Seeks   increased   responsibilities..

· Asks   for   and   offers   help   when   needed.

· Displays original   thinking   and   creativity.

· Develops   innovative   approaches   and   ideas.

· Presents   ideas   and   information   in   a   manner   that   gets   others'   attention.

· Displays   willingness   to   make   decisions.

· Exhibits   sound   and   accurate   judgment.

· Makes timely   decisions.

· Sets   and   achieves   challenging   goals.

· Prioritizes   and   plans   work   activities.

· Uses   time   efficiently.

· Sets   goals   and   objectives..

· Develops   realistic   action   plans.

· Approaches   others   in   a tactful   manner.

· Reacts   well   under   pressure.

· Treats   others   with   respect   and   consideration   regardless   of   their   status   or   position.

· Accepts   responsibility   for   own   actions.

· Follows   through   on   commitments.

· Looks   for   ways   to   improve   and   promote quality.

· Applies   feedback   to   improve   performance.

· Completes   work   in   timely   manner.

· Observes   safety   and   security   procedures.

· Reports   potentially unsafe conditions.

· Uses   equipment   and   materials   properly.

Language,   Math and   Reasoning

· Ability to read, analyze and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals.   Ability to write reports and correspondence.   Ability to speak effectively before groups of customers or employees of the organization.

· Ability to add, subtract, multiply, and divide in all units   of measure,   using   whole   numbers, common fractions   and   decimals.   Ability   to   compute   rate,   ratio   and   percent and   to   draw   and interpret bar graphs.

· Ability to apply common   sense   understanding   to   carry   out instructions   furnished in   written, oral or diagram form. Ability   to   deal with problems involving several concrete variables in standardized situations.

EDUCATION,   EXPERIENCE,   and   TRAINING:

Associate’s degree (A.A.) or equivalent from two year college and   technical school; six months to one year related experience and/or training; or equivalent combination of education and  experience.

CERTIFICATES,   LICENSES,   REGISTRATIONS:

· Nursing   License  (NC)

· BLS

· ACLS

· PALS  (preop/postop   RN)

COMPUTER   SKILLS:

Excellent   computer   skills   in   a   Microsoft Windows   environment.

PHYSICAL DEMANDS -  The   physical   demands   described here   are   representative   of those   that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· The   employee   must   regularly   lift and  /or   move   up   to  50  pounds.

· The   employee   must   occasionally   lift   and  /or   move   up   to  100  pounds.

While performing the duties of   this job, the employee is regularly required   to stand; walk; sit; use hands to finger, handle or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; talk or hear; taste or smell.

VISION REQUIREMENTS:

There are no   special   vision   requirements.

WORK ENVIRONMENT -  The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this  job.

· This   position works   in an   environment with   moderate   noise   level. (Examples:   business office with computers and printers, light traffic.)

· While performing the   duties   of this   job,   the   employee   is   occasionally   exposed to   risk   of  radiation.

· While performing the   duties   of this   job,   the   employee   is   frequently   exposed to   Bloodborne  pathogens.

· While performing the   duties   of this   job,   the   employee   is   frequently   exposed to   chemical  hazards.

Note:  Nothing in this job specification restricts management’s right to assign or reassign duties and   responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons.   The above statements are strictly intended to describe the general nature and   level   of the   work   being   performed.   They   are   not intended to   be   construed as   a complete list of all responsibilities,   duties,   and skills   required of employees in   this   position.

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