Margaret Mary Health
IP REGISTERED NURSE - Surgery
Margaret Mary Health, Batesville, Indiana, United States, 47006
IP REGISTERED NURSE - Surgery
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Job Summary A clinically competent RN who demonstrates expertise in the perioperative field. Effectively delivers care to the surgical patient through the nursing process.
Duties/Responsibilities
Uses only approved abbreviations.
Understands patient safety goals & actions taken.
Uses 2 patient identifiers before giving treatments, demonstrates process.
Understands read back of verbal orders/critical lab values & can state process.
Understands procedure to clarify physician orders.
Uses standing orders when indicated.
Accurately calls report to MD as warranted by condition; reports to other providers as needed.
Reports sentinel events or adverse drug reactions or incidents as warranted.
Uses final verification before invasive procedures & can verbalize correct process & documents in EHR.
Reassesses patient in response to changes in condition after intervention as needed & documents in EHR.
Communicates with & provides education to patients, caregivers, & family members in a timely manner (using respect & dignity when dealing with death & dying) & documents in EHR.
Circulator
Transports or calls for patient at appropriate time.
Review assessment & health status of the patient preoperatively, verifies presence of required documents on record.
Assess & provides intervention for each specific patient population i.e. pediatric, adolescent, adult & geriatric.
Makes accurate & ongoing assessments of patient’s status & responds appropriately.
Plans nursing care priorities for nursing action in a logical sequence according to patient needs following established physician preference sheet & direct communication with surgeon & anesthesia.
Assists anesthesia during induction.
Demonstrates necessary skills & knowledge to provide care for patients in all surgical services.
Compassionately gives personal care to provide comfort & well-being to the patient, acknowledging physiological & psychological needs.
Provides for appropriate handling & labeling of all specimens, cultures & blood draws according to department policy & procedure.
Performs circulating duties according to department policy & role of the circulating nurse.
Confirms availability of surgeon before induction of anesthesia.
Completes preoperative checklist & actively participates in final time out verification on all procedures.
Selects equipment necessary for procedure & assures functionally before start of care.
Gives a thorough, concise report when handing off patient care to a relief nurse or at the time of transfer.
Communicates immediately with charge person any changes in procedure or patient condition & possible delays.
Scrub Nurse
As scrub nurse prepares instrumentation & supplies according to physician preference care & scheduled procedure.
Demonstrates proper use of instruments, equipment, suturing & stapling devices & other disposable items.
Accurately performs all sponge, needle & sharp counts at appropriate times according to policy.
Saves & correctly identifies all specimens according to policy.
Initiates final verification process prior to start of 100% of procedures.
PACU Nurse
In phase one recovery, completes initial assessment of patient’s physiological & psychological status according to policy.
Performs ongoing assessment.
Develops plan of care & prioritizes interventions based on the patient assessment.
Provides for effective pain management & documents response.
Gives thorough concise report of all pertinent information when transferring patients to SDS, MS or SCA.
Medication Administration, Equipment & Procedure
Demonstrates knowledge of nursing medication administration policy.
Verifies correct patient using two patient identifiers prior to medication administration.
Checks patient’s allergies before administration of medication.
RN obtains, prepares & administers IV’s, RN obtains & administers blood products according to policy & procedure.
Observes & documents patient response to pertinent medication.
Handles adverse medication & blood reactions in a competent manner.
Educates patient on safe use of patient controlled medication administration according to nursing policy.
Consistently follows process for securing all medication.
RN follows policy for narcotics in the OR.
Follows policy for RN administering moderate sedation.
Complies with read back policy for telephone orders & reporting of lab results.
Demonstrates understanding of & follows policy for use of PPE, hand hygiene, surgical hand scrub & attire in the OR.
Demonstrates knowledge of care, disposal & decontamination of all instruments & supplies.
Follows appropriate procedure for obtaining, returning & cleaning/disposing of equipment & supplies.
Participates in room turnover following policy for cleaning the surgery room after a case.
Completes flash sterilization following policy.
Performs high level disinfection of all endoscopes.
Ensures that supplies & equipment necessary for safe patient care are stored in an organized & efficient manner & available for patient care.
Demonstrates correct & safe technique in the use of equipment according to specific product information & policy & procedure manual in the OR/PACU.
Demonstrates proper use of the emergency communication system in the OR/SDS dept.Maintains clear, legible variance of hours worked & completes timely.
Reviews & updates policies (on request).
Participates on teams (on request).
Attends 75% of scheduled department meetings & reviews written minutes of those meetings not attended.
Attends continuing education to maintain competency.
Documentation reflects patient status throughout the perioperative process. Included are patient needs, interventions, patient response & outcomes.
Knowledge of OR/PCS modules.
Aware of & avoids use of abbreviations on the “do not use list”.
Accurately documents use of supplies, implants & equipment for appropriate charging.
Required Skills/Abilities
Strong customer service skills
Effectively communicates both verbal & written
Able to multi-task, prioritize, interpret & be assertive when necessary.
Able to perform basic nursing skills
Mechanical ability to deal with a large number of machines & equipment for procedures, i.e. autoclaves, cleaning equipment in central physiologic monitors, patient beds & cart alarm systems.
Able to operate basic office equipment.
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Job Summary A clinically competent RN who demonstrates expertise in the perioperative field. Effectively delivers care to the surgical patient through the nursing process.
Duties/Responsibilities
Uses only approved abbreviations.
Understands patient safety goals & actions taken.
Uses 2 patient identifiers before giving treatments, demonstrates process.
Understands read back of verbal orders/critical lab values & can state process.
Understands procedure to clarify physician orders.
Uses standing orders when indicated.
Accurately calls report to MD as warranted by condition; reports to other providers as needed.
Reports sentinel events or adverse drug reactions or incidents as warranted.
Uses final verification before invasive procedures & can verbalize correct process & documents in EHR.
Reassesses patient in response to changes in condition after intervention as needed & documents in EHR.
Communicates with & provides education to patients, caregivers, & family members in a timely manner (using respect & dignity when dealing with death & dying) & documents in EHR.
Circulator
Transports or calls for patient at appropriate time.
Review assessment & health status of the patient preoperatively, verifies presence of required documents on record.
Assess & provides intervention for each specific patient population i.e. pediatric, adolescent, adult & geriatric.
Makes accurate & ongoing assessments of patient’s status & responds appropriately.
Plans nursing care priorities for nursing action in a logical sequence according to patient needs following established physician preference sheet & direct communication with surgeon & anesthesia.
Assists anesthesia during induction.
Demonstrates necessary skills & knowledge to provide care for patients in all surgical services.
Compassionately gives personal care to provide comfort & well-being to the patient, acknowledging physiological & psychological needs.
Provides for appropriate handling & labeling of all specimens, cultures & blood draws according to department policy & procedure.
Performs circulating duties according to department policy & role of the circulating nurse.
Confirms availability of surgeon before induction of anesthesia.
Completes preoperative checklist & actively participates in final time out verification on all procedures.
Selects equipment necessary for procedure & assures functionally before start of care.
Gives a thorough, concise report when handing off patient care to a relief nurse or at the time of transfer.
Communicates immediately with charge person any changes in procedure or patient condition & possible delays.
Scrub Nurse
As scrub nurse prepares instrumentation & supplies according to physician preference care & scheduled procedure.
Demonstrates proper use of instruments, equipment, suturing & stapling devices & other disposable items.
Accurately performs all sponge, needle & sharp counts at appropriate times according to policy.
Saves & correctly identifies all specimens according to policy.
Initiates final verification process prior to start of 100% of procedures.
PACU Nurse
In phase one recovery, completes initial assessment of patient’s physiological & psychological status according to policy.
Performs ongoing assessment.
Develops plan of care & prioritizes interventions based on the patient assessment.
Provides for effective pain management & documents response.
Gives thorough concise report of all pertinent information when transferring patients to SDS, MS or SCA.
Medication Administration, Equipment & Procedure
Demonstrates knowledge of nursing medication administration policy.
Verifies correct patient using two patient identifiers prior to medication administration.
Checks patient’s allergies before administration of medication.
RN obtains, prepares & administers IV’s, RN obtains & administers blood products according to policy & procedure.
Observes & documents patient response to pertinent medication.
Handles adverse medication & blood reactions in a competent manner.
Educates patient on safe use of patient controlled medication administration according to nursing policy.
Consistently follows process for securing all medication.
RN follows policy for narcotics in the OR.
Follows policy for RN administering moderate sedation.
Complies with read back policy for telephone orders & reporting of lab results.
Demonstrates understanding of & follows policy for use of PPE, hand hygiene, surgical hand scrub & attire in the OR.
Demonstrates knowledge of care, disposal & decontamination of all instruments & supplies.
Follows appropriate procedure for obtaining, returning & cleaning/disposing of equipment & supplies.
Participates in room turnover following policy for cleaning the surgery room after a case.
Completes flash sterilization following policy.
Performs high level disinfection of all endoscopes.
Ensures that supplies & equipment necessary for safe patient care are stored in an organized & efficient manner & available for patient care.
Demonstrates correct & safe technique in the use of equipment according to specific product information & policy & procedure manual in the OR/PACU.
Demonstrates proper use of the emergency communication system in the OR/SDS dept.Maintains clear, legible variance of hours worked & completes timely.
Reviews & updates policies (on request).
Participates on teams (on request).
Attends 75% of scheduled department meetings & reviews written minutes of those meetings not attended.
Attends continuing education to maintain competency.
Documentation reflects patient status throughout the perioperative process. Included are patient needs, interventions, patient response & outcomes.
Knowledge of OR/PCS modules.
Aware of & avoids use of abbreviations on the “do not use list”.
Accurately documents use of supplies, implants & equipment for appropriate charging.
Required Skills/Abilities
Strong customer service skills
Effectively communicates both verbal & written
Able to multi-task, prioritize, interpret & be assertive when necessary.
Able to perform basic nursing skills
Mechanical ability to deal with a large number of machines & equipment for procedures, i.e. autoclaves, cleaning equipment in central physiologic monitors, patient beds & cart alarm systems.
Able to operate basic office equipment.
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