This is a call-in/contingent, non-benefits eligible OR position working various shifts
Minimum hourly rate: $26.190
Plans, executes, directs and evaluates the nursing care given to the surgical patient by assuming the perianesthesia role (i.e., pre-operative, Pacu and post-operative period), and may have contact with the patient in each phase of care. Responsibilities include functioning as a team leader to the support staff; the preparation, assembly and organization of the environment; and the recovery of the ambulatory surgical patient. Demonstrates competence defined in Clinical Nurse responsibilities in providing age-appropriate care and service to patients from the age of 46 weeks gestational age to 21 years, and selected adult patients.
As a Pre-Op Nurse:
1. Participates in the preparation of the patient for surgery.
2. Maintains communication with the reception areas and O.R. to assure efficient movement of patients.
3. Provides emotional support for the patient and family.
4. Prepares patient for surgery by verifying patient identity and scheduled procedure.
5. Records vital signs and prepares medications as ordered by physician or anesthesia personnel.
6. Assists in the cleaning of the room after a case.
7. Assists with post-op call to patient and documents patients/families responses on the EMR.
8. Assists with nursing functions in other clinical areas.
9. Performs other duties as directed by the Clinical Leader and/or Program Manager.
As PACU/Phase II Nurse:
10.* Receives patient from O.R./PACU, assesses patient's condition on admission to PACU and Phase II and discharge from PACU and Phase II, and documents on PACU record. 11.* Observes and monitors the post-op patient by taking vital signs, and if needed EKG, and documenting patient's progress while in the PACU.
12.* Administers medications, IV's and treatments; maintains records regarding dispensing; observes and evaluates patient's reaction and acts appropriately in the event of adverse reactions.
13.* Performs/assists physician in sterile and non-sterile dressing changes and other procedures as requested.
14.* Provides a summary of post-op instructions to patient/family prior to discharge from the unit; documents patient/family's understanding of teaching according to standards; assures that patient/parents have surgeon’s office number to facilitate post-op appointment.
15.* In an emergency situation: is able to give immediate respiratory assistance or support, including use of AMBU bag, airways, and endotracheal tubes; administers CPR; assists with defibrillation, and performs venipuncture, following PALS standards.
16. Maintains Code Blue/crash cart.
17. Recognizes and utilizes safety precautions and procedures; follows universal protocol policy.
18. Remains familiar with equipment and supplies, including function, location, and upkeep; assists in restocking unit as needed. 19. Maintains a comfortable, orderly, clean, safe environment in the recovery areas.
INTERDISCIPLINARY TEAM RESPONSIBILITIES:
1. Demonstrates flexibility in sharing responsibilities of all members of the interdisciplinary team to enhance the teamwork atmosphere.
2. Cross-trains to other perianesthesia areas.
3. Participates in environmental functions associated with room turnover and equipment and supply needs.
4. Provides scheduling support as needed.
KNOWLEDGE , SKILLS AND ABILITIES REQUIRED
1. Graduate of an approved ACEN or CCNE accredited school of nursing.
2. BSN preferred or completed within five years of hire.
3. Licensed as a registered nurse in the State of Ohio.
4. Current CPR certification. (Must have PALS certification)
5. One year of PACU or Acute Care experience preferred. Clinical Nurse.
6. Must be able to see, hear, stand, walk, speak, read and perform manual tasks with or without accommodation, and care for oneself with little or no difficulty.
7. Must be able to independently lift up to 25 lbs.
8. Must be able to move or reposition patients of any weight or size with the assistance of another person(s) and/or equipment.
1. Identifies own needs for professional growth.
2. Assumes responsibility for operational and educational issues concerning surgical specialties. Operational issues; supply, equipment ordering, maintenance and trials. Educational issues; orientation, competency development and validation.
3. Participates in unit and hospital activities (e.g.): Infection Control Policy/Procedure Standards Quality Improvement Shared Governance
4. Functions as an emissary of the NCH Surgery Center in terms of marketing, education and service orientation. Marketing may include participation in community health fairs, informational days or specific educational programs.
5. Practices professional nursing in accordance with the ANA Code of Ethics for Nurses.
MINIMUM PHYSICAL REQUIREMENTS
1. Must be able to see, hear, stand, walk, speak, read and perform manual tasks with or without accommodation, and care for oneself with little or no difficulty.
2. Must be able to independently lift up to 25 lbs.
3. Must be able to move or reposition patients of any weight or size with the assistance of another person(s) and/or equipment. The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision.