Perioperative RN will scrub/circulate for surgical and endoscopy procedures, coordinating and assembling appropriate instrumentation for each individual case in a timely manner, passing instrumentation, appropriate medications, and anticipates the needs of the surgeon while maintain the sterile field. Follows the established plan of care and provides direct surgical care interventions within the scope of practice. Will work as a team player and participates as a team member by performing additional assignments when needed under the supervision of the OR Leader and Supervisor. Compliance with rules and regulations of all applicable federal, state and local laws as well as PMHC policies is a condition of employment.
Incumbent must have the skills, ability and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation:
Assesses data regarding the patient's physical, psychological, social and spiritual dimensions based on the patient's age and development. Reports and documents all observed symptoms, reactions, and changes in the patient's condition.
Utilizes the nursing process to direct and deliver patient care. Developments, implements, revises and evaluates a formal plan of care.
Administers medications using the "Five Rights of Medication Administration".
Provides and instructs patients and/or their families or significant others with educational information appropriate for age and learning abilities.
Provide assistance to the Operating Practitioner and CRNA.
Participates in sterilization, stocking and case set-up. Prepares room in a timely manner with all anticipated instruments, sutures, supplies and equipment for each individual surgical procedure.
Prepares and cleans room, instruments and supplies as scheduled.
Responsible for rotation of call coverage as assigned.
Responsible for circulating and scrub nurse duties as assigned.
Assists in Sterile Processing and endoscopy.
Creates and maintains a comfortable and safe environment for patients, visitors, and other employees.
Organizes and prioritizes daily assignments to provide optimal patient care and increase productivity.
Conforms and complies to the policies and procedures of Phelps Memorial Health Center.
Adheres to Infection Control Policies and Procedures and the use of Universal Precautions.
Possesses knowledge of PMHC's Safety policies, procedures and protocols i.e. fire, safety, disaster and tornado.
Independently maintains and updates skills as BLS certification, required in-services and continuing education for professional improvement.
Promotes effective interdepartmental and intradepartmental communications.
Participates in OR Nursing Quality Assurance.
Presents a professional, pleasant and positive image.
Adapts procedures to meet individual needs of neonate, pediatric, adolescent, adult and geriatric patients for treatment.
Demonstrates competence in care of specimens and accurately handles specimens at all times.
Assists in positioning, prepping and draping of patients for surgical procedures.
Accurately completes operating room counts (instruments, sponges, needles); follows proper procedure in the event of incorrect count; reports all discrepancies.
Carries out medical/surgical asepsis during treatments/procedures.
Checks all equipment/instruments needed, prior to each procedure to ensure proper functioning.
Follows aseptic technique, when opening sterile supplies and setting up procedures.
Sets up, scrubs and prepares for procedures at least 15 minutes prior to scheduled time, unless otherwise directed by Circulating RN or Nurse Manager.
Always maintains an orderly and sterile instrument table for the purpose of efficiency; follows department standard set up.
Passes instruments and supplies to the surgeon during the procedure.
Passes colonoscope or EGD as directed by the surgeon/physician.
Cleans and prepares rooms between procedures and after last case; restocks supplies, when necessary and organizes effectively for end-of-case clean up.
Is fully responsible for care of instruments/equipment/scopes during intra/postoperative phase, including cleaning and processing of instruments/scopes.
Follows written procedures for steam sterilization; knows responsibilities and the necessity for chemical and biological monitoring.
Maintains patient and employee confidentiality at all times
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. While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; and talk or hear. The employee frequently is required to sit, stand and walk. The employee is occasionally required to reach with hands and arms, stoop, kneel, crouch or crawl, climb or balance, and taste or smell. The employee must frequently lift and/or move up to 40 pounds and occasionally lift and/or move more than 100 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth vision, and the ability to adjust focus.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, employees the employee frequently works near moving mechanical parts and is frequently exposed to fumes or airborne particles and risk of electrical shock. The employee occasionally works with explosive, toxic or caustic chemicals. The noise level in the work environment is usually moderate.
The level of risk of exposure to blood borne pathogens is Classification (I), as outlined in the Hepatitis B Vaccine Program Policy.
The noise level in the work environment is usually high.
Bachelor’s degree (BSN), Associate’s degree (ADN) or diploma from an accredited school of nursing.
Currently licensed as a Registered Nurse in the State of Nebraska.
Current BLS/CPR certification.
Current ACLS certification.
Internal Number: 251972097
About PHELPS MEMORIAL HEALTH CENTER
Phelps Memorial Health Center is a progressive, 25-bed critical access hospital located in South Central Nebraska. We take pride in our talented team members and our collective efforts to fulfill our mission of providing exceptional quality and compassionate care to our local community.