Ambulatory Circulator-ASC

Montefiore Nyack Hospital•Nanuet, NY

18h•$55•Onsite

About The Position

The Ambulatory Circulator provides comprehensive nursing care during the intraoperative phase at an ambulatory surgery center. The role coordinates total patient care with other health team members, particularly the anesthesia team, surgical technologists, and health safety services technicians, and advocates for patients in accordance with the Patient’s Bill of Rights. For staff with regular clinical contact, the position includes responsibility within scope of practice for assessing, treating, and caring for patients from neonates to geriatric patients, with attention to developmental, cognitive, biopsychosocial, and aging-related needs. The nurse assesses patients’ physiological and psychological status, formulates nursing diagnoses, plans and implements care, and monitors patients throughout the perioperative phase. Duties include safe patient transfer, preoperative teaching, scrubbing cases, creating and maintaining a sterile field, selecting and managing equipment and supplies, performing counts, administering medications and solutions, monitoring the patient and environment, and protecting patient rights and confidentiality. When facilitating outside the operating room, the role may also include ancillary center tasks such as managing supplies and case carts, specimen checks, lunch relief, stocking, communicating low inventory, and preparing implant carts. The position also requires professional growth and accountability, collaboration, customer service, participation in performance improvement and competency assessments, cost-conscious use of supplies and equipment, and completion of assigned projects. Work is based at the West Nyack Ambulatory Surgery Center in West Nyack, New York. The listed schedule is Monday through Friday with varied daytime hours and 8.5 scheduled daily hours; the posting lists 0 scheduled weekly hours.

Responsibilities

Assess patients’ physiological and psychological health before and during surgery, including vital signs, skin condition, mobility, nutritional status, allergies, diagnostic findings, expectations, understanding, and cultural or religious needs.
Formulate nursing diagnoses and establish attainable patient-care goals and plans.
Coordinate and document patient care with the surgical and health care team, including information relevant to discharge planning.
Plan positioning and safety measures, organize nursing activities, coordinate care, and assign activities to appropriate personnel.
Maintain required certifications and respond effectively in emergencies.
Transfer patients safely according to the plan of care, confirm identity, select appropriate transport personnel and methods, and provide for patients’ emotional needs.
Provide preoperative teaching as needed.
Scrub cases and create and maintain a sterile field using aseptic technique; identify and correct breaches and document the status of the sterile field.
Anticipate, select, inspect, operate, and manage equipment and supplies; remove malfunctioning equipment from service and arrange for repair.
Perform ancillary center tasks when facilitating outside the operating room, including handling supplies and case carts, specimen checks, lunch relief, stocking, reporting low inventory, and preparing implant carts.
Perform and document sponge, sharps, and instrument counts, and take corrective action when counts are incorrect.
Administer and label medications and solutions according to policy, verify medication and dosage as applicable, and document administration and errors.
Monitor patients’ symptoms, behavior, intake and output, vital signs, and physiological response; initiate appropriate nursing actions or obtain physician orders.
Monitor and control the perioperative environment, follow safety and infection-control procedures, and assist with room turnover.
Respect patient rights, promote patient safety, and maintain confidentiality.
Provide positive customer service, communicate respectfully across cultures and beliefs, address concerns, and escort customers when necessary.
Participate in performance improvement, annual competency assessment, self-development, and activities supporting the hospital mission.
Use supplies and equipment judiciously, follow the charge process, and complete projects and assignments within expected time frames.
Follow the hospital’s We Care standards for teamwork, accountability, communication, professional appearance, responsiveness, and service.