Operating Room Nurse Clinician III - Galveston

University of Texas Medical Branch (UTMB)Galveston, TX
Onsite

About The Position

This position is for an Operating Room Nurse Clinician III in Galveston. The role requires a competent clinician with knowledge and skill in competent professional nursing practice as specified in the Texas Nurse Practice Act. The nurse will be experienced, knowledgeable, and skilled in their specialty area, functioning competently as a member of the interdisciplinary team. Experienced nurses transferring to the operating room must complete a Competency Based Orientation (CBO) tool satisfactorily within the 6-month probationary period. Practice is characterized by predominantly interdependent and independent critical thinking decisions, problem-focused, and patient-centered care. The nurse provides safe and competent intraoperative patient care, actively acquiring knowledge and skills specific to patients undergoing surgical procedures. A strong patient advocacy role is expected, with diligence in the preoperative review of documents and verification of surgical procedure, site, and other critical safety checks prior to surgery. The nurse will safely circulate in emergent and urgent surgical cases and collaborate with physicians and other members of the surgical team during surgical time outs and debriefing procedures. Enforcement of aseptic and sterile techniques is crucial. The nurse will effectively and safely operate highly specialized OR equipment and manage unexpected or emergency situations commonly seen in the assigned specialty population. This role serves as a resource for Nurse Clinician I or II and can manage commonly seen contingency situations. Patient care is provided through nursing practices based upon the American Nurses Association Standards of Practice, Nursing Process, and UTMB’s three domains for competency and advancement: Professional Practice, Professional Performance, and Performance Improvement.

Requirements

  • RN with two years of preferred clinical operating room, ICU, Cath Lab and other procedural areas RN experience.
  • Must possess and maintain a current license or valid permit to practice in Texas.
  • Current BLS required.

Nice To Haves

  • Experienced nurses transferring into the operating room must complete the operating room specific Competency Based Orientation (CBO) tool satisfactorily within the 6-month probationary period.

Responsibilities

  • Validates specialized perioperative nursing knowledge
  • Indicates attainment of current perioperative nursing practice standards
  • Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans
  • Participate actively in our surgical time out and debriefing
  • Ensures that operating on correct patient and the correct procedure is being performed
  • Observes, checks and monitors all equipment used during surgery to confirm they are running smoothly
  • Assists in positioning, responding to comfort/safety of patient
  • Provides for accurate care, handling and documentation of surgical specimens
  • Support the surgical technologist during the case effectively.
  • Performs surgical counts (Initial, Closing and Final) and reconcile incorrect counts per policy
  • Document accurately all surgical procedures, documentation, supplies and implants
  • Participate actively and support departmental initiatives related to patient safety, efficiency, cost containment, staff and physician satisfaction, and other projects mandated by the department.
  • Observes and enforces strict standards of asepsis
  • Able to take call status and respond to the emergencies per policy, “stay days” and work long and unpredictable hours.
  • Thrive and maintain collegiality and professionalism during high-stress situations.
  • Actively invest and engage in improving or maintaining staff morale and satisfaction
  • Completes required specialty specific Competency Based Orientation (CBO) tools by the initial performance evaluation due date for placement in employee file.
  • Actively participates in the initial and ongoing evaluation of competency using competency based orientation (CBO) tools and/or Competency and Clinical Advancement Program (CCAP) tools.
  • Independently and competently assists with activities for assigned area embodying UTMB’s core values.
  • Independently and competently completes assesses patients and identifies actual and potential nursing diagnoses/patient care needs.
  • Competently plans and prioritizes culturally, age and specialty appropriate care for the identified patient group.
  • Independently and competently delivers culturally, age and specialty appropriate nursing care to the identified patient group.
  • Performs and reports point of care testing (POCT).
  • Provides and maintains a clean, safe environment and performs and/or assists others to perform proper aseptic technique, isolation procedures and infection control measures.
  • Serves as a patient advocate; may require assistance in difficult situations.
  • Develops and reports nursing plan of patient care and treatment.
  • Utilizes nursing research and quality improvement to enhance evidence-based practice.
  • Demonstrates acceptable productivity and practices cost containment for the practice and the patient.
  • Competently and consistently completes accurate, concise and legible documentation on all patient, unit and hospital records including hands on care delivery and telephone patient related interactions.
  • Competently utilizes electronic forms of communication and documentation.
  • Implements effective patient/family teaching and accurately assesses readiness to learn.
  • Identifies learning needs of self and others; sets challenging and realistic goals and develops learning opportunities to meet goals.
  • Demonstrates compassion and understanding.
  • Displays a professional verbal and non-verbal demeanor.
  • Puts needs of others above his/her own through accountability, compassion, integrity and respect.
  • Functions as an independent and supportive team member.
  • Achieves the required UTMB Competency and Clinical Advancement (CCAP) points to achieve / maintain the NC III level.
  • Completes the annual self-evaluation on time for competency and performance evaluation using CCAP tools.
  • Meets periodic UTMB and unit specific compliance requirements for health screening, training, attendance, safety and CPR.
  • Adheres to internal controls and reporting structure.
  • Performs related duties as required.
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