About The Position

The Registered Nurse (OR I/OR II) utilizes a systematic approach to nursing practice, encompassing assessment, planning, implementation, and evaluation. This role provides continuous health care and education to individuals and families to help them achieve optimal health. The nurse collaborates with other healthcare team members to complete pre-operative physical, cognitive, spiritual, and psychosocial assessments for surgical patients, formulating and revising care plans based on patient age and development. Responsibilities include ensuring appropriate information management and documentation, providing thorough hand-off reports, and performing circulating duties in the operating suite while supervising surgical technologists. The nurse is critical in ensuring the 'Time Out' procedure for patient safety, assisting with patient positioning and comfort, and accurately handling specimens while enforcing strict aseptic standards. Furthermore, the role involves assessing patient/family understanding and educational needs, preparing the operating room, gathering necessary supplies and instruments using Surgeon Preference Cards, and ensuring proper handling of contaminated instruments and room cleaning. The nurse assists surgeons by anticipating needs, manages all counted items throughout procedures, performs sponge, needle, and instrument counts, and helps limit traffic in the OR. Additional duties include assisting in other ORs, picking supplies for future schedules, stocking/restocking, outdating supply cupboards, and updating Surgeon Preference Cards as time permits. The nurse also contributes input on supply and equipment acquisition, participates in in-services and patient care conferences, maintains 'The Joint Commission' standards, and engages in department performance improvement activities. This position requires serving on hospital or system committees, understanding surgical anatomy and physiology, and adhering to AORN guidelines for perioperative practices, providing patient care and education tailored to the served population.

Requirements

  • A registered nurse who is a graduate of an accredited school with a current state license (OR I & OR II).
  • Minimum of one year of previous OR experience (OR I).
  • CPR (BLS) certification (OR I & OR II).
  • ACLS certification within 6 months of transfer or hire (OR I & OR II).
  • PALS certification within 6 months of transfer or hire (OR I & OR II).
  • Prior working knowledge of using a personal computer and electronic medical records (OR I & OR II).
  • Minimum of three years of experience in an acute hospital setting (OR II).
  • Minimum of two years previous operating room experience working in the role of both a circulating nurse and scrub nurse (OR II).
  • Ability to demonstrate clinical competence in providing direct patient care and patient and family education as well as assisting the physician in the delivery of patient care.
  • Ability to apply knowledge of all ages and developmental levels to care given.
  • Ability to communicate concisely with patients, families and staff; collaborate with other members of the health care team to enhance care.
  • Ability to make assessments and problem solve.
  • Possesses detailed knowledge of the use and maintenance of a wide variety of surgical equipment and instruments.
  • Ability to complete patient documentation in a thorough and concise manner, in whatever mode is necessary.
  • Ability to work in a fast paced environment with frequent interruptions.
  • Ability to respond quickly and calmly to emergencies and stressful situations.
  • Ability to independently manage multiple priorities.
  • Ability to utilize a variety of computer programs to manage work.
  • Ability to be flexible with daily assignments in all surgical specialties.

Nice To Haves

  • Minimum of two years of experience in an acute hospital setting (OR I).
  • Pediatric experience (OR I & OR II).

Responsibilities

  • Utilizes a systematic approach to nursing practice incorporating assessment, planning, implementation and evaluation.
  • Provides continuing health care and education to individuals and families to help them achieve their optimal level of health.
  • In collaboration with other members of the health care team, the nurse uses the nursing process to complete the pre-operative physical, cognitive, spiritual and psychosocial assessment of patients awaiting surgery.
  • Formulates plan of care and reviews and revises plan on an ongoing basis.
  • Able to plan and give care based on the patient's age and level of development.
  • Assures appropriate information management and documentation as per hospital policy; gives timely and thorough report to other members of the health care team using a designated hand off communication tool.
  • Performs circulating duties in the operating suite and supervises surgical technologists.
  • Ensures the Time Out procedure that verifies the correct patient, correct site, and the correct procedures is being performed.
  • Assists in positioning, responding to comfort/safety of patient.
  • Provides for accurate care and handling of specimens.
  • Observes and enforces strict standards of asepsis.
  • In collaboration with other members of the health care team, the nurse assesses patient/family understanding and response to care provided; and patient/family educational needs.
  • The nurse redirects care as needed.
  • Works with surgical technologist in preparing the operating room for each procedure.
  • Takes responsibility for the preparation of the sterile field set-up.
  • Utilities the Surgeon Preference Card and with the surgical technologist, identifies and gathers all necessary supplies, equipment, and instruments for each operative procedure.
  • Assures proper handling of contaminated instruments and cleaning of room after cases.
  • Performs housekeeping duties as needed.
  • Assists surgeon by anticipating needs and providing instruments and other materials in a timely manner.
  • Responsible for all counted items throughout the procedure.
  • Performs sponge, needle, and instrument counts per policy.
  • Assists in limiting traffic in/out of room during procedures.
  • Responsible for working with team members as time permits for: assisting in other OR's as needed, picking procedure supplies for the next day's schedule, stocking/restocking supply areas and OR's, outdating supply cupboards, and updating Surgeon Preference Cards.
  • Works with leadership providing input into acquisition and need for supplies and equipment.
  • Participates in/or prepares for in-services and patient care conference.
  • Maintains "The Joint Commission" standards on an ongoing basis, and assists in unit responsibilities for readiness for Joint Commission visits.
  • Participates in department performance improvement activities.
  • Serves on hospital or system committees as assigned; maintains two-way communication between Surgery Center staff and assigned committee.
  • Understands the anatomy and physiology of surgical procedures.
  • Follows AORN guidelines for perioperative practices and supportive agencies.
  • Provides patient care and education according to the patient population served.

Benefits

  • $15,000.00 Hiring Bonus
  • Reduced to no cost visits for services performed by a Boys Town provider at a Boys Town location for employees and their dependents enrolled in medical benefits.
  • Additional costs savings for the employee and their dependents in pharmacy benefits with low to zero-dollar co-pays on certain maintenance drugs.
  • No cost mental health visits to an in-network provider.
  • Generous match on their 401K or 401K Roth account.
  • Tuition assistance.
  • Parenting resources from our experts.
  • Professional development opportunities within the organization.
  • Free visits to Boys Town physicians and free prescriptions under the Boys Town Medical Plan.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

Associate degree

Number of Employees

251-500 employees

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