Registered Nurse - Perioperative Operating Room RN

Department of Veterans Affairs • Columbia, MO

37d • Onsite

About The Position

Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age specific components. Assumes responsibility for the coordination of care focused on patient education, self-management, and customer satisfaction throughout the continuum of care. Administers medications and procedures per established policies and guidelines. Influences care outcomes by collaborating with members of the interdisciplinary team. Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. The Perioperative Operating Room (OR) Registered Nurse (RN) is accountable for patient outcomes resulting from the nursing care for the patient undergoing a surgical/ invasive procedure. The OR RN plans, directs, and coordinates the care of every patient undergoing operative and other invasive procedures, taking into consideration respect for the individual and recognition of the important contribution that each team member makes to the patient's well-being. The OR RN is expected to function proficiently in both the circulator and scrub role within the OR and to be competent in all surgical specialties served. The OR RN maintains knowledge of current Association of peri-Operative Registered Nurses (AORN) standards, Veterans Health Administration (VHA) Directives, and service level standard operating procedures (SOPs). The OR RN assures the sterility of the surgical field is maintained and all instrumentation and equipment in play is used in a safe and efficient manner. Protects the patient from injury caused by chemical, electrical, mechanical, and thermal sources, and extraneous objects, performs counting procedures to protect the patient from unintended retained surgical items, participates in the Time Out process to ensure correct site, side, and level, and follows implant and tissue/tissue-based product documentation, policy, and procedures. Manages the patient's specimens in the appropriate manner, administers medications safely and correctly, performs interventions to maintain the patient's wound and tissue perfusion at or above baseline levels, and performs interventions to protect the patient from surgical site infection. Responsible for ensuring comprehensive documentation of all care provided during the perioperative experience is timely, complete, and accurate in the electronic health record. Responsible for knowing what reusable instruments, equipment, medical devices, or supplies are in use in the clinical area. Obtains, reads, and follows Standard Operating Procedures (SOPs) for all reusable medical equipment (RME) in use in the clinical area and consults Sterile Processing and/or Infection Control as needed. The OR RN is required to be on-call during off tours hours to provide patient care for emergency procedures. The OR RN collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines. Demonstrates performance and leadership that is broad enough to improve the care for a group of patients. Provides peers with formal or informal constructive feedback for improvement. Supports colleagues and other nurses through knowledge sharing to provide safe, quality nursing care. Fosters a safe and supportive environment conducive to the professional development of health care professionals. Evaluates outcomes of evidence-based decisions and practice changes for individuals, groups, and populations. Responsible for the documenting broad and complex outcomes at the program or service level, that can be demonstrated at any organizational level within a facility.

Responsibilities

• Assesses, plans, implements, and evaluates care based on age specific components.
• Coordinates care focused on patient education, self-management, and customer satisfaction throughout the continuum of care.
• Administers medications and procedures per established policies and guidelines.
• Collaborates with members of the interdisciplinary team to influence care outcomes.
• Functions proficiently in both the circulator and scrub role within the OR and to be competent in all surgical specialties served.
• Maintains knowledge of current Association of peri-Operative Registered Nurses (AORN) standards, Veterans Health Administration (VHA) Directives, and service level standard operating procedures (SOPs).
• Assures the sterility of the surgical field is maintained and all instrumentation and equipment in play is used in a safe and efficient manner.
• Protects the patient from injury caused by chemical, electrical, mechanical, and thermal sources, and extraneous objects
• Performs counting procedures to protect the patient from unintended retained surgical items
• Participates in the Time Out process to ensure correct site, side, and level
• Follows implant and tissue/tissue-based product documentation, policy, and procedures.
• Manages the patient's specimens in the appropriate manner
• Performs interventions to maintain the patient's wound and tissue perfusion at or above baseline levels
• Performs interventions to protect the patient from surgical site infection.
• Ensures comprehensive documentation of all care provided during the perioperative experience is timely, complete, and accurate in the electronic health record.
• Responsible for knowing what reusable instruments, equipment, medical devices, or supplies are in use in the clinical area.
• Obtains, reads, and follows Standard Operating Procedures (SOPs) for all reusable medical equipment (RME) in use in the clinical area and consults Sterile Processing and/or Infection Control as needed.
• Required to be on-call during off tours hours to provide patient care for emergency procedures.
• Collaborates in the development, implementation, evaluation, and revision of policies, procedures, and/or guidelines.
• Provides peers with formal or informal constructive feedback for improvement.
• Supports colleagues and other nurses through knowledge sharing to provide safe, quality nursing care.
• Fosters a safe and supportive environment conducive to the professional development of health care professionals.
• Evaluates outcomes of evidence-based decisions and practice changes for individuals, groups, and populations.
• Responsible for the documenting broad and complex outcomes at the program or service level, that can be demonstrated at any organizational level within a facility.

Benefits

• Competitive salary, regular salary increases, potential for performance awards
• 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
• Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
• Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
• 1 full and unrestricted license from any US State or territory

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Administration of Human Resource Programs
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees