About The Position

The Surgical Services Registered Nurse (RN) delivers patient care using the nursing process, including collecting data, assessing patients, identifying and prioritizing problems and needs, and evaluating nursing care. The RN coordinates and provides patient teaching and coordinates care delivered by health team members. In collaboration with the interdisciplinary care team, the nurse conducts initial and ongoing assessments, develops and implements plans of care, administers treatment, and evaluates its effectiveness. The RN serves as a point of contact for care coordination across hospital departments and advocates for patient safety through quality improvement activities. The position manages nursing care within the operating room and coordinates the surgical team's needs with other care providers. The RN observes the procedure and team to help maintain a safe, comfortable environment; provides preoperative, intraoperative, and postoperative care, including assessment and discharge instructions; and assesses patients before, during, and after operations. Duties may include anticipating the scrub nurse's needs, opening sterile packs, operating equipment, maintaining accurate records, and reprocessing on the Endoscopy team. The RN is expected to practice according to the BSMH Nursing Professional Practice Model and applicable policies, standards, and scope of practice. This is a full-time role requiring 40 hours per week, with all work shifts and an on-call rotation requiring a 30-minute response time. The position serves patients across the lifespan, from neonates through geriatric patients. Working conditions may include high stress and fluctuating workloads, interruptions, high noise levels and bright lights, exposure to limited hazardous substances, body fluids, blood, or other potentially infectious materials, and possible physical altercations or verbal abuse. The role may require use of physical restraints and universal precautions and personal protective equipment.

Requirements

  • Current RN license in the state of employment or a compact license.
  • ACLS or PALS certification must be obtained from an approved source before providing direct patient care; ACLS and/or PALS may be required within six months depending on department requirements.
  • Strong interpersonal and verbal and written communication skills.
  • Clinical knowledge, skills, and competency to provide evidence-based care in accordance with current standards, policies, procedures, and the BSMH mission.
  • Knowledge of AORN and SGNA standards and best practices.
  • Knowledge of sterile-field practices and sterilization guidelines.
  • Ability to perform comprehensive patient assessments and apply the nursing process in care delivery.
  • Ability to prioritize and safely implement plans of care, evaluate outcomes, and revise care as needed.
  • Ability to protect patient safety and privacy, use office and clinical technologies, and communicate effectively with patients.
  • Ability to safely move and transport patients and assist with surgical and anesthesia-related procedures.

Nice To Haves

  • Bachelor of Science in Nursing.
  • Two years of critical care experience.
  • Completion of an OR internship program.
  • ACLS or PALS certification at hire.

Responsibilities

  • Conduct initial and ongoing patient assessments, analyze assessment data, create plans of care, implement treatment, and evaluate treatment effectiveness in collaboration with the interdisciplinary care team.
  • Administer medications safely and in accordance with the State of Practice and Bon Secours Mercy Health policies and procedures.
  • Coordinate patients' care across hospital departments and serve as a point of contact for care coordination.
  • Participate in ongoing departmental quality improvement as a patient safety advocate.
  • Delegate tasks and functions in accordance with applicable laws, regulations, standards, and the assignee's competency.
  • Manage nursing care within the operating room and coordinate the surgical team's needs with other care providers.
  • Observe the surgery and surgical team and help maintain a safe and comfortable environment for the patient.
  • Provide preoperative, intraoperative, and postoperative care, including assessment and discharge instructions.
  • Assess the patient's condition before, during, and after operations to support an optimal outcome.
  • Anticipate the scrub nurse's needs, open sterile packs, operate equipment, and maintain accurate records.
  • Reprocess equipment if assigned to the Endoscopy team.
  • Assign patient care according to staff members' nursing skills, knowledge, and scope of practice.
  • Orient staff, facilitate learning, and provide education based on quality improvement indicators, outcomes, and implementation.
  • Assess patients' clinical conditions, psychosocial needs, and support resources; develop, implement, and prioritize plans of care.
  • Evaluate patients' physical and emotional responses to treatment, revise plans of care as appropriate, and help patients and families cope with illness.
  • Collaborate with others to deliver coordinated care and communicate with patients in a manner they can understand, considering their preferences.
  • Apply cultural diversity and inclusion principles, protect the safety and privacy of others, and use cost-effective measures and resources responsibly.
  • Recognize personal limitations, seek assistance when needed, and pursue professional growth through education and other learning activities.
  • Use self-care and resilience, remain calm and adaptive during emergencies, and demonstrate accountability and professionalism.
  • Position patients and complete procedures such as Foley catheter placement, prepping, IV insertion, and catheterization.
  • Assist with gowning and draping; anticipate needs for surgical equipment and supplies; and monitor the room and personnel for adherence to aseptic technique.
  • Safely move and transport patients and assist anesthesia during induction and emergence.

Benefits

  • Competitive pay, incentives, referral bonuses, and a 403(b) with employer contributions when eligible.
  • Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
  • Paid time off, parental and FMLA leave, short- and long-term disability, and backup care for children and elders.
  • Tuition assistance, professional development, and continuing education support.
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