RN- Operating Room (Full Time, Days)

Nicklaus Children's•Miami, FL

19h

About The Position

The Registered Nurse in the Operating Room plans and delivers patient care using the nursing process, including assessment, implementation, and evaluation. The RN oversees the plan of care, applies evidence-based practice and effective problem-solving, and supports the quality standards of a Magnet-designated hospital and the Patient Bill of Rights. Under the supervision of the Nursing Manager/Director, the RN provides compassionate, family-centered care for Surgical Services patients and supports safe, efficient perioperative care.

Requirements

Active, unencumbered Registered Nurse license in Florida or a Multi-State Enhanced Nursing License Compact (eNLC) license, maintained throughout employment.
American Heart Association BLS certification, maintained active and in good standing throughout employment.
American Heart Association PALS certification, maintained active and in good standing within two years.
Ability to analyze and interpret data and use it to make patient-care judgments.
Effective verbal and written communication skills.
Ability to positively influence others and hold oneself and others accountable.
Ability to work effectively in a collaborative environment.
Ability to apply evidence-based practice, analytical thinking, and service excellence in practice.
Coverage for on-call assignments in accordance with departmental and hospital policy.

Nice To Haves

BSN degree or current enrollment in a BSN program with proof required within six months of hire.
Nursing experience in a pediatric healthcare operating room setting.
National Certified Pediatric Nurse (CPN), CNOR, or equivalent certification within five years of hire.
Proficiency with computers and electronic medical records.

Responsibilities

Complete surgical documentation, including consent, laboratory results, history and physical, and patient history, in accordance with the Universal Protocol and hospital policies.
Greet patients and families and transport patients into the operating room; keep families informed about procedure progress.
Plan, implement, and document care in collaboration with other disciplines and services.
Provide nursing care, including IV site monitoring and specimen collection, and assist the medical team with procedures.
Follow physician orders and administer or reconstitute medications as needed, observing the six rights of medication administration.
Collaborate with the multidisciplinary team in care planning and foster a family-centered care environment.
Set up and maintain the sterile field; complete required reconciliations and instrument counts under the retained surgical site policy.
Coordinate antibiotics according to protocol and physician preference cards; prepare medications required for the surgical field.
Remain with patients during emergence and extubation and assist the Anesthesia team as needed.
Transport patients to recovery and complete the SOAR checklist and handoff to the PACU RN.
Verify advance directives and blood consents; document time-outs; ensure the correct site or side is marked when applicable; and administer antibiotics according to the Universal Protocol.
Perform reassessments according to policy, including when the plan of care changes or an intervention is performed.
Access the electronic health record, reconcile charges according to policy, and complete accurate, timely documentation.
Communicate and document critical laboratory results according to hospital policy.
Discuss the plan of care with patients and families, solicit their input, and communicate concerns to physicians.
Promote safe, error-free care by following the Universal Protocol and retained surgical items prevention policy.
Perform skin and structural assessments, accommodate patient needs, and take steps to ensure safe care and prevent medication errors.
Assess fall risk and take appropriate precautions.
Provide patient information and complete SOAR handoffs when transferring or reassigning patients.
Use personal protective equipment appropriately.
Meet or exceed unit standards for a 95% CEI, complete documentation promptly, and comply with DNV, CMS, DOH, and other accrediting-agency requirements.
Help optimize first-case starts to prevent delays in patient care.
Promote safety by actively practicing time-outs and document implants and blood transfusion products according to Surgical Services policy.