REGISTERED NURSE- OR Circulating Nurse-No weekends or On-Call

VA Ear Nose Throat Associates•Richmond, VA

About The Position

The OR Circulating Nurse is a Registered Nurse who provides quality patient care using the nursing process, the medical plan of care, and organizational policies. The position reports to the Clinical Coordinator and works in a surgery center setting. The nurse may also function as a scrub nurse and pre-op nurse as directed by the Clinical Director/Coordinator.

Requirements

Current unrestricted Registered Nurse licensure in Virginia or a Compact State.
At least one year of progressive work experience in the operating room.
Current BCLS certification.
Competence in oral and written communication.
Ability to perform the physical activities described, including sitting, standing, bending, reaching, walking, light lifting, and pushing or pulling carts and equipment.

Nice To Haves

ACLS and PALS certification are preferred within six months of the date of hire.

Responsibilities

Communicate between team members in operative areas and people outside the operating areas.
Obtain supplies and equipment for procedures and ensure surgical and anesthetic supplies are available in the operating room.
Check that suctions, lights, and other required equipment are available and functioning; arrange the room for each procedure.
Assist with opening sterile supplies and prepare the room and equipment for procedures.
Greet and identify patients, assist with transport to the operating room, and help transfer and safely position patients as needed.
Never leave the patient unattended while in the operating room.
Perform and document the pre-procedure time out.
Assist the anesthesiologist or CRNA with monitoring equipment, anesthesia induction and emergence, and other critical periods during the procedure.
Perform sponge, needle, and instrument counts with the Scrub Nurse as appropriate, before, during, and after procedures.
Start intravenous lines in accordance with Center standards when needed; maintain knowledge of medications and administer them safely and accurately when required.
Know the supplies, equipment, and medications on the Emergency Cart and assist during medical emergencies.
Prepare the patient and operating room, including applying a conductive pad when cautery is used, adjusting lights, performing shave or wash prep when requested, and connecting pertinent equipment.
Anticipate the surgical team's needs and provide items to the sterile field.
Complete operative records in a timely manner, including pertinent times and events.
Receive faulty instruments from the Scrub Nurse, mark them appropriately, and return them to the workroom.
Prepare for the following case by checking supplies, preference cards, instruments, and other equipment.
Receive specimens from the Scrub Nurse, ensure correct containers and labeling, complete pathology slips, and arrange pickup by the lab courier.
Open dressings onto the sterile field after the final count.
Assist with safe transfer of patients from the operating table to a stretcher and transport patients with the CRNA/Anesthesiologist to the recovery room.
Return promptly to the operating room and assist the Scrub Nurse with cleaning the room.
Assist with decontamination and sterilization of instruments, equipment, and supplies as needed, including use of detergents, disinfectants, an ultrasonic cleaner, steam sterilizer, or other sterilization equipment.
Tag and remove malfunctioning equipment from the OR Suite and report it promptly to the Clinical Director/Coordinator.
Assist with routine cleaning of ultrasonic units and sterilizers as needed.
Distribute supplies, stock sterile storage areas, rotate sterile supplies, remove outdated items, and assist with receiving and storing supplies.
Dispose of contaminated needle containers in the appropriate receptacle.
Assist with changing anesthesia circuits between cases.
Participate in adverse incident reporting as necessary and in assigned committees.
Ensure equipment and supplies are pulled and ready for the next day's cases.
Perform other assigned duties and function as a scrub nurse or pre-op nurse as directed by the Clinical Director/Coordinator.