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

VA Ear Nose Throat Associates•Richmond, VA

1d•$36 - $40•Onsite

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 Circulating Nurse reports to the Clinical Coordinator. The position works in a surgery center setting and includes circulating duties during operative procedures, patient transfers, documentation, preparation and turnover of operating rooms, and support of surgical supplies and equipment. The nurse may also function as a scrub nurse or 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.

Nice To Haves

ACLS and PALS certification preferred within six months of hire.

Responsibilities

Provides communication between team members in operative areas and people outside those areas.
Obtains supplies and equipment for each procedure and ensures adequate surgical and anesthetic supplies are available in the operating room.
Verifies that suctions, lights, and other required equipment are available and functioning, and arranges the room for the procedure.
Assists with opening sterile supplies and transports patients from the pre-operative area to the operating room after greeting and identifying them.
Assists the anesthesiologist or CRNA with transferring and safely securing the patient on the operating table; does not leave the patient unattended.
Performs and documents the pre-procedure time-out.
Assists the anesthesiologist or CRNA with applying monitoring equipment, including EKG leads, pulse oximeter, and blood pressure cuff, and during anesthesia induction, emergence, and other crucial periods.
Performs sponge, needle, and instrument counts with the Scrub Nurse as appropriate and as needed.
May start intravenous lines in accordance with Center standards; maintains knowledge of medications and administers them safely and accurately when required.
Knows the supplies, equipment, and medications on the Emergency Cart and assists during medical emergencies.
Positions the patient or assists the physician with safe positioning; applies a conductive pad when cautery is to be used, adjusts operative lights, performs shave and wash preps as requested, and connects and positions operative equipment and supplies.
Completes the operative record in a timely manner, including pertinent times and events.
Remains in the operating room except when necessary, anticipates the surgical team's needs, and provides items to the sterile field.
Receives faulty instruments from the scrub nurse, marks them appropriately, and returns them to the workroom.
Prepares for subsequent cases by checking supplies, physician preference cards, instruments, and additional equipment.
Receives specimens from the scrub nurse, selects and labels the appropriate container, completes the pathology slip, and ensures pickup by the lab courier.
Opens dressings onto the sterile field after the final count and assists with safe transfer of the patient from the operating table to a stretcher when necessary.
Transports the patient with the CRNA or anesthesiologist to the recovery room and completes the operative record.
Returns promptly to the operating room and assists the scrub nurse with room cleaning.
May assist with decontaminating surgical instruments and equipment using detergents and disinfectant solutions, sterilizing instruments and supplies, and routine cleaning of ultrasonic units and sterilizers.
Tags and removes malfunctioning equipment from the OR Suite and promptly reports it to the Clinical Director/Coordinator.
Distributes supplies, stocks sterile storage areas, rotates sterile supplies, removes outdated items, and assists with receiving and storing supplies.
Disposes of contaminated needle containers in the appropriate receptacle and assists with changing anesthesia circuits between cases.
Participates in adverse incident reporting as necessary and in assigned committees.
Ensures equipment and supplies are pulled and ready for the following day's cases.
May function as a scrub nurse and pre-op nurse as directed by the Clinical Director/Coordinator.
Performs other duties as needed and assigned.