مشرف وحدة تمريض - Charge Nurse – Operating Room

Responsible on shift-by-shift basis for professional/clinical supervision of new/junior staff members and pre-registration student or learners.

Follows and assists in the implementation and interpretation of policies and procedures. Review RCMC IPPs manual (computer system) annually.

Monitor compliance with legislative requirements and organization polices and procedure and take appropriate action to correct any area of non-compliance.

Adheres to and promotes the established values of the organization, i.e., mission, ethics and goals of the hospital, customer service, safety, compliance standards and all others.

Attends and actively participates in meetings of committees as assigned. Assists in data collection for quality improvement.

Attend 75% of all department meetings.

Attends and assist the Head Nurse in annual review and performs departmental professional development.

Demonstrable ongoing and active continuous education. Maintain RCMC annual competencies.

Integrates Trans-cultural principles into nursing care.

Excellent attendance record.

Works at maintaining a good rapport and a cooperative working relationship with Physicians and Staff.

Resolves personnel concerns at the departmental level, utilizing the grievance process as required.

Leadership:
I. Manages the operating room services in the absence of the Nurse Manager and/or as required.
II. Provide leadership, support and guidance to staff in monitoring the planning delivery and evaluation of individualized care.
III. Responsible for monitoring the workload/patient acuity within the unit on a daily basis to ensure manpower is adequate to provide a safe standard of nursing care.
IV. Ensure cost effective and appropriate use of manpower and material with consideration and due regards to budgetary control.
V. Assist and support the Nurse Manager to provide, lead direction to assigned staff, including establishing workloads, prioritizing work assignments, monitoring employee performance, interpreting policies and procedures, and resolving staff issues.
VI. Displays professionalism while completing multiple urgent tasks in a timely manner
VII. Assists in the monitoring, procurement and proper inventory of supplies. Assists in maintaining equipment
VIII. Self-motivated and able to make decisions independently keeping physician, department manager and appropriate others informed and supporting hospital philosophy and decisions
IX. Assure timely flow of patient through department
X. Assist the Nurse Manager in the annual (or more frequent) appraisal of staff
XI. Assist the Head Nurse in any grievance, disciplinary, performance or sickness issues as appropriate and in accordance with RCMC procedure.

Communication:
I. Communicating with patients of diverse ethnic backgrounds
II. Exercise leadership to motivate members of staff, achieve high morale and promote effective communication within the unit
III. Operate personal computers, including database, word processing, presentation, and other related medical software;
IV. Deals with patients, families and careers in order to aid resolution of complaints
V. Communication and interpersonal techniques as applied to interaction with coworkers, supervisor, the general public, etc., sufficient to exchange or convey information and to receive work direction.

Education:
I. Provides orientation to new nursing and support staff.
II. Support the Nurse Manager provide education to patients, families, regarding discharge instructions to other units
III. Participates in and supports training and development of Saudi nursing programmers.
IV. Encourage new ideas and facilitate implementation following discussion with clinical leader.

The OR / PACU charge nurse is expected to have knowledge of all clinical aspect related to this area but may not be directly involved in all areas.

To delegate staff with due regard to individual’s capabilities utilizing available skill mix appropriately.

Provide the shared objectives of the multidisciplinary team by working closely to ensure that best practice is achieved.

Ensure patient receives the best possible care during their stay in the Unit.

Maintain accurate clinical observations of patients condition.

Interprets the significance to date of the patient’s condition and progress. Acts and reports accordingly.

Identifies and discusses nursing problems or needs with the patients, relatives, and staff. Participates in discharge planning to ensure a safe and effective discharge from the Unit.

Prepares and administers and records medications. Reports adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse.

Maintains proper supplies and appropriate medical equipment to care for patients.

Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms.

Arrange for patient transfer to other departments and, complete required documentation.

Practicing infection control methods/ protocols.

Acquiring the knowledge and expertise to take appropriate action in emergency situations.

Provides care in a non-judgmental, non-discriminatory manner that is sensitive to the adult or elderly patient’s and family’s diversity.

Assist with the orientation of new employees to the department.

During the surgical procedure, OR Nurses can take the role of:

Pre Surgical
• Ensure that operating on correct patient and correct procedure is being
performed by completing time-out protocol
• Preps operating room for patient/procedure
• Perform instrument and swab counts.

Circulating Nurse, with the following additional duties:
• Assists in positioning, responding to comfort/safety of patient
• Provides for accurate care and handling of specimens
• Observes and enforces strict standards of asepsis
• Observes, checks and monitors all equipment used during surgery to confirm
they are running smoothly
• Handles patient documentation
• Inventories all items both pre- and post-surgery
• Preform time out procedure
• Ensure an accurate instrument and swab count is recorded pre-post-surgical
• Ensure contaminated sets are sent to CSSD in a timely fashion.

Scrub Nurse, with the following additional duties:
• Ensure required surgical items are available 1 day prior to surgery.
• Preform time-out procedure.
• Selects and handles instruments and supplies used for the operation, passing
them to surgeon
• Maintain open communication between circulating nurse and operating team.
• Ensure standards of asepsis are maintained.
• Inventories all items both pre- and post-surgery.

Post Anesthesia Care Unit Phase:
specific duties include unit functions addressing the nursing process aspects
of assessment, planning, implementation and evaluation as well as the
nursing functions of teaching, risk management, time management and
communication as indicated in the following manners:
Assessment
a. Receives patient from the operating room with report of pertinent history
and procedure (surgery performed, medications, fluids, complications,
anesthetic/sedation/reversal agents, emotional status pre-procedure.)
b. Obtains baseline pre-procedure vital signs.
c. Performs physical exam and vital signs per facility protocol.
d. Proficient in basic dysrhythmia interpretation.
e. Obtains diagnostic studies appropriate to patient diagnosis and condition.
f. Utilizes clinical experience, knowledge and data to collaborate with
physicians and other health care providers to ensure appropriate follow up actions.
Planning
g. Plans patient care based on identified assessment analysis and
established standards, policies and procedures. Includes patient,
family/significant other, legal guardian whenever possible in plan of care action development during PACU admission. Implementation
h. Documents all findings appropriately and in a timely manner.
i. Demonstrates proficiency in all unit specific competencies.

Evaluation

j. Evaluates patient care goals, quality and appropriateness of care
provided and patient outcomes.
k. Arrange for patient transfer to other departments and, complete required
documentation.
Teaching
l. Effectively explains rationale for care provided to patient and/or family,
significant other or legal guardian.

Equipment and Machinery:
The OR / PACU Charge Nurse is expected to have knowledge of all equipment used
in the area, however may not have daily clinical involvement.

Education

• Bachelor degree of Science in Nursing
• Recognized operating room & or PACU course or equivalent preferred.
• Intermediate Program or equivalent management course (preferred)

Experience

• For Non-Saudi Minimum of 7 Yrs. Experience
• For Saudi Minimum of 5 yrs. Experience

  Must possess required knowledge and be able to explain and demonstrate, with or
without reasonable accommodations that the essential functions of the job can be
performed
• Ability to assess, plan, implement and evaluate specialist care delivered to
patients and give relevant advice / information to patients and relatives
• Be fast analytical thinkers in order to make appropriate treatment decisions and
deal effectively with emergencies.
• Fluent spoken and written English. Spoken. Arabic desirable.
• Time management skills
• Effective communication and interpersonal skills
• The ability to operate machinery and equipment.
• Physically fit
• Able to work under pressure
• Proven organizational skills