STAFF NURSE - I - OPERATION ROOM

Follow RCMC policy and procedure

 Attends annual review and performs departmental in-services.

Prepare reports

Follow dress code

Adhere to the chain of command

Perform other duties related to the work as assigned by the Manager /supervisor as needed.

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

Maintains regulatory requirements, including all national and JCI regulations.

Wears identification while on duty

Ensures compliance with policies and procedures regarding department operations, fire, safety and infection control.

Communicates the mission, ethics and goals of the hospital

Excellent attendance record.

Represents the organization in a positive and professional manner in the community.

Maintains organizational confidentiality at all times.

Complies with all organizational policies regarding ethical business practices

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

Completes annual education requirement .

It is the duty of every employee to report any negative or abnormal or unexpected event/incident as soon as possible after its occurrence by filling the appropriate Electronic Occurrence Variance Report (eOVR)

Conducts pre- and post-operative education

Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care Plans.

Serves as the communication liaison to family and members of the operating team.

Takes and monitors patients’ vital signs

Ensures that operating on correct patient and the correct procedure is being performed

Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications.

Responds to life-saving situations based upon nursing standards and protocol.

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

Preps operating room for patient/procedure

Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology

Monitors patients’ physical and emotional well-being throughout the care continuum

Initiates patient education plan, as prescribed by physician. Teaches patients and significant others how to manage their post-treatment home care needs, self-administration of medication and rehabilitation.

Pre-operative Care:
I. Assessing patients prior to surgery, reviewing their medical history, and ensuring they are prepared both physically and mentally for the procedure.
II. Verifying patient identification, surgical site, and procedure to prevent errors.
III. Administering medications as prescribed by the physician, such as pre-operative antibiotics or sedatives.
IV. Educating patients and their families about

Intra-operative Care:
I. Assisting the surgical team in preparing the operating room by setting up equipment, instruments, and supplies.
II. Positioning the patient on the operating table and ensuring their safety and comfort throughout the procedure.
III. Sterilizing and maintaining aseptic conditions within the operating room to prevent infections.
IV. Passing instruments and supplies to the surgical team as needed during the procedure.
V. Monitoring the patient's vital signs and responding to any changes or complications that arise during surgery.
VI. Documenting all aspects of the procedure accurately and comprehensively.

ost-operative Care:
I. Monitoring patients in the recovery room or post-anesthesia care unit (PACU) immediately after surgery.
II. Assessing patients for signs of complications such as bleeding, respiratory distress, or adverse reactions to anesthesia.
III. Providing pain management and comfort measures to patients as needed.
IV. Educating patients and their families on post-operative care instructions, including wound care, activity restrictions, and medication management.
V. Collaborating with other healthcare professionals to ensure continuity of care as patients transition from the operating room to the recovery phase.
VI. Documenting post-operative

Team Collaboration:
I. Collaborating effectively with surgeons, anesthesiologists, surgical technologists, and other members of the surgical team to ensure safe and efficient patient care.
Revision Date:21-Feb-2024 Next Revision Date:21-Feb-2027
Page 4 of 8
II. Communicating pertinent information to colleagues during handoffs and shift changes to facilitate continuity of care.
III. Participating in interdisciplinary meetings and quality improvement initiatives to enhance patient outcomes and optimize processes within the operating room.

Compliance and Safety:
I. Adhering to institutional policies, procedures, and regulatory standards related to surgical care, patient safety, and infection control.
II. Maintaining proficiency in operating room equipment, technology, and protocols through ongoing education and training.
III. Participating in quality assurance activities, such as audits and incident reporting, to identify opportunities for improvement and mitigate risks.

During the surgical procedure, OR Nurses can take the role of:
2.2.18.1 Circulating Nurse, with the following additional duties:
I. Assists in positioning, responding to comfort/safety of patient.
II. Provides for accurate care and handling of specimens Observes and enforces strict standards of asepsis.
III. Observes, checks and monitors all equipment used during surgery to confirm they are running smoothly.
IV. Handles patient documentation.
V. Inventories all items both pre- and post-surgery
2.2.18.2 Scrub Nurse, with the following additional duties:
I. Selects and handles instruments and supplies used for the operation, passing them to surgeon.
II. Inventories all items both pre- and post-surgery.
III. Direct care provided by licensed associate diploma nurses and nursing aides.
IV. Float among various clinical services, where qualified and competent.

Completes required orientation as directed by facility

Follows facility and OSHA safety rules and procedures while on assignment

Follows facility and RCMC Unusual Occurrence Protocol

Respects cultural and religious practices of patients

Upholds HIPAA regulations

Punctual and dependent for assigned/confirmed shifts

• Provide clinical leadership to ensure the provision of highest quality nursing care.
• Promote a progressive attitude to the continual improvement of patient care through research and evidence based practice.
• Acting as a role model and expert clinical practitioner.
• Supervise and teach trained staff and health care assistants.
• To assist in the safe, effective and efficient management of the department within allocated resources.
• To undertake delegated responsibility for the department in the absence of the Head Nurse / Charge Nurse.

•  Bachelor degree of Science in Nursing.
• Minimum of 5 years post graduate nursing experience with proven clinical leadership

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 detect deviations from normal and assess condition of patient pre-intra and during recovery phase
• Ability to scrub and / or act as circulating nurse.
• Administers prescribed medications and treatments in accordance with approved nursing techniques
• Ability to maintains appropriate aseptic technique for preparation, procedures, and medications administered.
• Ability to maintain accurate patient data
• Basic computer skills
• Effective skills working with a diverse patient population
• Effective team working skills
• Effective communication skills
• Effective interpersonal Skills
• Able to prioritize and organize time efficiently
• Flexible
• Critical Thinker