The perioperative nurse is a Registered Professional Nurse who, under the immediate supervision of the Nurse Manager, is responsible for the safety of the patient while in the surgical suite and assists with the supervision of nonprofessional personnel in the area. By assessment of the individual patient and procedure, he/she anticipates the needs of the surgical team and provides such services while maintaining an aseptic and safe environment. The RN promotes restoration of health and achievement of patient health goals through assessment, planning, implementation, and evaluation in the delivery of patient care as defined by ambulatory care nursing philosophy and the mission of the practice.
Clinical Role Responsibilities:
- Supervises and directs patient care in an individual surgical suite.
- Ensures that proper techniques and practices are used according to accepted standards of practice.
- Supervises other personnel in the room and directs or assists as necessary.
- Insures care of patient through proper identification, checking of chart, and reporting of changes in condition.
- Immediately reports any unusual occurrences to charge nurse.
- Performs scrub duties as necessary and keeps current (desired trait).
- Performs all circulating duties with efficiency and speed.
- Supervises and assists scrub nurse as necessary.
- Positions patient, prepares operative area, and adjusts table to proper position according to standard policies.
- Has all supplies and equipment in room and provides to team as necessary.
- Opens all sterile packs and supplies according to aseptic technique.
- Maintains count of sponges, needles, and instruments to ensure no loss of items according to present policy.
- Identifies physical symptoms and changes and takes appropriate action in a timely manner.
- Meets current documentation standards and policies.
- Assures confidentiality of patient’s records.
- Reviews surgeon's preference cards for desired medications and verifies same with surgeon.
- Demonstrates ability to assist surgeons, anesthesia personnel and other personnel as necessary.
- Demonstrates ability to formulate an individualized plan of care as indicated and evaluates for effectiveness.
- Coordinates patient care with staff in preoperative area and PACU.
- Gives care to the patient reflecting flexibility as indicated by individual patient needs.
- Makes decisions reflecting knowledge of facts, diseases/surgical conditions, care required and good judgement.
- Cares for specimens and cultures as directed by set policies and procedures.
- Performance reflects knowledge in all areas of care specific to the patient
- Provides orderly progression of schedule through coordinating and assisting in efficient room turnover, and notifies nurse director of any changes.
- Accompanies patient to PACU and reports to nurse on patient andprocedure to ensure continuity of care.
- Provides for continuity of individual patient care.
- Demonstrates competency in use and care of equipment.
- Receives and gives patient report to ensure good care.
- Provides for psychosocial needs of patient.
- Demonstrates competency in administration of medications and IV fluid based on age of the patient and patient’s clinical condition.
- Assists in preoperative area and PACU as needed.
- Assists in control and maintenance of supplies and equipment.
- Records used items in proper place and method directed.
- Reports and records discrepancies in items.
- Assists in administrative duties as directed.
- Assists with maintenance of records and statistics.
- Assists in establishment and maintenance of procedures, policies, and standards.
- Assists in scheduling of surgical procedures.
- Assists in supervision of personnel in the surgical center to provide optimum assurance of safe environment.
- Checks rooms, material, and equipment for proper care and handling.
- Ensures clean, safe environment through continued alertness to safety and explosive hazards and aseptic techniques.
- Coordinates with surgical tech to maintain high standards and quality in the materials used.
- Assists in control of traffic and personnel to ensure proper control of infection and asepsis.
- Assists in surgical suite staff development and quality improvement program.
- Assists in formulation and interpretation of procedures, standards, and techniques.
- Assists in orientation of new personnel.
- Assists in evaluation of all surgical suite activities, nursing care given, and of personnel and techniques.
- Avails his or herself in the ongoing nursing education process of the surgical center.
- Reviews pertinent periodicals, scientific and medical and related literature.
- Participates in quality improvement activities.
Accountability and Adaptability:
- Assumes accountability and responsibility for his or her own work performance and those under his or her supervision.
- Observes assigned working schedules and hours.
- Performs competently in new situations.
- Performs competently in emergencies.
- Adheres to surgical center dress code.
- Accepts constructive criticism and benefits from same.
- Maintains good rapport with fellow employees.
- Maintains good rapport with physicians.
- Performs his or her duties in a professional and pleasant manner.
- Promotes positive customer relations for the .
- Performs all other duties as assigned.
Work Experience: Experience in pain management and orthopaedics. ASC experience preferred Conscious sedation experience preferred.
Licensing/Certification: Must be currently licensed to practice professional nursing in the State of Georgia and must be familiar with the basic nursing performance standards as outlined in the Georgia Nurse Practice Act. CNOR is desirable. Certification in BLS with ACLS certification mandatory. Completion of a basic arrhythmia interpretation course is desired.
PHYSICAL DEMANDS/ WORKING CONDITIONS
Can work 10 hour shifts. Lengthy periods of standing. Move gurneys, carts, equipment. Assist with the positioning of surgical patients for surgery. Carry and lift instrument sets (trays) and various items of equipment. Exposure to anesthetic gases, hazardous chemicals, blood and body fluids, sharps, and hospital-grade cleaning solutions. For physical demands of position, including vision, hearing, repetitive motion and environment, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising client care.