Job Title : PRN Specialty Clinic / Circulating RN
Location : Johnson County Hospital, Tecumseh, Nebraska
Department : Nursing
Reports To : OR Director
Job Summary : The Circulating and Specialty Clinic RN is responsible for both direct and indirect patient care in the peri-operative environment. This includes evaluation of patient pre-op, continued evaluation and assistance in patient care with the surgeon and other sterile personal intra-op, and the assessments and interventions necessary for patient care in the Post-Anesthesia Care Unit (PACU). Intra-op, the Circulating nurse is responsible for having necessary equipment and medication ready and in the OR. They are also responsible for patient positioning and sterilization of patient / incision site prior to the procedure.
Schedule : Hours will vary depending on surgery and clinic schedule.
Duties and Responsibilities :
- Knows and adheres to the policies of the Johnson County Hospital and demonstrates fiscal responsibility.
- Follows nursing care policies, procedures, goals, and objectives according to accepted standards.
- Is vocal and adamant about patient advocacy in the OR.
- Ensures that the surgical room is sterile and safe for the patient.
- Works side by side with surgical tech to help maintain the sterile field n the operating room.
- Must have strong attention to detail and physical stamina to handle long, arduous work hours.
- Assess the patient's condition before a surgical procedure.
- Assesses the needs of the patient during the procedure to ensure the best outcome.
- Works with a physician to develop the care plan for the patient during the surgery.
- Continues to evaluate the patient's condition during the procedure and make necessary changes to the care plan.
- Ensures that the sterile filed in on compromised during the procedure.
- Keeps the surgical area clean and organized for the surgical tech and the physician; removes instruments and sponges as they are used during the procedure.
- Organizes the prepare medical records of patients. Documents care appropriately and thoroughly. Also follows up on missing data and other patient care needs.
- Remains calm and functions as a team member during stressful and crisis situations.
- Seeks involvement in activities that promote professional growth and behavior.
- Actively participates in appropriate committees as assigned.
- Follows OSHA and other standards for protection against blood-borne pathogens.
- Uses good body mechanics for lifting, positioning, and transferring patients.
- Informs management of applicable day-to-day situations.
- Follows employee health and other personnel and staffing policies.
- Assist CRNA with intubation.
- Strong communication skills to communicate with surgeons and the OR team.
Qualifications and Skills :
Strong communication skillsPrioritization of patient care and other nursing dutiesKnowledge of aseptic technique and sterile fieldsAssessment and interventions of adverse affects of anesthesia, including but not limited to; Malignant Hyperthermia.Able to perform all duties of a circulating RN, as well as the base knowledge and understanding of other positions in the OR so that they may assist Surgical Technologist personnel with their responsibilities.Knowledge of completing counts of narcotics at beginning and end of all shifts with another RN, per hospital policy.Basic understanding of sterile processing and a willingness to assist with sterilization of instruments and items needed.Knowledge of medication administration and dilution of medication prior to administration, as needed.Knowledge and capability to chart and record patient care in an efficient and timely manner.Teamwork and delegation skills.Adheres to dress code, appearance is neat and clean.Completes annual education requirements.Maintains regulatory requirements as required by federal and state law, and regulatory nursing bodies.Maintains patient confidentiality at all times in accordance with HIPAA.Reports to work on time and as scheduled, completes work within designated time.Wears identification while on duty, uses computerized punch time system correctly.Completes in-services and returns in a timely fashion.Attends annual review and department in-services, as scheduled.Attends at least annual competency, reads and returns all monthly staff meeting minutes.Represents the organization in a positive and professional manner.Actively participates in performance improvement and continuous quality improvement (CQI) activities.Complies with all organizational policies regarding ethical business practices.Communicates the mission, ethics and goals of the facility, as well as the focus statement of the department.Graduate of an accredited Nursing Program.Understanding of medical terminology.Currently registered as a RN in Nebraska / Compact Licensing State.Current Basic Life Support (BLS) as well as current Acute Cardiac Life Support (ACLS) & Pediatric Advance Life Support (PALS). If ACLS or PALS certification is not current, successful completion of ACLS & PALS certification required within 90 days of employment start.Why Join Us?
At Johnson County Hospital, we value our team and foster a supportive environment where you can thrive. Join us to make a difference in the lives of our patients and their families.