Registered Nurse/Clinical II, Operating Room Unit

JOB SUMMARY :

The OR Registered Nurse is a licensed experienced professional supervised by the Nurse Manager / Nursing Director. An OR Registered Nurse is responsible for providing guidance, clinical expertise, and mentoring to members of the perioperative team within the specialty while optimizing available resources to achieve optimal patient outcomes.

Primary Responsibilities :

• Acts as a clinical resource for perioperative services personnel within the specialty using evidence-based knowledge and prevailing standards.
• Coordinates perioperative patient care with other members of the surgical team.
• Performs surgical case management with other members of the surgical team.
• Acts as a consultant to advise the perioperative team in areas of specialty expertise.
• Assists perioperative personnel in evaluating practice and in creating strategies for further improvement.
• Demonstrates effective communication and collaboration skills with members of the perioperative team and other stakeholders.
• Provides educational resources and coordinates with the perioperative educator regarding perioperative team education specific to the specialty.
• Organizes quality / performance improvement activities within the specialty.
• Coordinates, facilitates, and manages change within the health care organization.
• Facilitates or serves as a member of a multidisciplinary team in planning perioperative patient care.
• Uses effective conflict resolution techniques.
• Operationally and fiscally manages the specialty.
• Mentors team members within the specialty as required.
• Serves as a role model of professional behavior.
• Verifies that the appropriate equipment and supplies are available.
• Pursues professional growth and participates in a professional organization.
• Acts as a patient advocate and maintains privacy and confidentiality of all appropriate information.

EXPERIENCE / QUALIFICATIONS :

Minimum two (2) to 5 years year of recent OR experience, preferably in an acute care setting as a registered nurse and for the department to which the registered nurse is hired.

EDUCATION :

ADN Degree required; BSN Degree preferred.

LICENSURES / CERTIFICATION :

• Current licensure with the California Board of Registered Nursing
• Must successfully complete and maintain BLS certification
• Must successfully complete and maintain LA City Fire Card certification at the time of hire or within the first 30 days of employment

DUTIES AND RESPONSIBILITIES ( These are the essential job functions for this position. The essential functions of this job include, but may not be limited to those listed in this job description.

Employees hired for this position must be able to perform the essential function of this job without imposing significant risk of substantial harm to the health or safety of themselves or others) :

Communication Upholds professional communication with colleagues, physicians, and other members of the health care team.

Utilizes the S ituation B ackground A ssessment and R ecommendation (SBAR) communication format. Prior to contacting physicians is prepared with relative patient data and proactively anticipates the information the physician will need to respond to the call / request.

• Confidentiality Maintains strict confidentiality at all times, following HIPAA and VPH policies. Performs daily activities within the appropriate ethical and legal guidelines as defined by the Compliance program and in accordance with Valley Presbyterian Hospital’s mission, vision and values.
• Cross-training Cross trains to all areas within floating cluster, according to hospital policy.
• Documentation and system utilization - Utilizes information technology to document processes of care in a timely manner and independently seeks out opportunities for improving computer / automation skills.
• Evaluation of care Collaborates with preceptor / mentor and physicians to evaluate the effectiveness of the care plan through observation of the patient's condition, behavior, signs and symptoms of illness, and reactions to treatment, through communication with the patient and the health team members, and modifies the plan each time the patient’s condition changes and in accordance with policy.
• Infection control Adheres to Universal Precautions, and VPH infection control standards, including performing hand sanitation before and after each patient contact.
• Medication administration Administers all medications per hospital policy. Reports medication errors to nurse leader and promptly notifies physician.
• Nursing process, assessment, and diagnosis Collects and interprets patient data using the nursing process and data from the physician and medical record (e.

g. history and physical, progress notes). Formulates a nursing diagnosis through the observation of the patient's physical condition, behavior, and interpretation of information.

Assesses patients according to unit guidelines and anticipates changes in patient’s status. Performs skills in an independent manner with a validated competency.

Explains the care / treatment to the patient and family throughout their stay.

Patient advocate Works on behalf of the patient and family, advocating in support of their values, beliefs, evidenced-based practices, and standards.

Ensures that patient personal hygiene needs are addressed in a dignified and consistent manner.

Patient discharge process Provides ongoing discharge education to the patient / family based on individual patient needs.

Starts planning for an effective discharge upon admission.

Patient Satisfaction Provides a caring, compassionate approach and a kind attitude with a gentle touch. Keeps the patient / family informed.

Apologizes for unanticipated delays in service. Functions as a team player, eager to help and learn new skills. Offers assistance, with a willing attitude.

Adheres to the hourly rounding policy by proactively seeking to resolve patient / family needs.

Patient Throughput Supports patient / hospital throughput initiatives to facilitate timely, efficient, and effective patient acceptance from the Emergency Department and other units.

This includes a timely transfer / discharge of patients.

PI / Evidenced based practice Seeks opportunities to participate in achieving unit or hospital quality initiatives such as patient satisfaction, core measures, CMS and DNV compliance, CDPH requirements, and PI projects (e.

g. decreasing falls, restraints, hospital acquired pressure ulcers, pain).

Professional image - Exhibits professionalism in appearance, conduct, communication, and behavioral appropriate to the situation.

PHYSICAL DEMANDS :

Continuous standing / walking and occasional / intermittent sitting.

Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and shoulder level to handle / operate medical equipment / devices.

Frequent reaching above shoulder level and overhead.

Frequent forward bending, twisting, squatting and kneeling; occasional climbing.

Occasional repositioning and transferring patients weighing up to 200 pounds between bed, chair, and gurney.

Occasional lifting and carrying equipment weighing up to 25 pounds.

Occasional / intermittent pushing of gurneys, wheelchairs, bed and other medical equipment over tiled and carpeted surfaces.

Continuous use of near vision to read medical equipment such as monitoring devices and reading documents and computer screens;

hearing and verbal communication to interact with patients, co-workers, and other customers.