QUALIFICATIONS Education • Graduate of an accredited school of nursing • Graduate of a formal perioperative nursing course or documented on-the-job training Experience/Skills • Preferably possesses at least one year experience in a clinical setting • Possesses circulating and/or scrubbing duty experience • Performs nursing intervention using the nursing process and incorporating current clinical knowledge with established nursing practice • Continuously acquires surgery skills through clinical experience, on-the-job training, inservice, and continuing education • Proficiently reads, writes, and understands English • Accurately reads fine print, supply labels, patient identification bracelets, the surgical schedule, and policies and procedures • Accurately hears and follows verbal instructions • Pushes and pulls heavy objects such as gurneys, patient beds and OR beds • Lifts patients, heavy boxes weighing up to 40 pounds, and instrument sets weighing up to 20 pounds Required Licenses/Certifications • Registered Nurse licensed to practice in the state of Indiana • CPR • ACLS Working Conditions • Works in an air-conditioned environment with a temperature of 65ºF-72ºF and humidity of 45%-55% • Works in temperatures up to 85ºF-90ºF when assigned to assist with pediatric cases • Wears hospital-provided scrub attire while on duty • Works in an environment with the potential for cuts, bruises, muscle strains, and exposure to contagious diseases via blood and body fluids • Works in an environment with the potential for exposure to anesthetic waste gases, harsh disinfectants, sterilizing agents, high steam pressure, and radiologic factors ROUTINE RESPONSIBILITIES Behavioral Expectations • Consistently complies with established Behavioral Expectations Page Break RN Duties – Assessment/Planning • Assesses the physiological health status of the patient on admission to the operating room and performs an ongoing assessment of the patient’s physiological health status during the intraoperative period • Assesses psychological, sociocultural, and spiritual status on admission to the operating room • Identifies nursing diagnoses appropriate to the intraoperative and postoperative period • Plans care based on the patient’s problems/needs in the assessment • Plans and coordinates patient care perioperatively to allow for patient comfort by efficient use of down time; using surgeon’s preference cards; and by coordinating activities of other disciplines to implement individual plan of care • Initiates discharge planning for local and endoscopy patients which includes patient and family instruction/teaching, resource referral RN Duties – Implementation/Evaluation • Implements perioperative nursing care according to an established plan of care and operating room policies and procedures • Supervises perioperative nursing associates and assistants assigned to perform the actions necessary to accomplish the identified goals • Scrubs and/or circulates simple as well as complex surgical and endoscopy procedures • Evaluates the effectiveness of the care provided • Communicates and perioperative nursing care • Designs, implements, and evaluates systems to improve the quality of perioperative nursing patient care • Assumes on-call for department RN Duties – Post Anesthesia Recovery • Demonstrates effective airway management; frequently monitors respiratory adequacy and intervenes appropriately • Monitors cardiac system of post-op patient • Identifies arrhythmias and evidence of shock, intervening appropriately when necessary • Utilizes PAR scoring system to determine patient status toward post-anesthesia recovery • Demonstrates a knowledge of proper documentation and charging procedures (e.g. vital signs, I&O, patient care record) Varies as needed Varies as needed