divh2Staff Nurse- Operating Room/h2pThe Registered Nurse is responsible for the delivery of safe effective and quality patient-family centered care in the Operating Room for all patient population by utilizing Nursing Care Plans. Collaborates with Physicians Medical Professionals and other Staff to ensure that the unique physical and psychosocial needs of the patient are met. The Registered Nurse involves appropriate parties (i.e. patients family or guardian outside agencies) in the assessment treatment and continuing care of the patient as needed. Supports the Mission Vision and Values of Doctors Community Hospital./ppRole Specific Competencies:/pulliAdheres to professionalism standards. Serves as a role model/resource for other team members and exhibits flexibility and adaptability to change in department practices. Identifies strengths and development needs of self. Identifies active/potential problems and seeks appropriate solutions to those problems and assumes responsibility and accountability for judgments and actions. Appearance consistently complies with department policy. Participates in orientation and training of new personnel. Utilizes work time productively. Willingness to cover varying shifts as requested./liliDelivers quality nursing care to surgical patients in the pre intra and immediate post-operative phase of surgical intervention that is consistent with published standards for nursing practice. Plans for patient care needs by reviewing assigned scheduled cases/procedures against the surgeons preference cards. Demonstrates competence and knowledge in the assessment treatment and care of pediatric adult and geriatric patients within the perioperative setting. Assess the physiological health of the patient and psychosocial health status of the patient/family. Participates in patient/family/significant other education. Provides equipment and supplies based on patient needs and surgeons preference. Provides appropriate positioning devices and assists with positioning the patient safely. Appropriately admits and transfers patients per DC H standard/policies and complies with Advanced directive requirements. Observes standard precautions and practices aseptic technique in caring for the patient. Observes safe practices and maintains a safe environment while caring for the patient. Performs nursing actions that demonstrate accountability. Orchestrates the services of operating room personnel to provide rapid progression from cleaning to preparing room (OR) for the next case. Delegates effectively in daily operations and utilizes critical thinking skills in crisis situations in a calm and professional manner. Assists in maintaining surgeons preference cards for accuracy. Enforces and maintains intraoperative standards of care. Maintains accurate documentation of nursing care provided to patients during surgery this includes accurate implant logs and charge supplies./liliDemonstrates skills and knowledge necessary to provide quality care services for patients. Clinical competency skills checklist is maintained and completed prior to annual evaluation. Assumes responsibility and accountability for professional development by attending and completing required annual in-services. Attends and participates in monthly staff meetings and department specific in-services. Initiates and adheres to infection control practices consistent with department and hospital standards./liliDevelops and implements a plan of care based on nursing diagnosis and subsequent patient outcome goals by using the following interventions: Protect patient from injury caused by chemical electrical laser positioning thermal sources and extraneous objects. Perform sponge sharp and instrument counts according to DC H standards to protect patient from unintended retained foreign objects. Perform Universal Time-Out Protocol during the surgery to ensure correct site side and level. The debriefing part of the Time-out ensures that the correct specimen procedure and any concerns regarding the care of the patient has been addressed. Handle patients specimen according to established DC H protocols. Communicate patients current status throughout the continuum of care. Perform interventions to maintain the status of the patients organ systems at or above baseline levels. Perform interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period. Creates and maintains a sterile field monitors the traffic in and out of the OR. Administers drugs and solutions as prescribed to the patient / sterile field per DC H standards in compliance with the Maryland Nurse Practice Act. Physiologically monitors the patient during surgery./liliPerform activities that support Nursing Staff and facilitates patient care. Assists with room tum-over and clean up after each case. Assists with environmental services support such as linen management trash removal and cleaning of equipment when needed. Assists with returning unused instruments equipments and supplies after each case as appropriate. Assists with the transfer and positioning of patients on and off the OR table stretcher bed etc. Saves all used supply wrappers for charge purposes. Reports to Operations C oordinator seeking additional responsibility when assignments are completed. Demonstrates ability to react quickly and confidently to changing priorities and stressful emergency or conflict situations./liliPerforms professional development activities. Participates in orientation and training of new personnel. Participates in the development of unit and hospital based standards of practice. Demonstrates willingness to pursue leadership roles with increasing levels of accountability comfort with decision-making responsibilities coaching teaching and counseling skills and the ability to inspire and build confidence in others./liliPerforms special department assignments and stocking functions in the Surgical Suite within established time frames while following department policies and procedures Infection Control practices Blood Borne Pathogen procedures OSHA Standards and Universal Precautions. Assists with restocking OR rooms at the end of shift in accordance with established PAR levels as needed. Assists with checking supply outdates. Demonstrates knowledge of techniques procedures and correct use of personal protective equipment (PPE). Reports malfunction of equipment/instrumentation to Operations Coordinator and/or IPS Manager and/or Equipment Manager immediately upon completion of procedure. Tags and removes malfunctioning equipment in need of repair from use. Assists with clearing the hallways and returning equipments and supplies to proper storage throughout the day. Assists in docking the Neptune machine at the end of shift. Performs other duties as assigned./li/ulpQualifications and Experience:/pulliCNOR Preferred./liliCurrent ACLS is required./liliCurrent CPR/BLS is required./liliGraduate of an accredited nursing program BSN preferred./liliKnowledgeable of AORN standards./liliKnowledgeable of Universal Precautions./liliMaintains current licensure by the state of Maryland or a compact state license for Registered Nurse./liliMinimum of two (2) years of O.R. experience is desirable experience in all service specialties is preferred./liliTechnical skills/knowledge necessary to function in O.R. environments./li/ulpPhysical Requirements:/pulliConcentrates on moderate to fine detail for extended periods of time with irregular telephone and other interruptions./liliFull range of body motion including handling and lifting patients manual and finger dexterity hand/eye coordination./liliLifting and carrying items weighing up to 50 pounds./liliRemembers schedules tasks to be completed where activities left off etc./liliSitting standing and walking for extensive periods of time./liliUnderstands and can operate from the conceptual basis of tasks and activities./li/ul/div