Registered Nurse Operating Room MUST have circulating and scrub experience

If you are an existing employee of South Shore Health then please apply through the internal career site.

Responsibilities

• 36 Shift: Day (United States of America) Manages individualized, outcome oriented nursing care through the use of the nursing process.
• Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, in accordance with departmental and hospital policies and procedures.
• $39.50 - $84.02 ESSENTIAL FUNCTIONS 1 - ASSESSMENTS/REASSESSMENT Assesses and diagnoses patient and family needs in order to provide quality care to assigned patients a - Provides ongoing assessment of nursing care needs of a defined group of patients b - Completes nursing assessment record according to guidelines/policy c - Documents assessment/reassessment data on medical record according to guidelines and standards d - Conducts and initial and ongoing assessment to gather data relevant to the patient’s individual needs e - Recognizes the significance of abnormal laboratory values for patient’s and takes appropriate action f - Assesses patient’s understanding of disease process. g - * Assesses/reassesses and documents patient’s level of comfort utilizing the approved pain scale for patients in a specific age category. h - * Assesses/reassesses patient’s response after each intervention both pharmacological and non pharmacological.
• 2 - UNIT SPECIFIC ASSESSMENTS a - Pre-Op checklist is complete and signed.
• Consistently reviews and assures completeness. b - *Consistently uses 2 patient identifiers. c - *Assures that patient is marked before entering
• Operating Room. d - Perioperative Nursing Assessment is complete, accurate, and signed. e - Perioperative guidelines for Labs, EKG, H&P, and Medical Clearance are followed as per policy.
• 3 - PLAN OF CARE Develops, discusses, and communicates a prioritized problem list/plan of care for each patient, in collaboration with each patient/family/significant other in order to address all identified needs. a - Develops written plan of care for patient needs and documents care plan according to established guidelines including: Problem/need assessment Nursing interventions

Other needed services of healthcare team

• Outcome criteria met/not met b - Based on reassessment, plan of care is modified to meet the patient/family/significant other's identified needs. c - Develops patient/family/significant other teaching and discharge plan and documents according to policy. d - Evaluates that the identified problems, care provided and patient's responses are reassessed in order to meet patient and family needs and documents outcomes according to policy/guidelines.
• 4 - UNIT SPECIFIC PLAN OF CARE: a - Follows procedure for updating, revising, creating and deleting of Physicians Preference Cards. b - *Assembles necessary instruments, supplies and equipment prior to the start of care. c - * Checks for availability, proper conditions of equipment, instrumentation and implants. d - Identifies priorities and executes nursing care accordingly. e - Provides emotional support and comfort measures to patient and family f - *Applies and monitors principles of aseptic technique throughout the intraoperative period. g - Has the ability to scrub/circulate during the intraoperative phase. h - Preps the surgical site using AORN standards of practice and proper aseptic technique. i - *Confirms and contains sources of contamination.
• 5 - MEDICATION Demonstrates the skills and judgement necessary to implement medical plan of care, nursing interventions and procedures as necessary for the care of the patient. a - Demonstrates knowledge of SSH policies and procedures for administering, and recording medications b - Demonstrates knowledge of commonly used medications: action, dose and side effects and uses resources to review new or unfamiliar medications c - *Observes the 5 R’s for administering medications: Right patient
• Right method Right time d - * Performs narcotic count each time a narcotic medication is withdrawn from the Pyxis. e - *Demonstrates proper procedure for documentation of narcotic administration and wasting, and follows the procedure for resolving narcotic discrepancy. f - * Demonstrates procedure for the use of the override function in Pyxis g - *Documents medication administration reflecting full signature and title, time given, reason for omission, and site for injection (if applicable) 6 - UNIT SPECIFIC MEDICATION a - *All medications drawn up are labeled for procedures. b - * All non-controlled medications removed by PYXIS are counted and amount properly recorded c - * Unused medications are returned to PYXIS following policy. d - * All narcotics are counted and signed off on a weekly basis. e - * Antibiotic given by Anesthesia is recorded on intraopertive record by RN. f - Initiates and maintains IV access according to SSH policy and procedure. g - Completes medication reconciliation process per SSH Policy. h - All medication that is used by the surgeon is documented on physician order set and signed by physician.
• 7 - DOCUMENTATION Maintains up-to-date documentation of nursing care provided to assure the integration of information for use by the healthcare team, in order to assure quality care. a - Patient medical record sheets are accurately signed with name and title. b - Referrals are made based on identified needs and communicated to the healthcare team according to policy. c - Nursing documentation is reflected in Integrated Progress Note with an entry made per standard and when reassessment of the patient requires.
• 8 - UNIT SPECIFIC DOCUMENTATION a - Revises physician preference cards and communicates changes to appropriate personnel. b - * Records are closed properly. c - * Copy of on-line record is placed in patients chart. d - All patient charges, including implants, are documented properly. e - Accurately documents on-line intraoperative record including military time. f - Assures accurate and complete documentation of the patient medical record.
• 9 - DELEGATION Directs other licensed and non-licensed personnel in the provision of care to patients as assigned. a - Based on patient care needs and skills of caregiver, delegates responsibilities accordingly. b - Practices within the legal boundaries of the MA Nurse Practice Act and according to SSH Hospital policy and procedure.
• 10 - UNIT SPECIFIC DELEGATION a - When assigned charge responsibilities manages staff and delegates assignments to staff with proper skill sets.
• 11 - SAFETY Safety Awareness – Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment. a - * Prior to the start of any invasive procedures, a final verification to confirm the correct patient, procedure, site, and information is done. b - * Abbreviations on the hospital DO NOT USE list are adhered to, an evidence through ongoing concurrent medical record review. c - * Prior to the use of any intravenous infusion pump assures free flow protection is in place. d - * Follows telephone order policy and procedure.
• Writes order down then reads back to the prescriber. e - Complies with the current CDC hand hygiene guidelines through proper hand washing , as observed by nurse manager and peers. f - * Assures bio-medical equipment alarms are activated with appropriate settings and are sufficiently audible. g - Adheres to universal precautions, makes use of personal protective equipment at all times and appropriately disposes of hazardous materials. h - * Verifies patient identification with two patient identifiers according to policy prior to administration of care/procedures/medications. i - Assesses and periodically reassesses each patient’s risk of falling. j - Utilizes the Chain of Command to communicate any potential or actual patient or staff safety risks.
• 12 - UNIT SPECIFIC SAFETY AWARENESS a - *Time Out is called prior to the incision or start of procedure in all cases.
• Circulating nurse assures that surgeon, anesthesiologist, CRNA, and scrub person all participate and all are in agreement. b - * Uses 2 patient identifiers when identifying patient. c - * Sponge, needle and instrument counts are done according to policy and procedure, Policy OR 1.A d - Correctly collects and accurately labels specimens. e - * Ensures safety of patients during the use of electrical equipment. f - * Ensures safe transfer/transport of patient. g - * Assures that surgical site is marked before transfer patient to OR from Pre-op area.
• Policy OR-2X. h - Follows SSH procedure for patient hand-off.
• 13 - PROFESSIONAL DEVELOPMENT Assumes overall responsibility for professional development by incorporating evidenced-based practice, research, and performance improvement initiatives as a part of ongoing nursing practice. a - Attends continuing education programs in order to maintain licensure.
• Obtains at least five contact hours per year in area of practice. b - Attends hospital sponsored training programs as required by the department. c - Accepts role of preceptor for new staff members or mentor as required. d - Demonstrates a constructive approach during all interactions with staff and Nurse Manager towards the Organization.
• 14 - UNIT SPECIFIC PROFESSIONAL DEVELOPMEN T a - Maintains current knowledge/certification/licensure.
• Pursues professional growth and development. b - * Completes all mandatories assigned by manager in a timely manner. c - Works on special projects,( ie glucometer inservice and PI activities and initiatives). d - Has achieved and maintained speciality certification. e - Has participated as Champion for hospital initiatives, or as a Shared Leadership Council member. f - Supports the hospital's mission by attendance and participation on Committee meetings. g - Functions as a role model for current and new staff. h - Facilitates problem resolution among peers and management. i - Participates in staff meetings.
• 15 - TECHNOLOGY Embraces technological solutions to work processes and practices. a - Utilizes Workday to access email, learning management database and other resources as applicable to RN role. b - Demonstrates competence in using all clinical applications required by the department and unit standards. c - Uses web based incident reporting system as indicated. d - *Is able to access payroll and manage personal clockings and calendar in Time PC application. e - Demonstrates required telephone, office equipment, biomedical equipment competencies.

Requirements

• Minimum Education Graduate of an accredited
• School of Nursing as validated through the Massachusetts Board of Registration in Nursing Minimum Work Experience Demonstrated proficiency in acute care nursing, knowledge and skills Required Licenses / Registrations RN - Registered Nurse Required Classes/Certifications - ACLS - Advanced Cardiac Life Support Days, variable start/end times, occasional overtime.
• Must have scrub and circulating experience
• Education if Required: License/Registration/Certification Requirements: ACLS (AHA) Advanced Cardiac Life Support Certification - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Advanced Cardiac Life Support (ACLS) - American Heart Association (AHA) (Including courses offered through SSH), INSTRUCTOR- Basic Life Support (BLS) - American Heart Association (AHA) (Including courses offered through SSH), RN-Registered Nurse - Board of Registration in Nursing (Massachusetts)

Requisition Number

R-24007 Facility: LOC0022 - 2 Pond Park Road2 Pond Park Road Hingham, MA 02043 Department Name: SSH Ambulatory Surgery 2PPK Status: Full time

Right drug Right dose