Registered Nurse - Perioperative
Cherry Point, NC 28532 US
- Plan, implement, deliver, direct, and coordinate Perioperative, Post Anesthesia Care Unit (PACU), and Ambulatory Procedure Unit (APU) nursing care using scientific and professional principles as a basis for all techniques and procedures.
- Pre-admission: Confirm scheduled surgery date and procedure with the Main Operating Room, check procedure on consult against written consent form, ensure surgical checklist is completed. Make pre-op telephone call to client to confirm arrival time and re-enforces physician/anesthesia instructions. Provide any pre-op teaching, post procedure transportation arrangements or significant other teaching.
- Day of surgery: Greet client, properly identify client with placement of identification and/or allergy band(s). Orient client to Unit. Verify post procedure transportation arrangement.
- Conduct and document pre-op nursing assessment. Verify client compliance with instructions. Prepare client for procedure, may need to obtain additional labs. Arrange transport to OR (if necessary).
- Develop an individualized plan of care that prescribes nursing action to achieve desired patient outcomes.
- Confer with surgeon on procedures concerning instruments, sutures, and equipment, assuring all prescribed equipment is present and functional.
- Provide equipment and supplies based on patient need. Select equipment in an organized, timely and cost effective manner.
- Assure emergency equipment is functional before use. Report defective equipment.
- Monitor patients under local infiltration and block anesthesia.
- Perform duties as circulatory for surgical procedures, assuming responsibilities for coordinating patient care activities. Assume responsibilities for aseptic technique maintenance during procedures, accuracy of sponge counts and adequacy of supplies.
- Perform as a scrub nurse.
- Monitor and control environment. Regulate temperature and humidity as indicated. Adhere to OR sanitation policy/procedures.
- Post-op: Receive, assess, monitor and document findings on client. Provide education. Ambulate. Verify post-op voiding. Discharge patient after re-enforcement of teaching. Complete nursing care document, reorganize chart and sign out patient. Make follow up clinic appointment for patient.
- Set up, operate, maintain, and discontinue medical equipment. Administer prescribed medications. Provide emergency medical/surgical treatment. Provide nutrition and nourishment. Assist with transporting patient(s). Maintain nursing record(s) and plans. Provide patient and family teaching. Provide consultative services.
- Perform telephone follow up assessment of patient and provide instruction reinforcement.
- Assume responsibility when assigned for inservice programs and training activities relative to surgical procedures and maintenance of aseptic technique and basic aseptic principles. Orient and train new staff member or OR tech/nursing students in scrubbing and circulating duties.
- Adhere to Clinical Sterile Resupply (CSR) policies, procedures and regulations.
- Assist in maintaining suite readiness and structural safety/integrity by reporting discrepancies to Division Officer.
- Demonstrate knowledge of the special needs (Perioperative, PACU, and APU) nursing considerations for high-risk age group: infant, pediatric, adolescents, and geriatrics.
- Monitor patient emergence from a variety of anesthetic agents; uses the nursing process in rendering this care.Use the Alderete scoring system to Guide PACU care.
- Have education as follows: Either (a), a bachelor s degree in Nursing; or (b) a diploma graduate in Nursing; or (c) an associate degree in Nursing from an accredited university.
- Graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE). In lieu of graduation from an NLNAC or CCNE accredited program, the nurse may be a graduate from a State Board of Nursing or accredited nursing program.
- Possess current unrestricted license to practice as a registered nurse in one of the fifty states, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.S. Virgin Islands.
- Possess a minimum of 24 months full-time experience within the last 36 months providing services as a registered nurse in an operating room.
- Possess current Advanced Cardiac Life Support (ACLS) certification.
- Provide three letters of recommendation written within the last 3 years attesting to the clinical skills of the RN.
- Must be a U.S. Citizen (required for access to Government computer systems)
- Competitive starting pay
- 17 days paid vacation and sick leave per year
- 10 paid Federal holidays
- Health & Welfare benefit mostly covers health insurance, short- and long-term disability insurance
- Dental & vision plans
EOE/AA/M/F/Disability/Vet Tags: Perioperative, nurse, RN, nursing, PACU, OR, operating room, surgery, APU, Ambulatory Procedures Unit