The Registered Nurse - ASC is responsible for professional nursing care of the surgical, endoscopic, or pain management patient and to achieve total patient centered care through use of the nursing process.
Job Relationships Reports to the Nurse Manager-Operative Services
Principal Responsibilities Nurses will be cross-trained to work other areas in the facility utilizing those nursing skills and techniques necessary to meet the patients' needs and provide quality care. Annual competencies for specific working area must be completed within designated month. ADMISSION - Greet patient and instruct in changing into appropriate attire. Complete pre-operative assessment, document on appropriate chart forms and administer pre-op orders (i.e. medications, IV's). Provide pre-operative teaching to patients and significant others. Consult with other members of the health care team members regarding patient care. CIRCULATING - Accompany the patient to the operating room, assume responsibility with other members of OR team for the comfort and safety of the patient. Assist the anesthesiologist with induction. Perform intraoperative nursing duties. Complete the intraoperative record. Observe and maintain sterile technique. Dispense medications as ordered by physician. Supply the scrub person with sterile supplies as needed. Follow protocol of lab specimens and sponge/needle count as outlined in Policy and Procedure manual. Accompany the patient to recovery room or Phase II Recovery and reporting to RN. SCRUB - Prepare necessary instruments and supplies for the case. Scrub-in and assist the doctor during the operation. Pass instruments, maintain sterile field, safe disposal of blades and needles and count sponges/needles. Advise the supervisor or equipment repair needs. Assume responsibility along with other members of OR team for the comfort and safety of the patient. PROCEDURAL - Administer, manage and assess patient receiving sedation and analgesia by order of a physician. Assist the physician during diagnostic and therapeutic procedures to promote optimal patient outcomes. Document patient data to ensure continuity in the provision and coordination of patient care. Respond and intervene in the event of complications or undesired outcomes to promote safe patient care. Provide procedural teaching to patients, establish priorities to ensure quality of care. MEDICATION RESOURCE/FLOAT - Order, receive & stock all medications in the ASC including narcotics. Pyxis utilization, which includes: stocking, running ASC recommended reports, resource for Pyxis operation and training. Responsibilities also to include Admission, PACU and discharge nurse in GI area. POST-ANESTHESIA CARE NURSE - Assess and monitor the patient during Phase I Recovery. Complete applicable records. Administer medications as ordered. Ready the carts and restock supplies as needed. Transfer patient to Phase II Recovery when sufficiently recovered from anesthesia following the protocol. DISCHARGE - Assess and monitor the patient during Phase II Recovery. Administer medications as ordered. Complete necessary chart forms. Assist patient in preparing for discharge and give home instructions with patient education materials. Discharge the patient per orders of the surgeon to a responsible person, following the guidelines as written in the Policy and Procedure Manual. Maintain the facility in a neat and orderly manner at all times. Restock supplies as indicated daily. Check crash cart, defibrillator and medications daily, see that all equipment is present and in working order. Complete biological testing and cidex efficacy testing as necessary. Complete pre-op and post-op phone calls. Transfer specimens/cultures to lab. Comply with the Springfield Clinic incident reporting policy and procedures. Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy. Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards. Perform other job duties as assigned.
Education/Experience Graduate of an accredited school of nursing.
Licenses/Certificates Licensure as a Registered Nurse in the State of Illinois. ACLS certification per American Heart Association guidelines required within six months of employment. CPR certification per American Heart Association guidelines required within 30 days of hire.
Knowledge, Skills and Abilities Must be able to adjust to various personalities and situations. Must maintain professional behavior. Must have the ability to control emotions and maintain composure under stress, using tact and good judgment. Must possess manual dexterity to use keyboard and handle equipment and appliances. Must be capable of pushing, pulling, stooping, bending and lifting. Must be able to stand and/or walk for long periods of time.
Working Environment Conditions include exposure to blood and body fluids, tissue and contagious diseases and/or potentially hazardous materials. Occasional heavy lifting required.