Description

Status - Full Time

Shift - Days

Schedule - Monday - Friday no weekends or holidays

Hours - 7AM - 3:30 PM variable

Provides direct and indirect care of patients in preoperative preparation and discharge areas and surgery suites. Provides nursing care according to the physician or surgeon’s orders complying with hospital policies and procedures and in conformance with recognized nursing techniques and procedures. Helps maintain and update physician preference cards as necessary. Packages and processes instruments and supplies in the central sterile area as directed and as necessary.

Requirements

Knowledge & Experience

Skills-

Demonstrates ability to give and follow instructions accurately
Demonstrates effective interpersonal skills necessary to interact with various levels of health care personnel

Knowledge-

Hospital administrative and nursing policies and procedures
Perioperative and central sterile procedures

Education-

Graduate of accredited program in practical nursing
Current registration as a Licensed Practical Nurse with the state of Indiana Health Professions Bureau

Experience-

Minimum of two (2) years of related experience preferred

Authority and Accountability

Extensive exposure to confidential information or matters
Frequent contact with various persons or groups within and outside of the hospital including employees, department managers, physicians, patients, visitors and outside agency personnel
Must be able to work with and communicate with different types of people

Aptitudes

Must be able to prioritize, utilize critical thinking, and adjust to change
Must be able to reason and use logical problem-solving skills
Performs duties that require some latitude for independent judgment and initiative in handling situations out of the ordinary
Must be self-directed, flexible and willing to assume additional responsibilities as needed

PHYSICAL AND MENTAL EFFORT

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Regular requirement to sit, stand, bend, kneel, crouch, and move intermittently; use hands to handle, or feel; reach with hands or arms; talk; and hear
May have prolonged periods of standing
Frequent requirement to lift 25-35 pounds
Occasional requirement to assist with lifting 35-100 pounds
Specific vision requirements include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to focus
Speaking and listening skills are essential; must be able to hear and be understood on the telephone
Must be able to work under a moderate amount of stress

ENVIRONMENTAL AND WORKING CONDITIONS

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

The noise level in this work environment is usually moderate
Work is performed in a clean, well-lighted and ventilated building
Could be subject to infectious diseases, cuts, abrasions, burns, and punctures
Work schedule may vary – mostly day shift
Participates in call rotation schedule as directed

ACCOUNTABILITY

Reports to the Surgical Services Manager

QUALITY ASSURANCE-KEY RESPONSIBILITIES

CIRCULATOR RESPONSIBILITIES

Demonstrates knowledge of procedures – checks physician preference cards and updates as needed
Cleans room prior to and between cases
Opens supplies as needed utilizing sterile technique
Checks room and equipment prior to case – ensures it is in the room and is available and working
Receives patient – identifies patient (ID band; asks in layman’s terms what is to be done; checks for jewelry and prosthetic devices (false teeth); checks patient record for consent and patient signature, lab reports, EKG, chest x-ray, and history and physical
Demonstrates proper positioning of patient
final positions are accomplished after anesthesia has been induced check to insure that the patient is protected against pressure on nerves or impaired circulation – skin must not touch metal of table
has equipment ready for use
arms are secured by draw sheet or arm board
cautery pad on patient
catheter bag is in accessible place
knee strap secure but not too tight and placed above the knees
operative site exposed
adjusts light
Preps patient – knows area to shave if necessary and prep
Assists with draping as necessary
Demonstrates proficiency with duties at start of cas
helps rearrange back table and ring stands as needed
arranges step stools or sitting stools as necessary
notes time of incision
attaches suction and/or cautery
has sterile warm saline and water in proper basins
arranges floor drape and/or kick bucket to receive used sponges
Demonstrates proficiency with duties during case
remains within hearing distance at all times, unless relieved tells scrub where he/she is going if he/she can’t see circulator
guards safety of patient, watches for and corrects any factor that could mean harm to the patient (fire, electrical, contamination)
controls traffic and noise in the room – avoids unnecessary movement and conversation
watches the field – anticipates needs of the sterile team - replenishes supplies before they are depleted – adjusts light as needed
keeps room in order – collects equipment used and puts in one area ready to be removed at one time
has sponges ready for count at any time – makes sure no counted sponges leave the room
does not remove any sponges, instruments and needles from room until all counts are correct
Electronic intraoperative records
segments
picklist
Prepares specimens for pathology
correctly identifies specimens obtained
has labels and containers ready
completes log book
identifies exempt specimens
Prepares charges in an appropriate and timely manner
Demonstrates anticipation of completion of case
dressings ready to place on sterile field following final count
tape ready
drainage bottles, cast material as needed
sponges may be disposed of after the final count and are cleared with anesthesia

removes drapes and secures dressing

Demonstrates proficiency in duties at completion of case

obtains stretcher and assists with transfer of patient
takes all records and chart with patient to room or Recovery Room
places original copies of anesthetic record on patient’s chart
SCRUB NURSE RESPONSIBILITIES

Demonstrates knowledge of procedure - checks physician’s preference card
Demonstrates surgical scrub, gown and glove closed technique
Sets up back table
Drapes and sets up Mayo stand

Utilizes Mayo cover appropriately
Arranges instruments – varies with individual

Sets up basins in ring stands
Gowns and gloves team
Assists with draping – holds drape high so don’t they drag or touch field, watches his/her gown when handling drapes across field, keeps on top of drapes and drops into place, never pulls drapes up to area of incision (once in place it should not be moved), lets circulator remove contaminated drapes, cuffs drapes over gloved hands

Foot drape
Head sheet
Square off towel
Fenestrated drape
Steri drape

Sets up and is ready to go when surgeon is ready
Demonstrates knowledgeable of instruments and their use
Obtains appropriate suture and knows its usage
Observes for breaks in sterile techniques and corrects them
Counts sponges, needles, and instruments according to procedure
Keeps sterile area together
Passes instruments and suture to surgeons in appropriate manner
Demonstrates that he/she has developed a “sterile” consciousness
Anticipates surgeon’s needs
Demonstrates organization with mayo and instrumentation/ back table
Upon completion of case

Demonstrates proper removal of knife blade and disposal of needles
Clears room following completion of case
Puts all instruments, etc. in sink for cleaning
Checks to make sure all instruments and clamps are off of linen
CENTRAL SUPPLY RESPONSIBILITIES

Demonstrates knowledge of cleaning procedure for instrumentation
Demonstrates proficiency in instrument inspection and counting of trays
Demonstrates appropriate wrapping of supplies

Packs
Instruments
Trays
Linen
Stainless steel items

Autoclave operation

Vacuum cycle
Gravity cycle
Flash

Record keeping for sterile processing
Biological indicators
Knowledge of event related policy
Loading of autoclave
Use of air removal pack
Folding and inspection of linen

ENDOSCOPIC CLEANING RESPONSIBILITIES

Leak test and precleaning of gastroscope and colonoscope
Operation of automatic scope cleaning unit

CHEMICAL DISINFECTION / STERILIZATION RESPONSIBILITIES

Mixing of solution / outdate and disposal
Uses – soak times / timer

STERRAD RESPONSIBILITIES

Biological
Wrapping / Packaging
Documentation
Processing
Disposal of cartridges

OUTPATIENT SURGICAL PREP AREA

Places pre-operative calls to scheduled patients
Prepares chart prior to patient admission

Preoperative laboratory reports
Radiology reports
History and physical
Physician orders sheets
Allergies
List of medications

Identifies physician preference requests
Demonstrates proficiency in starting IV’s
Orders and maintains supplies for area as needed
Coordinates follow-up appointments, etc. for patients
Assists with the maintenance of policy and procedure manual for area
Has all emergency equipment, supplies and drugs, ready for use
Provides optimum quality of post-operative care

Maintain record of vital signs and recovery record
Provide for physical and emotional support for the patient

Demonstrates competency in use of equipment

Vital signs monitoring

Performs catheterizations – straight and foley
Provides discharge instructions to patients
Distributes charges and records upon patient discharge
Transfers patient to medical/surgical unit

PUBLIC RELATIONS

Maintains effective channels of communication with other employees and patients
Takes appropriate action in problem situations to offset adverse effects
Projects a professional and positive attitude regarding the hospital

LEADERSHIP

OTHER RESPONSIBILITIES

Demonstrates competency in use of equipment

insufflator
printer
camera for laparoscope
automatic tourniquet
cystoscope
colonoscope
gastroscope
bookwalter retractor
slave monitor
cast cart
anesthesia machine monitoring

Contributes to and supports the nursing department and hospital’s mission and strategic goals
Serves as a change agent, assisting all staff in understanding the importance, necessity, impact, and process of change
Demonstrates competency in use of computer documentation

Scheduling / preference cards
Chart documentation
Order entry
Charges

Performs other duties as assigned
Attends 70% of departmental meetings held during the year
Attends mandatory in-service and educational offerings
Observes hospital dress guidelines and wears ID badge
Provides proper notification for absence and tardiness and is punctual for start of scheduled work time
Maintains equipment assigned to department and reports malfunctions appropriately
Participates in emergency procedures, fire drills, evacuation procedures and internal/external disaster plans and procedures in accordance with departmental responsibilities

CONTINUOUS QUALITY IMPROVEMENT

Participates in the Continuous Quality Improvement Program (CQI) to meet stated goals and objectives of the CQI Program by:

Bringing potential problems to nursing leader’s attention
Assisting in data collection
Suggesting solutions to problems
Emphasizing, supporting and committing to CQI practices and processes
Taking action to assure CQI within areas of responsibility

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