RN, Perioperative

Improving Lives Together

Magruder Hospital offers competitive wages with a comprehensive benefit package available to both full-time and part-time employees. We provide a full health plan and generous time off that includes Holidays, Vacation, Sick, Personal, and even your Birthday! Earn 2 weeks of vacation your first year and up to 3 weeks your third! Our culture and family friendly work environment truly set us apart- apply today for an opportunity to join our team and help serve this great community!

Responsible for the delivery of safe, effective, and quality patient-family centered care in the OR and other areas of perioperative services for all patient populations.

• Develop an individualized perioperative patient plan of care.

• Implement the plan of care by:

• Protecting the patient from injury caused by extraneous objects and chemical, electrical, laser, mechanical, and thermal sources;
• Performing accounting procedures to protect the patient from unintended retained surgical items;
• Performing interventions necessary to ensure that the patient’s procedure is performed on the correct site, side, and level;
• Managing the patient’s specimens according to organizational policy and procedures;
• Communicating the patient’s current status to relevant parties throughout the continuum of care; using SBAR (Situation, Background, Assessment, Recommendation);
• Administering medications safely and correctly;
• Performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline levels;
• Performing interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period;
• Performing interventions to protect the patient from surgical site infections;
• Providing age-specific, culturally competent, ethical care within legal standards of practice;

• Evaluate the patient’s progress toward attaining outcomes.

• Transfer care as applicable.
• Delegate tasks according to the state Nurse Practice Act and job descriptions.
• Document nursing care accurately, completely, and legibly.
• Collaborate effectively with other disciplines as applicable.
• Participate in quality review and performance improvement projects.
• Maintain required competencies.
• Act as a patient advocate and maintain privacy of individuals.
• Effectively assist anesthesiologist during induction, intubation, emergence, and placement of spinal, epidural, and IV access catheters.
• Effectively function as a preceptor for peers and new employees.
• Able to perform all duties of the circulating nurse and able to effectively and efficiently anticipate and respond to the needs of the surgical team.
• Practices good aseptic technique according to AORN guidelines
• Demonstrates thorough knowledge of location, care, and safe operation of all surgical equipment, with particular focus on:

• Electrocautery Units
• IV Pumps
• Tourniquets
• Patient monitoring equipment

• Demonstrates thorough knowledge of location, care, and safe use of positioning equipment, especially:

• Amsco-Steris OR Tables
• Orthopedic Fracture Table
• Total Knee Positioner
• Total Hip Positioner
• Hand – Arm Table
• Cystoscopy table accessories for Amsco-Steris OR Tables
• Allen Stirrups
• Soft Restraints
• Knee Safety Belt

• Demonstrates thorough knowledge of location of surgical supplies, instruments, and equipment.
• Consistently uses preference cards as a basis for case preparation and care planning.
• Always identifies the surgical patients and their procedures correctly:

• Uses two identifiers (name and DOB) to identify the patient
• Ensures that the patient, chart, armband, and addressograph plate all agree.
• Ensures that procedures with laterality that the patient, H&P, consent, surgeon, and the booked case all agree before the patient goes into the surgical suite.
• Uses TJC recommended and approved “Time Out” procedures to insure that the patient, surgeon, anesthesia, circulator, scrub, and the booked case all agree before the patient undergoes anesthesia.

• Demonstrates competence in preparing and cleaning of OR suites before and between cases and after terminal case.

• Demonstrates thorough knowledge of instrument processing, sterilization, and biological monitoring.

• Evidences the knowledge and ability to assess and interpret data about the patient’s growth and development in order to identify each patients needs and provide the appropriate care, including age-related care, where appropriate.
• Pediatric
• Adolescence
• Adult
• Geriatric
• Complies with federal, state, and local legal requirements by studying existing and new legislation; anticipating legislation; enforcing adherence to requirements; advising management on needed actions; ensures compliance with Joint Commission and other external and internal regulatory agencies.
• Maintains the integrity of confidential patient information in accordance with HIPAA and hospital policy, including accessing, using and disclosing patient information relevant to the individual employee’s job duties. Also maintains confidentiality of other customer and hospital business affairs.
• Adheres to the standards of Magruder Hospital’s corporate compliance policies and seeks guidance and training when necessary to resolve questions about the policies. Reports violations in accordance with corporate compliance and organizational standards.
• Attendance is an essential function of this position. Reports to work on time and as scheduled; Shows respect for co-workers by following established break times; Keeps personal conversations and telephone calls to a minimum.
• Travel is primarily local during the business day, although some out-of-area and overnight travel may be expected.
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
• Other duties as requested and assigned.

• Associate’s Degree from an accredited school of nursing
• Current registered nurse license in Ohio
• Minimum 1 year nursing experience in hospital setting
• Prefer at least one year of perioperative nursing experience within the past two years; scrub and/or circulating experience
• Good communication skills
• Good organization skills
• Ability to remain calm in emergency situations
• Computer skills with electronic medical record (EMR)
• Able to function in a physically demanding, high-stress environment
• Working irregular hours including call
• Physical stamina
• Excellent assessment skills

Preferred:

• Bachelor’s Degree from an accredited school of nursing
• Effectively functions as a preceptor for peers and new employees
• Self motivated and directed

Required:

• Current RN license by the State of Ohio
• Current BLS, ACLS, PALS* Certifications

• BLS certification is required upon hire.ACLS & PALS certifications are required to be achieved as soon as possible but not later than six (6) months after hire date. All certifications required in this job description must be maintained by the employee throughout their employment.

Preferred:

• CNOR certification
• GI Scope certification

Magruder Hospital is an Equal Opportunity Employer and provides equal employment and advancement opportunities to all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, veteran status, disability, or any other protected class under the law.

Magruder Hospital is a Tobacco and Drug Free Workplace. Any offer of employment will be contingent upon satisfactory completion of pre-employment drug screening, including screening for the presence of nicotine, satisfactory completion of background verification, and the results of a post-offer medical and physical examination.