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Purpose of Position: Utilizes the nursing process in planning, executing, and evaluating the nursing care given to the surgical patient during the intra-operative period. Plans and delivers safe, effective nursing care until the patient is transferred from his/her care to the recovery R.N. Performs duties of the circulating or scrub role in caring for all age patients.

Description:

• Demonstrates necessary practical, technical, or specialized skills required for the role of the peri-operative nurse in accordance with AORN and other regulatory standards of practice.
• Demonstrates deep knowledge of surgical procedures and has the ability to oversee the instrument and equipment set-up, prepare for the case utilizing preference cards, and anticipates needs of surgeon.
• Coordinates and oversees the room during a case as the circulator.
• Facilitates effective and efficient transition between surgical procedures.
• Utilizes preference cards and updates as necessary.
• Utilizes appropriate body mechanics in moving patients, stretchers, and OR tables to prevent injury to patient and self.
• Demonstrates knowledge of management of patient, including: being available to anesthesia during intubation and extubation, assisting as needed in sudden changes in patient condition and being readily available to assist as directed.
• Performs thorough patient interview and assessment in accordance with procedure and assures an appropriate, detailed time out process is done according to policy.
• Consistently reviews charts for completeness, in accordance with documentation protocols prior to and after the surgical procedure. Assures appropriate consent, H/P, diagnostic reports, and relevant information are on chart prior to the start of procedure.
• Prepares and administers medications in accordance with current practice (i.e. review physician orders, pre-op antibiotics, preparing/labeling medications on/off field, utilizing the medication rights, identifying high alert medications, conducting independent double checks when indicated, and narcotic waste, etc.).
• Relays appropriate hand off communication to PACU staff to ensure continuity of care.
• Participates in the anesthesia time-out process if performed in the pre-op area prior to administration of pre-operative blocks or prior to the induction of anesthesia.
• Takes responsibility for careful and accurate handling and/or logging of narcotics, biohazardous materials, and surgical specimens.
• Assures all members of the surgical team comply with principles of surgical hand asepsis, aseptic, and sterile technique.
• Demonstrates knowledge related to maintenance, cleanliness, and sterilization of instruments and equipment.
• Appropriately handles the disposal of biohazardous materials.
• Responds to emergency situations appropriately. Understands and utilizes emergency protocols.
• Functions independently according to job responsibilities and within scope of practice utilizing current standards of care.
• Takes personal initiative to maintain current RN licensure, BCLS, ACLS/PALS (if indicated) and other professional certifications current as defined by job role.
• Attends all mandatory in-services, staff meetings and participates in emergency drills.
• Participates in the orientation of new employees.
• Completes annual competency and other required education as assigned.
• Maintains confidentiality and security of records and patient information at all times.
• Effective problem solving skills to include data analysis and judgment to make effective decisions. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects MACC's commitment to CARES: compassion, accountability, respect, excellence and service.

Qualifications:

• Graduate of an accredited School of Nursing.
• Currently licensed as a Registered Nurse in the Commonwealth of Massachusetts.
• Must read, write and communicate in English.
• Basic Life Support Certification required.
• ACLS Certification within 6 months of position and must maintain certification.
• Knowledge of current practice of decontamination, high level disinfectant, and sterilization.
• Ability to identify and select instruments and equipment necessary for surgical procedures and appropriately interpret information on preference cards.
• Knowledge of applicable regulatory, compliance, and accreditation standards and requirements.
• Use of lead apron may be required.

Schedule Details: Per Diem Hours, Rot. Days, No Weekends & No Holidays

Organization: Medical Affiliates of Cape Cod

Primary Location: Massachusetts-Mashpee

Department: MAC-Cape Cod Surgery Center

Annual/Hourly: Hourly

Hiring Pay Range: $35.41-$46