RN, Surgical Services, PRN

Surgical Services RN needed for a Critical Assess Hospital to Circulate, Scrub, and Recovery

• Performs patient duties in pre-operative, intra-operative, in PACU and post-operative areas.
• Adapts nursing procedures to meet the needs for treatment of individual neonate, pediatric, adolescent, adult and geriatric patients.
• Prepares the patient for surgery in cooperation with the anesthesia provider.
• Begins and continues discharge planning and education throughout the peri-operative experience.
• Observes behavioral and physiologic changes and takes appropriate actions and documents.
• Assessment and reassessment of the patient is clearly and concisely communicated in charting.
• Documentation meets current standards, policies and procedures and is completed within shift.
• Assess the general needs of patient, review of all systems, and assess cardio-respiratory systems for changes in patients and is able to treat appropriately
• Identifies physical symptoms and changes and takes appropriate actions in a timely manner.
• Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques.
• Educates the patient and family regarding pain management.

Intra-operative

• Ensures Pre-op Checklist is complete (H&P present, informed consent signed, test results present, surgical site identified, etc.) before patient is taken into surgical suite.
• Is consistently ready and prepared for assigned cases and has patient in the surgical suite at or before the scheduled time.
• Demonstrates competence in preparing and cleaning of OR suites before and between cases and after terminal case, based on patient’s infection class.
• Carries out established techniques for safe administration of medications and parenteral fluids, as per hospital policies and procedures
• Coordinates and supervises patient care; provides patient and family with teaching/education, as necessary.
• Demonstrates knowledge of anesthetic drugs, actions and side effects.
• Demonstrates thorough knowledge of location, care and operation of all surgical equipment. Directs and assists in maintenance and handling of special equipment and instruments.
• Gives thorough report of patient’s intra-operative condition to PACU nurse.
• Demonstrates thorough knowledge of instrument processing, sterilization and biological monitoring. Actively participates in instrument processing if needed.
• Is able to perform all duties of circulating RN and scrub RN (once trained to scrub).

• Graduate from an accredited school of nursing with Associates, Diploma or BSN Degree required
• Active Idaho or compact state RN license required upon hire.
• Minimum of two (2) years of surgical experience preferred
• Circulating experience required
• Basic Life Support (BLS) certification upon hire. Advanced Life Support (ACLS) certification within one year of hire.
• Must be able to use a high level of abstract reasoning to assess patient, evaluate interventions, and revise plan of care according to patient outcomes
• Strong knowledge of surgical instrumentation, sterile field management, and anesthesia recovery protocol
• Ability to work independently and collaboratively in a rural environment
• Excellent communication, critical thinking, and patient advocacy skills.