CO-OR RN

HEART OF THE ROCKIES REGIONAL MEDICAL CENTERJob DescriptionJob Title: RN- Operating Room Registered NurseDepartment: Surgical ServicesReports To: Surgical Services Nurse ManagerFLSA Status: NonexemptRevised Date: December 2019SCOPE STATEMENT:A Registered Nurse (RN) for the Operating Room is able to independently assess and evaluate the health status of all presenting patients utilizing objective and subjective data and identifying health care problems The RN must maintain safe and effective care throughout the episode of care through the institution of standard procedures that stabilize each patient's condition or through the prevention of serious complications in surgical situations. The perioperative RN helps to plan, implement and evaluate treatment of surgical patients, interacting closely with patients, family members and other healthcare professionals. The RN acts as a patient advocate.The scope of OR RN practice involves performing invasive procedures in both the scrub and circulation RN roles. Is proficient with the selection and handling of instruments and supplies used during a variety of surgeries to include but not limited to general, orthopedics, ophthalmic, ear/nose/throat, gynecological, and procedural. As circulator, the RN manages the overall nursing care in the operating room and ensures a safe and comfortable environment.TERMS AND CONDITIONSThese functions are considered essential functions for one or more of the following reasons:1. The performance of this function is the reason that the job exists.2. There are limited employees among whom the performance of this function can be distributed.3. This function occupies a great deal of the employee's time.4. This function is highly specialized. Employees are hired for the skill/ability to perform this function.5. Failure to perform this function may have serious consequences.Nothing in this job description restricts HRRMC's ability to assign, reassign or eliminate duties and responsibilities of this job at any time. HRRMC does not restrict the tasks that may be assigned. Critical features of this job have been described; those features may be changed at any time due to reasonable accommodation or other reasons deemed appropriate by HRRMC. Other duties may be assigned.ESSENTIAL DUTIES AND RESPONSIBILITIES:1. Financea. Makes recommendations for equipment needs to manager, including providing supporting justificationb. Identifies cost savings and productivity improvement opportunities and recommends to manager/director/VPc. Accurately and timely records time worked and requests timecard modification/PTO through full utilization of Kronos functionality. Worksovertime only with manager/director/VP prior approval and identifies observed overtime concerns/issuesd. Makes recommendations for strategic planning & productivity improvement to manager/director2. Qualitya. Follows all policies and procedures. Follows regulatory standards elements of performance per policy.b. Follows expectations for a culture of safety. Provides immediate feedback to direct supervisor and/or manager about concerns and/or recommendations related to safety and accountability. Maintains a calm and safe environment for patients, visitors, and staff.c. Using data from audit and survey results along with input from the team lead, supervisor, and/or manager implements quality metrics being captured for Performance Improvement. Follows all standard of care procedures in order to achieve optimal results.d. Monitors vendors for compliance with badge use and immediately reports concern to immediate supervisor.e. Engages with department performance improvement strategies, may be asked to lead a strategy per supervisor/manager recommendation. Communicates performance improvement recommendations to supervisor.f. Proactively participates with the annual competency completion expectation.3. Employee Relations, Retention and Recruitmenta. Complete required onboarding and training by due date. Involved with training and onboarding new employees as requested.b. Complete all staff competencies and mandatory education as required by the due date.c. Complete self-evaluation by the listed due date. Provides at least two measurable goals for the coming review year. For any competencies in which you are scored as needs improvement or does not meet, complete an action plan with measurable steps and due dates to accomplish the listed competencyd. Review and approve policies, procedures, standards and protocols as required. Follow all HRRMC policies as outlined.e. Actively involved and provide input with departmental HR strategic planf. Attend at least 75% of departmental meetings; provide education updates at staff meetings as applicable when attend conferences or educational events.g. Responsible to ensure all essential duties of job description are met as well as required education, certification and licensure as outlined.h. Actively participates in one on one meeting with immediate supervisor and providing concerns with follow-up solutions to the issues outlined.i. Communicate all questions, concerns and recommendations to direct report immediately in a concise, tactful and straightforward manner. Log into SharePoint daily to review daily communications to stay abreast of information. Read and respond to emails daily and ensure all emails contain two critical components (purpose and request). Employees who are on the Communications Team share relevant info at their monthly departmental meeting.j. Follow the constructive problem solving policy and process.4. Service Excellencea. Provides exceptional customer service in all interactions utilizing proactive patient communication and practicing AIDET (Acknowledge, Introduce, Duration, Explanation and Thank).b. Immediately addresses customer concerns and communicates promptly with immediate supervisor to keep them in the loop. If concern cannot be addressed, refer to direct report or grievance officer.c. Responsible for carrying out departmental service excellence strategies in accordance with the departmental strategic plans. Provides input into the development of the service excellence plan.5. Marketinga. Provides input to manager and/or helps department achieve community needs and relationships strategies on departmental plan.b. Shares ideas for departmental events with manager and attends departmental events.c. Presents self and the hospital in the best possible manner.6. Facilitya. Provides immediate feedback to the team lead or in the absence of team lead the supervisor and/or manager about concerns and/or recommendations related to regulations and codes.b. Completes work orders timely once a maintenance issue is identified.c. Provides immediate feedback to the team lead and/or supervisor and/or manager about concerns and/or recommendations related to safety and accountability concerns.7. Information Servicesa. Practices the utmost in information security ensuring that personal passwords and user names are never shared with anyone.b. Will always verify vendors claiming to be working with HRRMC before allowing vendors into secure areas or access to any electronic devices (including verbal instruction to execute commands on your PC in person of over the phone). Contacts the IS Emergency Line at (719) 530-2225, option 1 to reach a member of IS Staff immediately for verificationc. Ensures that no link or attachment within an email received from outside HRRMC is clicked unless the content is expected, recognized and verified. Employee promotes a culture of suspicious of outside emails requesting sensitive information. If an unsolicited message is received from outside HRRMC (even from a known contact) employee shall use extreme caution. If there are questions or uncertainty, employee will verify with the sender, call IS, or start and. IS ticket for assistance.8. Physician Relations, Retention and Recruitmenta. Encouraged to communicate ideas for new providers and services to supervisor and HRRMC leadership if applicable. Will participate in recruitment interviews as requested and will maintain candidate confidentiality both internally and externally. Provides immediate feedback on candidates to direct reportESSENTIAL DUTIES PER AREA OF RESPONSIBILITY. 1. Serves as a Circulator and/or Scrub nurse for surgical and procedural cases. Performs scrub functions, including the preparation, selection and handling of instruments and supplies used during the surgical procedure and performs surgical counts with the circulating nurse. Performs circulating functions before surgery, including preparing the operating environment, orient and assessing the patient, reviewing the patient medical record, consent, surgeon's notes to ensure all pre-requisites and preferences are met. 2. Provides nursing care utilizing the nursing process through all phases of surgical procedures. 3. Collaborates with all members of the surgical team for the benefit of the patient. 4. Performs Universal Protocol: Timeout, verify patient full name, date of birth, surgical procedure, correct site and ensures site is marked with surgeon' signature. 5. Performs circulating functions during surgery including monitoring and communicating patient's condition, documenting interventions and activities, monitoring the sterile field and controlling traffic into and out of the operating room. 6. Participates in room turnovers between cases with EVS staff. 7. Demonstrates clinical competence in surgical skills and a superior sterile conscience. Rotates to all areas in surgical services as census changes and to accommodate patient needs. 8. Serves as the second Registered Nurse during the recovery phase post-operatively during call back 9. Assists with cleaning and sterilization of instruments for after hour cases. 10. Promote the efficient use of hospital resources and ensures proper supplies and equipment is accessible at all times. 11. Accurately documents all patient care in the medical records. Accurately documents appropriate patient charges, corrects any discrepancies.QUALIFICATIONSTo perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.1. Must demonstrate high level of detail orientation.2. Must be current on state-of-the-art office technology, including entire Microsoft Office Suite, and other office technologies.3. Solid ability to handle highly confidential, sensitive information. Position requires a high level of professionalism, tact, discretion, and integrity.4. Must have the ability to work independently as well as collaboratively and adapt to changing priorities; demonstrate resourcefulness and good problem-solving skills.5. Participates with on-call rotationEDUCATION and/or EXPERIENCEMinimum of an Associate's degree in Nursing (ADN). Bachelor of Science in Nursing preferred, from an accredited nursing program. Minimum of one year in area of specialty or acute care preferred.LANGUAGE SKILLSMust possess excellent written and verbal communication skills, excellent language, grammar and spelling skills.MATHEMATICAL SKILLSAbility to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, percentages and decimals.OTHER SKILLS AND ABILITIESThis position may require special skills listed below.Accurate, efficient, key-boarding skills; ability to work under pressure with multiple priorities; highly organized.REASONING ABILITYAbility to define problems, collect data, establish facts, and draw valid conclusions to assist with resolutions to issues and problems. Must be able to apply a high level of understanding to carry out detailed and involved written or oral instructions.CERTIFICATES, LICENSES, REGISTRATIONSMust maintain current, active license as a Registered Nurse in the State of Colorado.Must maintain current CPR certification.Must maintain current ACLS certification.Must maintain current PALS.PHYSICAL ACTIVITIES & REQUIREMENTS, VISUAL ACUITY, AND WORKING CONDITIONS OF THE POSITIONThe physical 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. While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel and talk or hear. The employee frequently is required to stand; reach with hands and arms; and stoop, kneel, or crouch. The employee is occasionally required to walk or sit; and must be able to smell in order to detect changes in odors. The employee must frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision for reading medical records, monitors and other equipment; distance vision to be able to observe patients, monitors across the room; color vision to observe patient for changes, color of fluids; peripheral vision to function in emergency situations involving many staff members; and ability to adjust focus while looking from patient to other areas.CONFIDENTIALITYMaintains patient, employee, and hospital confidentiality at all times, discussing patient, employee, or hospital business only with appropriate parties who have a bona fide need to know; and communicating only the minimum amount of information necessary with respect to protected health information (PHI) as identified by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).Shift: 5 - 8 Hour Shifts/Weekend Rotating CallSpecialty Type: NursingSub Specialties: Operating Room / Circulation & Scrub