RN Scrub/Assist

DescriptionFLSA Employment Status: Nonexempt/HourlyJOB SUMMARYUnder general supervision, plans, directs, and evaluates total nursing care and functions in OR on a particular shift, in accordance with established patient care plan and philosophy. Will provide care and support to patients before, during and after surgery; will assist the surgeon and the surgical team in their tasks.Reporting Structure: Reports to the Surgery Nursing Director and/or designeeMINIMUM QUALIFICATION REQUIREMENTSEducationGraduate of an accredited program in nursing.Bachelor of Science in nursing (BSN) or Associate of Science in Nursing (ADN) degree required.Work ExperienceA minimum of two years nurse experience in an acute healthcare setting preferred. OR nurse experience preferred.License/CertificationCurrent Tennessee State Licensed Practical Nurse with no restrictionsCurrent CPR/Current Basic Life Support (BLS) or obtain within 30 days of hire dateCurrent Advanced Cardiac Life Support (ACLS) required for fulltime employees or within 1 year of hire dateCurrent Pediatric Advanced Life Support (PALS) required for fulltime employees or within 1 year of hire dateCORE COMPETENCIESMission, VisionCore Values/Standards of ConductAIDET/Organizational ExpectationsJust CulturePatient ExperienceDiversity and InclusionJOB SPECIFIC CORE COMPETENCIESDepartment Specific Specialty Area:SkillsPossess excellent customer service/interpersonal skills; adept at working with diverse patient populations.Possess effective communication skills both verbal and written.KnowledgePossess working knowledge of the universal patient safety standards, safety and quality regulations, government agencies rules and regulations (CMS, OIG, HIPAA).Demonstrates knowledge of the empathy needs of patientsDemonstrates knowledge of patient rights.Behavior/AbilitiesMust be able to pass all required health and other related screening tests.Demonstrates positive behavior conducive to a team environment.Requires the ability to work with little direct supervision.Treats patients, co-workers, employees, and visitors with the respect and courtesy.Projects a professional and positive public image.Ability to communicate through spoken and written English is required.ESSENTIAL FUNCTIONSOperating Room Patient CareMay perform Circulating Nurse duties: Assists in positioning, responding to comfort/safety of patient.Provides for accurate care and handling of specimens.Observes and enforces strict standards of asepsis in creating and maintaining the sterile field. Observes, checks and monitors all equipment used during surgery to confirm they are running smoothly.Documents in the patient EHR accurately.Inventories all items both pre- and post-surgery.May perform Scrub Nurse duties: Selects and handles instruments and supplies used for the operation, passing them to surgeon. Performs sharp and instrument counts according to policyCall is RequiredPatient CareProvides direct and individualized nursing care to patients based on the application of scientific nursing principles.Initiates admission assessment within two hours of arrival to the unit, including pain assessment.Completes admission assessment of the patient according to procedure within 24 hours.Monitors patient condition throughout shift according to unit care standards, including the reassessment of pain.Demonstrates ability to interpret changes in patient condition and abnormal lab values as evidenced by shift communication and documentation in the medical record.Initiates a written plan of care on admission.Initiates and incorporates the nursing plan of care: nursing interventions specific to the patient's age and identified needs; measurable patient outcomes, discharge planning.Reviews and appropriately updates the nursing plan of care.Works with the patient or family in the development of the plan of care.Requests consultation, based on assessment data, to assist in problem solving or facilitation of care as evidenced by random observation and documentation in the medical record.Administers medications, including I.V. fluids, according to policy and procedure.Administers and accounts for all controlled substances according to established policy and procedure.Accurately reviews physician's orders and ensures implementation according to schedule.Documents nursing interventions and patient response to care.Provides basic teaching as outlined in the plan of care and documents teaching and outcomes in the medical record.Evaluates patient outcomes and modifies nursing interventions to meet changing patient needs, including the reassessment of pain.Reports changes in the patient's condition and/or adverse patient response to physician and other health care professionals.Maintains acceptable standards of patient care.Arranges to have needed supplies and equipment on hand.Participates in ongoing quality improvement activities.OTHER DUTIESMay assist with other related duties and special project work as required.PHYSICAL DEMANDSRequires prolonged periods of standing and walking.Must be able to lift, push, and pull up to 40 pounds during a scheduled work shift.Must be able to see with corrective eye wear.Must be able to hear clearly with assistance.May be exposed to infectious and contagious diseases.Must be able to handle emergency and/or crisis situations.May be required to wear protective equipment as necessary.Must be able to transfer and reposition patients.Requires reaching, stooping, bending, kneeling, and crouching for patient care functions.Possess the ability to perform effectively in a stressful and fast-paced environment.Possess the ability to pass all required health and other screening tests including random and reasonable suspicion drug screens.PHYSICAL ABILITIES AND REQUIREMENTSActivityOccasionally (1-33%)Frequently (34% to 66%)Continuously (67% to 100%)SittingXWalkingXStandingXBendingXSquattingXClimbingXKneelingXTwistingXLiftingXCarryingXPushing