RN OR - Outpatient Surgery Center (Per Diem) (Mashpee)

•    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.