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GENERAL SUMMARY OF DUTIES - Responsible for the delivery of safe, effective, and quality patient-family centered care in the operating room and other areas of perioperative services for all patient populations. He/she are responsible for meeting surgical standards of nursing practice. He/she will maintain skills in setting priorities, organizing workload effectively, changes in assignment and integrating multiple assignments with multilevel personnel. Is expected to flex hours to accommodate unit schedule and cover standby during weekends, nights and holidays. This position requires strong communication skills, must be attentive to details, have a thorough knowledge of sterile technique, have a commitment to the team concept, and have a strong commitment to task.
Will acts as a patient advocate. He/she will support the mission, vision, and values of the organization.

SUPERVISOR - Surgical Services Director and Manager

SUPERVISES - No supervisory duties


Maintains own clinical skills by staying current with new equipment, technology and trends in nursing.
Participates as a team member in support of the total perioperative process
Organizes time, equipment, supplies, and personnel to provide effective and efficient case management
Delegates activities appropriate to the abilities of available staff members for patient care in a single operating room
Considers cost containment by using supplies economically and in effective turnover time
Explains intra-operative phase of routine procedures and care to the patient
Performs the circulating/scrub nurses role and functions following approved operating room procedures to meet the requirements of scheduled procedures
Assembles and provides properly functioning equipment, supplies, and instruments before start of procedure and positions and adjusts equipment as required during the procedure
Assists with the proper and safe positioning of the patient and prepares operative site as directed by established procedures
Provides assistance and directs others in safely transferring the patient to and from the operating room.
Provides continuity of patient care by communicating with other perioperative care personnel and documenting records accordingly
Responds in a timely manner to meet the needs of the patient and physician
Greets, interviews, and assesses patient to confirm identity, verifies operative site/marking, surgical procedure, NPO status, and any patient allergies with patient prior to going to the surgery suite.
Identifies baseline skin condition, body mobility, sensory impairments, cardiovascular, and respiratory status.
Evaluates and completes patients medical record for appropriate consents and data pertinent to their care (i.e., history and physical, lab, radiology reports, physician orders, etc.).(Pre-procedural checklist)
Supports anesthesia personnel and assists during all methods of anesthesia.
Prepares the surgical site according to established skin preparation procedures.
Verifies identity, operative site, surgical procedure, physician, allergies, antibiotics and any other pertinent information prior to incision. (Time out process)
Maintains a safe environment in the operating room for patient and staff. (including Traffic Control)
Monitors sterile technique of team members and implements aseptic technique by creating and maintaining a sterile field.
Anticipates needs of the surgical team, including anesthesia personnel, scrub nurse, and surgeon to facilitate progression of case.
Anticipates emergency and unusual circumstances and initiates corrective actions.
Verifies and implements intra-operative physician orders (i.e., blood, lab, x-ray, medications, etc.).
Demonstrates thorough, concise and timely documentation. Records devices implanted during the operative or invasive procedure appropriately.
Monitors physical status of patient, to administer drugs and solutions as prescribed.
Monitors and controls the environment and considers all assessment information for the plan of care and demonstrates individual choice based on identified patient needs.
Maintain correct count of sponge, needle, and instrumentation with the scrub staff in accordance to hospital policy and procedure. Assesses proper time for closing and final counts to the scrub tech and confirms the count, informs physician and takes appropriate actions if incorrect..
Manages culture/specimen collection, handling, and disposition according to hospital policy and procedure.
Demonstrates flexibility and adaptability to changes in nursing practice and responds in a positive manner to constructive criticism.
Exercises safe judgment in decision making and demonstrates tact and understanding when dealing with patients, team members, members of other disciplines, and the public.
Perform interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period.
Accompanies patient to ODS/PACU and gives post-operative report to unit staff.
Using the physician preference sheet to verify, selects supplies and instruments for each surgery.
Opens and/or assists in opening the instruments, packs, and supplies using proper sterile technique.
Handles and disposes of contaminated supplies and linen using appropriate technique.
Assists with clean-up of the room and assures return of instruments to Sterile Processing.
Assist with QI projects/ special projects and unit changes
Follows ORHC infection control policies and procedures at all times
Conveying QI, risk and safety concerns to Director or designee in a timely manner
Completes variance reports or statements of concern appropriately and in a timely manner
Minimizes the length of invasive procedure by planning care: anticipates needs for equipment and supplies and selects in an organized and timely manner.
Uses supplies and equipment within safe parameters by ensuring all equipment is functioning before use and removing malfunctioning equipment from use.
Uses supplies and equipment in a judicious and cost-effective manner and documents utilization.
Completes required education requirements, (Health streams) and identifies own learning needs
Completes required competencies and training within signed timeframe
Attends 100% of mandatory education. and 85% of staff meetings
Other duties as assigned


In-depth knowledge and skill related to surgical patients, population, supplies, documentation, equipment, and patient care requirements, etc.
Must have a caring, calm and compassionate attitude
The ability to deal with patients fear and doubts
Ability to work within the guidelines established by the organizational structure.
Working/Reference knowledge of policies/procedures/standards.
Participate in and contribute to committees, teams and projects in keeping with the organizations strategic goals.


Graduation from an accredited school of nursing.


Prefer prior experience in perioperative nursing
CNOR preferred
Position requires the knowledge and skills necessary to provide nursing care appropriate to the patient population assigned, considering client age and diagnosis
Willing to accept responsibility and accountability to prescribe, delegate, and coordinate nursing care provided on his/her unit as required.
Verbal ability to present information and ideas related to nursing theory and practice.
Ability to function in stressful situations.
Willingness to cross train and float between OR, PACU, ODS and Endo units.


Current Active Iowa Registered Nurse Licensure
ACLS /BLS required, PALS preferred but not required

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