Nurse OR

  • Fresno Surgical Hospital
  • 6125 N Fresno St. Fresno California 93710 United States
  • Posted: Nov 05, 2018
Full-time Allied Health

Job Description

Job Summary
                                                                                                                                                                           

Provides direct patient care. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. Communicates with surgeon and anesthesiologist continuously and as needed about patient condition. Assists surgeon during operative and invasive procedures. Assists with the maintenance of surgical equipment and inventory. Participates in performance improvement activities. Assesses operating room for equipment functioning and readiness, obtains supplies for individual cases and ensures all appropriate needs of surgical operating team are met. Monitors, positions and assists patient during procedure.
 

Reasonable Accommodation Statement
                                                                                                                                                                          


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.
 

Minimum Education and Work Experience
                                                                                                                                                                         

  • Completion of an accredited registered nursing program.
  • Two years of nursing experience and/or training preferred.

Required Skills
                                                                                                                                                                          

  • Ability to communicate effectively in English, both verbally and in writing.
  • Ability to demonstrate clear oral and written communication skills
  • Ability to effectively plan and prioritize work.
  • Ability to maintain collaborative working relationships to ensure a positive and productive work environment.
  • Ability to provide exceptional customer service.
  • Knowledge and proficiency of surgical equipment and assisting in procedure.
  • PC competency, working knowledge of Microsoft Office Products (Word/Excel)

Required Licenses/Certifications
                                                                                                                                                                         

  • Current California Registered Nursing License.
  • ACLS and BLS Certificate required.

Minimum Standards
                                                                                                                                                                          

  •  Time & Attendance (see FSH Time & Attendance Policy)
  •  Professional Appearance (see FSH Dress Policy)
  • Staff meetings (90%)
  • Annual Requirements
    • Mock Code Blue (min. 2 per year if applicable)
    • PPD/TB Screen
    • Annual Competencies
    • Flu Vaccine
    • License/Certifications
    • Compliance Training

    Essential Functions
                                                                                                                                                                              

    • Accurately records, handles and labels specimens; demonstrates care of specimens.
    • Adjusts expectations of patient behavior and acts according to the effect medication has on patient.
    • 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.
    • Carries out established techniques for safe administration of medications and parenteral fluids, as per hospital policies and procedures.
    • Carries out medical and surgical asepsis during all procedures.
    • Coordinates and supervises patient care; provides patient and family with teaching/education, as necessary.
    • Demonstrates competence in preparing and cleaning of OR suites before and between cases and after terminal cleaning, based on patients infection class.
    • Demonstrates knowledge of anesthetic drugs, actions and side effects.
    • Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
    • Able to interpret data about the patient's status in order to identify each patient's age specific needs and provide care needed by the patient group.
    • Demonstrates thorough knowledge of location, care and operation of all surgical equipment.
    • Directs and assists in maintenance and handling of special equipment and instruments. Effectively communicates with the physician in accounting for all sponges, needles and instruments during and after the procedure and documents in the appropriate area.
    • 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.
    • Follows the five (5) medication rights and reduces the potential for medication errors.
    • Gives thorough report of patients intraoperative condition to PACU nurse.
    • Is able to open sterile supplies and set up for procedure.
    • Is consistently ready and prepared for assigned cases.
    • Observes behavioral and physiologic changes due to medications, takes appropriate actions and documents.
    • Positions patients safely; pads and protects bony prominences.
    • Preps and drapes patients correctly for all procedures.
    • Utilizes initiative; strives to maintain steady level of productivity; self-motivated; manages activity and time; does not waste time.
    • Other duties as assigned 

    Physical Demands
                                                                                                                                                                              

    • Close Vision- (clear vision at 20 inches or less)
    • Lift up to 10 pounds- 1/3 to 1/2 of time
    • Lift up to 25 pounds- 1/3 to 1/2 of time
    • Lift up to 50 pounds- up to 1/3 of time
    • Lift more than 100 pounds- up to 1/3 of time with assistance
    • Push/Pull- 1/3 to 1/2 of time
    • Reach with hands and arms- up to 1/3 of time
    • Sit- up to 1/3 of time
    • Stand- 2/3 and more of time
    • Talk or hear- 2/3 and more of time
    • Use hands to finger, handle or feel- 2/3 and more of time
    • Walk- 2/3 and more of time

     Work Environment
                                                                                                                                                                              

    • Body fluid exposure- Yes
    • Fine Dexterity- Both (5-6 hours)
    • Fumes or airborne particles- up to 1/3 of time
    • Grasping: simple/light - Both (5-6 hours)
    • Grasping: firm/heavy- Both (3-4 hours)
    • Hearing- Ability to hear alarms on equipment
    • Hearing- Ability to hear instructions from physician/department staff
    • Repetitive use of foot control- Both (1-2 hours)
    • Repetitive use of hands- Both (5-6 hours)
    • Risk of electrical shock- up to 1/3 of time
    • Risk of radiation- up to 1/3 of time
    • Toxic or caustic chemicals- up to 1/3 of time
    • Typical noise level- Moderate Noise
    • Work near moving mechanical parts- 1/3 to 1/2 of time