Registered Nurse, Surgical

Pershing Health SystemOUTPATIENT SURGICAL RN

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Job Summary:

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The Outpatient Surgical RN is responsible for the overall care of patients seeking treatment in the

Outpatient Department. This role ensures patient comfort and safety before, during, and after medical procedures and surgery. The Surgical RN coordinates and manages surgical procedures to promote efficiency, safety, and optimal outcomes.Supervisory Responsibilities:

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• Supervises care given by LPNs and nonprofessional staff and provides instruction as needed.

*CIRCULATING RESPONSIBILITIES: Demonstrates immediate judgment and response to all aspects of patient care, including physiological response to medication, provision of emergent supplies and instruments, and troubleshooting equipment to ensure quality care.

• Prepares and maintains a sterile field before, during, and after the surgical procedure.
• Ensures the operating room and equipment are safe and properly prepared.
• Collaborate with the surgical team to ensure efficient workflow and communication
• Works closely with scrub technician to help maintain the sterile field in the operating room and

additional supplies are available and added to the sterile field as needed.* Prepares the patient for the procedure, including reviewing assessments, vital signs, allergies, and informed consent.

• Assess the patient’s condition before a surgical procedure.
• Collaborates with a physician to develop and adjust the interoperative care plan.
• Continuously evaluates the patient’s condition during the procedure and updates care as needed.
• Monitors patients’ physical and emotional well-being throughout the care continuum
• Assist the CRNA with care as needed throughout the surgical process.
• Ensures patient understands procedure and participates in a time-out” immediately prior to surgical procedure with the OR team.

*DURING THE SURGICAL PROCEDURE, THE OR NURSE(S) CAN TAKE ON ADDITIONAL DUTIES: Assist in positioning, responding to comfort/ safety of patient

• Maintain and enforce strict aseptic techniques.
• Monitor all surgical equipment to ensure proper function.
• Complete all patient documentation.
• Perform instrument and supply counts before and after procedures.
• Manage all specimens, ensuring proper labeling and transport.
• Ensure required implants are available and properly documented.
• Perform additional duties as assigned based on the clinical setting

PRE-OP RESPONSIBILITIES:

• Provide patient education throughout all phases of care.
• Ensure necessary supplies and equipment are available in the Pre-Op and PACU
• Assist with inventory control and supply tracking.
• Document all patients' care accurately.
• Prepares for arrival by ensuring all proper supplies and equipment are available.
• Reviews patient charts to confirm completion of pre-operative evaluations and signed consents.
• Admits and prepares the patients for surgery, providing ongoing communication and support.
• Performs nursing assessments, initiates IV access, and administers ordered medication.
• Maintains cleanliness of patient care areas and equipment.
• Communicate effectively with the healthcare team to assure continuity of care
• Documents charges for supplies used during the pre-op and recovery phase

*PACU RESPONSIBILITIES: Provide specialized care for patients recovering from anesthesia.

• Continuously evaluate the patient’s response to medications and the level of sedation.
• Demonstrates strong clinical judgment and decision-making skills.
• Monitors vital signs, surgical sites, level of consciousness, and pain levels.
• Provides patient education and family education regarding procedures and recovery.
• Monitor physical and emotional well-being throughout recovery.
• Responds to emergencies according to nursing standards and protocol.
• Ensures patient comfort and addresses questions and concerns.
• Maintains a clean and safe recovery environment.
• Assist with patient recovery and ensures safety prior to discharge.
• Documents procedures, medications, and care plan accurately.
• Communicate with physicians regarding concerns.
• Provides discharge instructions and ensures patient understanding of post-operative care.

*SPECIALTY CLINIC AND OUTPATIENT DEPARTMENT DUTIES: Collects and documents subjective and objective patient data.

• Performs pre-visit chart review for completeness, including areas of health maintenance exams, medications, tests, and visits.
• Maintains patient flow to minimize delays and optimize scheduling.
• Assists with scheduling and prior authorization process.
• Assist the physician with performing minor in-clinic procedures.
• Assesses patient needs and promptly reports any abnormalities.
• Assists the physician with performing minor medical operations performed within the clinic.
• Administers medication and evaluates patient response.
• Identifies abnormal diagnostic data and communicates findings appropriately.
• Performs clinical tasks including:
• Wound care
• Blood draws
• Management of vascular access devices
• Application of dressings
• Administration of blood and blood products
• Administration of high-risk medications and specialty infusions.
• Adherence to established nursing standards, policies, and procedures.

*QUALITY ASSURANCE RESPONSIBILITIES: Ensure that all equipment is functioning properly

• Participate in continuing education offerings to remain current with current standards and recommendations.
• Identify and mitigate risks to ensure patient and staff safety.
• Perform narcotic counts as required.
• Conduct daily crash cart checks.
• Assist with pre-operative phone calls.
• Maintain universal precautions at all times.
• Complete all necessary documentation on Nursing assessment forms.
• Maintain the privacy, confidentiality, and security of all patients' protected health information and center information, following “minimum necessary standards” according to HIPAA guidelines.
• Perform surgical counts and ensure proper handling of surgical specimens.
• Performs other duties as assigned
• Adheres to the facility’s Standards of Excellence.

Education and Experience:

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• Current license to practice nursing in the state.
• Minimum of six months of recent experience as a professional nurse.

*ESSENTIAL SKILLS AND ABILITIES Maintains a highly professional demeanor.

• Demonstrates effective communication skills (written and verbal)
• Exhibits organized and efficient work habits.
• Works collaboratively with team members.
• Provides compassionate, patient-centered care.

Physical Requirements:

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• Prolonged periods of sitting at a desk and working on a computer.
• Prolonged periods of standing, bending, and reaching
• Must be able to lift up to 50 pounds as needed.