The OR nurse prepares the Operating Room suite for the patient based on the procedure and the surgeon’s preferences. The nurse assesses the patient’s preparedness for surgery, including required forms, lab tests, antibiotics required, etc. as well as the patient’s understanding of the planned procedure (when possible) prior to taking the patient into the room. The OR nurse assures that AORN and TJC Standards are followed in the preparation of the patient and the room to assure the patient has a safe surgical experience. These standards include the pre-procedure safety checks, such as Universal Protocol, including patient identification and site marking, the final Time Out, and other safety standards during the procedure. The OR RN is responsible for the care of the patient in the Operating Room and must communicate and collaborate with the surgeon and the anesthesiologist in providing safe, quality care to all patients.
Duties and Responsibilities:
1. Sets priorities for nursing actions according to patient needs, following physician preference file & by direct communication with surgeon or anesthesiologist.
2. Assesses the patient pre-operatively to review the health status of the patient and assures that all pre-operative safety standards are followed.
3. Documents accurate patient information on operative records, which reflect patient care throughout the surgical procedure.
4. Assists scrub person with opening of supplies for operative procedures.
5. Assists with the proper positioning of the patient on the operating room table.
6. Accurately performs all sponge, needle & sharps counts at appropriate times according to department standards.
7. Provides for appropriate handling and labeling of all specimens and cultures according to department policy and procedure.
8. Observes surgical field at all times to asses that the patient is not subjected to bodily harm with equipment placement and for compliance with aseptic technique.
9. Maintains and demonstrates clinical expertise in the surgical setting.
10. Demonstrates proper use of instruments, equipment and other technical devices within the department.
11. Gives report to the PACU nurse or the ICU nurse on any nursing issues for the patient.
12. Demonstrates ability to handle emergency situations in a prompt, precise & professional manner.
13. Practice in clinical area reflects current standards of practice, hospital values and legal standards.
14. Complies and maintains compliance with the department call coverage.
15. Follows department policy for wearing personal protective equipment during all surgical procedures.
Currently licensed in the State of Maryland.
Graduate from an approved Nursing School (CN IV requires BSN see attachment) may be required or preferred in some areas. Positive interpersonal/communication/supervisory skills. Computer skills preferred.
Physicians, supervisors, clinical managers, occasional department heads, other nursing staff, employees in other departments, public at large.
Considerable walking, long periods of standing and frequently fluctuating activities. Good physical and mental health.
Works in well-lighted and ventilated hospital environment.
Exposure to all types of illnesses, disturbed patients and environmental hazards including contact with body fluids potentially infectious for blood borne pathogens. Possibility of injury from equipment and injury or strains from moving patients and/or irrational patients.