JOB DESCRIPTION FOR JOB TITLE:
|Registered Nurse – Ambulatory Surgery |
|Job Code: 800047 |FLSA Status: Non-Exempt |
|Mgt. Approval: KH Date: 10-18 |HR Approval: KS Date: 10-18 |
|JOB SUMMARY |
|Under the general supervision of the Nurse Manager, in conjunction with the Program Director, the RN – Procedure is a registered professional nurse who assumes the |
|overall responsibility for management of the operating room to which he/she is assigned. |
|MAJOR RESPONSIBILITIES |
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|Utilize acquired knowledge and skills related to perioperative nursing care, procedures, and equipment in order to provide safe, individualized patient care. |
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|Keep extra supplies available in the room to support sterile team as needed, avoiding necessity to leave room during surgical procedure. |
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|Assist in the preparation of the operating room environment by damp dusting furniture and equipment each morning prior to starting first procedure. |
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|Organize for a surgical procedure by utilizing preference cards and resources to set up sterile field and have needed instruments, supplies and equipment available in |
|sufficient amounts. Ensure that preference cards are kept up-to-date, in an effort to provide high quality care in a cost-effective manner. |
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|After properly masking, open all needed sterile supplies, observing principles of aseptic technique. |
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|Connect the anesthesia machine to medical gas supply, checking hoses, bag, and CO2 tubing. Set up suction for use by anesthesiologist. Ensure that any additional |
|anesthesia equipment that may be needed is readily available. |
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|When the room is ready, bring the patient to the O.R. after proper verification of patient identification and consent for surgical procedure. |
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|Stand by patient’s side during anesthesia induction to assist anesthesiologist as needed. |
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|Assist surgeon and anesthesiologist in positioning patient. |
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|Assist in “prepping” patient, and, after draping is completed, assist in moving sterile tables into position and connect appropriate equipment. |
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|Anticipate needs of sterile team and anesthesiologist and respond quickly and efficiently as needs arise. |
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|Remain attentive to the progress of the surgical procedure and needs of individual team members by watching and listening, giving Nurse Manager adequate notification of|
|delays, conflicts, problems, etc. |
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|Complete appropriate records/documentation. |
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|Follow established Surgery Center policies and procedures related to sponges, sharps, and instrument counts and handling of tissue specimens, with awareness of legal |
|liabilities. |
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|Observe infection control procedures to minimize the risk of cross-contamination between surgical patients and staff. Practice universal precautions at all times. |
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|Demonstrates the ability to scrub surgical cases performed at the surgery center as needed and assigned by the Nurse Manager or designated charge person. Willing to |
|continue to learn how to scrub different cases. |
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|Communicate with ancillary departments as necessary (i.e. pathology and x-ray). |
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|Assist with dressings and transfer of patient from operating room table to recovery chairs/carts. |
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|Help as needed with patient, and accompany patient to post procedure area; when pre/post staff are unable to transport to the pre/post area from the OR. |
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|Help O.R. Tech clean the room and prepare for the next procedure. |
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|At the end of the schedule, clean and restock the operating room and sub-sterile area. |
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|Assist with restocking the anesthesia carts at the end of each day. |
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|Assist with the signing out at the beginning of the day and the returning at the end of the day any narcotics from the anesthesia provider. Count and verify narcotics |
|and waste as stated per policy. |
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|Ensure that supplies for the next day’s cases have been picked, and that everything that is necessary to perform the procedure is available. |
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|Relieve other nurses and or surgical techs for breaks and lunch as needed and/or assigned by the Nurse Manager/designee. |
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|When own duties are completed, voluntarily help in other areas of TSC. |
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|Demonstrate ability to work effectively in demanding working conditions. |
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|Demonstrates the desire and ability to cross train to different areas of the surgery center as directed by Nurse Manager. |
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|Establish and maintain open communication with co-workers, team members, and Nurse Manager to assist in smooth execution of the daily schedule. |
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|Demonstrate personal characteristics and interpersonal skills to work closely with many team members at the same time. |
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|Provide moderate sedation under physician’s direction |
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|Perform other site-specific duties as assigned. |
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|ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE UW HEALTH PERFORMANCE STANDARDS. |
|JOB REQUIREMENTS |
|Education |Minimum |Graduate of an accredited school of nursing |
| |Preferred | |
|Work Experience |Minimum |One year of nursing experience |
| |Preferred |One year of relevant operating room experience preferred |
| | |One year experience in Ambulatory Surgery Center preferred |
| | |Scrub experience preferred |
|Licenses & Certifications |Minimum |State of Wisconsin RN licensure |
| | |CPR |
| | |ACLS required to be obtained within 12 months of hire date |
| |Preferred | |
| | |CNOR Certification preferred |
|Required Skills, Knowledge, and Abilities |Possess good communication skills and the ability to maintain interactive/interpersonal relationships |
| |Successful completion of Telemetry testing within six (6) months of hire date |
| |Possess a good working knowledge of nursing theory, practice, and legal aspects of nursing, and techniques, |
| |care and use of equipment used in an ambulatory surgery center setting |
| |Available and able to work on short notice (willingness to change hours as staffing needs require) |
| |Adaptable to varied and quickly changing duties without requiring detailed or repeated instructions |
| |Must have ability to establish priorities in fulfillment of duties |
| |Professional demeanor |
| |Ability to work as a member of a team |
| |Ability to prioritize tasks |
|AGE SPECIFIC COMPETENCY (Clinical jobs only) |
|Identify age-specific competencies for direct and indirect patient care providers who regularly assess, manage and treat patients. |
|Instructions: Indicate the age groups of patients served either by direct or indirect patient care by checking the appropriate boxes below. Next, |
| |Infants (Birth – 11 months) |X |Adolescent (13 – 19 years) |
| |Toddlers (1 – 3 years) |X |Young Adult (20 – 40 years) |
| |Preschool (4 – 5 years) |X |Middle Adult (41 – 65 years) |
| |School Age (6 – 12 years) |X |Older Adult (Over 65 years) |
|JOB FUNCTION |
|Review the employee’s job description and identify each essential function that is performed differently based on the age group of the patient. |
| |
|PHYSICAL REQUIREMENTS |
|Indicate the appropriate physical requirements of this job in the course of a shift. Note: reasonable accommodations may be made available for individuals with |
|disabilities to perform the essential functions of this position. |
|Physical Demand Level |Occasional |Frequent |Constant |
| |Up to 33% of the time |34%-66% of the time |67%-100% of the time |
| |Sedentary: Ability to lift up to 10 pounds maximum and occasionally |Up to 10# |Negligible |Negligible |
| |lifting and/or carrying such articles as dockets, ledgers and small | | | |
| |tools. Although a sedentary job is defined as one, which involves | | | |
| |sitting, a certain amount of walking and standing is often necessary | | | |
| |in carrying out job duties. Jobs are sedentary if walking and | | | |
| |standing are required only occasionally and other sedentary criteria | | | |
| |are met. | | | |
| |Light: Ability to lift up to 20 pounds maximum with frequent lifting |Up to 20# |Up to 10# or requires |Negligible or constant |
| |and/or carrying of objects weighing up to 10 pounds. Even though the | |significant walking or |push/pull of items of |
| |weight lifted may only be a negligible amount, a job is in this | |standing, or requires |negligible weight |
| |category when it requires walking or standing to a significant degree.| |pushing/pulling of arm/leg | |
| | | |controls | |
|X |Medium: Ability to lift up to 50 pounds maximum with frequent |20-50# |10-25# |Negligible-10# |
| |lifting/and or carrying objects weighing up to 25 pounds. | | | |
| |Heavy: Ability to lift up to 100 pounds maximum with frequent lifting |50-100# |25-50# |10-20# |
| |and/or carrying objects weighing up to 50 pounds. | | | |
| |Very Heavy: Ability to lift over 100 pounds with frequent lifting |Over 100# |Over 50# |Over 20# |
| |and/or carrying objects weighing over 50 pounds. | | | |
|List any other physical requirements or bona fide occupational qualifications:| |
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