Staff Nurse-Surgery (HRC-970)

Job Summary

Coordinates and delivers care to patients across the surgical continuum by functioning in any or all of the following roles: Circulating Scrub and Endoscopy RN.

SURGICAL SERVICES CURCULATING RN: Provides direct patient care to pediatric through geriatric patient populations. 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 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. Provides direct patient care to adult through geriatric patient populations. Assesses plans implements and evaluates the care of patients undergoing endoscopic procedures. Communicates with gastroenterologist and/or anesthesiologist continuously and as needed about patient condition. Assists with procedures. Assists with maintaining equipment and inventory. Participates in performance improvement activities. Maintains regulatory agency requirements nursing and hospital policies procedures and standards.

Responsibilities

Approaches patient in a kind gentle and friendly manner
Responds to patients inappropriate behavior in a therapeutic manner
Takes appropriate actions and documents in response to manifested anxiety or distress. Requests Social Service/Pastoral Care as appropriate
Gives patient explanations and verbal reassurances consistently
Adapts nursing procedures to meet the needs for treatment of individual pediatric adolescent adult and geriatric patients
Identifies physical symptoms and changes and takes appropriate actions in a timely manner
Demonstrates ability to asses cardiorespiratory systems for changes in pediatric to geriatric patients and is able to treat appropriately
Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management
Performs all aspects of patient care in an environment that optimizes a patient safety and reduces the likelihood of medical/health care errors
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 patients status in order to identify each patients age specific needs and provide care needed by the patient group
Directs and assists in maintenance and handling of special equipment and instruments
Observes behavioral and physiologic changes due to medications takes appropriate actions and documents
Adjusts expectations of patient behavior and acts according to the effect medication has on the patient
Positions patients safely; pads and protects bony prominences
Preps and drapes patients correctly for all procedures
Carries out medical and surgical asepsis during all procedures
Treats patients and their families with respect and dignity. Identifies and addresses psychosocial cultural ethnic and religious/spiritual needs of patients and their families
Demonstrates competence in preparing and cleaning of OR suites based on patients infection class before between and after terminal cases
Carries out established techniques for safe administration of medications and parenteral fluids as per hospital policies and procedures
Coordinates and supervises patient ca re; provides patient and family with teaching/education as necessary
Demonstrates knowledge of anesthetic drugs actions and side effects
Follows the five medication rights and reduces the potential for medication errors
Protects patients sensitivities and right to privacy
Demonstrates knowledge of arterial lines Swan-Ganz spinal and epidural catheters and how to document appropriately
Is able to open sterile supplies and set up for procedure
Demonstrates through knowledge of location care and operation of all surgical equipment
Accurately records handles and labels specimens; demonstrates care of specimens
Ensures Pre-op Checklist is complete (H & P present informed consent signed test results present etc.) before patient is taken into surgical suite
Is consistently ready and prepared for assigned cases and has patient in the surgical suite 15 minutes before the scheduled time
Appropriately responds to the patient in an emergency or physically distressful situation
Assessment and reassessment of the patient is clearly and concisely communicated in computerized charting. Documentation meets current standards policies and procedures and is completed within shift
Effectively communicates with the physician in accounting for all sponges needles and instruments during and after the procedure and documents in the appropriate area
Communicates Lab/Imaging Services reports to the surgeon during the procedure
Gives thorough report of patients intraoperative condition to PACU Nurse
Establishes and maintains effective communication and good working relationships with co-workers for the patients benefit
Counts narcotics at beginning and end of all shifts with another RN per hospital policy
Demonstrates thorough knowledge of instrument processing sterilization and biological monitoring. Actively participates in instrument processing as schedule allows
Makes decisions reflecting knowledge of dysrhythmias followed by appropriate treatment
Completes other duties as assigned by Nurse/Director/Charge Nurse
Utilizes initiative; strives to maintain steady level of productivity; self-motivated; manages activity and time; does not waste time
Manages and operates equipment safely and correctly
Meets current documentation standards and policies and completes within the shift
Carries out medical and surgical asepsis during treatments and special procedures
Maintains and environment and provides the patient and family with feelings of safety and security
Assists with orienting new staff members to the department
Maintains a good working relationship and effective communication both within the department and with other departments for the benefit of the patient
Completes other duties as assigned by Nurse Manager/Charge Nurse within the Board of Registered Nurses Scope of Practice

Required Skills/Abilites

Ability to read and communicate effectively in English
Additional languages preferred
Basic computer knowledge

Education & Experience

Current Registered Nurse licensure in the State of California
Current BCLS Certification
Current ACLS with Basic EKG or Arrhythmia-identification Certification
Minimum of one (1) year work experience in the Operating Room or Nursing Experience in an acute setting required.

Job Type: Per-Diem All Shifts

Pay: $71.00 - $85.00 per hour

The posted pay range is based on experience and established in accordance with the collective bargaining agreement.

Benefits:

• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Ability to Commute:

• Hollister CA 95023 (Required)

Ability to Relocate:

• Hollister CA 95023: Relocate before starting work (Required)

You can access the application form here: you may submit your completed application directly to .

All job offers are contingent upon the successful completion of a background check physical exam drug test and verification of education qualifications and credentials.

San Benito Health Care District is an equal opportunity accordance with applicable law we prohibit discrimination and harassment against employees applicants for employment individuals providing services in the workplace pursuant to a contract and volunteers based on their actual or perceived: race religious creed color national origin ancestry physical or mental disability medical condition genetic information marital status (including registered domestic partnership status) sex (including pregnancy childbirth lactation and related medical conditions) gender (including gender identity and expression) age (40 and over) sexual orientation status military and veteran status and any other consideration protected by federal state or local law (sometimes
referred to collectively as protected characteristics).