Job TitlePerioperative NurseQualificationsEducation:Graduate of an accredited school of nursingGraduate of a formal perioperative nursing course or documented on-the-job trainingExperience/Skills:Preferably possesses at least one year experience in a clinical settingPossesses circulating and/or scrubbing duty experiencePerforms nursing intervention using the nursing process and incorporating current clinical knowledge with established nursing practiceContinuously acquires surgery skills through clinical experience, on-the-job training, inservice, and continuing educationProficiently reads, writes, and understands EnglishAccurately reads fine print, supply labels, patient identification bracelets, the surgical schedule, and policies and proceduresAccurately hears and follows verbal instructionsPushes and pulls heavy objects such as gurneys, patient beds and OR bedsLifts patients, heavy boxes weighing up to 40 pounds, and instrument sets weighing up to 20 poundsRequired Licenses/Certifications:Registered Nurse licensed to practice in the state of IndianaCPRACLSWorking Conditions:Works in an air-conditioned environment with a temperature of 65ºF-72ºF and humidity of 45%-55%Works in temperatures up to 85ºF-90ºF when assigned to assist with pediatric casesWears hospital-provided scrub attire while on dutyWorks in an environment with the potential for cuts, bruises, muscle strains, and exposure to contagious diseases via blood and body fluidsWorks in an environment with the potential for exposure to anesthetic waste gases, harsh disinfectants, sterilizing agents, high steam pressure, and radiologic factorsRoutine ResponsibilitiesBehavioral Expectations:Consistently complies with established Behavioral ExpectationsRN Duties – Assessment/Planning:Assesses the physiological health status of the patient on admission to the operating room and performs an ongoing assessment of the patient's physiological health status during the intraoperative periodAssesses psychological, sociocultural, and spiritual status on admission to the operating roomIdentifies nursing diagnoses appropriate to the intraoperative and postoperative periodPlans care based on the patient's problems/needs in the assessmentPlans and coordinates patient care perioperatively to allow for patient comfort by efficient use of down time; using surgeon's preference cards; and by coordinating activities of other disciplines to implement individual plan of careInitiates discharge planning for local and endoscopy patients which includes patient and family instruction/teaching, resource referralRN Duties – Implementation/Evaluation:Implements perioperative nursing care according to an established plan of care and operating room policies and proceduresSupervises perioperative nursing associates and assistants assigned to perform the actions necessary to accomplish the identified goalsScrubs and/or circulates simple as well as complex surgical and endoscopy proceduresEvaluates the effectiveness of the care providedCommunicates and perioperative nursing careDesigns, implements, and evaluates systems to improve the quality of perioperative nursing patient careAssumes on-call for departmentRN Duties – Post Anesthesia Recovery:Demonstrates effective airway management; frequently monitors respiratory adequacy and intervenes appropriatelyMonitors cardiac system of post-op patientIdentifies arrhythmias and evidence of shock, intervening appropriately when necessaryUtilizes PAR scoring system to determine patient status toward post-anesthesia recoveryDemonstrates a knowledge of proper documentation and charging procedures (e.g. vital signs, I&O, patient care record)