Registered Nurse OR - Surgical Services

job objective

under the supervision of the director of surgical services and/or the or charge registered nurse, the rn is responsible for the nursing care of patients undergoing surgical and/or other invasive procedures. The rn shall function under the guidelines of aorn standards, as well as the policies and procedures of the hospital. A registered nurse is responsible for the nursing care of patients as established by the nursing practice act of the state of california and as guided by policies and procedures of the hospital.

meets all essential duties of a registered nurse.

• responsible for creating a safe and comfortable environment for the surgical patient
• insures that patients have a safe intraoperative period from general, regional or local anesthesia
• provide accurate and ongoing patient assessment
• creation and maintenance of quality care provided for patients undergoing surgery
• allows the patient to participate in his/her care and respects and carries out wishes accordingly, i.e. Decision to decline blood transfusion, etc
• acts as patient advocate while patient is impaired either under general anesthesia, regional or sedation
• accounts for sponges, needles, instruments, and sharps during intraoperative phase

• meets all skills and abilities of a registered nurse
• knowledge and application of surgical asepsis and sterile technique
• ability to work under pressure in a fast‑paced environment
• knowledge of proper supplies, equipment and instrumentation needed for surgical procedures, i.e. Electrocautery, patient monitoring equipment, and equipment such as neurological, cardiovascular, orthopedic equipment during procedures
• demonstrates competency in use of the new technologies relating to equipment and procedures
• ability to take charge of unit for the assigned shift, within two year from date of hire
• must complete accredited perioperative nursing course and preceptor program and/or a one year surgical experience
• facilitates education/growth of employees/students
• demonstrate ability to supervise care provided by others
• adheres to accepted policy and procedure in providing patient care

• current california registered nursing license
• bcls certification
• acls, pals, and/or other additional certifications required for some specialty areas
• certified nursing in operating room (cnor) – desirable
• resuscitation credentials such as bls, acls, pals required before completion of orientation period

• meets required working conditions of a registered nurse
• may be required to take night as well as weekend call shifts in rotation with other or staff

• work often performed under stressful, emotional, and physical conditions
• accepts additional workload during times of unexpected circumstances, e.g. High activity, high census, and sudden emergencies
• may be exposed to contaminated instruments that may cause infections, burns, or cuts
• may also be exposed to wet and/or humid conditions, fumes or airborne particles, toxic or caustic chemicals, risk of electrical shock, and risk of radiation

• applies nursing process in direct patient care:
• provides accurate assessment and documentation of physiological, psycho social, cultural, developmental, socioeconomic, and spiritual needs of patient as evidenced by assessment within time frame appropriate for level of care
• provides logical sequence of action, updates nursing care plan as evidenced by notations on care plan, provides evaluation each shift of patient’s progress in relation to the patient care plan, if applicable to area of care
• provides information to patient/family relating to educational resources available, directs patient/family educational process
• provides discharge planning beginning on admission with appropriate referrals and update as required by the patient
• adheres to the admission and transfer criteria
• adheres to all current policies and procedures in providing patient care and seeks clarification if needed.
• evaluates and documents outcomes of medical, nursing, and ancillary team interventions
• incorporates time management…