Registered Nurse

At ELM Management Services, the Ambulatory Services Center (ASC) Registered Nurse is responsible for the direct and indirect provision of safe and professional nursing care of the patient throughout all stages of the Legacy Center for Spinal Surgery visit. This is accomplished through rigorous evaluations and documentation of all care provided to patients within the Perioperative and outpatient environments as directed by Physician orders, ASC policies, processes, and procedures.

• Performs perioperative roles and duties. Including, Pre-Operative, OR Circulator, and PACU Roles
• Carries out physician orders
• Follows and completes tasks assigned by Clinical Director
• Supports surgical and nonsurgical procedures for multiple providers that operate at the ASC
• Supports and maintains a safe patient care environment
• Recognizes situations (patient, staff, visitor, and physician) and significant assessment findings that require verbal or written communication and follow through to the appropriate people
• Completes and complies with medication management, administration, and security standards
• Follows established universal precautions in the use of PPE and other safety equipment
• Complies with applicable ASC governing body standards and requirements. Including all Federal, State, and local agencies and organizations that regulate staff and patient safety and care

• Assess patients medical condition, vital signs, pain, level of consciousness, pre-op labs, and other symptoms or concerns that require further provider evaluation or treatment
• Obtains patients medical history, medications, allergies, reactions, and consents
• Prepares patients for planned procedures
• Administers preoperative medications per provider orders
• Restocks Pre-operative area
• Other duties may be assigned

• Ensures Operating Rooms are maintained in a clean, safe, and sanitary condition
• Assists team with gathering supplies, equipment, opening trays, conducting counts, and dispensing medications prior to and during procedures as needed
• Prepares room for procedures, assists team with room turnover between procedures
• Assists with safe patient transport and positioning
• Verifies patient history, allergies, timeout, and document procedure along with other required charting sections.
• Assists OR team with any intraoperative needs
• Administers intraoperative medications per provider orders
• Restocks intraoperative area
• Other duties may be assigned

• Verifies patient history, allergies, timeout, and document PACU process along with other required charting sections
• Assess and monitor patient frequently during PACU stay for changes that require further provider evaluation or treatment
• Updates patient family on patient status and estimated discharge time and plan
• Provides a safe environment for patient recovery
• Provides discharge instructions, resources, and education
• Administers PACU medications per provider orders
• Restocks PACU area
• Other duties may be assigned

• Provides safe, individualized patient care specific to the surgery/procedure being performed throughout the ASC visit
• Starts and maintains IV as required
• Supports ASC team and communicates with provider as needed
• Completes thorough and accurate handoff reports where necessary